The Republic of Guinea

STRENGTHENING MATERNAL AND CHILD HEALTH SERVICES

Kindia District

 

Context

 

Guinea is Official Among the Poorest countries in the world. Epidemiological data in 2015 show a maternal mortality rate 100 times that of Europe (or 600 Deaths per 100,000 births), a child mortality rate of less than 5 years 25 Times Higher than in France and a life expectancy of around 55 years.
The carrier of women’s health During Pregnancy and children is a priority.

The Ebola outbreak, declared by the Ministry of Health on 25 March 2014, has caused a frail health system.

 

 

OPALS in Guinea

OPALS has been present in Guinea since 2007.

 

The first program enabled the establishment of an HIV PMTCT reference center in the Donka hospital in Conakry. The center, operational since September 2009, is in the responsibility of Gynecology and Obstetrics of the CHU.

 

From 2012 to 2016, OPALS has developed a second program to support the District Health Directorate (DPS) of Kindia, entitled “Strengthening maternal and child health services in 14 health centers in the Kindia District with integration PMTCT of HIV. ”

2015/2016: Launch of a new program in Télimélé District located northwest of Kindia (third program).

 

In 2015, three exploratory missions have helped to identify the needs, priorities and draw up a framework of actions. The needs in this area neglected by international aid, are very important: health centers are outdated and landlocked, MCH very low quality of care, fewer than 50% of the population has access to drinking water and less than 40% of women give birth in a health center.

This new program aims to improve the health of mothers and children by strengthening the mobilization and community capacity for maternal newborn and child health (MNCH) and providing quality care through rehabilitation and equipment health facilities, and strengthening the skills of health personnel: medical training and formative supervision in each of the 14 health centers in the district. It is implemented with the health authorities of the country (Ministry of Health, District Board of Health and the National Committee for the Fight against AIDS) and supported by the AFD, the Mayor of Paris, the French Red Cross and Sucden Group.

A KAP (Knowledge, Skills and Practice) conducted in May 2016 used to adjust the objectives and action plans closer to the needs, and to have a state of the basic premises for judging progress. The training of these personnel CS (50 health workers, 70 community workers and 7 COSAH (Health Care Committee) began.

 

 

The waiting room of a health centered in Kindia

 The waiting room of a health center in Kindia

ACTIONS

The program is Implemented with the health autorités du pays (Ministry of Health, District Board of Health and the National Committee for the Fight against AIDS)

 

Component and rehabilitation equipment

• The last two (of 14 total) rehabilitated with solar electrification and water supply and equipped Especially for the delivery room, child care and the laboratory.
• Installation of an incinerator for the Regional Hospital of Kindia.

 

Medical component
• Training and antenatal care, Integrated Management of Childhood Illness and newborn, PMTCT and laboratory.
• 3 CS Followed Each and every subject, to verify and consolidate the achievements of the training and Their practical application.

 

Community component
• Capacity building of 70 community workers in mother-child prevention; Realize Themselves 240 outreach events per month.
• Establishment of “street theater” to raise community awareness on maternal and child health. Our crowdfunding campaign to accomplish achieve this ultimate goal will begin later this year!
• Partnership with local radio stations to broadcast radio spots and interactive programming

 

Some numbers

2015
• CPN1 20264 and total 66,800 CPN
• 5780 women Delivered in supported OPALS structures.
• 10781 women Were tested for HIV (double Compared To 2014), with a prevalence
• 19,350 pediatric consultations Conducted for children under one year and Among Them 11.571 children Vaccinated
• 18,000 persons sensitized to childhood illness and the importance of prenatal consultations.

Consolidating the gains of MNCH, the partnership agreement with JHPIEGO, rapid diagnostic test children in CS, and the consolidation of the PMTCT activities are the Priorities for 2016.