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 Health  Burundi Project #31891

Providing health care to 1000s in Bujumbura slum

by Friends Women's Association Vetted since 2018 Top Ranked Effective Nonprofit
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Providing health care to 1000s in Bujumbura slum
Mobilization for family planning and HIV testing.
Mobilization for family planning and HIV testing.

Giving Tuesday: FWA would like to thank the 22 people who donated $3058 on Giving Tuesday. GlobalGiving then matched this with $453. Those who were unable to donate on Giving Tuesday may still do so as part of their End of Year giving.  

The section below summarizes the work done during the month of November 2018.

ADMINISTRATIVE TEAM and Capacity Building

On November 4-8, 2018, Grace HORANIMANA attended the AVP gathering in Uganda.

On November 12-15, Ntahuba Parfaite, the national coordinator of FWA, attended a workshop on the best practices of UCP. This workshop was organized by Nonviolent Peaceforce at Brackenhurst, outside Nairobi, Kenya.

On November 26, there was a Networking Cocktail hosted by SACODE, one of the Segal Family Fund partners here in Bujumbura, Burundi. The event took place in the gardens of SACODE located on Avenue de France from 6pm-8pm, and all of SFF partners here in Burundi were present. We were joined by Andy Bryant, Executive Director of Segal Family Foundation. It was good time for laughing, relaxing and networking.

ACTIVITIES

Rape Survivors’ Support (RSS)

On November 21st, 2018, there was one follow up session for 40 people who attended a three-day trauma healing workshop in August 2018.

At the end of November 2018, 27 self-help groups were functioning

Street Business School

In the month of November 2018, one session on street business was done

Caring for HIV Positive People (CHIVPP)

During this month of November 2018, medical follow up and home visits were done for our HIV positive people.

Through Red Cross Burundi, nutritional support is still provided to our HIV positive beneficiaries. The 2018 annual report was produced.

Maternity Ward Building

In the month of November 2018, we have continued our building project. See pictures.

Improving Women’s Reproductive Health (IWRH)

FWA community health workers and FWA staff have continued to mobilize people for HIV voluntary test and family planning.

Three discussion groups were organized. Key populations were touched, including partners of HIV positive women, sex workers, and drugs’ users

Action on Gender-Based Violence (AGBV)

In the month of November 2018, the campaign of the 16 days of activism against gender-based violence was done.

Medical Team

CONSULTATIONS

149 cases were consulted by our medical doctors, including 26 children, 51 adults and 72 HIV positive people (25 cases were consulted for different pathologies, 12 new cases were diagnosed and put under ARVs treatment, 35 cases for monitoring viral load). The nurse received 343 patients including 245 adults and 98 children.

LABORATORY

In the month of November 2018, apart from HIV voluntary testing, there were a total of 251 tests.

Test                          Test completed  Positive  Negative

G.E.Malaria test                76                22          54

Quick malaria test               3                  1            2

ECBU Urine test                11                  9            2

Selles Stool test                23                22            1

Pregnancy                        35                 11           24

Sero-widal Typhoïd fever     50                 39           11

Glycémie Diabetes            19                   4          15

RPR VDRL Syphillis            8                   0            8

Complete Blood Count        26                   -            -

                                     Total Tests: 251

FAMILY PLANNING

310 people received contraceptives from FWA’s nurse, including 201 old cases and 109 new ones. 265 received the contraceptive injection, 32 were given pills, 6 received implants, and 7 received male condoms. 

PRENATAL CONSULTATION (PNC)

In the month of November 2018, 31 women came for prenatal consultation (PNC), including 7 came for PNC 1, 10 for PNC 2, 5 for PNC 3 and 9 came for PNC 4.

Anti-Retroviral SITE

At the end of November 2018, we had 281 patients under retro drugs followed at NTASEKA clinic, including 226 women and 55 men.

PHARMACY

FWA had all necessary medicines for the month of November 2018.

PSYCHOSOCIAL TEAM

In the month of November 2018, a total of 217 people received pre and post HIV test counseling and were tested for HIV; 61% of them were women and among the 19 people detected HIV positive, 15 were women with 9% of seropositivity.

