Zimbabwe: Provision of good maternal Health: Chegutu Municipality


Date: August 1, 2018
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Maternal health is of paramount importance in Chegutu municipality since we have one maternal delivery institution which is a referral centre. Our project aimed at increasing the utilization of maternal health services and reduction of maternal deaths. This project is innovative given that most of our women were being attended by unskilled birth attendants which was a challenge in Chegutu. The project was done regardless of the economic challenges and council had to commit itself with available resources.

The project was set out to reduce maternal deaths and increase access to both ante and post-natal care, to increase the utilisation of maternal health services and reducing the burden on women of travelling long distances to access maternal health services and reduction of user fees since the one centre that was in existence was a referral centre that would charge prohibitive user fee. The project activities includes consultative budget meetings, meetings with stakeholders, procurement meetings and staff recruitment. Monitoring and evaluation is also part of Monitoring and evaluation.

The project has directly benefited about 36000 people. It reaches 60000 indirectly. In total the project reaches 96 000 beneficiaries. Chegutu Municipality allocated $20 000 to this project. In kind contributions to this project amounted to $60 000.The total budget for this project is $80 000. This project has strong monitoring and evaluation tools which includes the exit interviews for clients, suggestion boxes for clients, questionnaires for clients and focus group discussions This monitoring helps in tracking change in maternal health. It also shows how clients are being treated by the projects through submitting their queries in the suggestion boxes This has helped a lot in reducing maternal deaths. Through focus group discussions, people discuss things concerning this maternal health a project and it will be easier to agree on one issue that will add a positive result on the project. The project has not encountered a lot of challenges since everyone is responding effectively to it. Every women and men wish for a safe health delivery of their new born babies. The key challenge that has affected the progress of this project is lack of finances. This is due to the economic instability in the country. The little finances available were not enough to cater for all women awaiting delivery especially. To mitigate this situation, the group had to partner with private organizations as well as buy in from council.

The project has not encountered a lot of challenges since everyone is responding effectively to it. Every women and men wish for a safe health delivery of their new born babies. The key challenge that has affected the progress of this project is lack of finances. This is due to the economic instability in the country. The little finances available were not enough to cater for all women awaiting delivery especially. To mitigate this situation, the group had to partner with private organizations as well as buy in from council. Chenai Chombe, 38 years old woman says: ” We are happy as women that we no longer travel long distances for maternal health services and also that the user fees have been scrapped”. On household level, Men has been supportive as they are seen accompanying their wives during ante natal care, during deliveries and during post-natal care which shows hat the project has been fully accepted. There is now reduction of gender based violence as men are now taking over duties. They can now be involve themselves in maternal health services particularly during and after delivery. There is a healthy community and there is an increased number of women coming for wellness clinic. On community level, there has been reduction of maternal deaths and traditional births attendants are now acting as conduits between the community and the clinic as they are now referring pregnant mothers to the clinic. There is also an increased sense of urgency in the community as they now prioritize health issues.

This good practice can be sustained and amplified through public private partnerships and community involvement. The community should keep on seek good maternal health from clinic and they have to fully reject traditional ways of delivery since they are causing vast maternal deaths. Some of the medicines being used are causing diseases like growth and cervical cancer.


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