*Y.C.* Homecare by nurses and midwives

*Y.C.* Homecare by nurses and midwives

Estados UnidosAngolaEstados Unidos
$10,000 - $50,000
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

How can we have healthy pregnancies and healthy mothers? What we need is for more women to have access to skilled health workers during pregnancy and labour and since many of them don't go to a medical facility then WE AS HEALTH WORKERS WILL GO TO THEM and help them through clinical pad.

About Project

Problem: What problem is this project trying to address?

The problem is that many women are left behind, there are not enough health workers in sub-saharan africa so that pregnant women have to deliver their babies on their own and the risks of death are greater when there are no trained healthworker around.
About You
Section 1: About You
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Are you an individual between the ages of 18 and 35 who would like to apply for a nine month Young Champions Program mentored by an Ashoka Fellow?


Section 2: About Your Organization
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Your idea
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What makes your idea unique?

According to BBCNEWS African women have one in 16 chance of dying in childbirth and pregnancy. In Angola it is one in seven. What is the main and first cause? Well many women deliver their children alone or with family members or with untrained attendants.

What is the second cause? Many women have to reach a medical facility on their own and sometimes it is too late.

My idea is unique because to eliminate those causes African people in subsaharan-countries have to be able to have a very good training in becoming a nurse or midwife and second of all the health workers have to be more present, work together and able to see the pregnant mothers at home which will be easier for them. Home care is not known in many sub-saharan countries just like Angola. Introducing this in Angola will be knew and it is needed. What makes also my idea unique is that nurses, midwives and the family of the pregnant woman will work together to take care of the future mother, this will only make them stronger as a team.

The task of the midwife: she will be there during the whole pregnancy, she will visit the mother at least twice a month and encourage the future mother to do at least two check ups during the pregnancy. A blood test should also be done, the midwife will also give information about HIV and STD's and she should be able to recognize symptomes of a high risk pregnancy and seek help in a very early stage.

The task of the paediatric nurse: the nurse will follow the mother after the baby is born,she will teach the mother and about breastfeeding, how to take care of the child, how to recognize when the child is sick ( fever ..etc ), she will give information about the normal development of a child and give information about the importance of vaccinations.

The main goal here is to prevent those things from happening trough homecare: by teaching them about hygiene and the dangers of bacterial infections, doing bloodtests and teach them about safe abortions.

Do you have a patent for this idea?

What impact have you had?

This is still only an idea. When I was in Angola I did see some patients at home for woundcare. This is when I noticed that there was a great need for homecare especially for midwives and paediatric nurses.


Right now the organization is not even in the beginning fase. First and foremost the organization has to focus on how to create more healthworkers in sub-saharan africa. So what is the plan? Well actually the plan is to start an organization that will finance the training of african people in sub-saharan africa in becoming midwives or nurses. The training will happen in Angola, by setting health facilities in Angola it will be easier for young people to be trained by more experienced nurses and midwives, the cirriculum will be almost as similar as the one of universities but it will be more practical than theoretical and it will be less expensive than college by that I mean that they will learn the practice on the field itself and it will take them two to 3 years in total to actually be a midwife or nurse and be able to practice on their own.


The expected results is to finally have enough health workers in Angola to be able to start a new health care facillity: "Home healthcare by nurses and midwives" so that we can reduce the maternal death and the death of new borns in sub-saharan africa.We only will be able to do that if there are actually enough health workers and right now there is an enormous shortage so the goal here is to change that.

Then we will use the method of a clinical path. A clinical path is a multy-disciplinary tool were different persons from different professions work together to ensure qualitative and effective care.

The goals are: Better continuity of care, better clinical results and better education of the future mother and her family.

What will it take for your project to be successful over the next three years? Please address each year separately, if possible.

Year one: Having the financial aid to finance the project, by that I mean finding a foundation and local stakeholders that can invest in this organization so that african people will be able to get an adequate health facilities to train young people in Africa. The plan is to make a big campaign to obtain stakeholders that will be interested in the organization.

Year two: Train as much possible healthworkers to be able to work alone,inform them about home care and why it is so important. Motivate the healthworkers and also attract as many healthworkers as possible.

Year three: Spreading the news of the project as much as possible so that the project will be known on a national level and so that people can let us know that they need our help. If people are aware that they can call us for help they will do it. The nurses and midwives will also be very close to the community so that they will be able to know who needs our help.

What would prevent your project from being a success?

Not having the necessary financial aid to train health workers and to help the organization finance this project.

How many people will your project serve annually?


What is the average monthly household income in your target community, in US Dollars?

Less than $50

Does your project seek to have an impact on public policy?


What stage is your project in?

Idea phase

Is your initiative connected to an established organization?

If yes, provide organization name.
How long has this organization been operating?

Please select

Does your organization have a Board of Directors or an Advisory Board?

Does your organization have a non-monetary partnerships with NGOs?

Does your organization have a non-monetary partnerships with businesses?

Does your organization have a non-monetary partnerships with government?

Please tell us more about how these partnerships are critical to the success of your innovation.

Approximately 150 words left (1200 characters).

What are the three most important actions needed to grow your initiative or organization?

1. Finance people to study to be a midwife or nurse so that we can have more health workers
2. Do a campagne about home care for pregnant mothers
3. Having the finance aid for material for healthworkers: cars to visit the patients and medical material needed to examine their patients properly.

The Story
What was the defining moment that you led to this innovation?

This past summer when I went to angola, I was staying at my uncle's house when a young kid was screaming in the streets, when we went to see why he was screaming people told us that he is going from house to house to ask if somebody was a doctor or had medical skills because his sister was about to deliver. Many times I get the news of a cousin or ant who lost her baby again while givig birth and also when I was little, we actually watched my newborn cousin dying at home because of a lack of a good healthcare system in the country.

Tell us about the social innovator behind this idea.

I am a nurse, I am doing a master's degree right now in "Management and Health Policy" because of my great interest for public health. Growing up in Africa and Europe made me be very conscious about the differences in both continents and especially the differences in healthcare. This is a very sensitive topic for me and my dream or should I say my goal is to help make the health care system better in sub-saharan africa. I love being a nurse and I really love taking care of a patient but I realized that I can reach out and help much more people at the same time through public health which of course is why I decided now that public health is something that I should do .

How did you first hear about Changemakers?

Web Search (e.g., Google or Yahoo)

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