Health services in the Suowi Valley (1987-2018): From patrols by Lutheran services to the building of a clinic.
Résumé
Inhabiting a valley located at the border of three provinces, the Ankave never benefited from health services that are common elsewhere in the country. In the eighties, they were regularly – although not frequently – visited by nurses from Lutheran services based in Menyamya (Morobe Province), who mainly administered vaccines to children.
More recently, following the building of an airstrip, which saw its first plane land in 2011, several NGOs and state agencies funded the building of a clinic and the training of local women in midwifery. Since 2012, the Ankave have received several visits from outreach teams of health workers composed of a doctor, nurses, and community health workers (CHW) in training.
Although there is no permanent health staff in the valley yet, these visits, which include lessons about basic hygiene and family planning, indubitably influenced the way people deal with their own health and reproductive life.
In April 2018, I was able to observe pregnancy and family planning consultations, which revealed some of the misunderstandings health workers may have about practices associated with pregnancy and birth in a remote rural setting and more generally about what living in a forest environment entails.
The paper explores the possible consequences of such misunderstandings in terms of the way health services are delivered and understood by the villagers.