Community Health Workers: Key to Malaria Reduction in Huye and Nyamagabe

Community health workers, known as Abajyanama b’ubuzima, have become the foundation of health promotion, playing a critical role in combating malaria, especially in Huye and Nyamagabe districts. These dedicated volunteers have been instrumental in reducing malaria cases through innovative approaches and tireless efforts.

In Nyamagabe district, a new method of injecting malaria mosquito repellent in homes has been introduced, building on the success seen in Huye district all over the country. This method is being piloted in Gasaka sector, marking a significant milestone in the fight against malaria.

 According to Niyonsaba Nadia, the director of Nyamagabe Health Center, “From 2017 to 2023, malaria cases have significantly decreased from 173.8 to 103.4 per 100,000. While malaria remains a challenge, we are optimistic about this new method. Our target is to inject malaria mosquito repellent in 9,807 houses, and so far, 6,970 houses have already received the repellent. This initiative complements existing methods like sleeping under mosquito nets and clearing bushes.”

Niyonsaba emphasized the crucial role of Abajyanama b’ubuzima in this effort. “Community health workers treat more people suffering from malaria than health centers do. Their dedication and proximity to the community make them indispensable.”

Mukantwari Francoise, the representative of community health workers in Gasaka sector, shared her insights: “The enthusiasm and optimism among the people regarding the repellent are palpable. This is the first time they are receiving it, and given the significant impact malaria has had on their well-being, they are hopeful for a positive change.”

Mukantabana Charlotte from Kigeme sector highlighted the relentless efforts of Abajyanama b’ubuzima: “Our community health workers have been working tirelessly and voluntarily to improve people’s lives. We are optimistic that this new repellent will help eradicate malaria.”

Nambajimana Etienne from Gasaka sector praised the government’s support: “The enforcement by the government through Abajyanama b’ubuzima has been crucial in fighting malaria. The provision of repellents and medications ensures everyone benefits from these efforts.”

In Huye district, the success of malaria reduction is evident. Soeur Solange Uwanyirigira, the director of Sovu Health Center, noted, “We have seen a significant decrease in malaria cases, with only 2 to 3 cases per month now.”

Habyarimana Etienne, the director of the health department in Huye district, discussed their achievements: “Our district has not reported any malaria-related deaths in the past two years. The national target is to treat at least 10 cases per 100,000 people, but Huye district reports only 0.5 cases. This success is due to the collaboration between various institutions and government support. Abajyanama b’ubuzima play a significant role, treating more people than health posts, health centers, and even hospitals.”

Mukayisire Beatha, a community health worker in Huye sector working with Sovu Health Center, spoke about the support they receive: “We receive constant training, materials, and medications to work effectively. We have grown in numbers, knowledge, and capacity to provide services effectively, thanks to good governance and support.”

Ngabonziza Jean de Dieu from Sovu cell in Huye sector echoed these sentiments: “Malaria is becoming a thing of the past in Huye due to various initiatives. We praise the community health workers and the government for their efforts in fighting malaria.”

During a field visit organized by ABASIRWA in partnership with RBC, the district showcased that over the past seven years, infrastructure in Huye district has significantly developed to enhance the health sector. This includes the construction of 20 new health posts and the repair of 14 others, along with the addition of a new block, maternity house, and morgue at Kabutare Hospital.

The collaborative efforts of Abajyanama b’ubuzima, government support, and innovative health promotion methods are making a tangible impact in the fight against malaria in Huye and Nyamagabe districts, bringing hope and improved health to the communities they serve.

Mukantwali Magnifique