The largest project undertaken beyond the maintenance and reopening of Nyumba Ya Masambiro this year is the construction of a house for a Nurse-Midwife at Ruarwe Health Centre. This is a project which was requested by the community, Medical Assistant (Doctor) and Health Centre Management Committee. Having housing available is a pre-requisite for government recruitment into any available post. Ruarwe Health Centre sees dozens of deliveries every quarter and at present the Medical Assistant needs to attend all births, as he is the only qualified member of staff present at the clinic. This results in him being on call 24/7, 365 days a year. The Midwife’s House will allow that post to be recruited into with the next round of recruitment, taking all antenatal care, deliveries and post-natal care off the Medical Assistant’s hands and providing safer maternal care for the community.
Construction began with a large-scale shopping trip to buy all the necessary resources. The NYM staff and some community members then began hand-making the necessary bricks for the construction of the building. In a remote area like Ruarwe, there is no access to any power tools so the whole process is being completed by hand. These bricks were then carried up by hand to the construction site.Â
Following the construction of the bricks, the land allocated to the Midwife’s House next to the Health Centre had to be prepared. Ruarwe is surrounded by a ring of mountains and the clinic building is in the foothills of these mountains. As a result, the land for the house needed to be levelled out – again an arduous process involving digging into the mountainside and breaking rocks by hand.
Once levelling had commenced, the foundations could start to be laid – again as a result of the landscape, very high, sound foundations are required to ensure a level and stable base for the construction of the house. The build itself commenced at the end of November and the contractor (from the community) and Health Centre Management Committee aim for completion before the end of December.Â























