Project Title: Construction of Community Clinic at
Nongozi Village, Zambezi Region, Namibia.
Name of Organization: Africa Hope Development Foundation (AHDF),
Contact Person: Dr EB. Kombo
Duration of the Project: 1 yearly assessment and evaluation/ success story implemented
to other regions.
Total Budget: NAD 3 600 000
Date: 21 January 2025
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Table of contents.
Contents Page
1.4 Project Objectives..........................................................................................................................4
2.0 About the Organisation...............................................................................................................5
4.0 Finance.........................................................................................................................................8
5.0 Sustainability Plan: -...................................................................................................................9
5.1 Strengthened the role of health committees................................................................................9
5.2 Local Development structures (Zambezi Regional Council and Village Development
Committee)...........................................................................................................................................9
5.3 Coordination with the Regional Council and Ministries...........................................................9
6.0 Conclusion...................................................................................................................................11
7.0 Enclosures..................................................................................................................................12
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1.0 Thematic Area
1.1 Project description.
This project will construct a health clinic in rural Namibia serve a community of 1100
people, of which one-third are children. There are currently no health facilities in this
village, and the community must walk up to 145 kilometres for basic health services. The
government has agreed to provide a healthcare workers, basic medicines, and mosquito nets
once the clinic is built. Having access to a clinic will significantly decrease deaths from
malaria and other waterborne diseases.
1.2 Challenges
There are currently no health facilities in this village. Women, men, and children must walk
at least 145 kilometres to the nearest health facility in Katima Mulilo. Despite the fact that
they are highly preventable and treatable, malaria and other waterborne diseases are rife and
particularly affect the children of the village. The village also has a secondary school that
serves five villages and there are no health services or health education for these adolescents.
1.3 Mitigation Strategy
This project will construct a health dispensary, so local people will have access to basic
health services (i.e. treatments for malaria, cholera, TB, measles, HIV/AIDS, STDs, etc.).
The government has agreed to provide a healthcare worker and will supply basic medicines
for the dispensary, free of charge. Preventative health lessons and counselling to HIV
affected communities will also be provided, as well as the distribution of mosquito nets to
households as a measure for preventing malaria.
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1.4 Project Objectives
We have some objectives for building up a Community Clinic
Increase the range of services wherever my local people fall in diseases they will get
opportunities according to their need and demand.
Provide a safe and therapeutic environment for all patient, staff and visitors
Increase overall satisfaction rates of patients, employees and visiting medical officers
Achieve patient’s satisfaction.
To decrease the number of patient’s mortality.
Promoting highly-advanced medical treatment (transplantation medicine, functional
surgery, tailor-made medicine relying on genetic analyses, etc.).
Promoting medical cooperation between local hospitals.
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2.0 About the Organisation
2.1 History
The Decolonization of Africa for the OAU now AU driven by the spirit of Pan Africanism
and Ubuthu (you are because we are) equally becked by various UN conventions and
protocols was a priority in the 20th century. The Millennlum Development Goals left much to
be desired for most African Nations especially women, consequently now the priority shifts
to the sustainable development goals.
Thus by implication much need to be done for Africa to realize the AU Agenda 2053’ The
Africa we want; it is on the above stated premise that in 2013 the Africa Hope and
Development foundation was founded with the primary goal of promoting community
development programs and projects, improving the lives of the Namibian citizens and that of
its member states in Southern Africa by providing services tailored to meet their social
needs, minimizing gender based violence, alcohol abuse, birth defects, abortion and baby
dumping.
2.2 Mission Statement
To be a Socio-Economic liberation conveyer belt, fulfilling our social responsibility in a
responsible and engaging manner through unrestricted comprehensive public health outreach
interventions and educational programs for the vulnerable, incarceration, victims of societal
ills, rendering emergency disaster relief aid to the under privileged, to orphans and countries
in conflict and devastated by war in Southern Africa and beyond our borders.
2.3 Our Aim
Our aim is to create sustainable projects which will benefit our country and continent so as
bring about transformation and advancement to the beneficiaries. This will be achieved
through setting up of women shelters/rehabilitation and passion killing counseling baby
dumping reception home, orphanage care, substance programs, wheel chairs distribution,
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PONSETTI non-surgical club-foot corrective measure, prison programs, job skills training,
feeding program and disaster aid relief. All our projects are need driven.
