REACH Initiative

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Reach Initiative: How a simple act can have a revolutionary impact on family health

Every morning, Aisha sets out on foot to fetch water from the river, carrying heavy buckets back home, knowing each drop is precious. Aisha’s life revolves around caring for her three young children, but despite her best efforts to provide for her family, illness has seemed unavoidable.Her youngest, Musa, has often suffered from painful stomach troubles. Frequent trips to the clinic were becoming a strain on her family. Like many in her village, Aisha had always believed that sickness was just a part of life—something they would have to endure.Things began to change when volunteers for the Nigerian Red Cross arrived in her village. They came as part of the Resilient and Empowered African Community Health (REACH) initiative, a program of the International Federation of Red Cross and Red Cresent Societies (IFRC) and the Africa Centre for Disease Control (Africa CDC) to improve health and hygiene practices in underserved communities.The volunteers and villagers gathered under the shade of a large tree, and with warmth and patience, the volunteers explained how regular handwashing with soap and water can, in fact, save lives.Aisha and her neighbours listened intently as the volunteers explained how washing hands with soap, especially before eating and after using the bathroom, could prevent diseases like cholera and diarrhoea.For many in the crowd, this was a revelation. In many villages here, soap is a rare luxury, often reserved for laundry or bathing, and few had ever thought to use it to wash their hands. The volunteers demonstrated proper hand-washing technique, showing the community members how to scrub their hands thoroughly, reaching every nook and cranny to remove invisible germs.Intrigued, Aisha decided to try it. She set up a simple handwashing station outside her home, using a jerrycan, a small bar of soap, and some rope to make the process easier. She taught her children the new routine, and they watched, wide-eyed, as she explained that this small act could keep them safe.Over the following weeks, something extraordinary happened. Musa, who had been frequently ill, stayed healthy. The constant worries about stomach aches and fevers lessened, and Aisha realized that this small change had a profound effect on her family.It wasn’t long before her neighbours started noticing, too. One by one, other families in the village began setting up their handwashing stations. For the first time, the community was discovering a sense of control over their health.The impact was visible. Children attended school more regularly, free from the recurring ailments that had once disrupted their studies. Parents had fewer trips to the clinic, easing both their schedules and financial strain. Aisha became a quiet champion of the handwashing movement, proudly showing others her setup and sharing the knowledge she had gained.Through the REACH initiative, Nigerian Red Cross Society volunteers (NRCS) have been going door-to-door, gathering people in small groups in villages, schools, and marketplaces, teaching them about handwashing and hygiene.Halima, a mother of four, reflects on the change in her household: “My children used to be sick all the time—coughs, stomach pain. Since we started washing our hands, they’ve been healthier. Now, it’s the first thing we do when we come back from the market or the farm.”For young Sani, a student, it’s a new habit he’s eager to share. “At school, they taught us how to wash our hands properly. I showed my family, and now we all do it. I feel proud because I know I’m helping to keep them safe.”Lilian Adeogba, IFRC Program Officer for the Reach Initiative, notes that while handwashing may seem simple, it is a powerful tool in the fight against infectious diseases. “Diseases like cholera, diarrhoea, and respiratory infections spread quickly, and without proper hygiene, families, especially young children, fall ill often," she say."In a place like Adamawa, where healthcare resources are limited, teaching people to wash their hands is not just about cleanliness—it’s about saving lives.”

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Burkina Faso: When insecurity, conflict and other challenges get between people and the healthcare, the REACH Initiative connects people with the care they need

In Burkina Faso, healthcare challenges have worsened since 2019 due to the escalating security crisis driven by fighting between armed groups and the state military. Many communities face significant barriers to accessing medical care, with long distances to health centers, a shortage of trained healthcare workers, and limited resources. For families in rural areas, even basic services can seem out of reach.Pregnant women often struggle to get to a clinic, especially at night, and diseases like malaria, dengue fever, and malnutrition take a heavy toll. This fragile healthcare system is further strained during emergencies, making every day struggles even more daunting. For years, this harsh reality has taken a toll on families, with women and children bearing the brunt of these healthcare gaps."Healthcare here has long been a privilege of the few, rather than a right for all," says Dr. Diao Watton Rodrigue, an epidemiologist with the Ministry of Health. "When children die from preventable diseases like malaria, it’s not because the medication don’t exist, it’s because they often don’t reach the people who need them most."The Africa-wide REACH Initiative seeks to change that by transforming the way healthcare is delivered. Short for “Resilient and Empowered African Health Community,” REACH is led by the IFRC, along with the Africa CDC, and Red Cross and Red Crescent National Societies in their respective countries (in this case, the Burkina Faso Red Cross).In partnership with the Ministry of Health, the REACH Initiative in Burkina Faso is supporting the development of a national health safety plan to guide healthcare reforms over the next four years. It has also supported the development of the country’s first action plan for non-communicable diseases, vaccination campaigns, and improved health surveillance.The Burkina Faso Red Cross, meanwhile, plays a critical role in transforming healthcare access, serving as a bridge between underserved communities and essential health services. By leading efforts to bring care directly to those who lack access— often in remote or marginalized areas—they ensure that life-saving support reaches those who need it most, fostering trust and resilience within communities. Through this partnership, Burkina Faso is becoming better equipped to tackle future health challenges while building healthier, stronger communities.‘They turn to us’One recent example of REACH's impact was during a dengue fever outbreak at the beginning of 2024. With health workers stretched thin, the Burkina Faso Red Cross stepped in, mobilizing volunteers to target mosquito breeding sites and disinfect high-risk areas.Led by 90 trained volunteers, an awareness campaign reached over 123,000 people, spreading life-saving information on dengue prevention. These swift actions not only controlled the outbreak but also strengthened the community’s preparedness for future crises.As an example, consider the story of Nakanabo Ismael, a Red Cross volunteer trained through the REACH Initiative."At night, when someone is sick, they turn to us,” Nakanabo says. “The community trusts us—they bring their babies for us to treat.We might not have all the answers, but we’ve been trained to help."Nakanabo’s dedication, along with the support of REACH, has brought hope to communities where healthcare once seemed out of reach.Across Africa, REACH continues to strengthen health systems, scale up the community health workforce, and empower local volunteers. By addressing critical health challenges, training volunteers on the ground to shaping national health policies, REACH is helping to create a future where healthcare is accessible, equitable, and sustainable for all Africans.

