Rural farmers turn malaria medics in Sierra Leone

By Katrina Manson

MALLAY, Sierra Leone (Reuters) - A year ago Adama Jongo, a rice and cassava farmer in Sierra Leone, almost died from malaria while pregnant.

Now, the 37-year old mother of seven has turned volunteer medic to fight the disease under a pioneering scheme to bring life-saving healthcare closer to rural communities.

Malaria is the number one killer in Sierra Leone, a former British colony in West Africa ranked by the United Nations as the least developed country in the world.

Under a pilot scheme run by aid group Medecins Sans Frontieres (MSF), Jongo has been given a tester kit and trained to care for the most vulnerable in her village, a collection of mud huts 200 km (124 miles) southeast of the capital Freetown.

Instead of resorting to traditional medicine and "pehpeh doctors" who deal in out-of-date or fake medication, pregnant women and young children too weak to travel to far-off health centers can turn to Jongo for effective drugs and care.

If the tester kit shows they have malaria, Jongo administers a 3-day course of drugs she keeps locked in a special box.

Although free treatment is sometimes available in Sierra Leone to fight the mosquito-borne disease -- whose deadliest strain is common in the country's mangrove swamps and tropical forests -- many cannot get to health clinics in time.

"Some women are child bearing and pregnant so it's difficult for them to get to a clinic because they are attacked with malaria and fever -- it gives them problems to walk," Jongo said, her 9-month old baby in her arms.

The program is one of a number aimed at eliminating malaria, ranging from handing out insecticide-treated beds to prevent mosquito bites to providing greater access to potentially lifesaving drugs.

The idea in Sierra Leone is to ensure free medicine is available on the spot for pregnant women and children aged under five -- those most likely to die if not treated within the first 48 hours -- who live in communities more than 3 km (2 miles) from the nearest clinic.

Jongo's fellow villagers have no mobile phone signal or vehicle and have to be carried for hours in a hammock by four men to reach medical treatment. Some arrive too late.

"My people are always attacked with malaria. They are not getting drugs and the distance is too far: they die," she said.

The scheme will be piloted in more than 200 villages across southern Sierra Leone and the government hopes to introduce this sort of free home-based care and medication across the nation.

"I want to help my people," Jongo said. "That's why I have given up (my time). Now mothers can come to me any time of the night when their baby is attacked with fever."

COUNTING THE COST