Community Accountability In Malaria Project

The Accountability and Advocacy in Malaria project officially kick started in June, 2019. As part of national effort to address the challenges of Malaria in Nigeria, Catholic Relief Services (CRS) and Civil Society in Malaria Control, Immunization and Nutrition (ACOMIN) are working together for the successful implementation of the Global Fund Supported Malaria project on Accountability and Governance. This project’s goal is to contribute towards reducing the malaria burden to elimination levels and bringing malaria-related mortality to zero.

Women Environment and Youth Development Initiative (WOYODEV) is one of the Community Based Organizations in Kwara-State implementing the project in Irepodun LGA, covering Ajase ward 1 and 2, under the Supervision of ACOMIN. Major activities carried out included Focused Group discussions (FGD) at the ward level, Client Exit interviews at GF supported health facilities, Key Informant Interview at both health facilities and at the Local Government and advocacy visits to stakeholders. Since the inception of the project, WOYODEV has covered five (5) communities (Ajase town, Oke-iyapo, Buari, Ilala and Apata Kajola), five (5) Primary Health Centers (Ajase PHC, Okeiyapo PHC, Buari maternity center, Ilala PHC and Apata Kajola PHC) and one (1) cottage hospital (Ajase cottage). Over 190 questionnaires, 10 FGDs, 8 KII at the health facilities, 5 KII at the LGA and several advocacy visits have been carried out.

In the wake of a growing concern about the unchecked condition of one of the health facilities we worked at and the fear of consequences of poor help seeking behavior, WOYODEV facilitated a medical outreach at Buari community, Kwara state on 28th September, 2019. The outreach was done to increase people’s awareness on important issues concerning their health, increase their consciouness about the importance of presenting to the clinic early and to encourage the people to take responsibility including utilizing Primary health centers located in their community. More importantly, the outreach identified advocacy points on how to improve the condition of Buari Primary Health Center and Maternity.

ACHIEVEMENTS

⦁ WOYODEV intervention has brought about a speed up in some community projects. For instance, construction of staff quarters and fixing of pumping machine at Okeiyapo PHC, repair of generator that has been abandoned in over 2years at Ilala PHC etc.
⦁ Health workers now realize they are being checked for accountability and punctuality and as such geared for work..
⦁ Increased awareness of key health matters among community members which are as a result of our outreach.
⦁ Inauguration of health committee in communities as none e.g Apata Kajola.

CHALLENGES

⦁ Shortage of staff
⦁ Inadequate knowledge of matters of the health
⦁ Language barrier
⦁ Poor health infrastructures
⦁ Poor welfare of health workers
⦁ Weak community structure involvement
⦁ Lack of political will and corruption
⦁ Poor 

RECOMMENDATIONS

⦁ Community member should show increased involvement in the affairs of their health facilities.
⦁ There should be deployment of more health workers to PHC especially those in remote areas.
⦁ There should be a strong monitoring and evaluation of workers on duty.

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