Partnerships in health produce peace of mind

By Kathy Griffith

The Abundant Health Initiative of The United Methodist Church supports mothers and children through teaching about pregnancy and child care, making improved services more accessible and available, and encouraging community participation. Confidence in this partnership leads to trust, empowerment and peace of mind. In communities from Nepal to Congo, where pregnant women’s and small children’s lives are at risk from everyday problems, let alone COVID-19, this connection is life-changing.

Finding local nutritious food

A partner in Nepal, the Nutrition Promotion and Consultancy Service, has implemented a childhood nutrition program in a difficult-to-reach mountainous area. They share practical information with the community through special events that bring women together to dance, sing, compete and learn about health. As a result, mothers are bringing their very small children for growth monitoring and nutritional assistance and breastfeeding their newborns longer, and supportive home visits are taking place. The field team gives food and cooking demonstrations to mothers’ groups in order to introduce local, affordable and nutritious variations into traditional recipes. After 12 months, most families are eating more balanced meals and community opinion leaders are discouraging the ever popular “junk food.”

Health services, healthy home

In rural Central Congo, women are taking advantage of the open doors of the health facility and ownership of new health knowledge. They understand the benefit of multiple prenatal visits, consent to tests, and request malaria-prevention medication and mosquito nets, which are no longer taboo. Services have been made more practical and helpful through mobile clinics and visits from Community Health Worker visits to screen children, village by village, for malnutrition. Kitchen and community gardens have been introduced, and some have had an opportunity to raise chickens. One of the most welcome interventions has been the drilling of two village wells. No more long walks for dirty water. Peace.

Community commitment

The health system in the autonomous region of Tashba Pri in Nicaragua relies heavily on community health workers. A partner, Accion Medica Cristiana (Christian Medical Action), works with community leaders and members to keep health data, particularly about pregnant women and children. They not only address health needs but also promote health through household water treatment, vegetable growing and the installation of smokeless stoves.

Empowerment

In Liberia, the nurse in charge of the clinic at Camphor assumed her post with very little midwifery experience. The community could easily have lost trust in the clinic’s capacity to provide care. Fortunately, the Abundant Health Initiative’s program officer began to mentor her. The nurse’s self-confidence grew, transforming her relationships with coworkers and patients. She became a better leader and manager. “I have learned to be patient and calm,” she said, and the work goes on. We celebrate her in the year of the nurse and midwife!

Unfortunately, COVID-19 has reduced attendance at many of these vital services. Health workers and community leaders continue to urge pregnant women and young children to seek treatment, deliver their babies at health facilities and breastfeed for as long as possible. They also teach and practice the new set of precautions that has come with the pandemic, not to spread panic, but to bring confidence and safety.  

As knowledge, respect and autonomy increase through health partnerships in these countries and more around the world, we pray for continued peace of mind for mothers and children.  

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Partnering for abundant health across Nigeria

By Christie R. House

Patience Zakari, a young mother in rural Nigeria, was afraid to take her children to a clinic when they were sick with fever. She feared the cost of treatment, given her limited budget, which made it difficult to pay for essentials like food and school fees. She preferred, instead, to go to a local chemist to buy cheaper malaria drugs, but they didn’t always work. 

When her twins, who were still babies, became ill, she feared they would not survive. She found a clinic operated by the Nigerian United Methodist Church, which was screening for and treating malaria at no cost to the patients. “I, my twins, and my other children all received treatment and are well again. Now that we are receiving free malaria treatment, I no longer fear going to the clinic,” Zakari said. 

Patience Zakari received medication for herself, her twins, and her other children from the Imagine No Malaria project in Nigeria. She had been afraid to go to clinic for a proper diagnosis because of the cost, but the UMC Nigeria health clinic provided health assessments, proper medications and education about preventive methods and use of bed nets for free. Photo: UMC Health Board, Nigeria

A strong, integrated health system that families and individuals can trust to give the best care possible is not a given in many parts of the world. In Nigeria, United Methodist health facilities in rural areas are working to improve their outreach into the communities they serve. 

