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Integrated Community Health Care

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Integrated Community Health Care
July 04, 2017

  Brief Summary about the Organization:   Reproductive Advocate Health Education-Ghana abbreviated (RAHE-GHANA) is an independent Non-Profit  See more

THE STORY:

Brief Summary about the Organization: Reproductive Advocate Health Education-Ghana abbreviated (RAHE-GHANA) is an independent Non-Profit development organization established in December 2014 with its head Office in Awutu Senya district in the Central Region of Ghana. Reproductive Advocate Health Education-Ghana is established to undertake social and economic interventions that reduce vulnerability to poverty, disease, hunger and other famines situations, and to contribute to creation of social systems that promote peace, human welfare and the sustainability of the environment on which life depends, including promotion and protection of fundamental human rights in its geographical areas of mandate. Our portfolio of work is based on the values motivation and obligation towards building the ability of individuals and communities to draw on a range of assets to effect change, particularly in rural and urban areas where livelihoods depend entirely on the sustainable use of natural resources. Vision. A society in which the local population is empowered to equitable access to the whole spectrum of quality social services. Mission: Is to work in a holistic manner towards improvement in the quality of life through interventions that reduce vulnerability to illiteracy, ignorance, poverty, disease, hunger and gross abuse of human rights. Our Core Values:  Paramount is the people we serve. To act with passion for the poor, the disadvantaged and the vulnerable, while upholding credibility and professionalism.  Reproductive Advocate Health Education-Ghana (RAHE-GHANA), seeks to create an operating culture based on open and honest dialogue, team-working and collective decision-making.  We value the knowledge and experience of our colleagues and institutional allies around the world and seek always to ensure that their ideas are accommodated in our decision-making processes.  The organization, seeks always to be flexible and adaptable, responding quickly to changing circumstances and learning from practice.  We will make every effort to capture what we learn from others, both what works and what doesn't in order to enhance our own knowledge and understanding, and to share this with others. RAHE-GHANA broad objectives are to:  Achieve social and economic development and improved quality of life for poor and disadvantaged rural households and communities with emphasis on women and children, youth, the elderly, the disabled persons, orphans and other specialized groups of vulnerable children within RAHE-GHANA geographical scope of operation.  Promote and provide access to quality non-formal and formal basic education for children and school dropouts within deprived rural communities and by that, contributing to bridging the urban-rural gaps in basic education in Awutu Senya sub-region and also as long-term means to poverty reduction.  Strengthen the capacity of small-scale farmers and households in value added agro-enterprise Technologies for increased income, improved nutrition, food security, availability and strength of seed chain.  To increase access to safe and clean drinking water and sanitation so as to ultimately reduce water related and fecal-based diseases.  To affirm the enduring values of peace, social justice and human dignity and integrity in settings where these values are not always taken for granted.  To credibly present Jesus Christ to spiritual seekers through open space preaching, Daily summons at work place, Inter-Church Fellowship & Bible Study, Hospital & Prison Ministries, Radio & TV gospel Propagation, Intercession, Counseling & Guidance, Prayer &Fasting, Joint Ecumenical Crusades and Church Planting. To improve the health conditions of communities through elimination of health hazards in the environment that lead to untimely death among adults and children. GOAL OF Reproductive Advocate Health Education-Ghana (RAHE-GHANA). Our ultimate goal is to focus on improving the quality of health services and practices, concentrating on addressing the root causes of poverty and Gender Based Violence in the households and communities ,promoting equality and equity ,socio-economic empowerment of rural communities and improvement of the standards of living among all the vulnerable and marginalized groups through provision of income generating activities and Livelihood projects, while notably to deepen the Gospel Propagation of Jesus Christ and engagement of the entire segments of the population and stakeholders to ensure the promotion and protection of the inherent fundamental human rights. Reproductive Advocate Health Education-Ghana Main Programme Areas. RAHE-GHANA operates along six broad programme areas. These are: - a) Public Health. b) Education. c) Agricultural Development. d) Human Rights and Social Justice. e) Evangelism & Inter-Church Consensus. f) Monitoring & Evaluation, Advocacy, Research and Information.  