Here is a list of some of the field activities that help realise the programme at ground level:
- IMPROVING HEALTH FACILTIES
- The programme has equipped the 2 government facilties with equipement to enable their staff to conduct a basic antenatal check.
- Health post staff receive regular training from GTT to update their antenatal and communication skills so they are able to perform a WHO standard check up.
- GTT have added on an antenatal service to the mobile vaccination clinic in outlying areas where no women were preveiously having antenatal checks. The health promoters do these checks and train the health post staff at the same time.
- GTT Health Promotors (who are also trained as midwives) and Dr Stephens provide regular referesher training to staff
- WORKING WITH FERTILE WOMEN ADN THEIR COMMUNITIES
- The programme now has over 34 groups of women who meet monthly. Sessions are facilitiated by GTT staff. Groups include fertile women, mothers, mither in laws and fathers. Some groups are separate (eg only mothers), others are mixed. The work that happens within the group is the CORE WORK of the programme.
- Each group “cycle” lasts 18 months. Work within the group includes: giving information on how to have a healthy baby, barriers to this and working out ways these can be overcome, diet, saving for delivery, working together to get women to hospital with complications, alcoholism, domestic violence and rape.
- Groups come together for 2 mass events a year to provide a programme for the whole community focusing on a relevant topic (eg how to be a good mother- in – law).
- GTT staff and group members have mapped all pregnant women and women with children under 2. This is updated monthly. Any women who have not been for their antenatal checks are visited at home and encouraged to attend.
- BUILDING CAPACITY
- GTT acts as the co-ordinator of all health activicites in the rural programme area. There are over 70 community volunteers who advocate for their groups and villages. GTT provides facilitation and communication training to them so they can learn to run groups themselves.
- Femal Helath Volunteers and Traditional Healers have volunteered, been trained and now participate in delivering health messages and referring women to the health services in their areas.
- All groups have a small pot of money they have earned from donations at mass events; this is used to help pay for poorer women to have a trained assistant at delivery.
- Women are now ready to start working together to earn money for themselves, their familes and poorer people in their communites. As this is outside our expertise GTT is assisting them to contact and network with organisations that can help them do this.
- GTT staff act as advocate for marginalised and poorer people in the community; assisting their smooth entry into groups, “buddying” them up with a group member if they are pregnant, assisting them in accessing health care and government monies for health care.