Wednesday, April 30, 2014

World Malaria Day 2014

Malaria, the leading cause of global morbidity and mortality, is both preventable and treatable. Thankfully, heightened awareness and global efforts to fight the disease have led to recent progress. Since 2000, malaria incidence in Africa has decreased by 31% and mortality rates have reduced by 49%.[1] For an in-depth look at malaria prevention and treatment in Ghana, check out the WHO Ghana Fact Sheet.

The best way to reduce malaria at the community level is considered to be vector control through the use of long-lasting insecticidal nets (LLINs) and indoor spraying with residual insecticides. These methods stand out for their ability to bring malaria transmission from very high levels to close to zero.[2] GHEI’s Malaria Prevention program focuses on promoting of the use of LLINs, or bednets.

A common problem with bednet interventions is that owning a net does not always translate to sleeping under a net. There are many reasons why bednets are owned but not used; including heat, discomfort, inconvenience and lack of knowledge of how to hang them. To help overcome these barriers, GHEI community health workers work with household members to initially hang bednets, then offer in-home small group education on bednet use and maintenance and finally, complete follow-up visits to periodically check-in on household bednet use.

For World Malaria Day Humjibre, GHEI held a classic celebration and educational outreach program. The evening began with general education on malaria, bednet use and proper care, and a talk given by a nurse from the Humjibre Health Clinic on malaria symptoms, treatment and prevention for pregnant women. Afterwards, three short dramas were expertly performed by GHEI staff, community health workers and volunteer teachers on the importance of bednet use for pregnant women, children under 5 and seeking prompt treatment.

One of the highlights of the evening was a screening of the Fufu Films original, United Against Malaria (2010). This vintage GHEI film was locally produced and starred our very own GHEI health team and community health workers (many of which are still with GHEI). Taking place in Humjibre, the film was perfectly relatable for the audience and fun to watch.

The program was presented in Sefwi so that everybody could understand. After a rainy weekend, attendance at the event was relatively low. GHEI normally enjoys a great level of community support but, like other organizations offering interventions, has to grapple with the dilemma of how to keep everyone interested. Those that did attend the event came completely on their own will and were pleased to participate.

With the goal of presenting a program to meet the specific needs of each of our catchment communities, World Malaria Day celebrations were different in both Kojina and Soroano. A bednet sweep is planned for World Malaria Day Kojina. GHEI’s health team and community health workers will visit homes throughout the small community to inspect bednets and offer education. In Soroano, the community recently held a clean-up day to help beautify and remove mosquito breeding grounds. Following the success of World AIDS Day in December, Mensah lead a World Malaria Day discussion over the Public Information System and commended everyone in Soroano for doing their part in protecting the community. The talk was well-received and afterwards, some students even came to Mensah to collect new bednets to bring to boarding school.

GHEI is a dynamic organization, and is constantly working to improve our programs and outreaches to best fit the changing contexts of our communities. By promoting bednet use year-round and adapting global events like World Malaria Day, we are doing our part to help defeat malaria.



[1] World Health Organization, World Malaria Day, http://www.who.int/campaigns/malaria-day/2014/event/en/ (28 April 2014).
[2] World Malaria Day.

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Thursday, April 24, 2014

Healthy Mothers, Healthy Babies

This weekend, we will welcome a new set of UCLA Pediatric Residents to Humjibre. They will be implementing a training program for local traditional birth attendants.This is one of two programs begun this past year, by GHEI, to encourage safe deliveries and improve child and maternal health.

While Ghana has made significant progress toward meeting many of the Millennium Development Goals by 2015, progress in MDGs 4 and 5, reducing child mortality and improving maternal health, is still relatively lagging[1]. One way to foster improvements in these areas is to increase skilled birth attendance and facility-based deliveries. GHEI’s trainings in partnership with UCLA and our new Health Facility Delivery Incentive Program (HFDIP) do just those things.

