“In the beginning, I was just an IT guy, but I learned what ChildFund does for the African children. It’s noble. It’s very powerful.”— El Hadji “Sidy” Ndiaye, information technology manager at ChildFund’s national office in Senegal
“In the beginning, I was just an IT guy, but I learned what ChildFund does for the African children. It’s noble. It’s very powerful.”— El Hadji “Sidy” Ndiaye, information technology manager at ChildFund’s national office in Senegal
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.
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.
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.
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.
By Virginia Sowers, ChildFund Community Manager
To celebrate Blog Action Day 2012, we take you to Mékhé, Senegal, where a community has discovered the “Power of We.”
The sun is high overhead when we arrive at the Daara school on the outskirts of Mékhé, Senegal, located in the Thies region, about 100 miles from the capital city of Dakar. A large crowd of community members has gathered in the circle of 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.
Thies is home to more than 700 Daaras, which are informal Islamic schools that most parents favor over the government school system. From an early age, boys are sent to board at Daaras, where they learn religious principles and how to read and write. Because most of these schools have operated independently without oversight or financial assistance from the government, more than 30,000 children in the Thies region are missing out on a well-rounded formal education. Far worse, these children – often lacking proper shelter and food at the Daaras – beg on the streets and are exposed to risks and abuses.
To address this situation, while respecting religious traditions, the government of Senegal is undertaking a Daaras modernization program, working with nonprofit partners like ChildFund. The goal is to provide a safe and nurturing environment for children while incorporating languages (French and Arabic), math and science education with traditional religious teachings.
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.
Community members make room for us under the shade tree, eager to talk about the modernized school and to answer our questions. “We wanted to improve the situation of the children living here,” the leader of the Daara Management Committee says. “Everybody in the village is involved; we want to be effective,” he says.
As we talk with the men and women, we learn that the work of keeping up the school and grounds is now divided among subcommittees: education, children’s health and welfare, animal husbandry and food. The community has welcomed ChildFund’s efforts to strengthen and support teachers in delivering expanded courses. “Our children can now do the same exams as in formal school,” one community member says.
ChildFund also has been instrumental in helping establish the animal husbandry program (goats and cows) and a large garden to grow eggplant, okra, tomatoes and other nourishing foods for the children. “Children in other Daaras must go outside [the compound] and beg for food. We are growing our own food, and the children have mother and parent figures they can turn to,” the committee leader explains. “It’s a big difference in the old way of running the Daara, and the way it is now.”
We turn to ask the children what they think about the changes in their school. Shyness renders them silent. But then, Moy, a young boy of around 12 speaks up. “I like the new beds and the sleeping arrangements. I like the classrooms. And the fences that protect us.”
The success of the school has not gone unnoticed in the region. More parents are now sending their children to Mékhé. In turn, the Daara Management Committee and ChildFund are working together to gain more financial support from the Senegal government to pay teacher salaries and add more classrooms and teachers. Plans are under way to expand the garden and promote more community farming of millet, corn and peanuts to feed the children and also provide an additional source of income.
Working side by side these past 12 months, community members have discovered that they have the power to bring about positive change.
by LaTasha Chambers, Communications Associate
Respect for different cultures is so important, and it’s a value I constantly teach to my son. Working in a diverse environment is important to me because it’s challenging to “fit in” to a one-size-fits-all organization — our hair textures are different, our religious faiths may require us to wear a bindi or head covering or our attire may be an ethnic print. The bottom line is that although professionalism should be exhibited in all we do here at ChildFund, our unique identities encourage dialogue, show pride in who we are as individuals and represent the diverse global community we serve.
Recently, Mamadou Diagne and Emile Namsemon N’Koa from ChildFund Senegal visited our headquarters to share the wonderful community health work we are doing there. An African-American woman who happened to be visiting our office that day asked, “How does ChildFund go into these countries and expect change without disrespecting the culture?” That was a million-dollar question I had also planned to ask sooner than later, now that I’m a member of the ChildFund staff.
Diagne shared, in his native French, that ChildFund does not go into a community and force what it believes on a group of people who have long-held traditions, some of which are unhealthy like female genital cutting. He explained that you don’t break traditions with a hammer; you simply show community leaders ways that will improve the overall health of an entire community.
