Every Child, every life is a multifaceted child survival project aimed at reversing child mortality among vulnerable communities of the Eastern Province of Zambia.
The project will undertake a dual approach to promotion of the child survival strategies. This approach will develop a dual approach that intend to address the health systems strengthening and public health community interventions that will take pride in preventing the number of child deaths that would occur in the next three years of our implementation.
One of the mechanisms is to take effective interventions and broader community development through prevention and control. This dual effective intervention has proven to be a good strategic design in reducing child mortality and improving child survival. For example, average rates of child mortality have fallen from 93 per 1000 live births in 1990 to 83 per 1000 live births in 2000.
The Every Child and every life Child Survival project identifies the need for integrated child health delivery model that promotes an opportunity for children and mothers as it improves the impact and enhances a strong intervention. This method has been adopted because of the gaps identified among rural communities which indicate that child survival interventions are not reaching the children who need them most.
This project is based on the indicators that management of pregnancies among women and improved interventions on sexual reproductive health also strengthens the future of a child. Moreover the project will develop other strong vector control intervention such as the use of long lasting insecticide treated nets, early child detection and diagnosis to enhance early seeking behaviour change. This is key because Eastern Province has endemic malaria and our findings sometimes indicates that less than 2% of the children slept under an insecticide-treated net the previous night.
The project will also use the Integrated Management of Childhood Illness (IMCI) to scale up the activities in the three year period of its implementation. The basis for using this method is based on the promotion of achieving and maintaining high and equitable coverage of programs. This position has been taken into account because child survival programmes should aim to use effective, efficient, and equitable delivery strategies to reach those most in need. With position in place, it is most agreeable that people in rural areas are among the criteria of people who need such health delivery systems most because most rural health centres lack qualified personnel to meet the needs of child and mothers. An example can be taken from Champhande Clinic in our Mphanga project site who have catchment population of 16,583 people and are only served by 2 qualified medical personnel. This means that the patient-nurse/clinician ratio is unrealistic to meet our aim of reducing child mortality. In view of this, Kachere Development Program has seen it fit to develop new efforts to build on existing programmes and systems.
Kachere Development Programme will highlight five core directions for improving delivery which will save children’s lives.
These five core directions are:
1. Planning of sound child programmes
This will be implemented to enhance relevant data at the targeted, clinics, districts and the province level. This will assist in assessing local epidemiological profiles, health-system capacity and community preferences. This will also involve the monitoring provision and quality of health outcomes among children. It is believed that this will ensure that those mostly in need are being rural with effective and affordable health services. This will also help in effective planning by government.
2. Effective community intervention
This will be based on the local criteria of the community and health facilities. Kachere will increase cost effectiveness and potential
effectiveness through synergies between interventions in the face of co-morbidity. This will be done through the improved integration of child survival and reproductive health services.
3. Alternative delivery strategies
This will be done to levellage the disparities of service provision. This will see to it that capacity building initiatives are put in place to provide fair coverage of child health support. The planning status of a conception affects parental prenatal behaviour in ways that may influence the infant’s well-being and survival. This is considered because there are major gaps in the protective and supportive environment afforded to the children. This is because undesired children may be more vulnerable to neglect and to lack of attention, which may jeopardise their mental and physical development and survival.
4. Supply management
This will be a demand driven activity which will be tailored according to the local needs. This will include appropriate care seeking practices that complement delivery of interventions based in health facilities. This will make the best use of every contact with the children and mothers to deliver appropriate interventions which are a basic tenet of the IMCI guidelines. This will strengthen the assessment and progress on the intermediate determinants of child mortality.
5. Strengthening of health systems
This will be developed to assist in strategizing medium to long term aim. This will also build the capacity of adequate manpower, drug and vaccine management and supply information
systems. This will be incorporated into the functioning referrals and sustainable child health programmes. Kachere will develop linkages to community based strategies and integrated health management. Coupled with this will be a simplified technology system which will include such things as prepacked single-dose injection devices, and provision of tetanus toxoid vaccination of pregnant women or vaccines for young children. Kachere Development Program takes advantage of the Government’s policy of Public Private Partnership in supplementing and complimenting Government’s efforts. Kachere will also promote a culture of motivated personnel through provision of small incentives to top up on the staff working in our project sites to improve and increase results of our interventions.