Our annual evaluation survey found that in Humjibre, where one of only a few health clinics in our area is located, about 25% of deliveries over the past five years still occurred at home. Even though pregnant women are exempted by Ghana’s Ministry of Health from paying prenatal care and delivery fees[2], providers still generally collect a fee from women in the form of supplies necessary for delivery. To help offset this cost, HFDIP provides expectant mothers with the most commonly collected supplies.

Every other week, we open our doors to women who are six months or more pregnant to hand out incentive packages, offer education on safe delivery, and administer a short survey. After delivery, we follow-up with women to find out where they delivered and why. We give them a baby blanket as a thank-you for returning.

This program has proven to be extremely popular. Since it was launched in November 2013, 122 women have participated in the first survey and 45 have returned post-delivery. Considering the total number of births in Humjibre over the course of a year, we estimate that almost all expectant mothers are electing to participate in the program.

When asked about the package during the post-delivery survey, many women stated that the package “helped a lot” and “limited expenses.” One explained that she “was benefited because the clinic collected the incentive given to me [by GHEI] and one of each of the items remained.” Another told a story, saying that “[The package] helped her a lot because she came for the incentive and, after one week, went to deliver. If not for our incentive, she would not have had anything.”

While it is still too early to tell if this program is helping significantly more women choose to deliver at the clinic, there is no doubt that women appreciate it; and it is helping them get the supplies they need to more safely deliver.


[1]United Nations in Ghana, Millennium Development Goals in Ghana, http://unghana.org/site/index.php?option=com_content&view=article&id=81&Itemid=448 (24 April 2014).
[2] Ghana Ministry of Health, Guidelines for implementing the exemption policy on maternal deliveries, Report No. MoH/Policy, Planning, Monitoring and Evaluation-59. 

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Monday, April 14, 2014

Staying Involved: GHEI Champions

GHEI has finished recruiting for its 2014 Summer Serve and Learn sessions and is excited to welcome new volunteers for the Girls’ Empowerment and Malaria Prevention sessions as well as the new Vision Program. Behind the scenes, we formed a core group of alumni volunteers to assist with the recruiting process, spread the word about our summer programs, and raise awareness about GHEI. These GHEI Champions were integral in our outreach efforts.

Did you see our catchy #ThinkGhanaItsFriday hashtag during our initial call for applications in November? Or the thoughtful reflections about GHEI in The Power of Education by Dan Doverspike and Mike Kacka’s thoughts about volunteering? Maybe you go to school with one of our volunteers and saw their GHEI presentation? These personal accounts through various mediums and forums allow volunteers to stay connected to their GHEI experience while sharing their stories with potential new volunteers. We wanted to frame our recruiting efforts as a bridge between alums and new volunteers having dialogues about international volunteerism and its impact on one’s personal and professional development. GHEI gives our volunteers the space to utilize their broad skillset and creative energy to share their GHEI experiences.

The concept of GHEI Champions developed from this desire to give volunteers returning home from Ghana a flexible way to continue their involvement in GHEI. We developed quick actions for volunteers during our social media day and GHEI topics to explore while connecting with personal networks. We have this blog for volunteers to share their thoughts! And we are open to new approaches to raising awareness and starting conversations about GHEI’s programs.

We have all had that out-of-sight, out-of-mind experience, but volunteering abroad does not have to be a one-off experience once we get home. What do you think? How would you like to stay connected?

GHEI is always looking for feedback to improve. Please feel free to reach out, share ideas, and get involved! (communications@ghei.org)

Best wishes,
Susan & Elena


Thank you to our GHEI Champions for helping to shape this year’s recruiting efforts!

Alex Borchardt, Amy Silvia, Anna Rosenbaum, Dan Doverspike, Doug McKechenie, Elizabeth Raine, Emily Huang, Helen Baleng, Jasmine Kwon, Leah Ratner, Maria Renwick, Matt Galek, Mike Kacka, Natalie Rich, Salin Nhean, Sarah Gustafson, Sidra Khalid, Sophia Wang, Tabatha Norton, and Tamara Mason

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