By Kate Andrews, ChildFund Staff Writer
For 50 days, ChildFund is joining with numerous organizations to demonstrate support for government policies and programs that will allow women and girls to be healthy, empowered, and safe — no matter where they live. Improving the Health of Women and Girls is this week’s theme.

Sadio and her twins, Awa and Adama.
Visiting the doctor is usually a mild inconvenience in the United States. It may entail a drive across town and a sit in a waiting room filled with people coughing and sneezing. But in Senegal, which has only 822 doctors serving a population of more than 12 million, seeking medical attention is a major undertaking.
For some families, it’s too much. Sadio is the mother of 2-year-old twin girls in the village of Pakala, which is often flooded during the rainy season. This makes it difficult to travel 6 kilometers (more than 3 miles) to the nearest health post staffed by nurses. Awa and Adama suffer from respiratory problems, and Adama is especially sickly, having come down with a debilitating cold that required a doctor’s care — a 30-mile journey from home to a hospital.

A health hut in a Senegalese village.
Sadio and her husband Moussa, a farmer, have experienced loss before; their first child, Matar, died in 2007 at 13 months from diarrhea and a respiratory infection. But today their village has a health hut, which is staffed by a matron, community health workers and birth attendants. They can help patients with basic needs, but more complicated illnesses and ailments still call for a trip to the health post 3 miles away or 30 miles to the hospital.
Sadio reports that her diet improved during her pregnancy with the twins after receiving advice at the health hut, but her girls still face challenges from the respiratory infection; also, they were born underweight.

Sadio, the twins and their 4-year-old brother, Assane.
The health of women and girls is important to ChildFund, as we work with local partners to provide access to health care in isolated villages as well as underserved urban areas in developing nations. In Senegal, ChildFund is leading the implementation of a $40 million grant from USAID to establish community health care services for children and families in great need.
Over five years, we plan to establish 2,151 health huts and 1,717 outreach sites throughout the country, along with a sustainable national community health policy working in partnership with USAID and other key community development organizations. By the end of the project, we expect to have helped more than 9 million Senegalese people in 72 districts.
The sun is high overhead when we arrive at the Daara school on the outskirts of Mékhé,
shade bestowed by the largest tree in the compound. The children, unfettered by the heat that is radiating from the parched and sandy soil, run quick steps around us, flashing shy, yet welcoming smiles.
During the past 12 months, ChildFund has been working closely with community leaders to jointly transform the Mékhé Daara. We immediately see the results all around us – a new building with two airy classrooms; a brightly painted dormitory for 60 children, complete with neat bunk beds and hall bathrooms; and an open-air shelter for religious studies. Well-built private latrines are available for boys and girls—yes, the school now welcomes female children to day classes.
The new facilities are impressive, yet it’s only when school and community leaders lead us through the old classroom and dormitory building that we begin to comprehend just how much Mékhé Daara has changed. On the opposite side of the compound are the old buildings. Inside, we find a dark and dingy classroom that once held 300 students in what must have been impossibly crowded seating. Across the way is an equally bleak dorm room where 50 students once slept with cots and mattresses crammed together. As we step outside, we drink in the fresh air and sunshine while inwardly wondering how children could have possibly learned and slept in such environments.







ChildFund’s





