Activity plan

  Year 1 Year 2 Year 3
  April 2020 - March 2021 April 2021 - March 2022 April 2023 - March 2023
Main Activities Improve infrastructure and systems of health services and increace capacity of healthcare workers Strengthen and expand activities at community level Establish sustainable community health systems
  • Conduct baseline survey
  • Improve health facilities maternity wards)
  • Provide basic technical training for healthcare workers
  • Provide training for community health volunteers
  • Establish advocacy groups and provide training
  • Improve health facilities (maternity ward, clinical laboratory, etc.)
  • Improve water supply infrastructure
  • Provide refresher training on health and nutrition
  • Strengthen of monitoring and guidance on community health and nutrition activities
  • Strengthen structures of monitoring and guidance on community health and nutrition activities
  • Assess activity outcomes and challenges
  • Improve partnership and collabration with relevant government officials

Progress of project activities

Improving access to maternal and child health services
Building community-based systems for improving people’s nutritional and water hygiene habits
Enhancing health system management
Improving access to maternal and child health services

Limited access to health services

People who have no health facilities within 5 km from home
Over 60%

Mobile clinic users

(Vaccination, nutritional status monitoring, anthelmintic, Vitamin A provision)

4,395 persons

Number of patients served at healthcare facilities

(Prenatal examination, delivery at a childbirth/healthcare facility with the assistance of a specialist, vaccination, Vitamin A provision, etc.)

23,816 persons

Clinical laboratory construction

1 wards

Improving access to maternal and child health services

Shortage of healthcare workers and their skills

# of nurse at a local health facility
1 or 2

Training for healthcare workers

Basic Emergency Obstetric and Newborn Care

Supportive supervision

Goods management and problem solving

Training for Community Health Volunteers

Household registration procedure, the method of observation during pregnancy, home care methods, etc.

Awareness-raising training for community leaders
38 persons

Family planning and risks entailed by juvenile pregnancy

Building community-based systems for improving people’s nutritional and water hygiene habits

Limited access to safe and clean water

Usage rate of improved sanitation facilities

Education for Water, Sanitation and Hygiene for public health officers and community health assistants

2 villages were certified as open defecation free by the government

Building community-based systems for improving people’s nutritional and water hygiene habits

Lack of knowledge of local residents, drought and the consequent water shortage, and difficulties cultivating crops

Severe malnutrition and a high poverty rate

Awareness-raising training for pregnant woman
150 persons

Maternal and child nutrition, breastfeeding methods, etc.

Training on poultry farming for Mother to Mother groups

Saving and loan activities conducted by Community Health Volunteers and Mother to Mother groups
35 groups

Enhancing health system management

Insufficient commitment of local governments (health budget/cooperation)

Local government health budget

Regular advocacy-group meetings

Solutions to problems at dispensaries

Regular meetings with regional government officials and partners
5 times

Reported period: April 2022 to September 2022

Description of activities

Improved access to maternal and child healthcare services

Improve health facilities (clinical laboratories)

Jaribuni Dispensary
Jaribuni Dispensary
Rima Ra Pera Dispensary
Rima Ra Pera Dispensary
Midoina Dispensary
Midoina Dispensary
These clinical laboratories have been completed at three dispensaries and started operating.

Provide medical services

Follow-ups on malnutrition cases
Follow-ups on malnutrition cases
Mobile clinic service being provided
Mobile clinic service being provided
Mobile clinic service being provided
Mobile clinic service being provided
The dispensaries provided mobile clinic services each to two communities in their charge, offering medical services (medical examinations, vaccinations, the administration of anthelmintics and vitamin A preparations, etc.) to a total of 4,395 persons.

Training for healthcare workers

Training on Basic Emergency Obstetric and Newborn Care

Training on emergency obstetric and neonatal care
  • Emergency method of maternal and neonatal resuscitation
  • Response to severe nephropathy caused by pregnancy-induced hypertension
  • Prevention of obstructed labor, sepsis, and malaria
  • Improvement of surgical skills
  • Post-abortion care, response to neonatal jaundice, etc.

