Florence & her second born using the tippy-tap

No one knows better than Florence how the benefits of having community health workers in her village can be life changing. Last year, Nyakabale was far from being a model village. As with most communities where open defecation exists, Nyakabale had extremely low standards of hygiene and sanitation. Through World Vision, volunteer community health workers (CHW) were trained to help teach people about the benefits of living in a clean environment, free of disease and waste. The CHWs help parents learn how to prevent common illnesses like diarrhea through better hygiene practices.

CHWs, ttC, 7-11, PDH. These aren’t just your ordinary acronyms. They stand for the very simple, very powerful approaches World Vision is using to strengthen health care systems and save the lives of moms and their babies. In honor of World Health Day, we invite you to learn what they are and how have they delivered double-digit improvements in just two years.

Previous Mukombwe, 40, is a blissful and high-spirited mother of eight beautiful children, four boys and four girls. She is married to Airman, 46, who is a peasant farmer. Growing up in a poor, remote village, Previous was forced to drop out of school and be married at the age of 17. “I didn’t want to get married but had no choice,” she says.

Despite being married to a very caring man, things didn’t go as planned in the first years of their marriage. “I tried so hard to get pregnant but failed.

Wilson is conducting one of his training sessions with Grace during her 5th pregnancy.

At the age of 67, Wilson Masiga might consider slowing down and enjoying his seven children and forty grandchildren. Instead, Wilson still rides about 10km every day on a bicycle, traversing villages in Busia District, eastern Uganda, carrying the message of good health.  

Wilson is one of the Community Health Workers (CHW) in this area. He has served in this role since 2011, after he and others were selected by the local leadership and community members. They were trained by the district health inspector, followed by additional training by World Vision in 2012. “We were trained in malaria control, nutrition and child protection, among others. World Vision has continued to give us refresher training along the way, reminding us that we are the first ‘health centers’ to help our communities,” says Wilson. 

Martha became a member of her local Safe Motherhood Action Group after giving birth to eight children without any of the knowledge she now shares with her pregnant neighbors. Her lack of knowledge nearly cost Martha her life during one of her deliveries.

At 34, Martha Nvula has had eight children, the youngest just shy of a year old. She and her husband live nearly 22 miles from a facility that handles baby deliveries, which meant she took great risks each time she got pregnant.

Martha didn’t understand the importance of prenatal care and planning for deliveries, and three times she gave birth along the route to the health facility—once nearly losing her life because of complications.

Martha jumped at the opportunity to join a Safe Motherhood Action Group in her village. She learned about timed and targeted counseling (ttC), which is the developing world’s version of the iconic pregnancy book, “What to Expect When You’re Expecting."

After spending close to three hours on a bumpy, wet road, we finally arrived at our destination. It was a rural village with a cluster of 1-room structures made of mud and wood with thatched roofs. The village is in World Vision’s Nkeyema Area Program in west Zambia. Soon after getting out of the muddy 4-wheel van, we were greeted by a spirited young woman named Mary Mulimbika. She passionately shook our hands and welcomed us with a beaming smile.

Nearly half of all child deaths under the age of five occur within the first month of their lives*, despite marked improvement over the past 30 years. That’s about 2.6 million babies a year. More than 7,100 a day.

World Vision is committed to decreasing preventable neonatal and maternal mortality, and our mother and child health initiative is already making real and sustainable impact in Somalia, Uganda, and Zambia. The approach is working for three main reasons: it’s targeted, it’s grass-roots, and it’s integrated. In a nutshell, we focus on educating women, delivering basic health and nutrition information through trusted local health workers, enabling access to essential health services, and improving health facilities.

On World Health Day, we celebrate the progress being made and the donors and partners who make it possible for the work to continue.

More than 200 million women and girls around the world are living with the results of the dangerous practice of female genital mutilation (FGM/C), also known as cutting and female circumcision, according to a report by UNICEF, the U.N. children’s agency.

In the next decade, 30 million more are at risk. The United Nations created the International Day of Zero Tolerance for Female Genital Mutilation, observed every year on February 6, to stop this harmful practice to girls and women. Ending FGM by 2030 is also part of the United Nations’ Sustainable Development Goal to achieve gender equality and empower all women and girls.