Provide healthcare to remote displaced communities

by Reach Out NGO
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Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities
Provide healthcare to remote displaced communities

Remote Communities Health Promotion Project Report for June 2021

The socio-political crisis in the North-West and South-West regions has affected the availability of healthcare services and personnel in Nalende and Kitta communities. The insecurity in the communities propelled by two conflicting parties has limited the movement of the civilians and reduced the motivation of both the patients and Community Healthcare Workers (CHWs) to seek or supply healthcare services due to fear for their lives. The frequent military raids in the community have caused both the patients and CHWs to flee into the bushes.  The above reasons have caused the majority of the population including patients and CHWs to seek refuge in the bushes and other distant communities such as Mudemba. However, certain healthcare activities were executed within the month of June 2021 and the following results were obtained;

  1. Health Care Service Provision
  • 77 patients (33 males and 44 females) were received by the CHWs requesting solutions to their health problems. The majority of patients received were children <5 years old (54), 14 patients between the ages of 5-17 years and 9 patients in the 18-59 years age group
  • 60 patients (24 males and 36 females) were suspected of malaria out of which 34 patients (13 males and 21 females) benefited from diagnosis with the Rapid Diagnosis Test. Of these patients, 32 (12 males and 20 females) tested positive all being children from 0-4years old. Due to drug shortages, only 19 persons (2 males and 17 females) were provided with antimalarial treatment (Artesunate/Amodiaquine) and 1 little girl was referred to the Ekondo-Titi District Hospital for presenting a case of complicated malaria.
  • 68 children (34 males and 34 females) between the ages of 0 - 4 years were provided with Vitamin A supplementation and Albendazole 400mg (deworming therapy).
  •  12 pregnant women were provided with maternal delivery kits.
  • 466 indigenes (213 male and 253 female) were reached out with community sensitization by the CHWs. The majority of indigenous beneficiaries of the sensitization campaigns were 438 adolescents between the ages of 5- 17years   (143 males and 295 females), followed by 136 beneficiaries (61 males and 75 females) from the adult group and 12 (9 males and 3 females) beneficiaries were children between the ages of 0 - 4years.
  • 300 beneficiaries (145 males and 155 females) were educated on handwashing, 309 beneficiaries (157 males and 152 females) on water purification /preservation and 206 beneficiaries (114 males and 92 females) were educated on diarrhoea prevention.
  • 300 beneficiaries (150 males and 150 females) were educated on waste disposal, 239 participants (102 males and 137 females) on the use of proper latrine use and 215 (105 males and 110 females) were educated on LLNS.
  • 190 (86 males and 104 females) participants were educated on A.R.I prevention and 53 females were educated on menstrual hygiene.
  1. Health Education and Sensitization
  1. Nutrition
  1. 63 children (32 males and 31 females) between the ages of 0 - 5 years were screened for malnutrition with 0 MAM cases and 0 SAM.
  2. 22 females were targeted within the community consisting of pregnant women, lactating mothers and caregivers of children between the ages of 0 - 23 months. These women were sensitized on appropriate young infant child feeding.

The challenges encountered during this phase of the project were;

  • Stock-out of Artesunate/Amodiaquine from the Drug Fund; The antimalarial employed for the treatment of malaria in this project ran out of stock with the drug fund. Not all the patients who tested positive to malaria with RDT were provided with treatment.
  • Difficulty in Transportation of Drugs; Due to the high rate of insecurity along the Kumba Ekondo-Titi axis, transportation of drugs was done by sea which is expensive and there are other risks associated with it.
  • Restricted Communication with CHWs; Communication between the PM, Field nurse and CHWs is hindered by the poor network in the communities which have worsened with the crisis and power outage in the whole community.
  • The retreat of patients to the bushes; The insecurity caused by the Non-State Armed Groups, and frequent military raids have forced patients and CHWs to prioritize staying alive in the bushes over living healthy and providing healthcare services in the community.

 The following recommendations will address the above challenges

  • The project team recommends that other funds should be sourced to procure Artemether/Lumefantrine. This drug is an effective alternative to Artesunate/Amodiaquine in the treatment of malaria and is more costly.
  •  The stock of drugs delivered to the field nurse be increased to last for a duration of at least 3 months. This will make transportation which is dangerous less frequent.
  •  Protective gear (i.e., plastic rain boots, raincoats and torch helmets) be provided for the CHWs to ease their movement into the bushes to provide healthcare services.

