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How Training is Shaping the Future of Health Surveillance Assistants-Innocent’s Journey

Innocent Mangoni, a dedicated Health Surveillance Assistant (HSA) from Chikwawa, embodies the spirit of resilience and commitment that defines frontline health workers. His journey took a significant turn when he was selected to participate in a ground-breaking initiative by Amref Health Africa Malawi, with financial support from the Pfizer Foundation. 

This initiative is set to transform the community health landscape by providing formal and comprehensive training to 497 HSAs across 10 districts of Mangochi, Machinga, Zomba, Chikwawa, Salima, Lilongwe, Chitipa, Karonga, Kasungu, Mchinji and Mzimba North. For the first time, HSAs are receiving training recognized by the Medical Council of Malawi (a health service regulatory body, equipping them with essential skills to address health challenges in their communities.

Prior to this training, Innocent faced challenges in providing comprehensive care. While he was involved in basic health surveillance, he recognized a significant gap in his skills and knowledge, particularly in treating common diseases and ensuring patient-centered care. “Before the training, I felt limited in what I could offer to my community,” Innocent shares. “Now, I have the tools and knowledge to make a real difference.” 

This training program has also equipped Innocent with essential skills on how to create a friendly and welcoming environment for patients. He has learned that health care is not just about treatment, it is also about building trust and fostering relationships. Above all, the training will enable him legally practice as a health professional by being licensed by the Medical Council of Malawi. 

“Now, when I approach a patient, I make sure they feel comfortable and respected,” Innocent explains. “Understanding that I assist people from different backgrounds, I make sure to create a space where they feel valued and respected.”

 Furthermore, Innocent now appreciates the importance of seeking consent and respecting patient rights. These were lessons he previously took for granted. This newfound awareness has transformed the way he interacts with patients and their families. 

Innocent’s fellow HSA, Grant Mpemelera, highlights a similar change. He says “I’ve learned how to respect patients. I always ask for permission and ensure that I create a friendly environment so that clients feel comfortable. I’ve also learned the importance of patience when approaching communities. People have different understandings of health issues, so we must keep interacting with them until they understand the services we offer

As Innocent administers vaccines and conduct education talks on disease prevention, he feels a renewed sense of purpose and pride in his work. His ability to treat common ailments and promote preventive measures has not only enhanced his skills but also empowered those around him to prioritize their health. He is also committed to ensuring that pregnant women start antenatal care as soon as they know they are pregnant and visiting postnatal mothers to monitor their recovery.

“This training has been instrumental in transforming the capacity of our HSAs,” shares Young Samanyika, Project Manager for Amref Health Africa. “With this training, HSAs like Innocent and Grant are not only advancing their skills but are also becoming champions for health in their communities.”

Innocent’s journey is just one of many. With each vaccination, education session, and interaction, Innocent is making a difference. With the support from Amref Health Africa Malawi and the Pfizer Foundation, he stands ready to tackle the health challenges facing his community.

Grant administering a vaccine to a child. Photo credit: Lusayo Banda, Communications Manager, Amref Health Africa Malawi
Amref Health Africa’s Project Manager conducts a supportive supervision visit to assess the performance of Health Surveillance Assistants (HSAs). Here, he poses for a photo with Innocent and Grant. Photo credit: Lusayo Banda, Communications Manager, Amref Health Africa Malawi

Written by Lusayo Banda, Communications Manager-Amref Health Africa Malawi

Amref Health Africa

Amref Health Africa teams up with African communities to create lasting health change.

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