HEALTH CARE SYSTEM IN ZAMBIA Health care services

HEALTH CARE SYSTEM IN ZAMBIA Health care services in Maramba ward, Livingstone Central Constituency. Southern province.

Maramba ward • Maramba ward is found in Livingstone central constituency in Livingstone district, southern province. • It has about 1797 households, with a population of 9590 people with 4553 being males while 5037 are females according to 2010 population census.

• There are two health care institution namely Maramb clinic and St Joseph Hospice. • Maramba clinic is the main health care institution, it is a very busy clinic with poor resources. • St Joseph Hospice is also an health institution in Maramba ward but border with Namatama ward. • Below the front view of maramba clinic.

Front view of maramba clinic Maramba clinic is found in maramba ward in Livngstone

Project Details GEOGRAPHICAL CHARACTERISTICS Location : southern Province District : Livingstone Constituency : Livingstone central Ward : Maramba ward

HEALTH CARE FACILITY IN MARAMBA WARD Patients at Maramba clinc patients at St Joseph hospice

AGE GROUP WHO FREQUENT VISITS THE HEATH FACILITY IN MARAMBA WARD 6 5 4 Age 0 - 15 3 Age 16 -39 2 Age 40 -upto old age 1 0 2012 2013 2014 2015

Average Daily Clinic attendance The total of 80 t 0 177 with different health problem at both clinics Total number of clients on active ARV treatment at end of period 20 Gender distribution of people who visit both clinics M ( 2 ) to F( 7) Total current working number of Qualified Personel or Staff in the period St Joseph hospice (8) Maramba clinic (11 to 22) - 90

ØThe Zambian government is giving priority to the health sector with the goal to ensure equitable access to healthcare services for all Zambians, i. e. better availability of adequate infrastructure, medical equipment and essential drugs. Unfortunately, few of the now well understood, steps necessary to make user fee removal a success were taken in Zambia. ØAs a result the immediate positive uptake in health care utilisation has not been sustained. Despite hard work by all involved, a number of failings helped to undermine the success of the policy.

ØLack of government action meant the most vulnerable suffered most. The evidence suggests the free care policy may have had a crowding out effect on the utilization of services by children under five years of age. ØIntegrating of services for reproductive health, maternal new-born, child and adolescent health at national level still remains a challenge and this fragments efforts at health facility and community

ØI fully acknowledge the critical role health plays in the development of the country and that no meaningful development or no economic growth can be attained when the population is faced with a huge disease burden. The cost of funding health care is, however, a huge challenge; demand for care is insatiable and difficult decisions have to be taken over the prioritisation of services. ØJoint planning, monitoring and evaluation: health facility will continue to contribute towards joint planning and implementation of national priority activities to maximize the gains of national priorities; including exploring new ways to improve pharmaceutical services.