Total Number of People Tested: 217

Total Number of Women Tested: 132

% of People Tested Who Are Women: 61%

Average Age:  27

Median Age: 26

Total HIV+ : 19

Total HIV- : 198

Number of Women HIV+ : 15

Total % Seropositivity: 9%

% of Women Tested Who Are HIV+: 11%

 

Trauma healing workshop for rape survivors.
Trauma healing workshop for rape survivors.
Rape Survivors Support Group Self-Help meeting.
Rape Survivors Support Group Self-Help meeting.
Progress on building of Maternity Ward.
Progress on building of Maternity Ward.
Female construction worker building maternity ward
Female construction worker building maternity ward
Discussion group for HIV+ women.
Discussion group for HIV+ women.
Discussion group for sex workers.
Discussion group for sex workers.
Discussion group for drug users.
Discussion group for drug users.
Mobilization for family planning and HIV testing
Mobilization for family planning and HIV testing

Giving Tuesday is tomorrow and the Friends Women's Association hopes that you can make a donation on that day. GlobalGiving will give a 12% to 15% bonus for donations made on Giving Tuesday that are made during that day Eastern Standard Time in the US.

Friends Women’s Association: Accomplishments for 2018 and Goals for 2019

By Parfaite Ntahuba, National Coordinator

Testimony by Marie. After the death of all my parents in 1993, I found myself in an internally displaced persons’ camp. In this camp I was sexually abused by a soldier until I had two children -- the first at the age of 14 and the second at the age of 16. After I separated from the soldier, I became a sex worker, first in the countryside and then here in Bujumbura. I got HIV/AIDS when I was a sex worker. The reason why I came for HIV voluntary testing was that I lost weight every day. I always had headaches, temperature, and oral thrush. When I started ARV treatment, my health began to improve. For now, I greatly appreciate the discussion groups because it is an opportunity to meet those who have the same HIV+ status as me. I have been a member of a self-help group for one year. For many years, I had received training in a sewing center, but I had never managed to have capital to have my own machine. Now I was able to receive a loan of 150.000 francs ($86) from my self-help group. I was able to buy a sewing machine. At the moment, my children can eat three times a day and can go to school easily.

Family Planning

A total of 10 community sensitization presentations on family planning were done. A total of 2400 people were reached. Burundi has one of the highest fertility rates in the world.During the year a total of 3822 women received contraceptives.

Caring for HIV Positive People

In 2018 fiscal year, our medical doctors consulted a total of 881 people, and our nurses received a total of 4781 people including 3226 adults and 1555 children. A total of 3198 people received pre and post HIV test counseling and were tested for HIV. 126 out of the 166 people detected HIV+ were women for 8% of seropositivity. At the end of October 2018, FWA had 269 patients under ARVs treatment followed at NTASEKA Clinic including 216 women and 53 men. This includes monthly discussion groups on HIV/AIDS, nutritional support, and home visits.

Rape Survivors’ Support

In 2018, FWA conducted 11 trauma healing workshops, free medical care and home visits for gender based violence survivors. At the end of October 2018, we had a total of 25 self-help groups.

Action on Gender-Based Violence

In the year 2018, there were eight GBV workshops with a total of 160 participants including 80 religious leaders and 80 community elected leaders. A three day retreat on self-care and capacity building was organized for 25 GBV facilitators, three workshops on conflict transformation, and one workshop on national rules on families and homes for young people. On June 29, 2018, they organized a community celebration to raise awareness against GBV.

Two new programs

The Street Business School trains vulnerable women to be empowered to be able to identify what kind of business is needed in their respective communities and how to market their business.

FWA has started a new service , Pre-natal Consultation, for the prevention of transmission of HIV from mother to child. This has led to the beginning of the construction of a Maternity Ward as women, after they have done all the four pre-natal consultations, prefer to deliver at the clinic.

What FWA wants to see in 2019

  • The resilience of our HIV positive people is built by creating a safe place where they can share their challenges as a group. This will be done through discussion groups with HIV+ breastfeeding women, HIV+ children, and HIV+ people receiving nutritional support.
  • To promote a comprehensive and holistic approach to health care for people living with HIV/AIDS.
  • Capacity building of FWA staff to understand our support programs for people living with HIV/AIDS.
  • Reduce the stigma and shame of being HIV+ through educational sessions for the community.
  • HIV/AIDS transmission from mother to child is reduced through the pre-natal service.
  • The key populations (sex workers, drug users, and men) do HIV voluntary testing.
  • Additional people are attending the clinic for birth control services.
  • Completion of the Maternity Ward construction project.
  • GBV survivors are recovered from their trauma through trauma healing workshops
  • GBV is reduced in the places where we are educating people on this issue.
  • The women economic situation is improved through the self-help groups and the Street Business School.
  • Increased voluntary HIV testing for community members.

Thank you for your support for 2018 and 2019.