2.4 Our Belief
We believe that the most important resource of Africa is its people, more especially the
vulnerable, under-privileged born with health defects, orphaned and children, women in
poverty stricken societies/communities, and those who find themselves one way or the other
in the center of various social ills. Therefore it is imperative and incumbent upon us that we
should exert ourselves in helping our beneficiaries to be strengthened in their areas of need so
as to enable them to be responsible enough to sustain themselves while maintaining their
dignity and self-worth.
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3.0 Background
There is great need for primary health care in low income rural communities like Nongozi ,
Zambezi Region Namibia. In general, low income persons and families tend to be uninsured
and underserved by the medical community. The majority of the Nongozi Community are
poor and illiterate/uneducated they tend to be reluctant to approach medical centres due to
language and transportation barriers. Most people in the Nongozi community may be
reluctant to seek care until an emergency arises, due to concerns cultural beliefs and beliefs in
witchcraft .
Low income populations like the Nongozi Community are far more likely to be affected by
controllable conditions such as HIV/AIDS, STDs, obesity, diabetes, high blood pressure, and
high cholesterol. Low cost health care that is located in the community is essential to
reducing the long-term effects of these conditions. Additional services to reach out and
educate the residents of the neighborhood about good health habits and the availability of
primary care will distinguish this facility. Currently available facilities are unable to
adequately serve this growing population.
Nongozi village is located in the Sangwali area of the Zambezi region in the Judea
Lyaboloma constituency. Nongozi community falls under the Mayeyi Traditional Authority
as well as the Nongozi sub-khuta. The area has a lot of challenges mainly unemployment in
the country has been persistent, and as such, there is a need to implement effective
programmes to curb this prevailing condition.
Despite different political affiliations, the Nongozi Community has always sought to pull in
one direction in order to achieve the Harambee Prosperity Plan’s goals. They have realised
that nothing is impossible, in spite of government budget constraints, as community members
they can come up with project initiatives such as this one and seek funding while projects are
viable.
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3.1 Justification of Project.
The poor people of our country are neither capable of bearing their health expenditure nor
conscious of health, nutrition, and sanitation. Pervading poverty is, therefore, a major
challenge for ensuring health care for the growing number of population. Almost of our rural
population do not get healthy medical service. They deprived of whether money or political
problems that is why they remains sick over the years.
Priority needs: Due to huge number of populations, Namibia like any country in sub-Sahara
especially the Zambezi region faces double burden of diseases: Diabetes, Hypertension,
Stroke, Chronic respiratory diseases, HIV, Tetanus, Malaria, Measles, Rubella, Cancer and so
on So this has been realized and to improve the health condition of those diseases affected
people.
This project will increase the overall wellbeing of the village by helping pregnant women
have safer births, providing preventative interventions and health education for malaria and
HIV, immunizing children, and providing treatments for waterborne disease, etc. The clinic
will also contribute to the local economy by keeping people healthy enough to work through
the agriculture season and not fall victim to illnesses that keep them from tending their fields.
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4.0 Finance
Budget is the central concern of any project. Budget is a financial plan that is prepared and
approved prior to the budget period and may show income and expenditure and the capital to
be employed. budget basically contains two elements. Income and expenditure .
Expenditure : The estimate expenditure of this project
Activities/resource quantity Total cost
Construction, materials & labour 1 2007500
Fencing 1 100,000
Medical equipment & Machinery 1 1,453,000
Land and other 1 39,500
Total 3 600 000
Project Finance Source/income:
Income is another part of project budget. Depending on project income the project runs to
achieve its goal. This project has also income source.
Source Amount
Funding 3 500 000
Other(land, labour and donations) 100,000
Total 1,500,000
Total income for completing this project is : NAD 1,460,000
5.0 Sustainability Plan: -
The project will have effective strategy to ensure sustainability in terms of maintenance and
management of the facilities provided and this will include the following:
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5.1 Strengthened the role of health committees
In line with the Namibia Government health structure, health committee forms a strategic
institution in community mobilization for provision of local resources, management of health
facilities and facilitating health development planning. The project therefore will be
facilitated and managed by these committees and this will ensure community ownership and
involvement in the whole project cycle.
