Malaria is a major public health Problem in Nigeria, 97% of Nigeria’s population is at risk of malaria, most especially under 5 children, pregnant women, and the aged are the most vulnerable. As part of the effort of Global fund to see to the elimination of malaria in the society, it began the implementation of CLM project for the period of three years (2021-2023) through the Catholic Relieve Services (CRS), deploying Community Based Organizations (CBOs) to the targeted Local Governments. ACOMIN is on Accountability and Advocacy in malaria intervention that works majorly on malaria prevention and intervention. Accountability aspect of the malaria services is the motto for ACOMIN and also to provide solutions where necessary.
Hope for Family Development Initiative (HFDI) is one of the CBOs implementing CLM Project at Olorunda Local Government Area of Osun State, and the activities being carried out are Advocacy visits, Focus Group Discussion (FGD), Client Exit Interview (CEI), and Key Informant Interview (KII).
Focus Group Discussion, one of the activities of CLM Project is a gathering of the community leaders or representatives where issues relating to malaria service in the Primary Health Centre in their community is being discussed, to ensure that the community takes ownership of the health facility and engage in its affairs as well as support the facility in all other possible ways. The discussion is in two sessions; the entry and the exit, entry was done at the beginning of the quarter while exit is being carried out now, the last month of the quarter.
Client Exit Interview (CEI) is the way we interact with clients and patients that come to access malaria services at the PHC after being attended to, the set of clients interviewed include nursing mothers, pregnant women, and malaria patients. We ask them questions about the malaria services they get and generally about the facility. Key Informant Interview (KII) on the other hand, is the interview we do have with the Officer in Charge of the PHC, questions asked include; malaria service being offered in the health facility, resources required to provide the services, level of knowledge (quality) and resources (quantity) available to ensure malaria service delivery, level of security, inflow of patients seeking malaria services, patients-service provider ratio, challenges and the level of community structure involvement in malaria service delivery.
The intervention of HFDI Community Advocacy Team (CAT) in Ayekale PHC since the commencement of the project has yielded a lot of success stories ranging from donation of Vitamin A supplement meant for pregnant women and nursing mothers to the facility, donation of plastic chairs by the community through the Intervention of HFDI CAT.
Furthermore, HFDI also succeeded in facilitating the posting of two more staff to Ayekale PHC through our request and continuous follow-ups as shortage of staff has been one of the major problems facing the facility. We also committed Ayekale community in providing the facility with blood pressure apparatus, repair the facility entrance door, and take care of the facility environment among others.