Oswald Agwu
One of the key areas of intervention of the USAID-funded Integrated Health Programme in Ebonyi State is the reduction in the rate of maternal, child and newborn mortality and morbidity. To efficiently and effectively achieve this entails deliberate strategy to increase women’s patronage of health facilities with professional personnel rather than untrained, non professional traditional quacks and birth attendants. Before now, attendance of pregnant women and nursing mothers to health facilities for antenatal and postnatal care were very poor in most parts of Ebonyi State. That accounted for the high rate of maternal and child mortality, resulting from child delivery at home or by unprofessional attendants. Most healthcare workers and facility users interviewed during a media fact-finding tour of some primary healthcare facilities in Ebonyi State attested to that.
The tour, an outcome of IHP’s recent engagement of some journalists in Ebonyi State, was quite revealing.
Most primary healthcare facilities, owing to acute shortage of qualified health personnel employed the services of volunteer health workers, mainly Junior Community Health Extension Workers and auxiliary nurses who lack the expertise to manage maternal and child health issues. In its mandate of strengthening health systems in the State, USAID-IHP, through regular capacity building, has improved the skills of these health personnel to better meet the challenges of maternal and child healthcare.
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Through its Open Maternity Day events, IHP has tremendously improved attendance to health facilities by expectant and nursing mothers through direct interaction and care, among other innovations. This has also enhanced attendance to Antenatal Care.
However, in all the health facilities visited, including Amuzu, Onueke, Achara PHCs in Ezza South as well as Aboffia and Okaria in Ebonyi Local Government Area among, there was a common significant testimony: how a simple gift bag introduced by USAID-IHP geometrically increased the number of women who deliver their Babies in healthcare facilities. All the healthcare workers interviewed confirmed that since they started giving the bags containing some baby gifts such Mackintosh, diapers, soaps and others, it has had some magnetic effect in drawing pregnant women to deliver in health facilities than before.
One of the health workers, Cordelia Nwori of Mother and child Primary Healthcare Centre, Aboffia, a suburb of Abakaliki, the Ebonyi State capital, summed up the narration: “We have received a lot of support from USAID-IHP. Apart from capacity building, they have given us delivery kits. And there is this gift bag they gave us for women who deliver in our facility. It has tremendously increased the number of deliveries in our facility because any woman who receives the gift bag will always inform others. Before now, we used to record only about seven deliveries in a month but because of the effect of the bag and other interventions, we now record between 18 and 20 deliveries in a month. Last month, we recorded 20 deliveries of 22 live births.
“Once the women get information that a gift bag is being given to those who deliver here, they will rush to come and register and eventually deliver here so that they can get their own gift. This has helped to save the life of many women and their Babies.”
Although some of the women interviewed regretted that the gifts that used to be contained in the bag has dropped recently, the bag has achieved a reduction in the number of women who patronise quacks. It is expected that the initiative, if continued, would ultimately bring more women to heath facilities, thereby reducing maternal and child mortality to the barest minimum in the State. Who could imagine that a simple gift bag could do such magic.