In the remote village of Chilamongela, located in Zambia’s Southern Province, Philda Gaula stands as a beacon of hope and resilience. As a Community-Based Health Worker (CBV), Philda tirelessly navigates the challenges posed by drought to ensure the well-being of her community. In a candid conversation, Philda sheds light on the profound impact of drought on community health and the resourcefulness needed to overcome it.

Drought, a recurring phenomenon in the region, exacerbates the vulnerability of Chilamongela’s residents, especially children and pregnant women. “Because of the existing drought,” Philda explains, “children are not feeding properly, making them prone to malnutrition.” In response, Philda and her team of Community Health Workers are promoting the cultivation of gardens and vegetables to address food insecurity and combat malnutrition. Yet, the implications of drought extend beyond food scarcity. “Pregnant women have to walk long distances, up to 4.5 kilometres, to draw water,” Philda laments, highlighting the strain on maternal health and well-being. Furthermore, the scarcity of clean water leads to a rise in diarrhea cases, emphasizing the urgent need for sustainable solutions.

When asked about the support needed to tackle these challenges, Philda’s response is clear: “Give us chlorine so we don’t have to boil water. Boiling takes time and resources that not everyone can afford.” Additionally, she advocates for the drilling of more boreholes to improve access to water and reduce the burden of long-distance travel. Despite her dedication, Philda faces formidable challenges. “I take care of 74 households, a population of 500,” she shares. “Some live far apart, and I lack transport and essential tools to provide proper care.” The absence of a kit impedes Philda’s ability to conduct assessments and offer basic services, forcing her to refer patients to distant facilities.

 

Yet, what keeps Philda going is her unwavering empathy and commitment to her community. “I put myself in their shoes,” she reflects. “Even with limited resources, I cannot turn a blind eye to their suffering.” Her efforts yield tangible results, evident in the positive changes she observes – reduced maternal deaths, improved hygiene practices, and increased health knowledge within her Village in Chilamongela. Philda Gaula’s story is a testament to the resilience of community health workers in the face of adversity. Despite the challenges posed by drought and limited resources, Philda’s unwavering dedication transforms lives and inspires hope in Chilamongela.

Empowering Community Health Workers as First Respondents to Climate-Related Issues

In addition to their crucial role in addressing healthcare needs, Community Health Workers (CHWs) like Philda Gaula serve as key first responders in confronting climate-related challenges. As frontline agents embedded within their communities, CHWs possess unique insights into the local impact of environmental shifts, such as drought. In regions like Chilamongela, where drought exacerbates health disparities, CHWs play a pivotal role in mitigating the adverse effects on vulnerable populations. By mobilizing resources, disseminating information on sustainable practices, and advocating for infrastructure improvements, CHWs like Philda empower communities to adapt and thrive amidst environmental stressors.

Moreover, CHWs serve as bridges between formal healthcare systems and grassroots resilience efforts. Their intimate knowledge of community dynamics allows for targeted interventions that address both immediate health concerns and long-term climate resilience. From promoting water purification techniques to facilitating community-led gardening initiatives, CHWs truly embody the spirit of grassroots resilience-building. As climate change continues to pose existential threats to global health, harnessing the expertise and dedication of CHWs becomes increasingly imperative. Through collaboration and support, we can empower heroes like Philda to continue their vital work, ensuring health and well-being for all.