3. Strengthening the community network for continuum of care

Maternal, Newborn and Child Health One Stop Service Project in Zambia 2017

The project revitalized the Local Steering Committee(LSC), which was founded in the neighborhood
health committee at each site, comprised of ten
members, including health service providers,
community leaders, traditional leaders, teachers,
SMAGs and Youth PEs. Monitoring and supervisionby the District Health Office to support community
health educational activities involving SMAGs andYouth PEs was strengthened in collaboration withthe LSCs and the Adolescent Health Committee. Eachsite formulated a community action plan forsustainability and started income generation
activities such as goat rearing , vegetable cultivation,etc. to secure the cost for maternity waiting houseand costs required for continuing community healtheducational activities. Furthermore, a workshop on

Maternal, Newborn and Child Health One Stop Service Project 2015 - 2017

income generation activities and financial

Towards the completion of a three-year project –Expanding efforts to provide comprehensive carefor women and raise awareness among youth

management was also organized in Mutaba where
income generation activities were most advanced.
The workshop provided a proactive mutual learning
opportunity and allowed each site to share their own

Drawing on its experience in projects thatexperiences.

Outcomes

support maternal, newborn and childhealth , since December 2014, Japanese

Cooperation by the private sector:

Organization for International Cooperation

project sites was on average 30.5% in 2013, 37.4% in 2014

in Family Planning (JOICFP) has beenand 35% in 2015, but over the three years since this project

implementing a three-year project named,

was launched, the figure has grown to 44.3 % in 2016.

Maternal, Newborn and Child Health One
Stop Service Project co-implemented by thePlanned Parenthood Association of Zambia(PPAZ); assisted by a Grant Aid for
Water tanks

Solar panels

Bicycle with generators

A water tank was installed in

Solar panels were provided by

Bicycles with motor which caneach One Stop Service Site withthe support of corporations

generate the power are used tothe support of corporations and(Shiseido Company Limited,

provide light during overnightorganizations (GLIDELUMINE Co., Ltd. , Virina Japan

deliveries and maternity waiting

ENTERPRISE Inc. , Soroptimist

Inc at the One Stop Service Sites

houses. SMAGs could

International of Tokyo-Ginza,andin non-electrified areas, which

successfully bring pregnant

Sembikiya-Sohonten, Ltd.) toallowed mothers to give enoughwomen to a health facility usingensure a more hygienic

light during delivery at night.

the bicycle generator before

environment for delivery.

starting delivery at night byJapan Keirin Association (JKA)

1. The ratio of women giving birth in health facilities in the ten

Japanese NGO Projects by the Governmentof Japan. The project that aims to ensure
quality of information and services in
Mpongwe District of Copperbelt Province.
During the 3 years, three One Stop Service
Sites were established as a Hub for quality
information and services: a) JOICFP

2. Community mobilization activities of SMAGs and PEs in theMasaiti and Mpongwe Districts have helped achieve afigure of 900,000 residents having obtained knowledge andinformation about maternal, newborn and child healthregarding the importance of ANC, PNC and facility delivery.

3. The One Stop Service Site has become a model central
health center for the district following the district hospital
as a health promotion venue for the community, including
youth.

established a maternity ward, maternity
waiting house, youth center and residence
for midwives. b) JOICFP expanded its
training sessions for Safe Motherhood
Action Groups (SMAGs) and Young Peer
Educators (PEs), further developed its

Planned Parenthood Associationof Zambia

Japanese Organization
for International Cooperationin Family Planning ( JOICFP )activities in strengthening raising awarenessHouse No.8, Boundary Road, Northrise,P.O. Box 72442, Ndola, Zambia

Hoken Kaikan Shinkan, 1-10 Ichigaya Tamachi,
Shinjuku-ku,Tokyo, 162-0843 Japanissues among youth, as well as community

TEL +260 - 212 - 2640 9 96
http://www.ppaz.org.zm/

4of adolescent sexual reproductive healthmobilizationtowards improving healthservices and access for women.

13-year Activities

Best Practices from the community initiatives
EX1.