Present Activities g) Present Ac Reproductive health: Protection of the sexual and reproductive health rights of citizens is vital for social, cultural and economic development of a country. Access to basic health care services for men, women, children and adolescents is a huge challenge and this has resulted in countless number of preventable diseases and deaths. Paramount among which are programmes that are aimed at achieving the following: Human Rights Education: it has been discovered that the reason for the many alarming cases of abuse and violence in schools, homes and communities is due to ‘the lack of knowledge about the basic human rights and the need to respect one’s rights. This programme is especially designed to address these ills of society by promoting human rights education at all levels. Gender and Women Empowerment: gender and women empowerment is a programme designed to address the challenges that women face in their homes & communities and protect their rights at all levels; also seeking to empower them with life skills training opportunities and basic management skills. The programme also seeks to raise awareness against all forms of Abuse against Women. Child Welfare Promotion: the children constitute a very fragile part of the nation’s population and are the future generation of leaders that are that are expected to take responsibility after the youths, but if they are not taken care of by giving them the required grooming, care and support to enable them grow in a healthy environment, they will not perform as expected. Human Trafficking & Modern Slavery: This programme seeks to advocate for the eradication of modern day slavery. Despite the fact that slavery was officially abolished in the 19th century, it is still on the rise in not Africa, but other parts of the world. Millions of children, women, and men are affected. They are subjected to forced labour, forced prostitution and debt bondage on daily basis. Democracy and Good Governance: this programme is geared towards promoting Democracy, Good Governance and a Corrupt-free society and ensuring that Youths and Women are active participants in governance at local, national and international levels. Youth Empowerment Strategies: the goal of this programme is to foster a commitment to young people that will promote pro-social friendships, strong interpersonal skills, and reassert a sense of hope in the future. Only through personal relationships can a sense of individual responsibility be re-established that will give youth the commitment to follow through on path to adulthood with a sense of pride and accomplishment. Through repeated failures in the classroom and the development of destructive habits, at-risk young people have lost faith in the possibilities that awaits them if they are successful in putting their lives together. Water Sanitation and Hygiene: water is life! It is undoubtedly true that water is a very important aspect of man’s life and so also a very pertinent aspect of Human Rights. As an organization seeking to ensure the livelihood and sustainability of humanity, this programme is mainly to advocate and promote water sanitation and hygiene. Peace and Security: in the spirit of the Earth Charter, this programme seeks to promote tolerance, nonviolence and peace by encouraging and supporting mutual understanding, solidarity, and cooperation among all citizens in Ghana and beyond. Comprehensive strategies will be developed to prevent violent conflict and use collaborative problem solving to manage and resolve environmental conflicts and other disputes. Information and Communication Technologies (ICTs): the programme seeks to promote the use of ICT’s for Sustainable Peace and Development. We believe that adequate access to ICT tools especially by youths and women will contribute greatly in enhancing the development of people and their communities. Sports: despite the fact that all work and no play make Jack a dull boy, the fair play FIFA rule is also a rule that can apply in Peace Building and Development. This initiative is directed towards promoting peace and development through sports. Aid is committed to the proposition that poverty can be substantially reduced and eventually eradicated. It focuses it work on youth empowerment, basic education and community development and income generation. As a charitable organization, AID works with communities, other agencies and government ministries to alleviate poverty and improve livelihood through sustainable interventions PROJECT DESCRIPTION This project has a centralized of Rural health center and covers 50 Villages with the existing population of 25000 thousand and adding population of 500 every year (New born, migrants and others). The project will have RCH services throughout-reach from the health center to 50 Villages (The vulnerable section of the society) which have till now substantially been left out of the RCH facilities. We include younger and older women as well as those of childbearing age, and men as well as women. The project will provide the following services: Prenatal and postal care, general medical and child health services, information, consultations and referrals for complications, and trained attendants in child birth, in addition to family