Our Projects

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The following interventions have been shown to improve maternal and neonatal health and are considered in Akpafu organization effort to strengthen maternal and neonatal health policies and long-term programs.

Increase access to reproductive health, sexual: health, and family planning services, especially in rural areas. Due to the lack of access to care in rural areas, maternal death rates are higher in rural areas than in urban areas. In addition, many men and women in rural and urban areas lack access to information and services related to HIV/AIDS and other STIs.

• Increase access to and education about family planning. Another feature that relates closely to preventing maternal mortality is the provision of family planning. Family planning helps women prevent unintended pregnancies and space the births of their children. It thus reduces their exposure to risks of pregnancy, abortion, and childbirth. Reliable provision of a range of contraceptive methods can help prevent maternal deaths associated with unwanted pregnancies. Our programme is considered one of the important sources for planning services in the project regions. All women attending for family planning services receive counseling from the trained birth assistant.

Increase access to high quality antenatal care. Caring of women during pregnancy continues to be the cornerstone service in our health centres and also for trained traditional birth attendants:

Increase access to skilled delivery care. Delivery is a critical time in which decisions about unexpected, serious complications must be made. Skilled attendants – health professionals such as doctors or midwives and traditional birth attendants trained – can recognize these complications, and either treat them or refer women to health centers or hospitals immediately if more advanced care is needed. Women in rural areas live far distances from quality obstetric care, so improvements depend greatly on early recognition of complications, better provisions for emergency treatment, and improved logistics for rapid movement of complicated cases to district hospital. Increased birth attendant’s coverage of deliveries, through additional skilled traditional birth attendant and service points, are basic requirements for improving delivery care. Additional funds are needed to train practicing but untrained traditional birth attendants.

• Provide prompt postpartum care, counseling, and access to family planning. It is important to detect and immediately manage problems that may occur after delivery, such as hemorrhage, which is responsible for about 20 percent of maternal deaths in rural areas. Postpartum care and counseling by skilled trained birth assistant will help ensure the proper care and health of the newborn. Counseling includes information on breastfeeding, immunization, and family planning.

• Improve post abortion care. About 9 percent of maternal deaths in the region are due to unsafe abortion. Women who have complications resulting from abortion need access to prompt and high quality treatment for infection, hemorrhage, and injuries to the cervix and uterus. Trained birth attendants educate the community and make timely referrals of cases to Municipal hospital.

Strengthen health promotion activities. Media is used to educate the public about pregnancy and delivery, and community-level birth attendants assist this through systematic programs. An important step for health promotion, in order to prevent negative maternal health outcomes, is the Ghana Health Service (GHS) supply adequate educational materials regarding safe practices.

 Key Programmes

  1. Interventions to reduce child mortality We present four main categories in which
    AKPAFU organization is working with rural communities in close collaboration with   trained traditional birth attendants /stakeholders to contribute to the reduction of child mortality  as MDG

     Advocacy / Public Awareness / Behaviour change
    Awareness campaign for breastfeeding: AKPAFU contribute to reduce deaths caused by lacking of breastfeeding by organizing relevant campaigns in association of trained traditional birth attendants in the project regions. With breastfeeding so many deaths would be prevented.


  3. Education and training of all grades of health personnel

    Trainings of community midwives or traditional birth attendants (TBAs) is being organized and implemented by AKPAFU organization in Hohoe Municipality Ghana.  Midwives and TBAs are caring for safe delivery in hospitals and for mothers and their babies during their home delivery. In some project regions we experience 70 % home deliveries. About half of all women still go through childbirth without access to skilled care or emergency obstetric services.

  5. Procurement of equipment and drugs for Traditional Birth Attendants (TBAs)

    AKPAFU organization distributes delivery kit boxes amongst trained traditional birth attendants (TBA) assisting home deliveries.  The Ghana Health Service (GHS) requested these delivery kits as basic equipment for home deliveries especially in rural areas. Medical supplies are also placed in the boxes for trained birth attendants.

  7. Combating Malaria  
  8. Distribution of mosquito nets to babies and their mothers: When Children can sleep under Insecticide Treated Nets (ITNs) nearly 70 child deaths can be prevented. AKPAFU donates such nets through trained traditional birth attendants each to children and their mothers which they need to protect themselves from malaria. - By combining the efforts of AKPAFU and traditional birth attendants; a large quantity of bed nets is needed to be purchased which will lower the price of the producer. Grants obtained in this area is use to finance the nets. Trained traditional birth attendants make sure that distribution is well organized accompany with the education on the right use of bed nets. 

    Since 1992, the organization identifies and train traditional birth attendants in pre-and post-natal care as well as sexual and reproductive health. The major topics of the training are diagnosis and management of both normal and high-risk pregnancies and births. The traditional birth attendant is encouraged to seek qualified help at the public or private health clinic in emergency cases. Thus, the organization works as an intermediate between the qualified health personnel and the traditional birth attendants. The Ghana Health Service (branch of the Ministry of Health in the different Regions of Ghana) supervises the trainings and provides the trainers. The professional trainers follow the national and World Health Organization approved training guidelines. Akpafu Traditional Birth Attendants Women Association provides the facilities for the trainings. Most participants stay at the compound of the organization for eight-day workshop due to long distances to their communities.

    Together with the surrounding health clinics, the traditional birth attendants develop an emergency plan in order to reduce the delay in getting professional help which often causes severe disabilities or death in mother and child.

    HIV/AIDS and other sexual transmitted diseases as well as Malaria are always cross-sectional topics in all trainings. Beside the practical implementation of pre-and post care, the participants learn to educate their communities in sexual and reproductive health is a sensitive topic, the traditional birth attendant is often the only source of such information and the only person allowed to speak about it in public. After successful examinations, the traditional birth attendants receive health care kits. Akpafu Traditional Birth Attendants Women Association supervises and monitors the traditional birth attendants’ ones every quarter.

    Furthermore, the organization provides first aid and emergency transportation of patients to the next hospital by a motorbike. However, many patients cannot be transported on the motorbike due to injuries and serious health conditions. Furthermore, deficient roads make the transportation on the motorbike difficult and dangerous both, patient and driver, especially during rainy season. Besides the training of traditional birth attendants, the organization provides awareness raising campaigns in communities, schools and women groups about sexual and reproductive health




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