Kanyanga Rural Health Post


The Kanyanga Rural Health Post is located in Zimba District. It’s 160km from Livingstone hospital, and 80km from the nearest doctor, at Zimba Hospital. The health post has recently been developed to serve a very large catchment area, a population of 24,701. In this area there are outreach posts up to 50km from the health facility with no means of transport. On our first visit to one of the outreach posts, no one in the community had ever seen a car before.

Despite serving such a large population, the facility only has 4 nurses, serving 16 outreach posts. They are required to visit for one day per month. As a result the facility if often run and managed by Community Health Workers operating as volunteers.

On Call Africa Community Classroom
On Call Africa Kanyanga Community On Call Africa Community On Call Africa Community Kanyanga

Biggest challenges at the health post

Due to its remote nature, and poor facilities, the health post and surrounding communities face the following key challenges

  • Poor infrastructure

The facility has poor sanitation facilities, without a mother’s shelter for expectant mothers. They have a limited number of consultation rooms, and no access to water.

  • No power

The facility has no power, and as a result has no lighting, and very limited medical equipment

  • Limited availability of medication
  • Understaffed

Due to the number of medical staff v’s the catchment area

  • Rainy Season

This area has many streams and rivers. During rainy season when the rivers fill up or experience flash flooding. Many communities are cut off from the Rural Health Post and the nurse cannot safely travel to these areas.

  • Limited access to clean water, and poor hygiene and sanitation

Some communities have less than 20% of households with latrines, and some communities have no access to clean water sources

  • Low levels of health literacy

Health education is limited and required to help support the community

  • Transport Links

 Kanyanga Rural Health Post is responsible for providing medical services to households up to 45km from the centre. These communities do not have reliable transportation links to reach the clinic.

  • Most common health issues

Diarrhoea, Respiratory, Musco-skeletal, Malaria, Disgestive, Bilharzia

Our role

On Call Africa began working with Kanyanga Rural Health Post in 2021, to identify its biggest challenges and assess needs both at the facility, and within the communities in it’s catchment area. We place volunteer doctors in the facility, where they work alongside existing nurses and Community Health Workers offering diagnosis and treatment, and supporting outreach activities, while conducting assessments, mapping and developing clear implementation plans for On Call Africa, Ministry of Health and partners to take forward. We also work with partners to deliver public health interventions that meet the individual health needs of each community.

On Call Africa will train Community Health Workers from within the facilities catchment area to strengthen the existing health systems. Ensuring patients have access to medical advice and referrals when needed. The Community Health Workers will be provided bicycles once they complete their training to enable them to carry out home visits for sparsely populated communities.

In 2021 we will be providing the facility with solar power, and a solar powered bore hole to provide running water to the health facility. We are also working with partner organisations to develop programmes to provide telemedicine to the health facility, and to address poor water, menstrual hygiene and sanitation, as well as transport links within the catchment area.