The communities of Nalende and Kitto extend their gratitude to all those who generously provided Reach Out with resources to bring them health and wellness. The Reach Out team continues to count on your selfless donations to replicate these results in other communities. See attached some pictures from the field. Thank you.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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As reported in our February 2021 report, due to limited funding, our activities from the month of March 2021 going forward will focus on the use of Community health workers in remote communities rather than mobile clinics. This report is for activities carried out in the remote community of Kitta and Nalende in the Ekondo-Titi health area.

Kitta and Nalende were picked because there is no other program providing proximity healthcare in these two remote communities, nor a health facility, but the needs are overwhelming. They are at the center of the humanitarian crisis and recently the whole village was displaced to the forest while a military confrontation was taking place. The two community health workers are experienced and had worked with Reach Out in 2019 and 2020.  Activities in Kitta/Nalende began in May 2021. The first phase of the project is intended to run up to the end of July 2021.

The objectives for this phase of the project include;

        I.            Diagnosing and treatment of uncomplicated (not severe) malaria to all members of the community.

     II.            Treatment of simple Upper Respiratory Tract Infections

  III.            Screening for malnutrition and treatment of uncomplicated cases using Ready-to-Use Therapeutic Food (RUTF) including plummy nuts and its supplements.

  IV.            Referral of severe cases of malnutrition to the district hospital

    V.            Distribution of Albendazole and vitamin A to children 0-5 years of age

  VI.            Distribution of delivery kits and multivitamins to pregnant women

  1. Health education and YICE (young infant and child education).
  2. Referral of pregnant women to the district hospital Ekondo-Titi for follow-up of ANC.

 

The above activities carried out by the CHWs are under the direct supervision of a field nurse based in the Ekondo-Titi field office. The Field Nurse communicates with the CHWs on a weekly basis, replenishes their stock from the field office, and transmits their bi-weekly reports to the Reach Out health department office in Buea.

Targeting

The CHWs will target all community members who are in need of health care especially children below 5 years of age and pregnant women.

Results for the month of May 2021.

  • A total of 193 (111 males, 83 females) persons were received for health problems by CHWs.
  • 93 (50 males, 43females) persons were referred by CHWs to the Ekondo-Titi district health center
  • 80 persons (41males,39 females) were tested for malaria using the Rapid Diagnosis test.
  •  
  • 55 (30 males, 25 females) persons tested positive for Malaria out of which 50 (26 male, 24 female) were properly treated.
  • Total of 55 (31 males, 24 females) children/adults treated for Acute respiratory tract infections
  • A total of 107 (51 males, 56 females). children provided with vitamin A therapy
  • 25 pregnant women benefited from delivery kits and multivitamins
  • 77 (32 males, 45 females) children screened for malnutrition
  • community sensitization on basic health reaching 219 persons (73 males, 146 females).
  • 70 children were dewormed with Albendazole.

The communities of Kitta and Nalende express their gratitude to all those who made it possible for Reach Out to achieve the above results by donating to the project. We are also acknowledge and express our gratitude for the immense support from UNFPA for their in-kind donations of birthing kits as well as Vitamin Angels for their in-kind donations of Vitamin A supplements which were distributed to the beneficiary population.  We continue to seek more funding to reach out to those untreated or not reached in more remote communities.

 Attached to this report are pictures of from our field visits not only in Kitta and Nalende but also in other remote communities in the Meme Division where urgent healthcare needs were identified.

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Dear donors,

This February we completed our last month of mobile clinics. Despite your relentless support, we could not mobilize enough funds to continue working in March. 

Because the remaining funds are much smaller than what is needed to run a mobile clinic (vehicle, nurses, doctor) we have re-thought the project to focus back on rural community health workers. With the funds available we will recruit and deploy two community health workers in two of the most neglected communities in the South-West Region of Cameroon. They will be providing basic health treatment for free to children 0-5 and free malaria treatment to all members of the community, and refer complicated cases to the nearest health facility. The two communities picked are very remote and have no available health services, so this project will continue having a great life-saving impacts. We will be reporting to you their progress every few months. If our fundraising efforts pick up, we might thing of scaling the number of community health workers, there are hundreds of neglected hard-to-reach communities we could target.

This is the last report of the mobile clinic team, before we move on to this new stage.

The clinic provided a comprehensive basic primary health care package which included general consultations for all diseases, antenatal consultations to pregnant women, Nutritional services, and HIV services, Screening for chronic diseases like diabetes and hypertension, sensitization on health issues. 

Targeting

The team targeted communities based on their access to health care, displacement status concentrating activities mainly in hard-to-reach communities with a great number of displaced persons and returnees. 

