In the heart of Zambia’s Southern Province lies Chilamongela, a remote community where access to healthcare is not just a challenge but a distant dream. Here, Lucky Chizela and Chiteyo Charles, two dedicated Community-Based Volunteers (CBVs), are making a profound difference in the lives of their neighbours. They both have been CBVs for 5 years and 3 years respectively. In an exclusive interview conducted in their local language, they share their motivations, challenges, and triumphs as frontline healthcare providers in one of Zambia’s most underserved regions. For Charles, the decision to become a CBV was driven by a deep-rooted desire to make healthcare accessible to his community. He witnessed firsthand the struggles of community members to reach distant health facilities and felt compelled to bridge this gap. Lucky, on the other hand, recognized the limitations of existing healthcare infrastructure and saw empowerment as the key to improving health outcomes. By equipping community members with the knowledge and skills to take charge of their health, Lucky aimed to effect lasting change.
Reflecting on his journey as a CBV, Charles notes the significant expansion of his responsibilities and knowledge base over the years. From initially handling basic health issues to now addressing a wide range of topics such as domestic violence and malaria, Charles has evolved into a trusted source of health information for his community. Similarly, Lucky’s training on tuberculosis and other health issues has equipped him to provide comprehensive care and support to those in need. Both Charles and Lucky underwent intensive training facilitated by the government, which covered various health topics and outbreak management strategies. This training proved invaluable during the recent cholera outbreak, where CBVs played a crucial role in containing the spread of the disease through community engagement and education. Moreover, their training emphasized the importance of building trust and collaboration within the community, enabling them to mobilize support and resources for health initiatives.
Lucky and Charles at a Health Facility in Zambia
As CBVs, Charles and Lucky serve as the first point of contact for community members seeking healthcare. Their intimate knowledge of local health and environmental challenges allows them to provide targeted interventions and support, often before individuals even reach a health facility. In this way, they play a vital role in preventive care and health promotion, complementing the work of doctors and formal healthcare providers.
Both Charles and Lucky recount poignant stories of maternal health interventions that saved lives and transformed outcomes. Through their tireless efforts to dispel myths and encourage women to seek prenatal care, they have helped prevent maternal deaths and ensure safe deliveries. These experiences serve as powerful reminders of the impact that CBVs can have on individual lives and community health.
In reflecting on his training experience, Charles emphasizes the comprehensive nature of the 14-day program facilitated by the government and supported by BIRCH. During this intensive period, he gained invaluable insights into managing outbreaks effectively. This training proved particularly crucial during the recent cholera outbreak, where CBVs like Charles played a significant role in containing the situation nationwide. Charles underscores the importance of community engagement in this endeavour, highlighting how the collaboration between CBVs and community members was pivotal in their successful response. Through their concerted efforts and shared commitment to public health, they were able to address the outbreak and mitigate its impact on their communities. For Charles, the recognition and appreciation from his community, coupled with tangible benefits such as priority access to vaccination drives, serve as powerful motivators to continue his work as a CBV. Similarly, Lucky finds motivation in the positive relationships he has cultivated with his community and local health facility, as well as the visible changes he has witnessed over time.
Lucky recounts his training experience, noting that he underwent the same intensive 14-day program as Charles. During this period, he acquired essential knowledge on topics such as malnutrition and HIV prevention, equipping him with the tools to address prevalent health issues in his community. However, beyond the technical skills gained, Lucky emphasizes the importance of building trust and fostering a sense of community through both training sessions and community engagements. He recognizes that establishing strong relationships with community members is paramount in building a foundation of trust and cooperation, essential for effective healthcare delivery. Through these interactions, Lucky has learned firsthand the significance of community engagement in promoting health education and encouraging positive health behaviours. This holistic approach, combining technical expertise with interpersonal connections, underscores Lucky’s commitment to improving the well-being of his community.
The stories of Lucky Chizela and Chiteyo Charles serve as powerful testaments to the vital role played by Community Health Workers (CHWs) in rural Zambia. Despite grappling with myriad challenges, these unsung heroes demonstrate unwavering dedication to enhancing health outcomes and uplifting their communities. As they navigate obstacles with resilience and determination, Lucky and Chiteyo exemplify the profound influence that CHWs apply in promoting health equity and empowerment at the grassroots level. Their stories inspire us to recognize and appreciate the invaluable contributions of CHWs, whose commitment to service epitomizes the essence of compassionate healthcare delivery in the communities they serve.