His hammer analogy was so moving to me. I couldn’t agree more. Relationships are not built by beating people down. Yes, many of us are passionate and unyielding in our efforts to eradicate poverty and give children a fighting chance in this world. But the fact that ChildFund engages in dialogue at a grassroots level that fosters new, healthier practices and traditions is the best way to create long-term change.
And that’s exactly what we want.
Over the course of January’s 31 days, we’re making a blog stop in each country where we serve children, thanks to the generous support of our sponsors and donors. Today we learn about ChildFund’s community health grant in Senegal.
When ChildFund began working in Senegal in 1985, much of the country lacked access to adequate health care, particularly mothers and children under age 5. As a result, many young mothers were dying in childbirth and children were succumbing to malaria, diarrhea and undernutrition – all preventable conditions.
In most cases, doctors and health posts are miles and miles away, out of reach. Although the country has a rich resource in its traditional medicine practitioners (often the village grandmothers), these lay health care providers worked outside of the state health care system, with no formal training. If a mother or child’s health condition became life-threatening, the family and the community would have nowhere else to turn for help.
Today, health care access in Senegal is vastly improved, says Emile Namesemon N’Koa, ChildFund’s national director in Senegal. With grant funding from the U.S. International Development Agency (USAID) and a consortium of partners, ChildFund is implementing a large-scale community health project. Mamadou Diagne, ChildFund Senegal’s national health coordinator, is overseeing operations. He points out that by 2016, Programme Santé Santé Communautaire (PSSC) will have reached 12.3 million people (almost the entire country), providing community-based health huts and outreach sites to both rural and urban populations.
In addition to providing day-to-day maternal and child health care, the project will also address neglected tropical diseases and work to educate communities about the health dangers inherent in the cultural practice of female genital cutting.
ChildFund has long recognized the vital role of grandmothers and godmothers who assist and mentor younger women in their communities. Another key component in ChildFund’s strategy is involving and training community health volunteers and traditional birth attendants. By providing these caregivers with additional health information and formal linkages to a growing network of health posts, ChildFund Senegal is seeking to weave them – and the entire community – into the very fabric of the country’s health care system.
As Mamadou notes, “Through the synergy of cooperation with the community and other organizations at work in Senegal, we’re finding solutions to the problems we face.”
Reporting by ChildFund Senegal
ChildFund is working closely with USAID and local partners to improve community health in Senegal, with a special focus on mothers and children. At a regional conference on reproductive health organized by USAID in late July, Senegal won second place for its USAID-funded health program. Awa Diagne (fifth from left in photo), a trained birth attendant supported by ChildFund under the USAID program, made the conference presentation.
In Senegal, ChildFund leads a consortium of NGOs including World Vision, Plan International, Catholic Relief Services, Africare and Counterpart International in implementing the Community Health component of this program. ChildFund helped survey community members to gain their insight and support for future family health projects.
Congratulations to ChildFund’s team in Senegal who contributed to this joint effort. And to Madagascar, first-place winner, and Nigeria, which placed third.
Organized jointly by the White Ribbon Alliance for Safe Motherhood and the United Nations Population Fund, the film project honors women who did not die needlessly in pregnancy or childbirth due to a key action taken by her, her family, the community, a health worker or others.
ChildFund’s story of Maïmouna, a mother with a high-risk pregnancy, is just one example of how local access to quality medical care saves lives in remote, impoverished areas.
Thanks to the community mobilization, training and supervision efforts of the USAID-funded and ChildFund International-led Community Health Project (Programme Santé, Santé Communautaire), Maïmouna had easy access to a community health hut run by volunteer community health agents. The project works hand-in-hand with the health districts in Senegal, such as the Health District of Popenguine.
Maïmouna’s story highlights the importance of a community structure that stands by women and their families before, during and after pregnancy to help them understand reproductive health, danger signs and how to take action.
ChildFund also works to forge links between the community and government-run clinical structures. In this case, it was a community health worker, who was the critical link in the system that ensured continuity in Maïmouna’s care and treatment from the community level up through the clinical levels.
