Katapazi

Katapazi

The Katapazi Rural Health Centre is located in Kazangula District, 50km from Livingstone. The health centre is approximately 35km from the nearest Rural Health Centre, and people travel as far as 30km on foot attend the clinic. The Rural Health Centre serves a population of 6,220 people, but only 400 of these live within 5km, and there are very limited transport options, meaning that the majority travel to the clinic on foot, often taking several days to reach the clinic.

The majority of villages have approximately 20 households, which are usually dominated by a small number of polygamous families.

Staff and services

Katapazi Rural Health Centre does not have any doctors working there, and the closest doctor is located at Zimba Hospital (which offers limited services), which is approximately 20km from Katapazi. Those with more serious conditions would need to make the 50km journey to Livingstone.

The centre have 4 medical staff working there, consisting of 3 nurses and a clinical officer. The centre should also have an environmental health officer, but they currently lack funding for this.

The centre offers antenatal services, vaccinations, family planning, diagnosis and referral services to hospitals. However, the centre stocks very little medicine, and very few patients can afford to make the journey into Zimba or Livingstone to access medicine. The centre has two small solar panels that enable them to stock vaccinations in a small fridge, but they can go long periods without any other source of power in the centre.

Our role

On Call Africa worked with the RHC to identify remote communities within the centre’s catchment area, where patients were unable to access the RHC, let alone see a doctor. On Call Africa delivers treatment in these remote areas through our mobile health clinics, where we offer diagnosis and treatment free of charge through qualified overseas doctors. The doctors also deliver vital health education at clinics and within the communities to help prevent the need for our services.

On Call Africa train Community Health Workers from within these communities to strengthen the existing health systems, ensuring that patients have access to medical advice, and can get referrals when needed. Our monthly clinics operate in Mukamba, Malindi and Siajumba.

Mukamba

Our clinic in Mukamba is delivered from the community church which is located at the centre of a community of 13 villages. The clinic is located 10km from the Rural Health Centre, and many of the patients that we see walk to the clinic from villages up to 30km away. Each of the 13 villages has between 20 and 30 households, and the region has a total population of approximately 1,200 people.

There is one school in the community, which is a 15km walk from the clinic site. The school has 3 bore holes on site, which make up half of the bore holes in the entire community of 13 villages which are spread over a large area. As a result many people in the community bath in, and drink from streams close to their homes.

Most common diseases

Bilharzia

Diarrhoea

Back pain

Number of CHWs = 3 (Meshack, Titus and Maurenne)

Malindi

Our clinic in Malindi is delivered from the local primary school, which has a population of 351 children (October 2019). The school serves 14 villages, which have a collected population of over 1,500 people spread over a large area. Children attending the school walk up to 10km in each direction every day. Those attending clinic walk as far as 15km to see our doctors. Malindi is 7km from the Rural Health Centre, and 57km from Livingstone.

The school is unable to provide pupils with food while they are in school, and they do not currently have access to water. The school does have a bore hole, but this does not have water during the dry season. The community surrounding the school also suffers from significant water shortages, with just 2 working bore holes in all 14 villages. Only one of these currently has water (October 2019).

Common diseases

  • Bilharzia
  • HIV
  • Diarrhoea
  • Back and leg pain

Number of CHWs = 2 (Alex and Herbert)

Siajumba

The clinic at Siajumba is located in a small hut which has been built for OCA clinics, and to act as a small voluntary run school for the local community. Siajumba is located approximately 10km from Malindi in a very remote community which is 15km from the rural health centre and over 65km from Livingstone. In order to get from Siajumba to Malindi (where the nearest school is located) the residents must cross a river. During rainy seasons the OCA vehicle is unable to cross the river, so clinic is moved to under a tree on the other side of the river.

The clinic serves a community of approximately 1,000 people spread over a large catchment area. There are no bore holes in the community, and its residents are forced to collect water from the river for drinking and bathing. In the dry season when the river is dry people dig shallow wells near the river to collect dirty water.

The majority of people in this community are farmers, with limited income, no access to power and no transport to get them to the health centre, or Livingstone.