planning and sexual health care, immunization camps, ANC camps, adolescent training. The project will also provide protection and screening against sexually transmitted diseases including HIV/AIDS, teaches responsible sexual behavior, eye-camps, Gender equality training, Entrepreneurship training to raise income of women. PROJECT OBJECTIVES • To address reproductive health of adolescents by providing appropriate trainings counseling and services. • To organize regular Immunization camps for under five year’s children and for pregnant women. To provide medicines and nutritious food to reduce malnourishment among children and women. • To adopt integrated approach of contraception issues, maternal health issues and good health status. • To build the knowledge and awareness among couples to have sexual relations free of fear of pregnancy and of contracting diseases. • To promote reproductive and child health services in the target areas. • To narrow the gender gap and enhance the decisive role of women for social development. • To train health attendants and health workers in and around the targeted location on reproductive and child health. • To empower the women in target areas by developing women skills and livelihood options (income generating trainings) through entrepreneurship. • To intervene for improving survival of newborns to ensure adequate care and ensure that the life of the mother and of the newborn are not in angered. • To emphasize breastfeeding education and support services which can simultaneously contribute to birth spacing, better maternal and child health and higher child survivals. Goal Outcomes • Adolescent girls and boys from the project villages will have better knowledge on reproductive health. • 50 villages will have health awareness and effective preventive care for health problems. • The children and new born of the project area will gain good health. • The immunization ratio will incre ased from 15% to 80%. • The women will receive vaccination and get regular medical checkup. • In the project area and the near by villages gender discrimination will be reduced. • In the target area women will under go income generations training programs and avail regular income source. • Women and children’s health will be improved. • Woman will know the importance of breast feeding and do it 100%. • The men and women will gain reproductive health care. • Infant and maternal mortality rate is reduced. ACTIVITIES - Organize monthly Immunization camps. - Regular ANC camps. - Training to adolescent girls and boys on sex education. - Providing medicines to all the patients. - Providing supplementary nutritious food to pregnant women and children. - Training to men and women on child spacing and family planning. - Training to postnatal women on breastfeeding and newborn care. - Organize General health camps. - Social camps on visual impediment. - Enterprenoship training to mothers. - TBA Training - Health workers training. - Regional meeting - Village meeting PROJECT DESIGN AND IMPLEMENTATION PLAN: Organize monthly Immunization camps: This seeks to raise support for conducting immunization camps in 50 villages reaching out to approximately 900 children. The immunization camps will be conducted by a trained Nurse. RAHE GHANA will also recruit an Assistant to assist the Nurses during the camp. The supply of vaccines will come from the Government. The camps will be open to all children below 5 years of age. During the camps food will be provided to the children and attendance. The camps will be organized on a fixed date and time and at a fixed place in the hamlet. The place will be decided in coordination with the local level workers so as to make sure that the place is accessible to the whole community. Regular ANC camps: This camp also will be organized in every month to do health check up to the pregnant mothers in 4 or 5 camps according to the convenience of the mothers. This camp also will be conducted by the trained Nurse. From 50 villages more then 250 pregnant mothers will under go health check up. During the camps Iron tablet, Vitamin, TT and folic acid will be provided to them. Date and time will be fixed with the local people in the regional committee meeting. Food will be provided to the mothers and attendance. Providing medicines to all the patients: General health camps will be organized in the center places by the resources person called medical Doctor. Medicines will be distributed to the poor and sick people. Primary treatment will be done in our health center. Serious patients will be sent to Government hospital for treatment. During the camp health awareness tips also will be given to the people. Food will be given to the participants - Providing supplementary nutritious food to pregnant women and children: Supplementary nutritious food will be supplied to the mothers and children every month. Anemia, in general, reduces the capacity to do physical and mental work reduces resistance to fight infection, causes in creased mortality and morbidity. Therefore, Supplementary food will build prevention of nutritional Anemia of mother and children in the geographical area. From the 50 rural villages 250 pregnant mothers and 900 under 5 years children will get this support. Child health: 1) The project will ensure the following under child health: Antenatal care to all pregnant women, promoting safe delivery practices, providing essential care to all newborns, identification and referral of newborns “at risk“, prevention of hypothermia and prevention of infection. 