...Stories
of Abease and Kayereso Health Centres
It
was around 10:45pm in the evening, when one expectant woman in labour was
rushed to the Abease Health Centre, which is by far the nearest health post
from a distant village of about 20 kilometers.
The
midwife upon seeing the stress the woman was going through especially after
being transported on a motorbike on the virtually poor road network, examined
her immediately and conducted the delivery with the aid of a torchlight.
Madam
Comfort Konadu, Midwife in-charge at the health facility for the past nine
years, narrates the ordeal they go through using torchlights and sometimes
mobile phone lights to conduct deliveries at night and at odd hours, because
lights are not in the community or at the health facility.
She
recounts how challenging it was to use torchlights to conduct normal deliveries
and sometimes managing deliveries which are usually referral cases from trained
Traditional Birth Attendants in surrounding villages.
The
Abease Health Centre, though the biggest health post in the area, is not the
only one facing such challenges, as Kamanpa and Cherambo CHPS Compounds all in
the Pru District of the Brong Ahafo Region faces similar challenges.
Another
challenge Madam Konadu noted the facility was facing was delayed in payment by
the National Insurance Authority for services the facility rendered, as well as
the rising operational cost and maintenance of the only pickup for the Centre
which does all the rounds, including transporting emergency cases to Yeji and
other areas.
She
said there was need for an ambulance, more critical staff including midwives at
the facility and the expansion of the maternity ward, which is overcrowded, and
appealed for adequate water supply to the health centre and the community,
since the only borehole at the facility was overused because it was shared with
members of the community.
Madam
Konadu noted that due to increase in Antenatal Clinic attendance and deliveries
at the health facility, associated with surge in referrals and efforts of trained Traditional
Birth Attendants (TBA) in surrounding communities, there was need for more
midwives to help manage the work load. She said even with the effort her staff
and that of Madam Juliana Mensah, a 57-year old TBA attached to the facility,
there was need for more hands at the facility.
Asked
how she preserves and stores vaccines and other drugs without electric power,
she said they had arranged with Prang Health Centre about 30 kilometers from
Abease, which has light to store them and later collect for use.
Meanwhile,
the Kayereso Health Centre in the East Gonja District about 12kilometers from
Salaga is also facing similar challenges of using torchlights to conduct
deliveries.
Madam
Agatha Atia, in-charge of the Kayereso facility with two staff noted the
challenges they also go through to conduct deliveries at night with
torchlights, and noted that even though the community was hooked unto the
national grid mid this year, the facility was yet to be connected.
She
said there were virtually no funds to run the facility since the NHIA was yet
to reimburse the facility for services it rendered for the last six months, and
added that because the facility had no water pregnant women had to carry their
own water to the facility.
Madam
Atia commended the invaluable cooperation and contribution of the 19 TBAs from
surrounding communities, who were recently trained in March, for their roles to
improve the health of expectant mothers and infants in the communities they
operate in.
She
noted the apparent difficulty they conduct they conduct outreach programmes to
communities, especially without their own means of transport to communities in
the sub district, and appealed to the Ghana Health Service, and other
benevolent organization to come to their aid to purchase motorbikes to help
them in their rounds.
To
address the challenge expectant mothers in labour go through to get the health
centre, Madam Atia together with the TBAs, opinion leaders mooted the idea to
purchase a ‘motor king’ a tricycle motor to help transport pregnant women in
labour to the health facility or nearest one in Salaga should there be
complication to help save mother and infant.
So
far, she reports that people in the various communities have contributed about
GHc 500 towards the purchase of the motor king which is valued at about GHc
5,000. She appeals for support to help purchase the motor king to help the easy
transportation of pregnant women in labour to health facilities.
For
people in these areas, access to quality healthcare will remain a luxury, even
though it is supposed to be a right and a necessity for all Ghanaians. It will
remain a luxury because of the cost involved in even transporting patients to
the nearest health facility with bad road networks and other peculiar
challenges associated to their areas.
