Want to construct your own Health Centre to improve health in rural areas? Do you want funding for your health proposal? We have this proposal as a solution to your problem. This project has a proper framework that will help you to design your own project proposal. Health is widely recognized there is a very close and strong correlation between health status and the level of development to the extent that as countries develop, health indicators improve. This proposal, therefore, is to seek support for the construction of infrastructure at the Health Centre that will facilitate upgrading of the Health Centre into a Rural Hospital. The goal of the project is to improve access to and quality of health services for the rural community around the Health Centre.
Background Information
The xxxxx district is situated in the Southern region of Malawi. The district can be accessed mainly by road and has a total population of 290,946 of which 53% are women. xxx district is among the top three districts with high HIV/AIDS prevalence rate such that the district socio-economic profile for 2008 indicates that HIV/AIDS rate is at 15.1% against 12% national rate. The District Socio-Economic profile indicates that malaria, HIV and AIDS and cholera are major health problems in the District.
The health sector is one of the key areas in the theme of Social Development within the Malawi Government Development framework outlined in the Malawi Growth and Development Strategy (MGDS). Health is widely recognized there is very close and strong correlation between health status and the level of development to the extent that as countries develop, health indicators improve. The long-term goal of health sector is “To improve health status of people at all levels in a sustainable manner”. The focus on health revolves around sexual and reproductive programs and these include education programs, HIV and AIDS. Establishment of health centres in the rural communities facilitates availability and accessibility of health centres to the rural population of Malawi and The Health Centre is one of the strategic health centres situated in xxxxx District for provision of health services to the rural community.
About the Health Centre
The Health Centre in XXXXX North Constituency is one of the 14 health centres that offer different services including admission for maternity cases only, OPD for any other diseases including ART, Child health, Prevention of Mother to Child Transmission (PMTCT), anti-natal, Nutrition rehabilitation services (NRU). The Health Centre is situated close to the border of XXXXX District and xxxx in the xxxx in the North – East. Because of this geographical position, the health centre services a population of 20,000 from XXXXX District and another 8,500 from xxxx Districts.
On average, the health Centre serves 245 ant-natal cases, 420 malaria cases, 105 deliveries and 24 referral cases per month. The health Centre has admission of maternity cases to the capacity of 8 beds only. The Centre has 1 Medical assistant and 4 medical nurses. The Centre has a lot of land that can be used for expansion including construction of more health infrastructure including offices, consultation rooms, wards and staff houses.
XXXXX district Socio-Economic profile shows that 40% of cases in the health Centre and hospital are malaria cases. Malaria is also reported to be the highest cause of morbidity and mortality of children under five years and pregnant women.
Problem Statement
The Health Centre experience a number of challenges that affect effective, timely and quality provision of health services which therefore affect the achievement of the dreams of the Malawi Government outlined in MGDS.
Specific problems and effect of such problems at the health Centre area as follows:
Problem and Effect
These problems have a significant impact in improving access to and quality of health services in XXXXX North and in overall affect how Malawi meets targets of Millenium Development Goals and realize the dreams in the MGDS. Addressing these challenges will be fundamental in moving forward the development agenda of the Malawi Government.
Strategic Objectives and Outputs of the Proposed Project
This proposal therefore is to seek support for construction of infrastructure at Health Centre that will facilitate upgrading of the Health Centre into a Rural Hospital. The goal of the project is to improve access to and quality of health services for the rural community around Health Centre in XXXXX North Constituency through provision of health infrastructure. The proposed project will address the following objectives:
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- Improve admission capacity through construction of wards for maternal cases, male and female patients (general ward).
- Improve quality of health services provision through construction of consultation rooms, health education talk’s rooms and staff houses.
- Improve admission conditions by providing blankets, bed-sheets and beds for the wards.
- Improve efficiency of transporting patients from community to health facilities through provision of community bicycle ambulances.
The proposed facilities seeking funding support are clearly outlined below:
Proposed Facilities
Sustainability and Efficiency of the Project
The project will have effective strategy to ensure sustainability in terms of maintenance and management of the facilities provided and this will include the following:
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- Strengthened the role of health committees
- In line with the Malawi Government health structure, health committee forms a strategic institution in community mobilization for provision of local resources, management of health facilities and facilitating health development planning. The project therefore will be facilitated and managed by these committees and this will ensure community ownership and involvement in the whole project cycle.
- District Assembly Development structures (Area Development Committee and Village Development Committee)
- In line with decentralization policy in Malawi, ADC and VDC are development planning structures at community levels that inform the District Implementation Plans (DIP). These structures have already been involved in problem identification and analysis such that the above challenges are priority areas in the development plans. Initiating a project that addresses these problems therefore anticipates an enormous welcome and support by these structures. ADC and VDC are chaired by community leaders and this becomes fundamental strength in community mobilization for gathering together local resources.
- Coordination with the District Assembly Directorates
- The Directorate of Public Works (DPW), Directorate of Planning Development (DPD) and the line Ministry of Health (DHO) are key directorates at district assembly level to ensure quality and effective project implementation. The DPW will provide technical support in construction work. The DHO office will play a key role in ensuring that the construction work is meeting minimum health facility standards.
- Strengthened the role of health committees
