APPEALING FOR FINANCIAL ASSISTANCE FOR MALAOSA COMMUNITY CLINIC

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Recruiting Organization: Chipembere Community Development Organization

FUNDING PROPOSAL

FOR IMPROVING ACCESS TO HEALTH SERVICES THROUGH CONSTRUCTION OF A HEALTH

FACILITY AT NKALOZWA IMPROVED HEALTH POST

Chipembere Community Development Organization (CCDO)

Contact person:

Boniface Mbewe

Contacts: +265882861482

Email address: bmbewe54@gmail.com

Website: https://www.chipemberecdo.org

Main project partner (s)

Thyolo District Hospital

Total Requested Amount MWK5,000.200

1.0 Background Information of implementing organization

1.1 Chipembere Community Development Organization

Chipembere Community Development Organization (CCDO) is a rural based local youth led organization in Thyolodistrict, Malawi. The organization got registered with Malawi government in

2010 to operate as non-governmental organization. CCDO is committed to empowering the youth, young women, girls and children to voice out issues that affects them on their daily lives, fighting increased early marriages, preventing the further spread of new HIV/AIDS infections and mitigating its impact, advocating for the promotion of local democracy and human rights,

gender equality and enhancing young people’s active participation in socio-economic development of the nation through lobbying and advocacy, capacity building, research, documentation and policy dialogue

1.2.

BACKGROUND

FOR ITS FORMATION

The organization was formed against the background of non-recognition of rural women and young people’s initiatives in spite of their enormous contribution to the country’s economy.

CCDO "envisages that all rural young people’s development is fostered, protected from neglected, exploitation, abandonment and are empowered to become self-reliant and responsible citizens in societies where democratic values and principles are respected."

The organization was further formed against the background of continued regard of rural youth and young women as the most vulnerable groups and immature in decision making. Despite the most dynamic contributions of the youth to the national development, they are not recognized. All credits are unfairly given to older people as duty bearers especially men

1.3 VISION STATEMENT

Health and education for all

1.4 MISSION STATEMENT

CCDO exists to promote a good health and education needs for women, children youth and other disadvantaged groups in hard to reach areas, through capacity development advocacy.

2.0 THYOLO DISTRICT PROFILE

Thyolo district is situated in the Southern region of Malawi on the Shire highlands. It borders Mulanje to the east, Blantyre to north and Nsanje to the South.Thyolo district is among the top three districts with high HIV/AIDS prevalence rate such that the district socio-economic profile for 2018

indicates that HIV/AIDS rate is at 15.1% against 12% national rate. The District Socio-Economic profile indicates that malaria, HIV and AIDS and cholera are major health problems in the District.

The health sector is one of the key areas in the theme of Social Development within the Malawi Government Development framework outlined in the UN Sustainable Development Goals (SDGs) number 3 Good Health and wellbeing’). Health is widely recognized there is very close and strong correlation between health status and the level of development to the extent that as countries develop, health indicators improve. The long-term goal of health sector is "To improve health status of people at all levels in a sustainable manner". The focus on health revolves around sexual and reproductive programmes and these include education programmes, HIV and AIDS. Establishment of health centres in the rural communities facilitates availability and accessibility of health centres to the rural population of Malawi and Thyolo District is one of the strategic health centres situated in Thyolo District for provision of health services to the rural community.

3.0 PROJECT LOCATION AND BENEFICIARIES

The project will be implemented in the Southwest of Thyolo District, in Traditional

Authority (T/A) Changata. The project will directly benefit population of 10,500 including elderly people, women and under-five children, youth and adolescents from the following villages: Loti, Nkalozwa, Kotokwa, Gubudu, Motheriwa, Mandindi, and Chalingana 1Mwalo

4.0 Problem Statement

The rural communities in the Traditional Authority (T/A) Changata Group Village Headman (GVH) Nkalozwa have no access to health services within their locality. This is mainly because currently there is no reliable health facility in the area. The existing Improved Health Post (IHP) which operates once a month through Thyolo District Hospital Health Outreach Programme is idilapidated state.

Although the Nkalozwa IHP exists to deliver health services to the population of 15600 community members , especially those living with chronic illnesses such as Tuberculosis (T/B), High blood

pressure, Asthma, HIV and Family Planning services for under five children, many people left unattended to due to overwhelming service demand versus understaffed service providers. Patients often suffer the blunt of traveling, sometimes walking, distance of over 20kilometeres to get to the health facility for health service.

