By Adrian Gosling | Operations Director
When someone’s unwell we try to help them get better. But once their health improves we want them to stay well. So our plans for the next two years include a project called ‘Mashale Kabotu’ – ‘Stay Well’ in the Tonga language.
Mashale Kabotu (Stay Well) aims to improve access to healthcare in two districts (Zimba and Kazungula) in Zambia’s Southern Province. The project is based on three central pillars:
1. Treating –qualified international volunteer doctors provide primary health care services in rural communities alongside local nurses from Rural Health Centres (RHCs);
2. Teaching – qualified doctors facilitate health education in rural communities in conjunction with local health authorities to allow people to take control over their own health outcomes;
3. Training – delivery of a specially developed and locally customised training programme for Community Health Workers, with the goal of supporting them to be an effective first point of contact for their communities’ health needs fully embedded within the support structure of nurses from local RHCs.
These three activities are integrated and will be delivered in parallel. Community Health Workers will shadow qualified doctors during patient consultations and will be trained to deliver community health messages. Underpinning the model is the principle of supporting and strengthening existing rural health systems and the staff at Rural and District level, building effectiveness and resilience. This requires that we support local workers, including nurses and Community Health Workers. It's all summed up in our 'theory of change' (which you can see in the chart below)
The ultimate aim of Mashale Kabotu is that people living in rural communities in southern Zambia wil lead happier, healthier lives.
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