2) Control of Acute Respiratory Infection (ARI): Under ARI Pneumonia control will be taken care because acute reparative are a major cause of death of infant and children under the age of five years. To control infant and child mortality rate: The experience gained with in the geographical area and outside has amply enable us to establish that the health of women in the reproductive age group and of small children below the age of five years is of crucial importance for effectively tacking the problem of growth of population. This is because if parents are assured of good health of their children they take initiative to keep the family small. Most effective way of ensuring good health of the child is to ensure good health of the mother. The major causes of infant and child mortality are due to inadequate maternal care and nutrition during pregnancy, inadequate newborn care, acute respiratory infections, diarrhea diseases and vaccine preventable diseases. These will be treated during the project period. Training to postnatal women on breastfeeding and newborn care. This training will be organized to educate parent for the importance of breast feeding. Pregnant women and other family members attending antenatal service will be informed of the benefits and management of breastfeeding so that no child is denied the advantage of exclusive breastfeeding due to information by the mother, even if the women choose to deliver at home. Diarrhoea is a major cause of death of many infants and also among the children under the age group of five years. - Special camps on visual impediment. Eye testing program will be organized for the elderly people and the children in the project area. After the testing spectacles will be provided to the people. In every camp around 200 people will under go eye-checkup. Eye specialist from Assin Fosu city of ST FRANCIS HOSPITAL will be consulted and their team will be conducted the camps. This program also will be arranged in the center place. During the camps food will be provided to the participants. - Entrepreneurship training to mothers: This training will be organized in the project area for the women groups. This training will held for 5 days duration on various trades. Resource person will be invited to give the training. After consulting with the women venue will be fixed for training. During the training food, travel. Boarding for the participants will be met by the project. After the training mother will start small business to earn their families which will strengthen their economical status and lead a good life. Geographical area: 50 nos of boarder villages in Assin Fosu District of Central Region The project activities will be carried out in the project areas with the support of health resource persons and Government health personnel. Sustainability The health center will run by collecting a nominal fee to meet the administrative and management cost. For programmes we will tie-up with local Government. For further expansion we will raise local donations from business houses and corporations located near by who will support the exiting facility MONITORING AND EVALUATION Plan for Monitoring A steering evaluation committee will be appointed to monitor the implementation and performance of activities to achieve the project objectives on concurrent method, by conducting monthly staff review meeting and medical team meeting. Each staff will monitor the activities at their level.The administrator will monitor the administrative and field staff. The Medical Officer will monitor the medical personnel performance and overall performance of the project. Quarterly project review meeting, half yearly project review meeting and annually project review meeting will be done with the target group, representatives like women’s group, youth association representative and local leaders. These are internal monitoring and evaluations also will be done by the outsider appointed by the organization. PLAN FOR EVALUATION Annual Evaluation and project overall evaluation will be done by external evaluators by adopting indicator of number. Indictors for evaluation: Number of children immunized. Number of pregnant women under gone health checkup. No of women and children supplied nutritious food. No of children and people had eye checkup No of women are trained on entrepreneurship and started small business. No of people received medicine in general health camps. No of volunteer heath committee formed however the environmental sanitation is maintained. Situation Analysis An assessment of projects performance is made through: An inventory of equipment and services at health center Observation of client visits Exit interviews with observed chants Interviews with staff and people. Physical verification. This technique gives programme manager and staff client and immediate feedback, which can be used directly to improve service quality.

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