We have attached the flier on FWA's 2018 Accomplishments and 2019 Goals. Please review it and then forward it to those whom you think might be interested in the work of the Friends Women's Association. We have a goal of raising $5,000 on Giving Tuesday to help with paying staff salaries during 2019.

We appreciate you help.


Attachments:
Progress on building of Maternity Ward
Progress on building of Maternity Ward

Head's up: November 27 is Giving Tuesday. GlobalGiving will be giving a bonus for eligible donations made on that day. So please donate on Giving Tuesday so that FWA can receive the bonus amount.

The section below summarizes the work done during the month of October 2018.

ADMINISTRATIVE TEAM and Capacity Building

NTAHUBA Parfaite, the national coordinator of Friends Women’s Association, attended the Segal Family Foundation 2018 Annual General Meeting on October 4-6, 2018 at Radisson Blu Hotel, Nairobi.

ACTIVITIES

Rape Survivors’ Support (RSS)

One trauma healing workshop for Gender-Based Violence survivors was done on October 16-18, 2018. There was also a follow up session for 40 people who attended the July 2018 trauma healing workshops. Two main results: one self-help group of 16 people was created and two women who were in conflicts were reconciled

At the end of October 2018, 25 self-help groups were functioni

On October 31, 2018, FWA staff self-help group joined the world to celebrate the International Day of Savings and Credit. We were able to save BIF4.680.000 over a period of one year. This means around $2,600 (USD).

Street Business School

Since the month of September 2018, FWA has initiated another program “The Street Business School”. 40 women are being trained on the street business approach.

Caring for HIV Positive People (CHIVPP)

During this month of October 2018, medical follow up and home visits were done for our HIV positive people.

Through Red Cross Burundi, nutritional support is still provided to our HIV positive beneficiaries.

Maternity Ward Building

In the month of October 2018, we have continued our building project. The cost of the building materials is increasing every day.

Improving Women’s Reproductive Health (IWRH)

FWA community health workers have continued to mobilize people for HIV voluntary test and family planning. Three sessions were organized for our community health workers capacity building.

Action on Gender-Based Violence (AGBV)

In the month of October 2018, a three-day workshop was organized for young people. The topic was national rules on homes and families. The purpose was to prepare young people to have safe homes where there is no gender-based violence. There was also evaluation on the workshops previously done.

Medical Team

CONSULTATIONS

117 cases were consulted by our medical doctors, including 31 children, 37 adults and 49 people under ARVs treatment. The nurse received 357 patients including 253 adults and 104 children.

LABORATORY

In the month of October 2018, apart from HIV voluntary testing, there were a total of 343 tests.

Test                                Test completed        Positive   Negative

G.E. -  Malaria test                   102                    46           56

Quick malaria test                       6                      1             5

ECBU - Urine test                      10                    10             0

Selles - Stool test                      29                    23             6

Pregnancy                                45                     25           20

Sero-widal - Typhoïd fever           58                     25           33

Glycémie - Diabetes                  38                     25           13

RPR VDRL - Syphillis                26                       0           26

Complete Blood Count               29                       -              -

                                     Total Tests: 343

FAMILY PLANNING

356 people received contraceptives from FWA’s nurse, including 254 old cases and 102 new ones. 303 received the contraceptive injection, 28 were given pills, 4 received implants, 2 received collar method and 19 received male condoms. 

PRENATAL CONSULTATION (PNC)

In the month of October 2018, 47 women came for prenatal consultation (PNC), including 26 came for PNC 1, 9 for PNC 2, 7 for PNC 3 and 5 came for PNC 4.  

Anti-Retroviral SITE

At the end of October 2018, we had 269 patients under retro drugs followed at NTASEKA clinic, including 216 women and 53 men.

PHARMACY

FWA had all necessary medicines for the month of October 2018.

PSYCHOSOCIAL TEAM

In the month of October 2018, a total of 238 people received pre and post HIV test counseling and were tested for HIV; 67% of them were women and among the 26 people detected HIV positive, 24 were women with 11% of seropositivity.

Total Number of People Tested: 238

Total Number of Women Tested: 159

% of People Tested Who Are Women: 67%

Average Age:  26

Median Age: 25

Total HIV+ : 26

Total HIV- : 212

Number of Women HIV+ : 24

Total % Seropositivity: 11%

% of Women Tested Who Are HIV+: 15%

 

 

 

 

 

 

 

 

Two women who were reconciled after follow-up day
Two women who were reconciled after follow-up day
Street Business School seminar
Street Business School seminar
The International Day of Savings and Credit
The International Day of Savings and Credit
Participants of HROC follow-up day, GBV survivors
Participants of HROC follow-up day, GBV survivors
Small group discussion during HROC follow-up day.
Small group discussion during HROC follow-up day.
The building site.
The building site.