Watch the film and discover just how many more lives can be saved.
by Julia White, ChildFund Business Development Specialist
For organizations like ChildFund International that have been working on the ground in maternal and child health (MCH) for decades, the Women Deliver Conference in Washington, D.C., last week was an inspirational recharge.
Government agencies, dignitaries, NGOs, private-sector foundations, advocates and experts in the field came together with both the political will and the monetary backing needed to reset MCH as a top global priority. We heard from numerous leaders, including U.N. Secretary-General Ban Ki-Moon, the heads of UNFPA, UNAIDS, the World Health Organization, the Global Fund to Fight AIDS, Tuberculosis and Malaria, Chile’s former president Michelle Bachelet and Melinda Gates, just to name a few.
At the conference, Melinda Gates announced that the Bill and Melinda Gates Foundation will invest $1.5 billion in MCH, family planning and nutrition programs over the next five years, which will complement work already being done in malaria, pneumonia, diarrhea and HIV/AIDS prevention.
The new grants under the Gates Foundation will include a focus on integration — training frontline health workers to provide multiple services and emphasizing cost-effective safe motherhood and newborn health practices. Both are areas of expertise for ChildFund, aligning with our strategic focus on children’s life stages and healthy development.
In fact, our work with MCH in Senegal was featured at the conference in the Stories of Mothers Saved, a campaign organized jointly by the White Ribbon Alliance for Safe Motherhood and the United Nations Population Fund. The story of Maïmouna Faye, a mother with a high-risk pregnancy, is just one example of how we forge relationships with communities.
Maïmouna’s life was saved thanks to the community mobilization, training and supervision efforts of the USAID-funded and ChildFund-led Community Health Project (Programme Santé Santé Communautaire) and a well-trained community health worker trained under the PSSC. In Senegal ChildFund works with communities to run more than 1,370 community health care units, or health huts, nationwide.
In Honduras ChildFund has implemented community health units called UCOS (Unidades Comunitarias de Salud), which support community-based maternal, neonatal and child health care, through improved access to high-quality and cost-effective care. We’ve also trained more than 200 community volunteers in the integrated management of childhood illnesses.
Speakers at the Women Deliver Conference repeatedly referenced the U.S. government’s six-year $63 billion Global Health Initiative and its renewed focus on improving the health of women, newborns and children through programs that address infectious disease, nutrition, MCH and safe water. The President’s Emergency Plan for AIDS Relief (PEPFAR), the largest U.S.-funded bilateral health assistance program, will serve as the cornerstone of the Global Health Initiative.
ChildFund has been a proud partner of PEPFAR in Ethiopia and Zambia, focusing on vulnerable children whose loss of their primary social structure increases their vulnerability to hunger, malnutrition, abuse and exploitation.
It is heartening to see a renewed international convergence of support for maternal and child health that reflects ChildFund’s long-term commitment to ensuring positive outcomes for children in every stage of their lives.
In my work with ChildFund, I’ve seen firsthand the power of supporting communities, local organizations and women themselves to ensure that mothers are safe and healthy before, during and after the birth of their babies. That support leads to the continued growth of their children into empowered adults.
Because ChildFund believes that the well-being of children leads to the well-being of the world — and that starts with healthy mothers — we’re excited to be a part of the global call to action for mothers and children.
If malaria is preventable, why does this disease remain a major killer of children under age five?
To answer that troublesome question, ChildFund has formed collaborative partnerships within the international community. In Senegal, we lead a consortium of organizations (Africare, Catholic Relief Services, Counterpart International, Plan and World Vision) in the implementation of a malaria-focused USAID-funded Community Health Project.
This program uses community-based maternal and child health services to prevent and treat malaria cases. Although this effort involves significant distribution of medicine, it also offers disease-prevention education through ChildFund’s “Health Huts” program.
Established networks of community volunteers support more than 1,300 health huts. As a result, malaria-prevention programs have now reached more than 4 million people, including nearly 800,000 children under age five.
