Health Campaign Initiatives

Ngie Sub Division with Headquarters in Andek is one of the five Sub Divisions that make up Momo Division. Geographically, Ngie Sub Division is perfectly in the center of Momo Division, sharing common borders respectively with Mbengwi Sub Division on the north, with Njikwa Sub Division on the west, with Widikum-Boffe Sub Division on the south and with Batibo Sub Division on the east. Etwii -Bonanyang is located on the north of Ngie with an estimated population of about 3000 inhabitants leaving on less than $1 a day. Andek with a surface area of about 250km2 is situated at a distance of 50 Kilometers from Bamenda, the regional headquarters of the North West and 30 kilometers from Mbengwi, the Divisional headquarters. The resident population of Ngie Sub Division or Andek Municipality is estimated to be about 32.249 inhabitants. Being a typically rural environment, Andek Municipality is essentially characterized by subsistence-agriculture and livestock production activities. The major products from the municipality include palm oil, cattle various food crops in abundant quantities.  Sociologically, Ngie Sub Division or Andek Municipality is composed of 19 autonomous Fondoms and two ardorates. The 19 Fondoms correspond to 19 villages which are Abebung, Abichia, Ajei, Akuwu, Andek, Angai, Angong, Azem, Bassic, Bonambofei, Bonatou, Ebang, Echia, Esaw, Etwii, Etoh, Nkon, Teze and Tinechung. The two ardorates are those of Ajei and  Tinekooh. Educational infrastructures include four (4) nursery schools, twenty-four (24) primary schools and seven (7) post primary  institutions. Existing and functional health care facilities include Andek Medicalized Health Center, Teze Integrated Health Center, Tinechung Integrated Health Center, Ajei Integrated Health Center, Abebung Integrated Health Center and Etwii Integrated Health Center, all created and run by Government. And Bonanyang is about 5km with very bad roads from the nearest health facility. And facilities have limited services due lack of finances. The nearest full-fledged hospital from Andek is situated at Acha in Mbengwi Sub Division at a distance of about 20 kilometers. Due to the devastating rural-urban migration in search of education, jobs and others the age group is more between the Children Aged from 0-12years and the elderly 40+years.the people depend solely on farming for a leaving. 

Aim, Objective and Rationale:

Cardiovascular diseases (CVDs) are the number one
causes of death globally! Representing 29% of all global death and of this 82% occurred in low or middle income countries affecting equally both male and female. It is estimated that by 2030 almost 23.6 million people will die from CVDs, mainly from heart disease and stroke (Source: WHO fact sheet on CVDs (No 317: updated Sep 09) and the fact that undocumented report has it that there is an increasing incidence of HIV in Bonanyang. Some sons and daughters of Ayang  have created the initiative to screen and provide medications for HTN, DM and HIV. The rationale will be that; 
-Seminars shall be organized where the people shall be sensitized and counseled.
 -Those diagnosed of any of the above medical conditions shall
benefit from free treatment.
 -A report is to be compiled and reported to the appropriate
quarters.
 -Villagers shall benefit free consultation from any other health
problem.
 -At the end of this project the Etwii integrated health center shall benefit from the medical devices and drugs left.

Use of Results

Those at risk or diagnose for any of these pathologies will be
send to consult the doctor resident in the village for this purpose. Here they shall be further examined, tested if need be, treated and transferred to the appropriate services if need be.  

Method

The sample population is going to be that of Bonanyang and the size shall be the available and ready population. For HTN and DM we shall consider the ages of 30+years because from these ages there is a high prevalence of HTN and/or DM and for HIV we shall consider those of the sexually active Age.

Main variables to be measures are going to be the various age
groups, socio-demographic relations to the pathology.

The project is going to be design into phases working under the
authorization of the ministry of public health through the Andek medicalized health center, the Andek rural council and  Bonanyang traditional council. The first phase is going to be to organize a symposium where we shall talk about the various pathologies, recruit volunteers, train them on basic technique and to compile the screening form. But before then we must have informed and obtain authorization from above mentioned authorities. The next phase will be to move down to Bonanyang on a Njet or any other day that will be convenient for the villagers, where we shall sensitize the population of these project, it importance and benefits. On a decided date we shall organize another Symposium in Bonanyang where we shall do a projection talk show on the various pathologies, counseling on HIV. The last phase will be community based, that is the volunteers will get in to the village quarters and screen for the various pathologies by measuring B.Ps, testing for the level of blood sugar and voluntary counseling (VCT) and testing for HIV. The results will be recorded into screening forms. This data will be analyzed discussed and reported to the chiefdom and main health services.