The 2014 Marie Goubran Award was presented to Kingsley Musama during the 30th ICM Triennial Congress in Prague in 2014. This was the first time ever that the award was presented to a male midwife! Kingsley is a midwife at Chikwa Rural Health Centre in Chama district, Zambia.
This is Kingsley's first half year project report following receiving the award.
The MDGs focused the world’s eyes on some critical development challenges across countries such a poverty reduction, aces to education, improving maternal health, gender equality and reducing child mortality and tackling AIDS and other diseases (UN2013). This project aimed at contributing to two of the MDGs and that is poverty reduction through food security and also reducing maternal mortality through post-natal care. The project is based in Chikwa zonal area part of a region in chikwa, which is overs an area of 89 kilometers to the nearest district hospital.
The vision was to encourage women and families to grow food and also to contribute to what the project called a food barn where all families in the area contributed to food that would be used to feed pregnant women as they came to deliver. Working in partnership with H4plus the UN project working with maternal health, the project was able to utilize the women’s shelter that had been recently renovated to ensure that women came early for delivery and were to be fed.
In the 2014/15 farming season the project encouraged all its 13 neighborhood health committees (NHCs) to grow different food crops with a view of stocking up the already existing food banks which were started last under the same project. However due to the poor rain falls in the just ended farming season the yield was poor in most NHCs.
The affected NHCs have however been asked to again grow food crops with a view of ensuring that all antenatal and postnatal mothers have food whilst at the health center. The project intends to buy two bags of fertilizer (one bag basal dressing and another top dressing) for each of the 13 NHCs this coming season in order to ensure good harvest. It is envisioned that with adequate food stocks a lot of women will also be lured into staying at the now completed mothers’ shelter. Currently expecting mothers are not keen to staying at the mothers’ shelter due to lack of food in their homes.
The project also continued to orient SMAG members in the Chikwa catchment area in postnatal care. These members have continued visiting postnatal mothers in their homes and provide health education on different aspects such family planning, child immunization, personal hygiene etc.
A total number of 192 postnatal women were visited in the period under review. This initiative has so far scored a number of successes as more women now come for postnatal clinic.
- Inadequate bicycles for the SMAGs
- Lack of bags
- Lack of a Health Centre motor bike.
The project will again begin the process of reeducating the women and families on the importance of growing various crops to ensure that they grow the food and it is environed that this coming season the project may be able to have adequate food stored in the food barns at the health centers.
NOTE: On 26th July, 2014 a team from H4+ Zambia office visited our clinic and interviewed both Smag and expecting mothers lodging at our Mothers, shelter. The team was very impressed with both interviewees who appreciated the work of the facility midwife and the food bank project.
Kingsley Musama, midwife winner of the Marie Goubran Award 2014