EX 2.

Existing community facility effectively

Building a Maternity Waiting House with community

1. Health promotion in the communities

reused as a maternity waiting house toinitiative

To disseminate knowledge and information regarding reproductive health in the communities, including theencounter distance to facilities (aceess)

importance of ANC/PNC, facility delivery, and Family Planning, the community people were trained asConstruction of a maternity house got underway inIn Kamobwa in Masaiti District, Local

Kafulafuta in Masaiti District with the donations from eachSteering Committee (LSC) took thehousehold. The land for construction was secured next toinitiative to renovate old facility

the health center where the LSC members and SMAGs

adjacent to the health center into agather every Wednesday to proceed with the work.

SMAGs or Youth PEs. The project also implemented training for health service providers and strengthened
community health educational activities through training on effective utilization of educational materials.

maternity waiting house.
EX3.
Adolescent Health Committe
In Kalweo in Mpongwe District, health service providers,schools, traditional leaders and other LSC members took

Youth Peer Educator (PEs)the initiative to establish an Adolescent Health Committee.
Currently, many young people gather at the youth centeron Sunday to participate in a various sessions such as
cooking class and other recreational activities.
EX 4.

Safe Motherhood Action Group members (SMAGs)
・ Training for new SMAG Members: 210 trainees
in total (150 and 60 in the Mpongwe andMasaiti Districts respectively)
・ Training on Behavioral Change Communication(BCC) skills: for 250 and 300 SMAG members in2015 and 2016, respectively

Decentralization of community initiative by District
Health Office・ Training for new Youth PEs: 60 trainees in total(40 and 20 in the Mpongwe and Masaiti Districtsrespectively)・ Leadership Training: for 12 Youth PEs and 12SMAG members
・ Training for Youth PEs on menstrual education:
46 Youth PEs

In Kalweo and Mikata in Mponglwe District, LSC membersorganized and started SMAG training with the cooperationof the District Health Office to increase the number of
SMAG members. This allowed 20 new SMAG members tobe trained in Kalweo and ten in Mikata respectively, thanks
to the cooperation of communities and the District HealthOffice.

Material development

After the project completion,

Heath service providers

District Health Office is expected to take the initiative in handing over the community

・ Client-friendly training sessions: 17 healthservice providers

・ A guide translated into local language forreproductive health visual materials (Maggieapron) (English/local language)

health promotion activities on an ongoing basis, through regular monitoring in each site
for supervising SMAGs, PEs, and LSCs

・ Monitoring and health indicator management
training session: 9 health service providers

Project Outline

・ Review meeting: 9 health service providers andfour trainers

・ Birth Plan and Danger signs for pregnancy anddelivery (revised) (English/local language)・ Booklet on menstruation “Happy to be a girl”(English/local language)
・ A guide for SMAGs “SMAG Handbook” (English)

Aim:

2. Improving quality SRH services

To increase the number of women using quality health services in project sites in rural Zambia.
Local Co-implementing Organizations:With the construction of a maternity ward, maternity waiting

Planned Parenthood Association of Zambia (PPAZ), Copperbelt Province

house, youth center, residence for midwives and a water tank andMasaiti District Health Office and Mpongwe District Health OfficeTarget Area and Population:
Copperbelt Province

the provision of medical equipment, three One Stop Service Sites
were established in Mutaba in Masaiti District in 2015 and Kalweo- Masaiti population: 140,4525 sites (Mutaba, Kamobwa, Mishikishi, Chilese, Kafulafuta)

and Mikata in Mpongwe District in 2016 and 2017, respectively, to- Mpongwe population: 110,7445 sites (Kalweo, Mikata, Kanyenda, St. Anthony, Ipumbu)

facilitate the provision of quality health service and information.

Supported by:

2★

The maternity waiting house allows expectant mothers to await

The Ministry of Foreign Affairs of Japan,,corporate, organizational and individual donations

birth with health service providers while the youth center has

and the International Planned Parenthood Federation (IPPF)

maintained improved access to the health center, even for youth.

3