The Nigeria Rural Health Program, operated by the Nigeria United Methodist Health Board, oversees 16 rural health clinics in four annual conferences within the Nigeria Episcopal Area. It also supports the newly established Jalingo Hospital, constructed in 2017, thanks to an Imagine No Malaria (INM) Hospital Revitalization Grant. 

A Health System Strengthening operational grant from Global Ministries’ Global Health unit supports the operations required to manage the health board’s country office. The grant provides salaries for key program staff, like the health board coordinator, Dr. Godfrey Ogbu. It makes possible supervisory visits and on-the-job training of facility staff at the supported health facilities. This integrated and comprehensive approach to the health needs in Nigeria increases access and improves the quality of services delivered. 

A year-long Imagine No Malaria program that began in June 2019 provides long-lasting insecticide bed nets, prophylaxis to prevent malaria, and medications and supplies for diagnosis and treatment. Education encouraging behavioral changes to prevent malaria are included in this outreach to community members. 

Reaching patients with services and treatments they need 

The Nigeria Health Board team travels to United Methodist primary health-care facilities to equip and empower clinic staff with technical information to increase their response. Moses Alikali, who serves as the INM officer in Nigeria, reports that he and Ogbu visited the 16 facilities to monitor malaria programs four times between June and December last year, despite the difficult terrain. Alikali outlines the details involved in one of these visits: “We are making sure that the beneficiaries are receiving free malaria treatment, that health facility staff are adhering to World Health Organization malaria treatment protocol, and that proper documentation of patients and accountability of malaria commodities are recorded.” 

Moses Alikali conducts a clinical review meeting in the Northeast Conference of the UMC, looking at malaria statistics, and data gathering and reporting. Photo: UMC Nigeria Health Board

Through collaboration with their Maternal, Newborn and Child Health (MNCH) and INM teams, the Nigeria Health Board works toward quality care for all patients who visit the UMC facilities, particularly pregnant women and children under five, who are the most vulnerable to disease. Women who come for prenatal visits can receive medication that will protect them and their babies from contracting malaria. They can also be tested for HIV and if they test positive, start antiretroviral medications. With proper treatment, HIV-positive mothers have a good chance of delivering HIV-free newborns. 

This work is vital because Nigeria accounts for 10% of the world’s maternal deaths and ranks 6th in the world for mortality of children under age five. Malaria infection during pregnancy raises risks for both mother and fetus. Maternal anemia, fetal loss, premature delivery and low birth-weight are a few of the dangers. 

But the first step is gaining the trust of families so that mothers are aware of their need for the services and come for prenatal visits. 

Marta Sunday, who lives near the United Methodist Taka Wurkum facility, found the treatment she needed after she’d tried others: “I was sick for weeks. Even though I was receiving treatment from another health facility, I didn’t recover. At Taka Wurkum, the doctor checked me and explained the reasons why I was still sick. He said either the malaria drugs I bought from the market had expired or I wasn’t taking the right dose. Within two days, the medication he gave me changed everything, and I am feeling good. My baby is calm and healthy since she was treated in this facility. I thank the mission clinic and the doctor in charge who has taken the time to see that these services reach us.” 

The Nigeria Health Board also received essential medications and equipment from a HSS Primary Healthcare grant to support gaps in medications and supplies in the targeted health-care clinics. In addition, funds will support the rehabilitation of seven health facilities in Nigeria. 

Along with facility revitalization and provision of essential supplies, the HSS program invests in staff development to improve the quality of care. Through a Global Ministries-funded obstetric training event held in the Philippines, a doctor and nurse team received hands-on Caesarian-section training that they brought back to Jalingo Hospital and are sharing with their colleagues. 

Working with communities for health improvement 

Alikali says community involvement is key for the successful implementation and sustainability of malaria control intervention. “Already in the communities are infrastructures, like community leaders and church leaders, who provide avenues for entry,” he noted. 