These problems have a significant impact in improving access to quality of health services , which overall affect Malawi’s efforts to meet targets of SDGs and realize the dreams in achieving Universal Health Access . Addressing these challenges will be fundamental in moving forward the 2063 development agenda of the Malawi Government. Currently, the monthly clinic which is being

conducted under the tree which becomes even more difficult during the rainy seasons.

This proposal therefore is to seek support for construction of infrastructure at Group Village Headman Alkaloid which will ease the burden of community traveling to access health services or not at all for those who cannot afford or are too weak to walk to the health facility

5.0 Project Goal

The goal of the project is to improve access to health facility and quality of health services for the rural community around T/A Changata.

5.1 Strategic Objectives and Outputs of the Proposed Project

This proposal therefore is to seek support for construction of infrastructure at Group Village Headman Nkalozwa that will enable the area to have improved Health Post. The goal of the project is to improve access to and quality of health services for the rural community around GVH Nkalozwa provision of health infrastructure. The proposed project will address the following

objectives:

Improve admission capacity through construction of wards for maternal cases, male and female patients (general ward).

I. Improve admission conditions by providing blankets, bed-sheets and beds for the wards.

II. Improve efficiency of transporting patients from community to health facilities through provision of community bicycle ambulances.

6.0 Organization and Community contribution

Community will provide bricks sand land for the construction of the health Centre,while CCDO will administratively facilitate logistics and the entire construction process.

7.0 Sustainability and Efficiency of the Proposed Project

The project will have effective strategy to ensure sustainability in terms of maintenance and management of the facilities provided and this will include the following:

6.1 Strengthened the role of health committees

In line with the Malawi Government health structure, health committee forms a strategic institution in community mobilization for provision of local resources, management of health facilities and facilitating health development planning. The project therefore will be facilitated and managed by these committees and this will ensure community ownership and involvement in the whole project cycle.

6.2 District Assembly Development

structures (Area Development Committee and Village Development Committee)

In line with decentralization policy in Malawi, Area Development Committee (ADC) and Village Development Committee (VDC) are development planning structures at community levels that inform the District Implementation Plans (DIP). These structures have already been involved in problem identification and analysis such that the above challenges are priority areas in the development plans. Initiating a project that addresses these problems therefore anticipates an enormous welcome and support by these structures. ADC and VDC are chaired by community leaders and this becomes fundamental strength in community mobilization for gathering together local resources.

6.3

Coordination with the District Assembly Directorates

The Directorate of Public Works (DPW), Directorate of Planning Development (DPD) and the line Ministry of Health (DHO) are key directorates at district assembly level to ensure quality.

The monitoring and evaluation (M&E) will entirely be focused on tracking project inputs, activities and results. Evaluating the results will involve examination of changes in the community behaviour on forced marriages, the school enrolment levels and learning environment that can be attributed to project activities. The project will adopt monitoring and evaluation tools from other projects that CCDO is implementing. These range from activity, process and outcome monitoring and evaluation tools. These tools combine both quantitative and qualitative indicators to show the progress of the project. CCDO produces activity, quarterly and annual reports, as such this project will also benefit from these reports. CCDO will also adopt reporting templates and frequency of Think Malawi in order to comply with the project agreement. At the onset of project implementation, CCDO intends to conduct a baseline study to establish specific benchmarks that will be useful in measuring the achievements of the project. The base will take into consideration all the indicators important for the project.

These project indicators will help measure key milestones and outcomes during and after the project:

1. Number of elderly patients accessing health services at the IHP monthly

2. Number of women and children accessing antenatal and post-natal care services monthly

3. Number and type of cases being treated at the facilities

4. Quality of health services delivered at the facility as result of the new structures

6.4

Project Duration:

The project is expected to be implemented in the period of 4 months before the next rainy season begins.The requested

amount: MWK 5,000,200

Stipend ProvidedFalse

Training ProvidedFalse

Housing AvailableFalse

Language/Cultral Support AvailableFalse

Wheelchair Accessible

Fee RequiredFalse

Fee Amount: None

This opportunity is recurringFalse