Our Vision for the future.
WCC hopes to make a significant contribution to creating healthy homes via our education programmes. These programmes will increases awareness of diseases and instil methods of prevention that will help eradicated the spread of controllable diseases.
WCC’s key aims in terms of healthcare are:
- To improve access to education and healthcare services for the most marginalised beneficiaries we worth with, increasing disadvantaged people’s opportunities and future prospects.
- To improve sustainable access to safe water and sanitation to reduce the number of disadvantaged people affected by waterborne diseases.
WCC operates an advisory services in Sierra Leone and envisages to develop the community by improving the health and sanitation standards of the people of Sierra Leone, by undertaking the following activities:
• Social mobilisation and awareness-raising around disease prevention
• Establishment of a healthcare centre in Sierra Leone
• Providing essential services for pregnant women and newborns to overcome any challenge or obstacle they face
• Long term plans include investment in the healthcare system infrastructure
In its efforts to achieve the required objectives, WCC faces several challenges. These challenges include fund raising, building a reliable and an accessible healthcare center in the Eastern communities of Kissy and Calaba Town and ensuring accessibility and community engagement within this region.
Statement of Need
There is a tremendous need for accessible health care in the Eastern communities of Sierra Leone. Specifically, centers targeted to the delivery of health education and clinical care to improve the lives of the communities and to combat issues surrounding child birth and early infant care. The quantity of health services and condition of the locations where it is administered is egregious. Fewer than 50% of the existing health facilities have portable water or delivery kits. Only 2% of women are screened on their first prenatal visit. Screening allows the medical professionals to asses the pregnancy and test for abnormalities. This is an important step in creating healthy and less risky pregnancies for women in these communities. Neonatal mortality rate is highest in sub-Saharan Africa at 29 deaths per 1,000 live births in each of those regions in 2015 (WHO, country profile, 2015). Mortality among children under 5 years of age remains high
in sub-Saharan Africa, with a rate of 185 deaths per 1,000 live births with most of these deaths from preventable and curable illnesses (ibid). As part of the recently adopted Sustainable Development Goals, the global maternal mortality ratio needs to be reduced to less than 70 per 100,000 live births by 2030. To achieve this target in Sierra Leone, it is important to provide pregnant women with equitable access to high quality care by skilled personnel during pregnancy and childbirth.
In the Kissy and Calaba Town region in Sierra Leone there currently are five medical centers, including a mental health center, a private clinic and two hospitals. The
work that they do is vital to the community, however they have not been able to suffice the growing needs of the communities. In response to this, WCC has taken the initiative to construct a health care center.
The main objective of this project is to build a healthcare centre in the Eastern communities of Kissy and Calaba town. A healthcare center in this region would benefit women and children who live in the vulnerable environments with high rates of mortality.
The project is envisaged to be completed within 18 months using the budge described in annex 1 with the following objectives:
• Construct a new health centre building containing 20 beds, a kitchen, 6 toilet facilities and bathrooms using locally sourced workforce and materials.
• Provide training and education to pregnant women before and after delivery of newborns. This will help and improve their understanding of our project outcomes stated below.
• Equip the health centre with educational resources such as books and stationary as well as tables, chairs and a blackboard to aid effective learning.
• Provide food and supplements for children and adults living in this area.
• Offer extracurricular activities such as group discussion every month to talk about health and nutrition, food/supplements, healthy life style and other related issues.
The goal of the World Changing Center is to develop and construct a health center in Sierra Leone that will accelerate health education and clinical care to pregnant women and newborns.
• The construction of a Health Center building would allow it to meet nation
al standards and could serve as an example for the future buildings
• Provide education and healthcare services to expecting mothers, providing them with valuable care and support
• Administer infant checkups on a regular basis and provide outreach services, including nutritional education and vaccinations for the mother and child
• Through continuing education and medical evaluations track the wellbeing of baby and mother. The adjoining school will provide a valuable opportunity to continue tracking the wellbeing of the children
Target population of the center will be the expecting mothers and newborns.
Objective one: Build and equip a community-based health care center
• To build a 20-bed capacity health care center and school on the land purchased by the WCC
• To allocate of funds for hiring a construction team to construct the aforementioned facilities and for purchasing the necessary medical equipment
• To hire six (6) health care professionals (one (1) doctor and five (5) nurses) to staff the center
• To provide training and equip members of the community to work in the cen
ter so as to make an impact on the cases of disease and child mortality and help to maintain the centre.
Objective two: increase access to health care facility for pre and postnatal women
• The health care center will focus on pre and post natal care to encourage and educate the community while providing health care
• Education classes for pregnant women and new mothers, teaching them how to care for their child. Through education the community will be able to move past the health issues and provide a better quality of life for the next generation. Including focus groups and classes on breastfeeding, nutrition, HIV/AIDS and risk factors including anti-retroviral therapy during pregnancy.
• Education on family planning and family care, including the options available to the contraceptive options available to women and an understanding of nutrition e.g. iron, folic acid and vitamin A
• To increase the number of referrals to the district hospital, leading to more accurate and earlier diagnoses for the community. With the aid of rapid diagnostic testing for malaria, pneumonia, tuberculosis for effective referrals when necessary
• The location of the health center in the communities in Eastern Sierra Leone will enable wider access to health care for surrounding communities. This will lead to more
women receiving the care that they need and being educated on how they can best care for their families and new born children
Objective three: increase access to health promotion advice for pregnant women
• Promoting the importance of health education to the community and providing them the opportunity to learn and grow together in weekly focus groups
• Providing ease of access to vaccines and medicine to the community as well as treating tuberculosis, childhood vaccines and sanitation & general hygiene training to the pregnant women
• The greater education of women on what options are available to them, an
d how to protect themselves and their families from contracting diseases is in direct response to what was missing during the Ebola breakout. Providing better education and dissemination of information about how to protect yourself and your family from sickness is key in creating healthier communities and in promoting a higher standard of living. Malarial awareness including anti malarial medication and use of long lasting insecticide treated nets
• The most important aspect of this center and the adjoining school is the purpose that they have to serve the communities, to end the cycle of low levels of health and the infant mortality rates. This will be achieved in part through community-based case management of antenatal care and referrals and community-based case management of childhood illnesses and referrals
Once these facilities are established, they will be able to operate without high levels of involvement from international organizations. In this way we are not only able to promote better health care services and education, but also to empower the local communities and teach them to promote the work that we began.