This post was published on the now-closed HuffPost Contributor platform. Contributors control their own work and posted freely to our site. If you need to flag this entry as abusive, send us an email.
In remote northern Namibia, Onandjokwe Hospital is becoming a national model for bringing health care to people where they live.
Just a few years ago, if you’d visited northern Namibia’s Onandjokwe Hospital to, say, get a refill on your HIV meds, you’d have had to sit in line for an average of 8 or 9 hours.
Advertisement
“You had to wait for your name to be called at reception, then to have your BMI measured, then to have blood drawn, then HIV counseling, and then wait up to five hours at the pharmacy,” says nurse Ruusa Shipena, the ART (antiretroviral therapies) supervisor at Onandjokwe’s Shanamutango HIV clinic. People would turn up at the clinic the night before and sleep on the sidewalks just to be at the front of the line the next morning.
Shipena and her colleagues were seeing up to 80 clients per day—each.
The waiting room was permanently packed. Staff were stressed out and exhausted.
“Every day when you go home, your hands, your fingers, you have to—” nurse Shipena winces and makes a pained stretching motion. She and her colleagues were seeing up to 80 clients per day—each.
But today that number has dropped to around 40. The waiting room isn’t crowded. Things are running smoothly. And the few people who sit waiting in the reception area are called up within a few minutes of taking their seats, their entire visit now taking about an hour. The nurses are busy but calm as they talk with clients and smile at the visiting babies.
Advertisement
What Changed at Onandjokwe
Two major reasons for Onandjokwe’s former overcrowding were: 1) it was the only place to get HIV-related services for over 81,000 people in a region that suffers high rates of HIV infection (reaching 22.6% in Onandjokwe district); and 2) it was severely short on staff.
In 2012, the Shanamutango clinic had just one doctor and five nurses to care for over 10,000 clients per month.
“We now have more time to spend with our clients,” Shipena says. “They are very happy with that.”
Advertisement
And the additional resources and hands on deck have allowed Onandjokwe to staff satellite facilities and establish points of care within the communities. Supported by USAID through PEPFAR, IntraHealth has now helped it decentralize ART services to eight clinics throughout the district.
The result: Onandjokwe is now number one in the country for decentralization—that is, making services available beyond the central hospital location. It’s become a model for providing high-quality care to remote populations that are spread out over vast geographic areas. And best of all, people who live far from the hospital no longer have to walk for days or spend precious money on transport to get the care they need.
Now we can do a lot. We can plan our community outreach.
“Now the mothers who used to come get their services here, they have started going to clinics that are closer to where they live,” Shipena says. “That’s why you can see it’s so empty in the waiting room.”
IntraHealth also set up ART services at 20 of the hospital’s 45 community outreach points, which provide general care to communities in the district. Before the newly hired drivers and donated cars were available, Shipena and her staff could only provide outreach services when the opportunity struck.
Advertisement
“If there’s no car, and the community’s waiting on you to deliver the services—” Shipena shrugs. “Sometimes you end up suspending some of the services. But now we can do a lot. We can go on our own time, we can plan our community outreach.” She and her staff visit each of the 20 sites every month, providing not only ART services but also immunizations and HIV testing.
“Yesterday we went to the farthest outreach point, 133 kilometers from Onandjokwe,” she says. “Patients were telling us that in the past, they had to wake up at two in the morning to walk through the bush, just to get their HIV meds. Now—they’re happy.”
IntraHealth is working with the government of Namibia to increase the number of health workers providing HIV services and provide the support and training they need to reach the country’s goal of an AIDS-free generation. IntraHealth’s USAID HIV Clinical Services Technical Assistance Project in Namibia is funded by the US Agency for International Development through the President’s Emergency Plan for AIDS Response (PEPFAR). Read more about IntraHealth’s work in Namibia.
Our 2024 Coverage Needs You
It's Another Trump-Biden Showdown — And We Need Your Help
The Future Of Democracy Is At Stake
Our 2024 Coverage Needs You
Your Loyalty Means The World To Us
As Americans head to the polls in 2024, the very future of our country is at stake. At HuffPost, we believe that a free press is critical to creating well-informed voters. That's why our journalism is free for everyone, even though other newsrooms retreat behind expensive paywalls.
Our journalists will continue to cover the twists and turns during this historic presidential election. With your help, we'll bring you hard-hitting investigations, well-researched analysis and timely takes you can't find elsewhere. Reporting in this current political climate is a responsibility we do not take lightly, and we thank you for your support.
The 2024 election is heating up, and women's rights, health care, voting rights, and the very future of democracy are all at stake. Donald Trump will face Joe Biden in the most consequential vote of our time. And HuffPost will be there, covering every twist and turn. America's future hangs in the balance. Would you consider contributing to support our journalism and keep it free for all during this critical season?
HuffPost believes news should be accessible to everyone, regardless of their ability to pay for it. We rely on readers like you to help fund our work. Any contribution you can make — even as little as $2 — goes directly toward supporting the impactful journalism that we will continue to produce this year. Thank you for being part of our story.
It's official: Donald Trump will face Joe Biden this fall in the presidential election. As we face the most consequential presidential election of our time, HuffPost is committed to bringing you up-to-date, accurate news about the 2024 race. While other outlets have retreated behind paywalls, you can trust our news will stay free.
But we can't do it without your help. Reader funding is one of the key ways we support our newsroom. Would you consider making a donation to help fund our news during this critical time? Your contributions are vital to supporting a free press.
As Americans head to the polls in 2024, the very future of our country is at stake. At HuffPost, we believe that a free press is critical to creating well-informed voters. That's why our journalism is free for everyone, even though other newsrooms retreat behind expensive paywalls.
Our journalists will continue to cover the twists and turns during this historic presidential election. With your help, we'll bring you hard-hitting investigations, well-researched analysis and timely takes you can't find elsewhere. Reporting in this current political climate is a responsibility we do not take lightly, and we thank you for your support.
Thank you for your past contribution to HuffPost. We are sincerely grateful for readers like you who help us ensure that we can keep our journalism free for everyone.
The stakes are high this year, and our 2024 coverage could use continued support. Would you consider becoming a regular HuffPost contributor?
Dear HuffPost Reader
Thank you for your past contribution to HuffPost. We are sincerely grateful for readers like you who help us ensure that we can keep our journalism free for everyone.
The stakes are high this year, and our 2024 coverage could use continued support. If circumstances have changed since you last contributed, we hope you'll consider contributing to HuffPost once more.