5.2 Local Development structures (Zambezi Regional Council and Village
Development Committee)
In line with decentralization policy in Namibia, ZRC and VDC are development planning
structures at community levels that inform the Regional development plans. These structures
have already been involved in problem identification and analysis such that the above
challenges are priority areas in the development plans. Initiating a project that addresses these
problems therefore anticipates an enormous welcome and support by these structures. ZRC
and VDC are chaired by community leaders and this become fundamental strength in
community mobilization for gathering together local resources.
5.3 Coordination with the Regional Council and Ministries
The Ministry of Works and Transport is responsible for sectoral policy and regulation, and
has a mandate to ensure infrastructure development and maintenance on transport and state
asset management through operational excellence and prudent management of resources. The
building plans will be assessed and approved by the Ministry of Works and Transport .
The construction and supervision will be done by the Ministry of Works and Transport and
Zambezi Regional council.
Ministry of Works and Transport will also provide technical support in construction work and
will play a key role in ensuring that the construction work is meeting minimum health facility
standards.
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The Ministry of Health & Social Services through its National and Regional directorates will
help in planning and running of the community clinic after construction . Ministry of Health
& Social Services will also provide equipment and medical supplies for the hospital.
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6.0 Conclusion
The rural poor have been more marginalized than the urban poor in our country. They are
deprived from all kinds of facilities. The direct contribution of health to human capital
formation and socio-economic development is unquestionable and well recognized. So
modern hospital in local town is essential for rural people. Moreover, Unhealthy people are
usually poor because they cannot work to earn a living. They are usually malnourished and
susceptible to diseases and therefore unable to work either in the fields in rural areas or work
in factories in the cities, and are therefore unable to obtain food, shelter, and clothing. Thus,
they become poor, and because they are poor and they cannot obtain adequate healthcare and
become unhealthy and sick and eventually they become poorer. That is why such type of
project needs to be under taken.
The project is in line with the objectives of Harambee Goal and Outcome #09 desired
outcome/s that mainly relates to infant and maternal mortality. The objective of the ensure a
significant reduction in infant and maternal mortality rate by 2020 and beyond. The approach
to achieving this includes:
Community Health Workers and Midwives: the identification, training and deployment of
community health workers and midwifes to identify mothers who are potentially at risk of
dying during the delivery process at an early stage and those requiring referral to health
facilities for observation and treatment. The midwives will be based in the community,
available to assist with and oversee safe home deliveries.
Provision of Equipment: There is a shortage of essential equipment at most health facilities
in the country. The essential component of obstetric care. Inaccurate estimation of gestational
age is contributing to neonatal deaths and poor maternal outcomes. Multiple pregnancies are
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also often missed, as are structural anomalies. There is need to ensure that quality ultrasound
training is introduced countrywide.
Provision of Essential Drugs: Ensure that essential drugs, such as ergometrine and anti-
hypertensives, as well as monitoring equipment, in case of diabetic pregnancies to measure
blood sugar level are available to pregnant women.
Adequate Staffing: Rapid recruitment process to ensure a basic minimum of staffing levels
at each hospital.
Maternal/Neonatal Transport System: Development of a dedicated maternal/neonatal
transport system, with dedicated trained staff in Namibia. This will allow for critically ill
babies and mothers to be transferred with oxygen, ventilation or appropriate infusions;
thereby reducing deaths on or before arrival at regional health facilities.
Maternal Shelters for Expectant Mothers: The development of shelters for mothers who
are travelling from remote rural areas to wait for the delivery of their babies.
The project will be run and managed by the ministry of health and social services . The
building of community clinic will enable local community members to access health services
with having to travel long distance for basic health. The clinic will not only provide medical
services but also outreach programs for the youth about health issues . In the future the
project may also include upgrading of facility to a hospital .
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7.0 Enclosures.
1. Organisational Registration Documents
2. Budgeted Financial Costs.
3. Letter from Tribal Authority Requesting Construction of Community Clinic.Letter for
Donation of Land.
4. Letter from Zambezi Regional Council
5. Building Plans
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