Every year in Ghana, millions of children die from preventable causes such as measles, malaria, and HIV. Malnutrition and the lack of sanitation contributes to a third of all child deaths. The highest rate of child mortality is in sub-Saharan Africa, where one out of every eight children die before their fifth birthday. Ghana’s infant mortality rate is among the highest in the world ranking at the top of the scale at number 49 out of 223 (CIA World Facts Book, 2012).

The current rate of death of new born babies and children under the ages of five (5) is alarming and The Fever Relief Fund (TFRF) is dedicated to exhausting its resources to target one of the main cause of high mortality rate
MALNUTRITION; and to work with mothers, clinics, hospitals and government agencies to find a lasting solution to the problem.

Although evidence shows that there has been significant reduction in both infant and under-five mortality rates in Ghana, it is unlikely that the 2015 target of reducing the child mortality rates will be met unless coverage of effective child survival interventions is increased. The Ghana Demographic and Health Survey (GDHS) (2008) showed a 30 per cent reduction in the under-five mortality rate. This represents a decline from 111 per 1,000 live births in 2003 to 80 per 1,000 live births in 2008.

Infant mortality rate as at 2008 stood at 50 per 1,000 live births compared to 64 per 1,000 live births in 2003. Data from Interagency Group Child Mortality Estimation (IGME) indicates a decline in under-five mortality from 122 to 74 per 1,000 live births between 1990 and 2010 leaving a deficit of 33. Immunization of under-one year old against measles improved from 68.8 per cent in 1998 to 79.9 per cent in 2008 and further up to 87.7 per cent in 2010.

The primary challenge is access to medical care. With more than 400 small villages of from 300-500 spread out over a large region and transportation to local clinics difficult at best for the villagers, a strategy to deliver medical services to these villages is imperative.

The proposed programs include setting up a major hub within four chief regions, initially using the input of the chiefs and elders to determine the strategy for addressing the need for care, monitoring and oversight for women throughout their pregnancy and beyond birth. The focus will be upon engaging the entire settlement in the health and well-being of women and their children.

The learning agenda and knowledge will be communicated in the language of the settlements, and hopefully by residents of the settlement who will be trained by TFRF staff to be the ‘men on the job’. This eliminates the sense of the outside world trying to run their lives, but will at least partially place the responsibility for positive outcomes in the hands of the settlement residents. This will take great planning and training; however, TFRF has every confidence that it can be accomplished.

The Fever Relief Fund U.S. and Fever Relief Fund Ghana/Fever Foundation Ghana will be the primary deliverer of services and assume administrative oversight. TFRF US and Ghana will coordinate with Social Welfare in Ghana, the Ministry of Health in Ghana, and the Ministry of Interior in Ghana to lay the ground work, cut through obstacles that would prevent delivery of services and to insure that Northern Region settlements know that this is a sanctioned program.