A community school for all (children) in Fiarenana

by Zahana
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A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
A community school for all (children) in Fiarenana
Receiving First Lady's prize of excellence
Receiving First Lady's prize of excellence

Our CARMMA (health center) in Fiadanana was awarded the ‘prize of excellence’ by Madagascar’s First Lady!

With great joy we congratulate all of our community health workers and the paramedic for their outstanding work that qualified them for the prize of excellence!

Our paramedic, head teacher and all community health workers undertook the once in a lifetime journey to the capital of Antananarivo to receive the reward and their certificates from the hands of the First Lady.

Our community health worker Ms. Laza was chosen to receive the CARMMA award from the hands of the Director of her Regional Health District and the First Lady. In the photo she is towered over by the two of them so you cannot see her on the stage...

Created by the First Lady last year, the prize of excellence for Basic Health Centers (CSB), was awarded this November to five CSBs and one CARMMA  (see background information below). The six centers were chosen after a thorough selection process that included a site visit.

The First Lady hosted the ceremony “Remise des prix d’excellence aux Centre de Santé de Base et CARMMA” (Awards of excellence for Basic Health Centers and CARMMA) on November 27, 2017 at the Palais d'Ambohitsorohitra (Presidential Palace) with over 400 dignitaries and 80 awardees in attendance.

In addition to the certificates, there are material prizes: Mattresses, a solar panel as power supply, 2 cell phones, a bicycle and medical equipment focused on maternal health. As our founder Dr. Ihanta said, with a happy chuckle: “We will need at least two cars to get all their ‘stuff’ back to the CARMMA. We decided, that along the way, 3 of the brand new mattresses are donated to the CSB2 in our district center of Bevato.”

We let the pictures speak for themselves. Cameras were not allowed at the event, so we thank the official photographer for providing us with images.

Background:
CSB stands for Centres Santé de Bases or Basic Health Centers. Over 2600 CSBs in Madagascar are classified level 1 or 2 according to the size of population they serve. People walk to their CSB for basic services, vaccinations and pre-natal screenings. If they cannot be helped there, they are sent to the next hospital, often hours or days away. The CSB1 are staffed by a trained paramedic or nurse. A CSB2, often located in bigger villages or regional centers and staffed by a medical do. tor, and have beds and rooms for patients.

CARMMA stands for Center on Accelerated Reduction of Maternal Mortality in Africa. CARMMA provide an additional, extra layer of care to reduce maternal mortality. Or, in plain English: do everything humanly possible so less mothers and children die during pregnancy and/or birth. In addition to the usual CSB health services CARMMA have specially trained people and equipment to focus on maternal and infant health. They offer regular pre-and post partum screenings and consultations, nutrition, and infant health check ups, combined with data collection to measure the impact, supported by trained community heath workers. A safe and sanitary space to give birth and drugs to stop postpartum bleeding or infections are part of this CARMMA package.  In a place where there is no ambulance to whisk you off the next hospital a CARMMA having these drugs at hand is literally a question of life and death.

In contrast to the Africa wide ‘Campaign’ that stands for the C in the acronym, in Madagascar C stands for actual brick and mortar Centers that provide services (or implement the goals a campaign aims to promote). There are currently 24 CARMMA in Madagascar offering services all year.

24 CSB are currently designated as CARMMA, with special focus on maternal and newborn health and trained midwifes. Our health center in Fiadanana is a CARMMA, with dedicated rooms for mothers and newborns, and (as we proudly point out) the only CSB in the area with running clean and safe drinking water.

Jeannette and Markus

 

*****

Excellence Award presented by the First Lady
Excellence Award presented by the First Lady
All 6 CSB awards - Fiadanana to the right
All 6 CSB awards - Fiadanana to the right
Health workers and their awards
Health workers and their awards
Fiadanana Team with their prizes
Fiadanana Team with their prizes

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The first baby born in the CARMMA health center
The first baby born in the CARMMA health center

These pictures mark a very happy occasion: the first baby born in our maternity clinic in Fiadanana!

Everybody in her village has been congratulating the young mother that she was able to give birth in a bed in one of the two brand new rooms we just built especially for mothers and their newborns.

Our Health Center is a CARMMA with a trained paramedic that also serves the role of a midwife. CARMMA stands for campaign for accelerated reduction of maternal mortality. There are currently 25 health facilities designated as CARMMA by the Ministry of Public Health of Madagascar.

We thought it was important to post these pictures now. Newborns are the future.

You supported our projects over the years, and you may tune in when you hear the word "Madagascar" in the news. With the current outbreak of the bubonic and pneumonic plague, Madagascar has made it into most major news outlets internationally in print or TV. Unfortunately every year there are plague outbreaks in Madagascar (yes, among many other health challenges plague is still one of them), but this year it came earlier and spread much faster.

