1. ADP area
By Martha M Sinkololwe

2. .• World Vision Zambia is working in Chief Mwamba area and is servicing the
population of 55 174
• It is operating in 7 Health centres namely Lukashi, Chilubula, Lukupa, Milima,
Misamfu, Mwamba and ZNS
• The district is collaborating with world vision in the areas of child health,
HIV/AIDS, Nutrition, and water and Sanitation
• Recently the World Vision carried out Water projects in some area such as
Selu Katampa and Mwamba to improve access to clean water
• Trained some hygiene promoters to minimise water born diseases in
selected areas

3. 0
20
40
60
80
100
120
Chilubula Lukashi Lukupa Milima Misamfu Mwamba ZNS Chishimba
De worming dose to child 12-59 months

4. • Most health facilities scored over 90% threshold except
Lukashi and Chilubula
• The data for Lukashi has not being submitted until August
2014. this is because the district had a challenge of replacing
staff who retire from civil service. The centre was in the hands
of a CDE
• A staff has being transferred from Chilubula to Lukashi and
hope things will improve
• Chilubula failed to reach the threshold because part of its
catchment area (Lukulu) was being serviced by Army Clinic.
• The district embarked on harmonisation of catchment
boundary & GMPs following the opening of Police Clinic

5. 0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
Chilubula Lukashi Lukupa Milima Misamfu Mwamba ZNS Chishimba
Child 0-59 months Weighed
Child 24-59 mnths Weighed Child 0-23 mnths Weighed

6. • The weighing of child in the has been a challenge as most
mothers only concentrate on younger child who are still
receiving vaccinations. However there has been a notable
increase in number of older child coming for weighing some
radio programs organised by Ministry of Health and some
stakeholders
• The slide shows and 1:1 ratio for child weighing between
under1 and 1 – 4 years. The idea ratio is 1:4 .
• To increase the number of the weighing ratio the district
needs to increase on the number of Community Health
Promoters (CHPs) as well as procurement of more scales
• Milima is doing fine with weighing of its proximity with other 3
neighbouring centre. People go the center that starts the
session early.

7. 0
5
10
15
20
25
30
35
40
45
Chilubula Lukashi Lukupa Milima Misamfu Mwamba ZNS Chishimba
Incidence rate

8. • Malnutrition cases in the disease are not among the top 5
diseases, however some Health facilities do record some
increase in the number of case of malnutrition. Chilubula,
Lukupa and Mwamba has shown increase in malnutrition
incidence rate
• While medical intervention is necessary the district needs to
collaborate with stakeholders and line ministry incharge of
food security
• We also need to revamp the community nutritional clubs as
well as nutrition demonstrations
•

9. 0
20
40
60
80
100
120
140
160
180
Chilubula Lukashi Lukupa Milima Misamfu Mwamba ZNS Chishimba
Vitamin A Coverage in percentage
VA 6_11 Mth Infant VitA 12-59 mnths Vit A 6 - 59 months

10. • The Vitamin A supplementation in children under 1 is doing
fine. Three Health centres have failed to reach 90% threshold.
• The problem again is with the over 12 month old. Distances to
GMP is also a contributing factor to low turn out for this age
group
• Lukashi data is not in the database and the issue is under
investigation by the DHIO

11. 0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
Chilubula Lukashi Lukupa Milima Misamfu Mwamba ZNS Chishimba
Under weight ratio 0-59 months

12. • Even if there are a number of malnutrition cases in ADP area
generally the under weight ratio is quiet low compared to
other areas
• Among the centres under ADP in Lukashi seems to having a
lot of underweight children
• Worm infestation prevalence and other sanitation problem
among children seem to be a contributing factor for Lukashi.
With the help of the community the problem can be over
comed

13. 0
20
40
60
80
100
120
140
160
180
Chilubula Lukashi Lukupa Milima Misamfu Mwamba ZNS
Chishimba
Vitamin A vs Deworming 12-59
De worming dose to child 12-59 months VitA 12-59 mnths

14. .
• The ratio between Vitamin A and Deworming in 12 – 59
months is supposed to be 1:1
• Chilubula failed to maintain the this ratio.
• This is running out of mebendazole