To reach an even larger audience, ChildFund Senegal is partnering with Senegalese Grammy-winning singer Youssou N’Dour, who has established the Youssou N’Dour Foundation aimed at combating malaria. N’Dour, a leading advocate for the U.S.-based nonprofit Malaria No More, has written a song titled, “Xeex Sibbiru,” which means “fight malaria.” The popular song has become the centerpiece of a “360-degree” education and advocacy campaign that is now sweeping Senegal.
ChildFund Senegal staff and its partners are incorporating the song into malaria education sessions to build awareness of disease prevention. As a result, children are organizing distribution of mosquito nets and initiating community cleanup campaigns to eliminate standing water where mosquitoes breed.
By Julia White
Grants-M&E Manager, ChildFund Senegal
I step onto the stage and see in front of me through the bright lights, a sea of thousands of screaming Senegalese fans. Youssou Ndour, the famous Senegalese, Grammy-winning singer and activist stands in front of me as his fans try to get his attention. His voice is full of passion as he talks to the crowd, urging every single one of them, rich and poor, young and old, to stand-up against malaria.
I stand among several key partners who have been asked to go on stage at this concert in Guediwaye, Senegal, to be recognized for their collaboration with Malaria No More and the Fondation Youssou Ndour in making the first step of the Surround Sound: Senegal campaign a reality. I feel very proud to work for ChildFund Senegal as I hear Youssou Ndour call out our name and personally thank us.
The idea behind Surround Sound: Senegal is to mix multiple communication channels with the best local marketers from the worlds of entertainment, sport, faith and business to create a 360-degree malaria education and advocacy campaign in Senegal that reaches everyone at every level. The first step of the campaign has been the use of Senegal fan-favorite Youssou Ndour to develop a song promoting malaria prevention.
The song is called Xeex Sibbiru, which in English means “fight malaria.” The song challenges Senegalese to see the impact malaria has on all aspects of their lives and to see that they need to choose to take action and take responsibility to prevent malaria in their families and their communities.
ChildFund Senegal and Malaria No More share the objective of promoting malaria prevention in Senegal. ChildFund Senegal leads a consortium of NGOs (ChildFund Senegal, Africare, Catholic Relief Services, Counterpart International, Plan and World Vision) in the implementation of the USAID-funded Community Health Project.
The project includes two components: an integrated package of community-based maternal and child health services, and the President’s Malaria Initiative (PMI) community malaria component. Both components are community-based prevention and treatment efforts that involve significant mass-distribution of drugs and information/education/communication via community Health Huts. The PMI component is implemented in more than 1,370 health huts and covers an estimated 4 million people, including children under age 5 and pregnant women.
Through this USAID-funded Project, ChildFund Senegal and the consortium of NGOs distributed the song at the community level in 13 out of the 14 regions of Senegal and now continue to conduct awareness-raising sessions in conjunction with the song. Different target groups, such as grandmothers, heads-of-households, mothers, children and community leaders, are organized to listen to the song and either discuss it or create their own songs, skits or stories related to what they heard.
This approach ensures that all the different decision-makers and target groups at the community level are getting the same messages and are processing the information in a way that is meaningful to them. The song was also distributed at the community level via community radio and continues to be aired.
In the program region of Mbour alone, the community activities, not including the local radio, have already been able to reach 18,339 with the song and its powerful malaria-prevention message.
ChildFund Senegal and the consortium are helping to ensure the bottom-up coverage of the Surround Sound: Senegal campaign. Malaria No More and the Fondation Youssou NDour are ensuring the top-down coverage with mass media such as the launch concert, and national and regional radio diffusion. The different local marketers from sports, entertainment, business and religion that join the campaign will ensure the side coverage.
Having been involved in malaria prevention in Senegal since 1998, ChildFund Senegal is interested to see the impact this 360 degree approach will have and is hopeful that this is just the push Senegal needs to take malaria prevention to the next level.
For more information about our work in Senegal, click here.
More on Senegal
Population: 12.5 million
ChildFund beneficiaries: More than 4.6 million children and families
Did You Know?: About 75% of Senegal’s population lives in rural areas. All Senegalese speak an indigenous language, of which Wolof has the largest usage.
What’s next: An update from Angola