Results for the month of February 2021

  • A total 898 people were consulted by the mobile clinic. Amongst this 438 were male and 421 were female
  • A total of 10 new people were diagnosed to be living with HIV and linked to treatment. 7 of these were males and 3 were females
  • The clinic provided Ante-natal consultations to 24 pregnant displaced women, most of them had not done it before. Many of them complained about having to move long distances to access healthcare.
  • A total of 142 people were diagnosed of malaria and managed appropriately. 71 of these were males and 71 were females.
  • 59 children were screened for malnutrition and three cases identified were put on treatment.
  • Family planning was provided to 2 women.

 

Thank you for your amazing support. Your donations saved lives.

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sally receiving medication
sally receiving medication

Through the mobile clinic, we have running in Manyu division in the Southwest region of Cameroon, we have the pleasure of building long term relationships with members of the community, such as Sally from Ndekwai. The mobile team first met Sally in April 2020 when she was 5 months pregnant. Sally has been disabled since birth, and due to her disability was at increased risk during childbirth. She was given her antenatal care by the clinic and was referred to the local hospital for a caesarean section. Due to her economic situation, she was supplied with the equipment for the operation and thankfully, it was a success and she gave birth to a healthy baby. She continued to attend the clinics with her baby and received her postnatal care as well. Unfortunately, Sally and the baby have been abandoned by her husband but thanks to the support of GlobalGiving, we can continue to offer them free health care as well as counselling her to ensure no further pregnancies until she is ready through family planning. 
Sally is just one of many people living with disability Reach Outs mobile clinic has been able to support over the last 2 months. Out of the 1,273 people who saw the medical team for their health problems in November, 56 were people living with a disability, and 15 other women have been seen for antenatal care, an essential step in ensuring safe delivery.
thanks for your generosity. this is how far it goes to promote health care in a conflict-affected area in Manyu. As we keep on trying our best, many of such cases keep on flooding our mobile clinic while we will only trust on your generosity.
once more we say thank you.

sally with the field medical doctor
sally with the field medical doctor
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“Dear friends,

Thanks to your amazing efforts, the clinics will be running from the 15th of October to the 15th of December. We also want to appreciate WHO for donating drugs worth 2 months of work. 

This is the feedback from their first week of work:

This week, Reach Out carried out mobile clinic activities in 5 locations: Chemba, Taboh, Bakwelle, Ebam, and Talangye. We carried out 405 curative consultations (19 for people with disabilities).

These are the 5 most common ills treated: Musculoskeletal Injury (99), Skin infections (22), Gastritis and ulcer (19), Upper Respiratory Tract Infections (16), Malaria (16), and gynaecological conditions (16).

These are the 5 most severe cases that consulted with us this week: 6 cases of diabetes, 4 bullet wounds, 4 cases of severe malaria, 3 cases of children with acute malnutrition, and 1 case of cancer, 1 of bloody diarrhoea, and 1 of liver disease.

Our stories of the week go to Orock and Ashu.

Orock is a 3-years old child with moderate acute malnutrition, he was found months ago with severe acute malnutrition. After an effective nutritional education for the family and feeding with fortified therapeutic food and local nutritious foods, we met him today with some improvement, he is not considered severely malnourished anymore, and soon could be fully recovered. Orock is one of many cases of such children who suffer from the burden of limited access to health and food. We hope to continue with Orock’s follow-up in the coming weeks.

Ashu is a 4-year-old with a disability, Aphasia (inability to talk). Ashu’s mother Lucia is as well a person with a disability (physical) who works as a trader. Lucia says she has no hope for her child due to the current crisis and the unavailability of any special education school in Mamfe. Unfortunately, this falls beyond the scope of our primary health care services, nonetheless, we offered counselling to Lucia and send the case to the headquarters to study it.”

[We have created this micro project to get Ashu into a special education school and relocate her to a safer area. You can check it out here.]

Thank you once more for making it all possible. Wherever you are, think of the 3 malnourished children that are being treated because you decided to donate to keep this project alive. We are forever grateful for your support.

Any donation received between the 18th of September and the 15th December will be used to secure 2 more months of operations (Jan/Feb) in Manyu Division, so far we have 1,700$ and we will be needing at least 5,000$ to continue. 

Orock
Orock
Ashu
Ashu

Links:

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Organization Information

Reach Out NGO

Location: Buea, South West Region - Cameroon
Website:
Facebook: Facebook Page
Twitter: @reachoutdev1
Project Leader:
Njomo Omam Esther
Executive Director
Buea, South West Region Cameroon
$11,417 raised of $12,385 goal
 
211 donations
$968 to go
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