Making pregnancy safe and expanding reproductive health services in Uganda
FROM THE FIELD
James Kainerugaba lives in Kirowooza Village in Kakooge sub-county, Nakasongola District. Being a pastor of the Kakooge Full Gospel Church, James is well known, trusted and respected in his community. Because of his approachable and dependable nature, and his good communication abilities, James was selected by his community to be a member of the Village Health Team. The single 30-year-old farms for a living, but he has programmed his time so that he gives ample attention to all his responsibilities.
James is one of five VHT members in Kirowooza village, which has 135 households. “I have been a VHT member for the last 12 years. My main role is to identify and link the people in the community to the health centre.” James has had a long relationship with AMREF, which supported his education through a programme that ran many years ago, after which he joined a youth group supported by AMREF. “We were given a lot of health education, which helped me understand that most health issues can be dealt with at community level,” he says. James and his fellow VHT members have received refresher training from AMREF on malaria, HIV, mothers’ and children’s health, nutrition and family planning. “This training has made me more confident and motivated because I have information that I can share with my clients. You know, you cannot give what you do not have. This training is very important to us because when we talk to the community, they listen.”
One woman who listened to James is Jesca Nzamukosha. The 35-year-old mother of six had her first three children at home, but the youngest three were delivered at the Kakooge Health Centre. “Before AMREF started working here with James, most of us had our babies at home,” says Jesca. “We were not tested for HIV or malaria, even when we were pregnant, because very few of us ever went to the health centre. We did not know how important it was for us to be checked. I have learnt a lot from James about nutrition and hygiene. I also have a mosquito net to protect me from malaria. Before James talked to us, my husband and I never discussed HIV, but now that he has given us all the information, we talk freely, and we even know our HIV status.” James is proud of the work he is doing in his community. “We are able to handle all sorts of issues, even sensitive ones like male circumcision to reduce the risk of HIV infection. Mothers and children are healthier than before. Just visit any health facility and you will see the increased number of pregnant women there. This is because of our referrals.”
FACTS AND FIGURES
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