The second phase of the Project is planned to start on December 2020/January 2021. The target is to improve and sustain the first phase's impacts and expand on the project activities to continue community partnership, sustainability, and full scope Rural Generalism. In addition to home-to-home visits where needed, the second phase will focus on delivery of supports at a grass roots, community facility.
In this phase, we plan to branch out beyond malaria and impact many different health concerns in Amechi Uwani, Nigeria. Some of these areas include: community primary care facility-based services, maternal care, child health care, chronic disease, sickle cell disease and vitamin A supplementation and deworming.
We also plan to create new partnerships and collaborations to create lasting primary care facilities, increase awareness and health education in the community and conduct research on relevant health issues in the area.
Child health care
Provide acute and follow up holistic health care services to the children of Amechi Uwani. Apart from Malaria, pneumonia and diarrhea are other common killers in of children under 5 years. According to UNICEF and WHO reports on child mortality in Nigeria in 2018, pneumonia ranks first, followed by diarrhea and malaria. Worm infestation is also quite common, especially in rural communities.
Vitamin A supplementation, Oral Rehydration and zinc therapies are part of WHO and UNICEF strong recommendations to reduce the burden of these three topmost killers of Nigerian children. WeWe plan to adequately and effectively implement these measures through the Child Health Clinic.
Sickle cell disease
Nigeria has one of the highest sickle cell disease prevalence globally. Sickle cell disease is the leading non-infectious cause of death for children. Children with a severe form of the disease die before the age of 5 and usually from malaria, pneumonia
In addition to prevention, timely and appropriate treatment is the recommended vital measures to control SCD prevalence and associated morbidity and mortality .
We hope to partner with local hospitals and relevant organizations to provide standard and effective SDC care.
We plan to expand our care to pregnant women beyond malaria chemoprophylaxis to involve routine antenatal care. We hope to work with a local hospital in delivering this service. The maternal mortality rate is high in Nigeria, and most deaths are preventable. Many women in Amechi Uwani do not receive standard antenatal care and often give birth outside a hospital setting. This is associated with severe complications, including maternal death and orphaned children and child’s suffering. Our target is to tackle barriers to standard antenatal care in Amechi Uwani, resulting from lack of accessible and affordable antenatal care.
Hypertension and diabetes mellitus are examples of common adult diseases. Care of these chronic conditions is neglected and mostly due to poverty. Parents struggle so much with their limited resources to provide food and primary health care to their children and simply cannot afford for these supports to themselves. Hypertension and diabetes mellitus, if not diagnosed early and adequately treated, lead to complications and early deaths, and that is the case in rural communities of Nigeria. With the inclusion of a physician's services in this Project as Phase two, adults in Amechi Uwani will have access to free, community-based and readily available physician-provided medical care. These services will reduce significantly morbidity and mortality associated with common chronic medical conditions in Amechi Uwani through early disease diagnosis, counselling and provision of appropriate treatment and support.