Introduction by Dave Zarembka: Among the many issues that HIV/AIDS has brought, the fate of children born HIV+ is often neglected. “At the end of 2015, 2.6 million children throughout the world ages 15 and younger were living with the virus, but only about one-third of them were getting treatment (WebMD).”  Clearly the children themselves are not responsible for their HIV+ condition, but must live their whole lives with the negative consequences. If they receive proper treatment and take the appropriate drugs they can lead long, healthy lives.

This Report covers two aspects of HIV+ children. First is a short description of a dialogue session with three HIV+ children under treatment at the Friends Women’s Association’s Ntaseka Clinic.

The best “cure” for HIV+ children would be for the children not to be infected by their HIV+ mothers. One of the methods of doing this is to give birth under professional care at a maternity ward rather than at home with unqualified assistance. The Ntaseka Clinic now has 199 young HIV+ women under their care and many will give birth. To lower the chance of these women conveying their positive status to their infants, the Clinic is building a Maternity Ward so that women can give birth in a safe environment. The second part of this report, mostly pictures, covers the current building project for the Maternity Ward.

Dialogue Session on September 7, 2018 with Children infected with HIV/AIDS.

Theme: Compliance with antiretroviral therapy and drug conservation.

Target group: Children aged 10 to 14 followed at Ntaseka Clinic.

Number of participants: 3 children.

Venue: Ntaseka Clinic.

Objective: The objective of the session was the respect for taking medication and good preservation of drugs.

Methodology: The participatory method was adopted so that each child could express himself/herself freely.

Description:

The session began at 1 pm with greetings. Then we proceeded to the introductions. Both the facilitator and the participants introduced themselves. The facilitator then asked the children to tell her what time they take their medications. They all participated without hesitation.  Each one of them indicated the time of taking the drugs. Then the facilitator asked them to describe their daily schedule from morning to bedtime at night. Each child shared his daily schedule. Some children indicated the time of taking their medications; others forgot to mention this.

Then after the facilitator showed them pictures from the picture folder and asked them to describe the pictures that indicate the consequences of good or bad observance, the children described these pictures. Some of them said that they sometimes forget to take their treatment and that they also happened to get sick with diarrhea or vomiting. From these images children understood that this is due to poor compliance.

Towards the end of the session, the facilitator showed them pictures indicating a good preservation of medications. The children described the pictures and each child shared the place where he/she keeps his/her medication.  From these images, children have learned that keeping their medications in a well-ventilated place promotes the effectiveness of treatment but also that they must be kept in a place where their little brothers or sisters cannot reach because they can throw them away or take what is dangerous for them.

Observation:

The children were interested in the session and all participated by sharing their experiences and knowledge. Some children are observing the treatment while others are not. This happens because of the lack of follow-up by the parents or guardians of these children.

Recommendations:  

  • It would be necessary to multiply these dialogue sessions and to organize playful meetings with these children so that they can create strong relationships with each other.
  • There should be also similar sessions for the parents and/or guardians of these children in order to sensitize them to make sure that the children are taking their medications properly.

Conclusion:

The session went well in a good atmosphere because all the participants expressed themselves without fear.

                                                                          *****

Progress on construction of the Maternity Ward.

Please see pictures of the constuction.

For a long time, FWA has had a vision to extend its services offered in Kamenge community through our Ntaseka Clinic. While our main focus was to provide treatment to people living with HIV, we realized that it has to go hand in hand with Prevention of HIV Transmission from Mothers to Children. Kamenge is amongst the most populated areas (slums) of Burundi and with one of the highest rates of HIV/AIDS. Our dream is to create a healthy community in Kamenge and its surrounding areas and we want to have a strong focus on increasing the number of HIV free babies. On one hand the main objective is to make available all the services in the poor community of Kamenge where we are working. On the other hand we must have the minimum package of service required by the Minister of Public Health in the fight against HIV/AIDS.

After Parfaite Ntahuba, FWA’s National Coordinator, visited Canada in 2017, Vancouver Island Monthly Meeting (VIMM) pledged $21,400 (USD) to start construction work on the clinic’s Maternity Ward. Thus in April 2018 we contracted an engineer to develop plans and specifications. Then in May 2018, we contacted the National Laboratory of Building and Public Works to do the study of the soil. We used funds received funds through GlobalGiving Platform for the site installation. The Vancouver Island Monthly Meeting funds reached us at the end of August 2018. At the same time we received $440 through Global. With these funds we began our construction project. We are in partnership with the construction company "Generation Trading Company" which closely follows this construction work. With the amount already received and other funds that we hope to collect through GlobalGiving and other sources, we hope to complete the ground floor by the end of this year.

