Djamde Health Clinic Water Project - Togo

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Djamde Health Clinic Water Project - Togo

This project is made possible through the partnership of WATER CHARITY and the NATIONAL PEACE CORPS ASSOCIATION.

Village of Djamde, Kozah District, Kara Region, Togo

Community Description
In Togo, 368 mothers die for every 100,000 live births and roughly 1 in 10 children born will die before their 5th birthday, an astounding 15 times the child mortality rate of developed countries. The majority of these deaths are caused by easily preventable conditions that could be treated at very low costs. Furthermore, the majority of these deaths happen in the neglected, northern region of Togo, in villages like Djamde.

Djamde Health Clinic Water Project - TogoThirty kilometers west of the city of Kara, Djamde is a large village at the foot of mountains. The vast majority of the 5,340 inhabitants are subsistence farmers belonging to the Kabiyè ethnic group. Due to a myriad of factors, the population of Djamde rarely frequented the health center prior to the support of Hope Through Health (HTH). In July 2015, the Djamde Health Center reported a 37% coverage rate, and less than 10 facility-based deliveries per month.

Problem Addressed
HTH works to eliminate barriers to good health by eliminating user fees for patients, deploying Community Health Workers, mentoring nurses and midwives in public clinics, and improving supply chains in nine communities across northern Togo, including Djamde. They have been able to make excellent strides toward reducing mortality and morbidity in Djamde, but the state of the health center remains a limiting factor.

The Djamde Health Center is in need of extensive repairs and renovations, including improved water source and plumbing. The center provides lifesaving care to a population of 5,340, all without running water. While the clinic has plumbing, this system has fallen into disrepair and needs to be restored. Staff members harvest rainwater from the roof during the rainy season or water is carried from an alternative source in the community.

Djamde Health Clinic Water Project - TogoWithout proper plumbing and electric systems, the center is ill-equipped to provide high quality healthcare services to meet the needs of the surrounding communities.

Project Description
A borehole will be drilled to a depth of 70-100 meters. The existing concrete tank will be replaced by a polytank, and new piping installed. Faulty supply piping to the wash basin taps inside the building will be replaced.

Hope Through Health, in partnership Construction for Change (CFC) and the 30/30 Project, will renovate the Djamde Health Center so that the quality of the building matches the excellent services being delivered inside its walls. This will include a new water system, as outlined below.

The Djamde clinic has an existing plumbing system. However, the current water tower/tank on the property is not functional. The system will be modified to include a borehole with a 2kfa hydraulic pump, a 3,000-liter water storage polytank, and improvements to the existing concrete water tower.

Project Managers from CFC who are based in Togo will oversee this project. They have already performed site assessments and have a detailed outline of how to accomplish each of these tasks. They will hire a Togolese construction company to complete the work.

Djamde Health Clinic Water Project - TogoThe construction company will hire some members of the community as laborers for the duration of the project. All major decisions on renovations will be made in collaboration with the Togolese Ministry of health.

Funds from Water Charity will go specifically to labor and materials costs associated with improving the water supply at the health center.

Project Impact
5,340 people will benefit from the project.

Returned Peace Corps Volunteer Directing Project
Jennifer Schechter, RPCV and Executive Director, Hope Through Health

Monitoring and Maintenance
CFC Program Managers will oversee the project’s progress until completion. Thereafter, HTH will monitor the functioning of the clinic and assure that all technology is running smoothly. HTH’s Clinical Mentor will visit the Djamde Health Center two times a month for ongoing coaching; during these visits he will be able to take note of any issues.

In addition, HTH will collect service indicators from the center each month, including number of children under five treated, number of facility based deliveries, and number of women who adopt family planning methods. Monitoring these indicators will also help HTH see how the renovation project is contributing to the health of the community.

Renovating the Djamde Health Center is a sustainable project because it is a top-off investment to what the Ministry of Health (MOH) is already investing in the center. The MOH pays salaries of staff for the clinic as well as other ongoing costs such as utilities. With the renovated clinic, HTH expects coverage rates to increase, meaning that the MOH is able to reach more patients with their current investment. Strengthening the existing health center with a goal of government adoption makes the impact sustainable over the long term.

This project has been funded by an anonymous donor.

Funds Needed : 

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