Increased knowledge boosted ANC attendance in Ngelehun Badgia Community

The Community stakeholders self-built structure in Njagbahun in Badjia chiefdom ward 297 which was approved due to series of engagements between the District Health Management Team and the chiefdom Development Committee has been provided another health worker due to increase in access to services at the facility.

Pregnant women, lactating mothers with children under five years were still struggling to access the health facility that is located 12 miles away from the Chiefdom head quarter town (Ngelehun Badjia). With this in mind, the chiefdom development Committee supported community action plan that prioritized the construction of health center using own resources.  This constructed facility has been approved and equipped with staff and drugs. With regards to this success, the Chiefdom Development Committee thought it necessary to have another staff attached to the facility due to increase in attendance of pregnant women and lactating mothers with children under 5 years. Farming activities are apportioned with respective roles and responsibilities ascribed to male and female as per cultural demands. Men do the brushing, stumping and planting while, women do the weeding, harvesting and cooking. The act of trekking miles away to access health facility for ANC attendance ultimately used to affect farming activities for pregnant/lactating mothers by either altering farming calendar schedules, deprive the husband and co-workers from having their meals during work or, let go of ANC attendance.

A situation that negates the health conditions of the very pregnant/lactating mothers with their unborn and under five babies coupled with, effects of low farm yield production and incurring extra economic burden.

Pregnant women and lactating mothers limited farming time apportioned to trekking miles off to access health facility for ANC attendance was counter-productive to the enhancement of their livelihood. A situation that worth changing. The act of not attending ANC in the bid to livelihood enhancement that results to increased health challenges to pregnant/lactating mothers with their unborn babies was nothing to write home about and, such situation needs to be put to an end.

A situation if improved will enable Citizens save time, energy and resources they used to invest to access health services and direct them to their farming activities.

Exorbitant monies paid for transportation and those incurred due to underproduction are recovered and utilized for developmental purposes as a result of savings made in-terms of time and opportunity cost translated in to monetary values.

During follow up on WDC and Chiefdom leaders Action Plan follow up sessions, WDCs and Chiefdom leaders were able to realize the growing attendance trend to the health facility posing work pressure on the only staff at the facility giving rise to patients spending additional time before they could get access to the staff (long queue).

This situation warrants them to let go of a whole day scheduled for ANC attendance without visiting their farms to do their normal farming activities. An additional delimiting factor to their livelihood enhancement and development. To salvage this situation, the WDCs and Chiefdom leaders prioritize the need for an additional health facility staff to support the current staff in administering treatment to patients using the SABI governance pathway.

They engaged RADA in collaboration with the DMO and CDC Chairman to facilitate a joint monitoring visit to assess the facility for possible support. Outcome from the visit confirmed success as the DMO committed and fulfilled his commitment by ensuring the attachment of another health staff and some drugs from the store for the facility. The facility is in full operations now as citizens are now enjoying easy access to health services saving extra time spent in queue.

  • Energy, time and financial resources used by citizens to access health services prior to this time as well as, stay in queue for hours are now saved for productive purposes.
  • ANC attendance amongst pregnant and lactating mothers within these catchment has been improved.
  • The possibilities for increased mortality rate within these catchment communities has been decreased.