DONATE

FWA would appreciate continued donations for the building of the Maternity Ward. To support Building FWA’s Maternity Ward through GlobalGiving, click on goto.gg/32980.

 

Number of women attending the prenatal clinic.
Number of women attending the prenatal clinic.
FWA counselor with HIV+ children.
FWA counselor with HIV+ children.
Delivery of building materials for the foundation.
Delivery of building materials for the foundation.
Foundation for one of the pillars.
Foundation for one of the pillars.
Building one of the pillars.
Building one of the pillars.
Further work on one of the pillars.
Further work on one of the pillars.
The construction site.
The construction site.
Worker building the pillar from the foundation.
Worker building the pillar from the foundation.

The section below summarizes the work done during the month of September 2018.

ACTIVITIES

Rape Survivors’ Support (RSS)

One trauma healing workshop for Gender Based Violence survivors was done on September 26-28, 2018.

At the end of September 2018, 22 self-help groups were functioning

Caring for HIV Positive People (CHIVPP)

During this month of August 2018, medical follow up and home visits were done for our HIV positive people.

Through Red Cross Burundi, nutritional support is provided to our HIV positive beneficiaries.

One discussion group was done for children born with HIV/AIDS.

Maternity Ward Building (see pictures)

FWA has initiated this new project to extend its services in Kamenge and its surroundings. In the month of September 2018, we have started building.

Improving Women’s Reproductive Health (IWRH)

FWA community health workers have continued to mobilize people for HIV voluntary test and family planning.

Action on Gender-Based Violence (AGBV)

In the month of September 2018, both narrative and financial reports were provided to Quaker Service Norway (QSN).

Medical Team

CONSULTATIONS

82 cases were consulted by our medical doctors, including 16 children, 23 adults and 43 people under ARVs treatment. The nurse received 327 patients including 228 adults and 99 children.

LABORATORY

In the month of September 2018, apart from HIV voluntary testing, there were a total of 218 tests.

Test                              Test completed   Positive  Negative

G.E. - Malaria test                   89                 24          65

Quick malaria test                     8                    4          4

ECBU - Urine test                    10                  10          0

Sells - Stool test                      27                   26          1

Pregnancy                               28                   14        14

Sero-widal - Typhoïd fever          35                   31          4

Glycémie - Diabetes                  9                     3          6

RPR VDRL - Syphillis              12                     2         10

                                     Total Tests: 218

FAMILY PLANNING

330 people received contraceptives from FWA’s nurse, including 201 old cases and 47 new ones. 248 received the contraceptive injection, 20 were given pills, 8 received implants, 1 received DIU, 2 received collar method and 19 received male condoms. 

PRENATAL CONSULTATION (PNC)

In the month of September 2018, 20 women came for prenatal consultation (PNC), including 11 came for PNC 1, 3 for PNC 2, 6 for PNC 3 and 0 came for PNC 4.  

Anti-Retroviral SITE

At the end of September 2018, we had 252 patients under retro drugs followed at NTASEKA clinic including 199 women and 53 men.

PHARMACY

FWA had all necessary medicines for the month of September 2018.

PSYCHOSOCIAL TEAM

In the month of September 2018, a total of 238 people received pre and post HIV test counseling and were tested for HIV; 55% of them were women and among the 9 people detected HIV positive, 6 were women with 4% of seropositivity.

Total Number of People Tested: 238

Total Number of Women Tested: 130

% of People Tested Who Are Women: 55%

Average Age:  28

Median Age: 26

Total HIV+: 9

Total HIV-: 229

Number of Women HIV+: 6

Total % Seropositivity: 4%

% of Women Tested Who Are HIV+: 5%

Distribution of Red Cross food to HIV+ women.
Distribution of Red Cross food to HIV+ women.
Trauma healing workshop for survivors of GBV.
Trauma healing workshop for survivors of GBV.
Discussion group for children born with HIV/AIDS.
Discussion group for children born with HIV/AIDS.
Delivery of building materials.
Delivery of building materials.
Foundation
Foundation
Erecting foundation pillar.
Erecting foundation pillar.
The building site.
The building site.
 

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Organization Information

Friends Women's Association

Location: Bujumbura - Burundi
Website:
Facebook: Facebook Page
Twitter: @None
Project Leader:
NTAHUBA PARFAITE
Bujumbura, Burundi
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