*The Health Centres at Abease *
A health Assistant attending to a client
*Madam
Comfort Konadu (in white uniform) interacting with some staff
*
(Above) Madam Agatha Atia interacting with
some
of the TBAs the Clinic (below
By KwesiYirenkyiBoateng
Using
torchlights for deliveries:
Stories
of Abease and Kayereso Health Centres
It
was around 10:45pm in the evening, when one expectant woman in labour was
rushed to the Abease Health Centre, which is by far the nearest health post
from a distant village of about 20 kilometers.
The
midwife upon seeing the stress the woman was going through especially after
being transported on a motorbike on the virtually poor road network, examined
her immediately and conducted the delivery with the aid of a torchlight.
Madam
Comfort Konadu, Midwife in-charge at the health facility for the past nine
years, narrates the ordeal they go through using torchlights and sometimes
mobile phone lights to conduct deliveries at night and at odd hours, because
lights are not in the community or at the health facility.
She
recounts how challenging it was to use torchlights to conduct normal deliveries
and sometimes managing deliveries which are usually referral cases from trained
Traditional Birth Attendants in surrounding villages.
The
Abease Health Centre, though the biggest health post in the area, is not the
only one facing such challenges, as Kamanpa and Cherambo CHPS Compounds all in
the Pru District of the Brong Ahafo Region faces similar challenges.
Another
challenge Madam Konadu noted the facility was facing was delayed in payment by
the National Insurance Authority for services the facility rendered, as well as
the rising operational cost and maintenance of the only pickup for the Centre
which does all the rounds, including transporting emergency cases to Yeji and
other areas.
She
said there was need for an ambulance, more critical staff including midwives at
the facility and the expansion of the maternity ward, which is overcrowded, and
appealed for adequate water supply to the health centre and the community,
since the only borehole at the facility was overused because it was shared with
members of the community.
Madam
Konadu noted that due to increase in Antenatal Clinic attendance and deliveries
at the health facility, associated with surge in referrals and efforts of trained Traditional
Birth Attendants (TBA) in surrounding communities, there was need for more
midwives to help manage the work load. She said even with the effort her staff
and that of Madam Juliana Mensah, a 57-year old TBA attached to the facility,
there was need for more hands at the facility.
Asked
how she preserves and stores vaccines and other drugs without electric power,
she said they had arranged with Prang Health Centre about 30 kilometers from
Abease, which has light to store them and later collect for use.
Meanwhile,
the Kayereso Health Centre in the East Gonja District about 12kilometers from
Salaga is also facing similar challenges of using torchlights to conduct
deliveries.
Madam
Agatha Atia, in-charge of the Kayereso facility with two staff noted the
challenges they also go through to conduct deliveries at night with
torchlights, and noted that even though the community was hooked unto the
national grid mid this year, the facility was yet to be connected.
She
said there were virtually no funds to run the facility since the NHIA was yet
to reimburse the facility for services it rendered for the last six months, and
added that because the facility had no water pregnant women had to carry their
own water to the facility.
Madam
Atia commended the invaluable cooperation and contribution of the 19 TBAs from
surrounding communities, who were recently trained in March, for their roles to
improve the health of expectant mothers and infants in the communities they
operate in.
She
noted the apparent difficulty they conduct they conduct outreach programmes to
communities, especially without their own means of transport to communities in
the sub district, and appealed to the Ghana Health Service, and other
benevolent organization to come to their aid to purchase motorbikes to help
them in their rounds.
To
address the challenge expectant mothers in labour go through to get the health
centre, Madam Atia together with the TBAs, opinion leaders mooted the idea to
purchase a ‘motor king’ a tricycle motor to help transport pregnant women in
labour to the health facility or nearest one in Salaga should there be
complication to help save mother and infant.
So
far, she reports that people in the various communities have contributed about
GHc 500 towards the purchase of the motor king which is valued at about GHc
5,000. She appeals for support to help purchase the motor king to help the easy
transportation of pregnant women in labour to health facilities.
For
people in these areas, access to quality healthcare will remain a luxury, even
though it is supposed to be a right and a necessity for all Ghanaians. It will
remain a luxury because of the cost involved in even transporting patients to
the nearest health facility with bad road networks and other peculiar
challenges associated to their areas.
*The Health Centres at Abease *
A health Assistant attending to a client
*Madam
Comfort Konadu (in white uniform) interacting with some staff
*
(Above) Madam Agatha Atia interacting with
some
of the TBAs the Clinic (below