In its first six months, the INM project directly impacted the lives of 21,075 people, including children, pregnant women, and others. More than 2,038 people who might have died of malaria were saved. The project made quality malaria medications available in hard-to-reach communities. And, the number of patients that visited the health facilities where the INM project has been implemented tripled to 23,991. 

The success of this project has boosted the confidence and enthusiasm of the staff in the facilities and the level of community trust as well. This abundant trust has gone a long way to increase health and well-being in remote areas. Receiving correct diagnoses and effective treatments at little or no cost has increased the number of families seeking treatment. The Nigerian Health Board therefore anticipates a general reduction in morbidity in the communities they serve, especially for women and their babies. 

Christie R. House is a consulting editor and writer with Global Ministries.

No longer a generation of anguish but a generation of hope

Ending the AIDS pandemic is a collective responsibility. It is a life-saving ministry and movement in which the church plays a vital part. There are eight projects under the Abundant Health banner that have leading roles in reaching young people who are least aware, most at risk, and perhaps most afraid of stigma. 

United Methodist Health Board section marches in the parade, World AIDS Day 2019, Kitwe, Zambia. Photo: Courtesy Zambia UM Health Board

The United Methodist Church’s Health Board in Zambia joined local partners in Kitwe, and the rest of the world, to organize and commemorate World AIDS Day 2019 in December. It was themed “Communities making a difference, pressing toward ending AIDS.” 

The celebration began with a candlelight service, helping participants remember people lost to AIDS and to have renewed hope for life. The district commissioner, Binwell Mpundu, gave an inspiring message. He said, “We are no longer a generation of anguish but a generation of hope. A hope that by 2030, Zambia will have zero new HIV infections.” He declared the goal attainable with collective action from all stakeholders. 

United Methodists taking part in World AIDS Day activities in Kitwe, Zambia, started off their participation with a candlelight service of remembrance for those who lost their lives to AIDS. Photo: Courtesy Zambia UM Health Board

The day was filled with activity for the people of Kitwe – aerobics, a march, a fun run and tug-of-war, but also with HIV education, counseling and testing, and condom distribution. Everyone was called upon to participate in the fight against AIDS; everyone can offer a hand to stop it. The general public was encouraged to go for testing, refer others for testing, take preventive measures and take antiretroviral medication consistently. 

The church is part of the wider community. It can make a significant difference in this life-saving campaign. The health board actively works with the Zambian Ministry of Health and other organizations in the mining city of Kitwe to spread information to prevent HIV, improve access to testing and treatment, and to work against stigma. It recently trained 74 young people as Peer Educators. They are starting to reach out to their friends at school, college and university, establishing clubs and communicating through drama, song and radio, urging everyone to know their status and to treat each other with dignity. The health board is the only organization there reaching out to adolescents. 

Project manager, Mrs. Phiri, describes Zambia Health Board HIV and AIDS projects to the district commissioner and other delegates at the World AIDS Day 2019 commemoration in Kitwe. Photo: Courtesy Zambia UM Health Board

The Zambia UMC Health Board is part of a national campaign to pursue UNAIDS’ 90–90–90 target. The objective for this campaign is: 90% of people living with HIV know their HIV status, 90% of people who know their HIV-positive status access treatment and 90% of people on treatment have suppressed viral loads. In 2019, the health board launched the U=U campaign: The Undetectable virus is Untransmittable. 

As the Zambia Health Board, we are proud of being part of this noble cause and making contributions to Zambia’s vision of ending new AIDS infections by 2030. 

Betty Tshala, Health Office/Board Coordinator 

Kathy Griffith is the program manager for Maternal, Newborn and Child Health, Global Ministries. This article was adapted from a report by Betty Tshala, who serves as the Health Office/Board Coordinator, Zambia UMC Health Board, and as a UMC missionary with the Mujila Falls Project in Zambia.