Despite its stigma as "Black Death", plague is curable in the 21st century.  A week’s worth of common antibiotics is all it takes, if diagnosed early and available in a timely manner. This makes plague distinctly different from Ebola or bird flu outbreaks that make the news, too. But, “All you need is quick and reliable access to antibiotics” does not make headlines that sell…

While our villages are thankfully not affected, Zahana's founder Dr. Ihanta is currently the director of health for the country and part of the plague crisis unit implementing a response. We are in constant contact with her, so Zahana is right in the middle of it, indeed. We hope that all the international attention and huge influx of experts can help curb this current 2016 plague outbreak.

For fact-based information we recommend the WHO external situation report from October 17.

Please help us to work on a world where our baby does not have to worry about plague or access to antibiotics by continuing to support our efforts and schools in Madagascar. Thank you.

Markus

The baby and his mother resting in the CARMMA bed
The baby and his mother resting in the CARMMA bed
Dad visits the newborn and mom in the CARMMA
Dad visits the newborn and mom in the CARMMA
Our Health Center - a designated CARMMA
Our Health Center - a designated CARMMA
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The Moringa oleifera tree grows faster than her
The Moringa oleifera tree grows faster than her

Some project reports are just a joy to write.

The happy marriage of our reforestation project and growing Moringa oleifera in the school is going very well. Involving the students early on in growing and later hopefully life-long eating of Moringa gives great hope for a brighter and healthier future. Once a steady supply of fresh Moringa Oleifera leaves is available right there in our schoolyard(s) it can be added to any meal or soup that is prepared in the school by and for the students. And to top it off: on sunny days in the school's solar cooker.

As an added bonus, we have our head teacher Mprany as a strong ally in this endeavor. After all, as an individual, he won a prize in 2013 among the three winners who had been planting the most threes that survived for a year. This prize has last been awareded in the community in 2016.

Ihanta and Markus

The Moringa trees infront of every house one day
The Moringa trees infront of every house one day
Moringa stenopetala in the school yard
Moringa stenopetala in the school yard
Growing the next round of Moringa seedlings
Growing the next round of Moringa seedlings

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Ready to work in the school garden
Ready to work in the school garden

Many of you have supported us over the years and may be familiar with the names of ‘Donné’ and ‘Doré’, the then two young boys who went on to secondary school and are currently going to agricultural school in the neighboring town of Tsiroanomandidy.

We also reported that on the weekends they often walk back home to their village to support their mother and help her farming. As our very first truly homegrown students, they also started to volunteer their expertise to help the students grow vegetables in our school gardens. The pictures attached to this report show the direct result of their hands-on teaching.

The potential of these two young men, who we were able to send to secondary and agricultural school with your support, are almost limitless. Last but not least, soon we don’t have to consult outside agricultural experts anymore, but can draw on the expertise and know-how of our very own. 

At our last site visit the teacher wanted to make sure that we take a picture of the French words they are teaching to their students. French is the second official language of Madagascar, but in the countryside most people speak only Malagasy. The teachers are very proud that they also teaching some French to their students. We are very happy to comply and have added two of these photos in this report.

Fiarenana's teacher in the school's garden
Fiarenana's teacher in the school's garden
Fiadanana's school garden
Fiadanana's school garden
French curriculum materials
French curriculum materials
Another French curriculum poster
Another French curriculum poster

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2011: Donne & Dore getting ready 4 seconday school
2011: Donne & Dore getting ready 4 seconday school

Some of you reading our project reports over the years may remember that Zahana always believed that planting trees and educating children may take years to bear fruit and we need to commit for the long haul. This is a project report we write with great pride and joy.

Some of you may remember that in 2011 we passed one of the most important milestones in our schools' history. Seven student successfully passed the CEPE, or Certificat d'etudes primaires élémentaires (Certificate of Primary Studies) a nationwide test after completing primary school. (More about this on our website.) These seven were the first students ever to pass a CEPE in their community.

Two of our students, Donné and Doré contiued their education and went to secondary school in the neighboring small town of Bevato. Completing secondary school with flying colors, they also successfully passed the entrance exam for high school in June 2015. Since then they have been living in the town of Tsiroanomandidy attending an agricultural school.

This amazing personal achievement was only possible with the financial support of people like you. They are indeed the first ones in their community to go way beyond primary school.

The town of Tsiroanomandidy and their agricultural school is only a few hours walk from their home village of Fiadanana. So they had been returning, sometimes over the weekend, back home.

A new generation of students, attending their former school in Fiadanana, had been asking to learn how to grow vegetables in their school gardens. With our gardeners working full time on the reforestation project and their own rice fields, they were not as available as a few years back to work with our students.

In a match made in heaven, Donné and Doré offered to teach the 'new' students of their alma mater how to grow vegetables, putting their newly acquired knowledge into practice in the same school garden that got them going over ten years back.

Full circle indeed.

Best regards,

Dr. Ihanta, Jeannette and Markus

School garden when they attended school in 2010
School garden when they attended school in 2010
In their new agricultural school
In their new agricultural school
In their house in town
In their house in town

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Organization Information

Zahana

Location: Antananarivo, Capital - Madagascar
Website:
Facebook: Facebook Page
Twitter: @zahana
Project Leader:
Markus Faigle
Volunteer
Honolulu, HI United States
$46,012 raised of $55,000 goal
 
357 donations
$8,988 to go
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