Under 5’s Clinic& Nutrition Clinic
Under 5’s Clinic
i4Life provide health and nutrition services to the Linda community near to Lusaka, the capital of Zambia. This clinic serves a catchment area of approximately 80,000 people with varying levels of impoverishment. We are in a strong position to support the surge in the acute nutritional needs of the vulnerable under 5s through our pop-up clinic.
Malnourished children are actively identified by community health workers (CHWs) who have been recruited and trained by i4Life specialists to screen all the under 5 children in the community for malnutrition. All children who are identified with malnutrition are referred to the Primary Healthcare Centre, in partnership with the Ministry of Health, where there is a structured weekly clinic for monitoring the progress and provision of supplementary feed for the malnourished child for a defined period of time. The CHWs also assist in Under 5s clinics in which up to 400 children can attend on a rotational basis receiving important nutritional input.
In addition, CHWs provide vital community outreach, education and counselling for mothers and the community in the prevention and management of malnutrition and other diseases and conditions such as HIV and epilepsy. This is part of i4Life’s community cascade model of mentorship where nutritional clinical skills are passed from qualified nutritionists to CHWs to vulnerable mothers and children.
As well as achieving positive nutrition outcomes for children under 5 in the Linda catchment, the i4Life nutrition clinic, in partnership with the University of Zambia (UNZA), offers supervised practicum and internships for qualifying nutritionists. This is fulfilling an important gap in the skills training of nutritionists in Zambia as opportunities for hands on learning at community level are not well established. i4Life @ Neri is recognised as a centre of best practice providing capacity building across the nutrition system including national health, district health offices, health centres and community health structures as well as supporting formal training of nutritionists in higher level institutions.
Furthermore, since 2011, i4Life has facilitated the mutual transfer of knowledge between Ireland and Zambia which has supported over 210 experienced health professionals sharing their knowledge and gaining valuable experience with the i4Life team, University Teaching Hospital (UTH), University of Zambia (UNZA), and the Ministry of Health (MoH).
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Population
Zambia has a population of approximately 20.7 million people.
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Child Mortality Rates
1 in 16 Zambian children die before reaching the age of five.
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Water Access
28% of households do not have access to basic drinking water. This figure increases to 42% in rural areas.
Nutrition Clinic
Chronic malnutrition and stunting is a significant problem in the township and Zambia itself. These children have been commenced on the nutrition programme at i4Life’s clinic and their weight and height are monitored weekly.
The prevention of malnutrition is such a vital issue, particularly in relation to the development of the child and their future role in society that community health workers must screen all children under 5 in the Linda Compound on an ongoing basis. Apart from this vital screening i4Life provides further support in the area of nutrition and health promotion.
On arrival in Linda Compound in 2010, i4Life carried out a pilot study of children under 5 which indicated that 17% of children under 5 living in the shanty town were suffering from chronic malnutrition.
In response to this survey, a Nutrition clinic was set up, in conjunction with a weekly education programme and all children under 5 are being screened for malnutrition. All children who present with malnutrition are commenced on a supplementary feeding programme under Zambian guidelines.
Education of local voluntary community workers from Linda Compound and the Zambian healthcare professionals working at our clinics. This education includes the following; Health, Human rights, Child protection, and Vulnerable adults policy.