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Ajak’s story: From village girl to community hero

My name is Ajak, and I was born and raised in Ngo-Dakala village, in Wau, South Sudan.Growing up, I always felt a deep connection to my community. My father, a respected elder, would tell me stories of our village - stories of resilience and strength, but also of the challenges we faced, especially in healthcare. I knew from a young age that I wanted to help.When I heard about the REACH programme through the South Sudan Red Cross, I felt a spark of hope.This was my chance to make a real difference. I joined the programme with a heart full of determination and a mind eager to learn.The training was challenging, but I embraced every moment. I learned how to administer vaccinations, provide maternal care, and educate my community about hygiene and disease prevention.But the most valuable lesson was empathy - understanding and connecting with people on a personal level. That's what truly makes a difference.Our village faced a severe malaria outbreak shortly after I completed my training. It was a terrifying time. Children were falling ill, and the nearest health centre was too far to reach quickly. I knew I had to act.With the medical supplies I received from the training, I turned my home into a makeshift clinic. Neighbours came seeking treatment, and soon my house became the community clinic.I also went door to door, educating families on how to prevent the disease from spreading. It was exhausting, but seeing the number of cases decline made it all worth it. The community began to trust me, and I felt a profound sense of purpose.My work extends beyond healthcare. I want to inspire young girls in my village to pursue education and believe in their dreams. I often tell them, 'Education is the first step to change. With knowledge, we can overcome any obstacle.'With the support of the South Sudan Red Cross and the REACH programme, I have been able to expand my efforts, reaching neighbouring villages and creating a network of trained community health workers. Together, we are building a healthier future for our communities.As I look out over the village of Ngo-Dakala, I see a bright future. A future where health is a right, not a privilege. Where every life is valued, and every community thrives. This is the legacy I hope to leave behind. This is my story.

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REACH: Adut brings health and hope to her community

Over the past months, the South Sudan Red Cross has trained more than 70 dedicated individuals as community health workers in Wau State, nestled within the rugged landscapes of Western Bahr el Ghazal region.As part of the Resilient and Empowered African Community Health (REACH) initiative, these local heroes have become a lifeline for their communities, offering essential health services right at their doorsteps. Equipped not only with medical knowledge but also with empathy and dedication, they are bridging the gap in healthcare access that has long plagued the region.In villages where healthcare once seemed distant, these community health workers have become trusted figures. They administer vaccinations, provide maternal care, and educate families on hygiene practices that safeguard against disease. Beyond these vital services, they play a crucial role in identifying complex cases that require specialized attention, promptly referring them to nearby health centres for further treatment.One such hero is Adut, a young mother turned community health worker. For years, Adut witnessed firsthand the struggles of her community — lack of access to basic healthcare services, preventable illnesses claiming lives, and the daunting challenge of reaching distant health centres."I joined the programme because I saw too many children suffering from preventable diseases," she says with a warm smile. "Now, I can help them get the care they need."Adut's dedication goes beyond her daily responsibilities. She has become a source of knowledge in her village, empowering families with the information and tools they need to lead healthier lives. Her journey is not just about providing medical care but also about fostering resilience and strengthening community bonds, ensuring that healthcare becomes a sustainable part of everyday life in Wau State."As a mother myself, I understand the worries and challenges families face. Being able to ease those worries, even a little, is what keeps me going every day."The REACH initiative, supported by the South Sudan Red Cross, IFRC and Africa CDC aims to empower local communities by training and equipping community health workers like Adut.Through comprehensive training, ongoing support, and access to essential resources, the programme enables these individuals to deliver critical healthcare services directly to their neighbours, overcoming barriers of distance and infrastructure.

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REACH initiative

Our Resilient and Empowered African Community Health (REACH) initiative, in partnership with Africa CDC, aims to improve the health of communities across Africa by scaling upeffective, people-centred and integrated community health workforces and systems.