BY NOKUTHABA DLAMINI
In the heart of Binga, Susumbe Village, Margaret Bernard, a devoted Village Health Worker (VHW), tirelessly ensures children receive their vaccinations, the elderly get necessary aid, and government health programs are successfully implemented.
Yet, despite her vital role, she receives no salary from the government, a situation she’s appealing to change.
“We’ve been asking for years for the government to put us on the payroll,”Bernard says, her voice filled with determination. “We’re the first line of defense in our villages, but our efforts seem to go unrecognized.”
With over twelve years of service, Benard has never received payment or support for her family.
“Sometimes I feel like giving up, but that would betray my community,” she confesses. “People never stop coming for assistance, and we must help.”
Margaret is one of approximately 14 000 VHWs in the country who labor without pay.
Itai Rusike, Executive Director of the Community Working Group on Health (CWGH), emphasizes the crucial role VHWs play: “They’re the glue connecting our healthcare system to communities… critical to health promotion, disease prevention, and early diagnosis.”
However, VHWs face numerous challenges, including lack of incentives, standardized payment, and protective gear. “We need political commitment to support them,”Rusike stresses. “Currently, VHWs rely on external partners, which is risky and unsustainable.”
Bernard’s story highlights the dedication and struggles of VHWs like her.
As Rusike advocates, “CHWs must be employed by the Ministry of Health and Child Care, with standardized allowances and training… Donors should complement government efforts, not replace them.”
The current ratio of VHWs per population is alarmingly low, with approximately 14 000 serving a nation in need of 30 000. “We need more VHWs, protective gear, and inter-sectoral support,”Rusike emphasizes.
As Bernard continues her selfless work, her plea remains: “We’re not just asking for payment; we’re asking for recognition and support to continue serving our communities.”