“Peace is when you have physical, spiritual, mental and social wellbeing. That’s what my goal was when I started the health training - a totally holistic approach to healing.” Dr Sasa
The health programme consists of five projects, four of which will be active in this financial year.
|Community Health Worker (CHW) - Basic Training||Six-month training course covering education and prevention practices to address the most common types of sickness and ill-health in rural areas. 834 CHWs trained to date.||Current cycle of training completed|
|Matternal and Neonatal Health - Traditional Birth Attendant (TBA) Training||Two, one-week long training sessions for up to 90 TBAs provided on a cyclical basis covering ante-natal, birth and post-natal care of babies and their mothers. Over the last three years, these training sessions have supported 'training of trainers'. 166 TBAs trained to date and refresher training has been given to eight local TBA trainers who have each trained a further five TBA's in more remote villages.||Ongoing|
|Clinic||Based in Lailenpi, Hope Clinic provided services to 3,089 out-patients last year. The clinic also has in-patient facilities and is the only operating clinic within 2-3 days' walk for villagers in the area.||Ongoing|
|Community-Led Primary Healthcare||Building on a pilot project and amalgamating the previous Community Health Worker refresher and advanced training, this project will provide village-level support from Area Coordinators to CHWs across 551 villages. The project will provide: mentoring support, peer learning opportunities, one-to-one health training, access to medicines, health education campaign material and monitoring of health statistics across partner villages.||Ongoing|
|Community Health Financing Initiative||A revolving fund of seed, plants, and livestock which provides a capital investment to enable the local community to pay for the ongoing cost of healthcare to their village after a five year period.||New pilot launching in 2019|
The Community Health Worker (CHW) six month basic training project has been the core element of HHM's health work to date. Building on their refresher and advanced CHW training courses and a pilot project run in 2016-2017, this project provides village-level support to CHWs across 551 villages. Area coordinators will be trained to provide CHWs with: mentoring support, peer learning opportunities, one-to-one health training, access to medicines, health education campaign material and monitoring of health statistics across partner villages. This will form the backbone of the ongoing healthcare provision to villages.
Health and Hope continue to run training for Traditional Birth Attendants, focused on reducing the rate of neonatal and maternal deaths along with a reduction in the incidence of infant and maternal illness. This work will be developed through an ongoing partnership with Birthlink UK, providing support to the 166 TBAs already trained, on an annual basis. We have now started a "Training of Trainers" programme, where experienced TBA's are given the training and skills to be able to train other TBAs in more remote villages. We have so far trained eight local TBA trainers who have each trained a further five TBAs.
Hope Clinic in Lailenpi has in-patient and out-patient facilities and is currently the only operating clinic within 2-3 days walk for villagers in the area. In emergencies the Clinic can provide a referral service and transport to hospitals in Pakokku or Yangon. The clinic also acts as a clinical training centre for CHWs and TBAs and runs community health education campaigns in addition to a deworming and multi-vitamin programme for mothers and infants.
True to our vision of seeing villages become ‘self-developed’, and in order to meet the ongoing costs of healthcare across the region, a community health financing initiative will be piloted this year. This will provide a capital investment fund of seed and livestock donated to village health committees, with the aim for the ‘fund’ to return a profit at the end of the first year. After five years the fund will cover the annual cost of an area coordinator, a basic supply of medicine to the village and a stipend for the community health worker.