Zambia Health Partnership

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Staff involved in the Zambia Health PartnershipThe Zambia Health Partnership was set up in 2009 between Guy’s and St Thomas’ NHS Foundation Trust in the UK and two hospitals in Zambia – Ndola Central Hospital and Arthur Davidson Children’s Hospital.

The health partnership is a long-term relationship amongst institutions aimed at collaborative development and capacity building. This includes the organisation of training, development of protocols and procedures, sponsoring equipment and development of sustainable planning.


  • Health in Zambia

    Zambia is a landlocked country in Southern Africa of 15 million inhabitants. It is a low income country, ranked 139th out of 188 countries in the world in terms of human development. The HIV rate is 12.5% in adults and the infant mortality rate is 56 per 1,000 live births. Around 54% of the population live in multidimensional poverty, which takes into account health, education, income and violence, and 22.5% of the population lives in severe multidimensional poverty.

    Population

    15 million

    Life expectancy

    48

    Fertility rate for women

    5.7

    Infant mortality per 1000

    68.6

    Neonatal mortality per 1000

    34

    Maternal mortality per 100,000

    591

    Doctors per 100,000 population

    0.6

    Nurses and midwives per 100,000 population

    7.1

  • Infection control

    Our largest project is in infection control in partnership with Ndola Central Hospital, and is funded by UKAid via the Tropical Health Education Trust. This project is:

    • developing a robust system of hand hygiene at Ndola Central Hospital and within the community
    • setting up a health worker safety programme including hepatitis B vaccination and blood or fluid exposure reporting with follow up processes
    • improving microbiology test ordering, procedures and reporting.
  • Maternal health

    The work in maternal health within the partnership aims to significantly improve maternal health and reduce maternal and infant mortality through: 

    • raising awareness of the importance of antenatal visits
    • improving women's access to detailed antenatal reports
    • enhancing nurses’ skills in detecting danger signs in pregnancy and interpreting ultrasound scans
    • improving women’s access to find treatment and assistance for life-threatening conditions and complications in pregnancy
    • improving maternity health and survival.

    This project has received funding from the Headley Trust to buy an ultrasound machine. This will be supported by Guy's and St Thomas' for training and ongoing professional development of Ndola Central Hospital staff members. It will allow access to ultrasound reviews in the antenatal unit leading to earlier intervention to prevent complications. 

  • Newborn health

    Work in this area is under development and looks to focus on the main causes of mortality amongst newborns in Ndola through:

    • improving newborn health through low-cost but effective interventions such as Kangaroo Mother Care. This is early skin to skin contact, breastfeeding and support for parents and early discharge
    • boosting newborn care through the involvement of mothers and families, particularly for at-risk babies
    • improving nurses’ knowledge and skills checking the needs of underweight and at-risk babies.

    This project was seed-funded by an individual donor. This is where investors puts in money in exchange for a percentage of the business. 

  • Adolescent health

    In 2014, we received funding from the Tropical Health Education Trust to carry out a feasibility study together with Mulungushi University to develop an adolescent health curriculum for health workers, student doctors and nurses.

    Whilst this study has ended, the partners will continue to work together to:

    • develop clinicians’ and community health workers’ knowledge of adolescent health
    • improve access and suitability of adolescent health services
    • put adolescent health on the policy-making agenda. 
  • Biomedical engineering

    A project was completed which set up a successful medical equipment management service including training at Ndola Central Hospital and Arthur Davidson Children’s Hospital.

    We are now developing a project that aims to provide resuscitation equipment and training to staff members. 

  • Research collaboration

    The Zambia Health Partnership is one of King’s College London’s Global Health Partnerships and collaborates with a number of academic institutions, including King’s College London and the University of California, San Francisco, to develop our knowledge, research base and data on global health.

  • The CRADLE study

    CRADLE stands for community blood pressure monitoring in rural Africa: detection of underlying pre-eclampsia (CRADLE).

    The CRADLE team aim to improve global women’s health through innovative research by providing simple, effective solutions to improve maternity care and reduce maternity deaths.

    The CRADLE study aims to:

    • create a device capable of accurately detecting abnormalities in women’s vital signs during pregnancy
    • develop this device so that it is specifically suitable for use in providing healthcare solutions in remote, rural and challenging enviroments
    • weigh up the introduction of this device into routine care of women in communities and hospitals in low and middle-income countries
    • determine whether introduction of the device improves the healthcare that women receive and therefore reduces rates of maternity death and severe illness. 
  • Funding and supporters

    These projects would not be possible without the financial and structural support of the Tropical Health Education Trust, the Headley Trust, the World Health Organisation and private donations.

  • Get involved

    We are keen for clinicians and others to get involved in our projects – volunteering, fundraising and in developing strategy.

    To be included in our mailing list or to receive more information about any of our projects, please send an email to Rebecca Alton rebecca.alton@gstt.nhs.uk.