USAID DEC
The Ministry of Health and Social Services in the Republic of Namibia implemented a health extension worker program to improve maternal and child health outcomes in rural areas.
3 pages

Abstract
The program focused on integrated daily activities, including first aid and water, sanitation, and hygiene (WASH) services. Health extension workers conducted regular visits to households, providing essential health services and monitoring the health status of pregnant women and children. The program collected data on various health indicators, including maternal and neonatal health outcomes. The data showed that severe or moderate malnutrition was detected in 15% of children under five, with 10% referred for treatment. Incomplete immunization was detected in 8% of children, with 5% referred for vaccination. Exclusive breastfeeding at six months of age was reported by 70% of mothers, with 20% receiving HIV counseling and testing. The program also monitored the prevalence of malaria, tuberculosis (TB), and HIV/AIDS. Malaria was detected in 12% of cases, with 8% treated and 4% referred for further care. TB was detected in 5% of cases, with 3% referred for treatment and 2% receiving DOT support. HIV/AIDS was detected in 2% of cases, with 1% on antiretroviral therapy (ART) and 0.5% referred for ART. In addition to health services, the program also addressed social welfare and disability prevention and rehabilitation. Family violence was detected in 5% of cases, with 3% referred for counseling and support. Substance abuse was detected in 2% of cases, with 1% referred for treatment. Suicidal behavior was detected in 1% of cases, with 0.5% referred for counseling and support. The program also promoted health education and awareness among community members. Health promotion activities were conducted with 80% of households, focusing on individual and family health education. Disability prevention and rehabilitation services were provided to 10% of cases, with 5% referred for assistive devices and 3% for rehabilitation services. The program's data collection and monitoring system provided valuable insights into the health status of rural communities in Namibia. The data highlighted the need for continued investment in maternal and child health services, as well as social welfare and disability prevention and rehabilitation programs. The program's integrated approach to health services and social welfare support demonstrated its potential to improve health outcomes and reduce health disparities in rural areas.
Classification
USAID DEC
2016USAID DEC