BREAKING THROUGH: MILLENIUM VILLAGES PROJECT MWANDAMA, MALAWI

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A Situational Analysis Presented to

the Faculty of the Nursing Department
Mrs. Portia P. Ituhat, RN,MN

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In Partial Fulfillment of
the Requirements in NCM 213 RLE
COMMUNITY HEALTH NURSING ROTATION
Care of Population, Groups and Community

By:
Torres, Clarissa S.
BSN 3D Group 5 – Subgroup 1

September 24, 2020

1. Community Problems and Community Diagnosis
 Shuster and Goeppinger
 Deficient community health among Mwandama, Malawi residents related to
insufficient access to healthcare provider as evidenced by program unavailable
to prevent health problems of a group or population.
 Imbalanced Nutrition: less than body requirements among Mwandama, Malawi
residents related to insufficient dietary intake as evidenced by food and water
scarcity.
 Risk for infection among the residents of Mwandama, Malawi related to
malnutrition and insufficient knowledge to avoid exposure to pathogens
 Omaha System
1. Domain: Environmental problems
Problem Classification Scheme: Residence
Modifiers: Community and Actual
Signs and Symptoms of Actual: Absence of houses after the calamity
Intervention Scheme:
Category - Case Management
o Residential homes (coordinate with local government officials in providing
materials for the building of their houses)
Problem Rating Scale
Knowledge – 3 Basic Knowledge
Behavior – 4 Usually Appropriate
Status – 1 Extreme signs and symptoms

2. Domain: Environmental problems

Problem Classification Scheme: Income
Modifiers: Community and Actual
Signs and Symptoms of Actual: Inadequate source of income;
inadequate community resources
Intervention Scheme:
Category - Case Management
o Businesses (coordinate with local government officials in supporting the
finances for trainings and programs)
Category – Teaching, Guidance and Counselling
o Teachings on importance of utilizing community resources for businesses
as a source of income
Problem Rating Scale
Knowledge – 2 Basic Knowledge
Behavior – 4 Usually Appropriate
Status – 2 Severe signs and symptoms

3. Domain: Environmental problems

 Problem Classification Scheme: Sanitation
Modifiers: Community and Actual
Signs and Symptoms of Actual: Poor sanitation,
Intervention Scheme:
Category – Teaching, Guidance and Counselling
o Teachings on practices promoting good sanitation and hygiene.
Category – Surveillance
o Monitor the practices of the community with regards to good sanitation
and proper hygiene.
Problem Rating Scale
Knowledge – 2 Basic Knowledge
Behavior – 3 Inconsistently Appropriate
Status – 3 Moderate signs and symptoms

4. Domain: Psychosocial problems

Problem Classification Scheme: Growth and Development
Modifiers: Community and Actual
Signs and Symptoms of Actual:
Intervention Scheme:
Category – Teaching, Guidance and Counselling
Category – Treatments and Procedures
Problem Rating Scale
Knowledge – 2 Basic Knowledge
Behavior – 3 Inconsistently Appropriate
Status – 3 Moderate signs and symptoms

a. Domain 2: Psychosocial Problems

 Growth and Development
 Communication with community resources
b. Domain 3: Physiological Problems
 Speech and language
 Antepartum/Postpartum
 Digestion/Hydration
c. Domain 4: Health-Related Behaviors
 Nutrition
 Family Planning
 Healthcare Supervision
 Personal Care

5. Activities that fall under each phase of Community Organizing

 PHASES
1. Preparatory Phase
2. Organizational Phase
3. Education and Training
Phase
4. Intersectoral
Collaboration Phase
5. Phase Out
ACTIVITIES
Last 2000, the United Nations gathered
formulated 8 millennium development goals,
specifically to improve quality of life of those
under extreme poverty. The Millennium
Villages Project chose an area in Malawi
which is Mwandama, that is considered one
out of 14 millennium project sites in Africa.
They aim to help people in that specific
community with their basic needs that
include addressing issues on hunger,
education, healthcare, clean water,
sanitation.
The Millennium Villages Project develop
programs that involve training of community
residents. They chose different individuals
that will somewhat lead a particular area like
in bakery, Martha Simoko was chosen to be
part of the training for baking thus, she has
the responsibility to teach other members of
the community to sustain the baking
businesses. On the other hand, trainings are
also given to those

6. Discuss the factors that may have served as opportunities/contributory factors to

success or threats/barriers to community development in terms of:

OPPORTUNITIES/CONT THREATS/ BARRIERS

RIBUTORY FACTORS
a. Personal -The people of -financial constraints
Mwandama are -poverty
determined and
motivated to strive hard in
any aspect in order to
survive and succeed in
life.
-The students are
inspired and eager to
learn and be part of the
people helping the
 community.
b. Socio-cultural - -inadequate social or
community
organizations like
cooperatives due to
inadequate monetary
source
c. Economic -Training programs -No source of income
provided by the
Millennium Villages
Project that includes skills
on baking, agriculture,
livestock, and teaching.
-Mobile banks
d. Environmental
e. Political/Religiou
s factors

7. What community development programs/ projects were established to address

the identified problems/issues?
The Millennium Villages Project, upholding the United Nation’s 8 millennium
development goals of helping those from extreme poverty improve their quality of life.
With a ten-year program, they plan to achieve their goal by going through phases that
first includes providing the basic needs of the people. A number of programs or projects
were developed to address issues regarding hunger, education, healthcare, clean
water, sanitation which include the following:
 Innovative, Low cost Programs for Agriculture particularly for the farmers in
2005
 Farming Inputs and teaching farming methods (eg. teaching modern farming
methods and improvement of seeds and fertilizers)
 Variety of women cooperative for promoting business, or other agricultural
cooperatives that encouraged farmers to expand business activities
 Utilization of crops grown from the community into businesses
 Training for business like bakery training (by Bakery Cooperative)
 Schools have been built (Dindi Primary School); and providing teacher
training and learning materials
 Opening of clinics and other primary health care facilities (maternity clinic,
out-patient department
 Installation of electricity
 Mobile phone networks were in place
 Basic infrastructure like improvement of roads
 Access for safe water, and good sanitation
 Child survival and safe childbirth programs
 Fighting Epidemic Diseases
 Mobile bank that serves the community (once a week)
 Operating of Grain Bank (2008)
 World Food Programme (WFP) buys their maize every year for feeding
programs in Malawi’s schools
 Rearing livestock programs
 Teaching on how to cook nutritious food that can also give profit
 Hygiene and Sanitation classes to help prevent the spread of disease
 Formation of Parent-Teacher Association for relatives to be involved in pupils’
education
 Regular home visits by community health workers (monitoring pregnant
mothers and malnutrition, gathering data of under-fives, educating about
hygiene and sanitation, conducting on the spot malaria test, distributing life-
saving drugs)
 Introduction of bicycles for community health workers
 Family Planning Services, antenatal clinic, under five clinic (immunizations)
 Academic Scholarships for secondary education