Common dieases

  • Bilharzia
  • Diarrhoea
  • Malaria

Number of CHWs = 1 (Malinde)

The Katapazi Rural Health Centre is located in Kazangula District, 50km from Livingstone. The health centre is approximately 35km from the nearest Rural Health Centre, and people travel as far as 30km on foot attend the clinic. The Rural Health Centre serves a population of approximately 4,000 people, but only 400 of these live within 5km, and there are very limited transport options, meaning that the majority travel to the clinic on foot, often taking several days to reach the clinic.

The majority of villages have approximately 20 households, which are usually dominated by a small number of polygamous families.

Staff and services

Katapazi Rural Health Centre does not have any doctors working there, and the closest doctor is located at Zimba Hospital (which offers limited services), which is approximately 20km from Katapazi. Those with more serious conditions would need to make the 50km journey to Livingstone.

The centre should have 4 medical staff working there, consisting of 2 nurses, a clinical officer, and an environmental officer. However, the clinic currently only has 1 nurse and 1 clinical officer.

The centre offers antenatal services, vaccinations, family planning, diagnosis and referral services to hospitals. However, the centre stocks very little medicine, and very few patients can afford to make the journey into Zimba or Livingstone to access medicine. The centre has two small solar panels that enable them to stock vaccinations in a small fridge, but they can go long periods without any other source of power in the centre.

Our role

On Call Africa worked with the RHC to identify remote communities within the centre’s catchment area, where patients were unable to access the RHC, let alone see a doctor. On Call Africa delivers treatment in these remote areas through our mobile health clinics, where we offer diagnosis and treatment free of charge through qualified overseas doctors. The doctors also deliver vital health education at clinics and within the communities to help prevent the need for our services.

On Call Africa train Community Health Workers from within these communities to strengthen the existing health systems, ensuring that patients have access to medical advice, and can get referrals when needed. Our monthly clinics operate in Mukamba, Malindi and Siajumba.

Mukamba

Our clinic in Mukamba is delivered from the community church which is located at the centre of a community of 13 villages. The clinic is located 10km from the Rural Health Centre, and many of the patients that we see walk to the clinic from villages up to 30km away. Each of the 13 villages has between 20 and 30 households, and the region has a total population of approximately 1,500 people.

There is one school in the community, which is a 15km walk from the clinic site. The school has 3 bore holes on site, which make up half of the bore holes in the entire community of 13 villages which are spread over a large area. As a result many people in the community bath in, and drink from streams close to their homes.

Most common diseases

Bilharzia

Diarrhoea

Back pain

Number of CHWs = 3 (Meshack, Titus and Maurenne)

Malindi

Our clinic in Malindi is delivered from the local primary school, which has a population of 351 children (October 2019). The school serves 14 villages, which have a collected population of over 1,500 people spread over a large area. Children attending the school walk up to 10km in each direction every day. Those attending clinic walk as far as 15km to see our doctors. Malindi is 7km from the Rural Health Centre, and 57km from Livingstone.

The school is unable to provide pupils with food while they are in school, and they do not currently have access to water. The school does have a bore hole, but this does not have water during the dry season. The community surrounding the school also suffers from significant water shortages, with just 2 working bore holes in all 14 villages. Only one of these currently has water (October 2019).

Common diseases

  • Bilharzia
  • HIV
  • Diarrhoea
  • Back and leg pain

Number of CHWs = 2 (Alex and Herbert)

Siajumba

The clinic at Siajumba is located in a small hut which has been built for OCA clinics, and to act as a small voluntary run school for the local community. Siajumba is located approximately 10km from Malindi in a very remote community which is 15km from the rural health centre and over 65km from Livingstone. In order to get from Siajumba to Malindi (where the nearest school is located) the residents must cross a river. During rainy seasons the OCA vehicle is unable to cross the river, so clinic is moved to under a tree on the other side of the river.

The clinic serves a community of approximately 1,000 people spread over a large catchment area. There are no bore holes in the community, and its residents are forced to collect water from the river for drinking and bathing. In the dry season when the river is dry people dig shallow wells near the river to collect dirty water.

The majority of people in this community are farmers, with limited income, no access to power and no transport to get them to the health centre, or Livingstone.

Common dieases

  • Bilharzia
  • Diarrhoea
  • Malaria

Number of CHWs = 1 (Malinde)