Adapting to Diapé: Different Context, Similar Impact
In March, Muso officially launched operations in Diapé, our test site serving approximately 7,000 patients in the district of Adzopé, Côte d’Ivoire. In the first two weeks, we saw a more than 10x increase in patient visits. Four months after launch, we are quickly learning about how to best approach the implementation of ProCCM in the Ivorian context, with some challenges and positive outcomes along the way.
New Infrastructure and Care without Fees
“I was skeptical when I first heard we did not have to pay fees for care,” shares Achi Bertin, a middle-aged man living in the community. “I was pleasantly surprised when my wife was able to obtain medication without paying any fees after suffering from a severe stomach ache. Before, when you didn’t pay upfront, the medical staff would not even touch you. But since Muso’s arrival [in Diapé], this is no longer the case. Claudia (a Muso CHW) has been great. She has demonstrated her availability at all times and is very caring.”
“My daughter was very small and suffered from malnutrition. My sister and I took her to the [Diapé Health] Center and they referred us to the Adzopé Hospital. There, we were able to obtain three months' worth of formula. She’s grown so much!” says Muso patient Beda while holding her daughter, Marie.
The newly rehabilitated Diapé Health Center is open every day from 8 AM to 5:30 PM, and after 5:30 PM only emergencies are treated. While the center provides a wide array of services, the infrastructure sometimes can be limited for more complex cases. For instance, blood work cannot be completed at the facility as there is no lab and equipment for such an exam. This is why Muso partnered with the Adzopé Hospital in June, so patients experiencing more severe symptoms and diseases that cannot be examined or treated in the Diapé Health Center can seek fee-free treatment at the district-level hospital. Additionally, the surge of patients since the launch of operations in March has created strain on the two sole nurses working in the facility. Following advocacy efforts from Muso’s team in Adzopé with local authorities, a recruitment process has been launched for a third nurse to join the staff.
Lessons Learned and Next Steps