Supportive supervision

Supportive supervision
Major issues
  • Insufficient documentation of information about
  • Shortage of storage trays for essential medicines
  • Lack of fire protection measures
There was a significant improvement in the goods management system at each dispensary.

Training for community healthcare workers

Community Health Volunteers

  • Information shared about the household registration procedure, the method of observation during pregnancy, home care methods, etc.

Under the supervision of community health assistants, 150 community health volunteers visited a total of 4,782 households.


Holding monthly meetings


Commending eight community health volunteers

Mother to Mother groups

Mother to Mother groups

Holding monthly meetings

Group members exchanged opinions on facilitating the use of mobile clinic services, the method of utilizing grow bags in cultivation, encouraging COVID-19 vaccinations, chicken raising methods, etc.

Community leaders

Community leaders
Training for community leaders
  • Awareness-raising about teenage pregnancy and family planning
  • Effective methods of communicating with young people
Major issues
  • Lack of time spent for family conversation, shortage of space in each household, poverty, changes in awareness of the community, etc.
Community healthcare workers are striving to raise awareness of maternal and child health among local residents.

Establishment of mechanisms for improving nutrition and water, sanitation and hygiene practices

Strengthened efforts to improve nutrition in communities

Cooking demonstration

Cooking demonstration
  • Offering nutrition training to a total of 150 pregnant woman
  • Training Mother to Mother group members in poultry farming

Community-level nutrition improvement training

Community-level nutrition improvement training

Nutritional screening

Nutritional screening
  • Screening children for malnutrition through mobile clinic services
  • Carrying out follow-ups on 188 malnutrition cases
  • Holding meetings to review data on the children’s nutritional status
The number of malnourished children increased due to drought. Health workers and nutritionists provide follow-up services to those malnourished children.

Development of water supply facilities and sanitation training for communities

Community-led total sanitation (CLTS) training

Community Led Total Sanitation (CLTS) training
CLTS guidance and training were given to public health officers and community health assistants.

Awareness-raising about how to wash the hands

Awareness-raising about how to wash the hands
Sanitation and hygiene education for the communities
Sanitation and hygiene education has continued to be provided to the communities, resulting in two villages achieving zero outdoor defecation.

Strengthening the health system

Enhancing the partnership between the communities and government officials

Opinion exchange at the dispensaries
Opinion exchange at the dispensaries
Meeting for formulating an annual activity plan (sub-county-level health management team)
Meeting for formulating an annual activity plan (sub-county-level health management team)

Advocacy groups met each other regularly (every quarter) to discuss issues faced by the respective dispensaries.

Stationing full-time clinical laboratory technicians, ensuring road access to facilities, deploying ambulances, etc.


County-level and sub-country-level health officials shared best practices at the dispensaries and discussed measures to address the increase in the number of malnutrition cases.

Voices from the community

Mr. Mugalla Mvurya (Nutrition Coordinator, Ganze Sub-County)


As a sub-county nutrition coordinator, I supervise the provision of nutrition services in Ganze Sub-County. I am responsible for supportive supervision, coordination of nutrition services, and advocacy in the field of nutrition. We also work with the Mother to Mother Project to plan the project’s nutrition-related activities, implement the plan, and monitor the implementation.

We would like to extend our heartfelt gratitude to the Mother to Mother Project for having a direct positive impact on the lives of the people in Bamba and Jaribuni. Various activities conducted under the project, such as follow-ups on malnutrition cases, community-level nutritional improvement, agricultural support, and provision of chickens and seeds, have changed life in the communities. In addition, training opportunities provided by the project have helped improve the capacities of workers who provide medical and nutritional services.

The values for nutritional metrics have been improving. More specifically, the percentages of people receiving the administration of iron supplements, vitamin A preparations, and anthelmintics have grown. The number of mothers who go into labor at facilities has increased, while many mothers now begin to breastfeed their babies earlier than ever before. The percentage of mothers who raise their babies only with breast milk has also grown. Furthermore, the percentage of malnutrition patients who discontinue receiving medical treatment has decreased. The quality of data management has also been enhanced. These are examples of the general improvement.