Fourth Quarter Newsletter: October – December 2023
Issue 18
Our Mission
To provide comprehensive, compassionate, and equitable health care, health promotion and disease prevention to the people whom we serve throughout PNG.
Our Vision
To improve the healthcare of the people of Papua New Guinea whom we serve regardless of age, religion, gender, or ethnicity.
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Our Values
Our standards apply to everything we do as CCHS. We live and practice by our
“I CARE & COMPASSION” motto, which exemplifies our mission and vision. In addition, CCHS staff and volunteers practice the values of:
- Integrity: Honesty and responsibility to oneself and others
- Justice: Defence and advocacy for the rights of the poor and vulnerable
- Compassion: Genuine care and heartfelt concern for those we serve
- Excellence: Professional competence and responsible stewardship
In this Issue
- Momase Conference Emphasizes “Back to Basics “Approach for Comprehensive Care
- Momase Regional Conference: Diocese Health Profile
- Transforming Communities through EDEN
- CCHS Lae Graduates 23 HIV-Negative Children
- 350 Women and Girls Receive Free Health Checks
- CCHS Highlands Regional Conference
- Highlands: Diocese Health Profile
- A Journey of Healing & Hope
- Echoes of Dedication: Martin Miti’s 38 Years with CCHS
- Dedication of a Lone Health Warrior in Lake Kopiago
CCHS of Aitape Diocese Signs SLA with Sandaun PHA
The Catholic Church Health Services (CCHS) of Aitape Diocese formally signed a Service Level Agreement with the Sandaun Provincial Health Authority in October of 2023.
This agreement strengthens their commitment to providing essential healthcare to the people of Aitape/Lumi and Nuku districts in the Sandaun Province. CCHS has been a vital healthcare provider in the region, operating through the Raihu Rural Hospital and 15 primary health facilities in the most rural and remote parts of the two districts.
Fr. Patrick Iwu, the Diocesan Health Manager is optimistic about this collaboration, emphasizing its potential to overcome geographical challenges that have long hindered effective healthcare access. “This agreement will be instrumental in advancing our mission to improve service delivery,” Fr. Iwu stated.
Bad road conditions and poor network coverage have over the years led to delays in sending health reports, referrals of patients, and conducting planned outreaches/patrols.
Raihu District Hospital is the only level four health facility in within Aitape/Lumi and Nuku Districts. In 2023 from January to December, the hospital’s outpatient received close to 38 000 patients. Most cases are Malaria, pneumonia, respiratory infections, and skin infections.
The partnership between CCHS and the SaPHA will create a united approach to healthcare, leveraging resources, expertise, and networks to benefit the local population. By combining forces, both entities aim to bridge gaps in healthcare services and address the unique needs of these underserved areas.
This collaboration signifies an important step towards fostering better health outcomes and ensuring that the people of the Aitape/Lumi and Nuku districts receive comprehensive and accessible healthcare services despite geographical constraints.
NATIONAL SECRETARY’S MESSAGE
Welcome, everyone, to the 18th issue of the CCHS Pulse newsletter for 2023. I extend a warm thank you to all our devoted partners, Bishops, Health Managers, CCHS clinical staff, and administrative personnel across the nation. Quarter 4 of 2023 was truly a remarkable journey for many of us, marked by challenges and significant achievements and recognitions for CCHS. Congratulations!
As we reflect on the entirety of 2023, spanning from January to December, I encourage all dioceses to convene staff meetings to identify both achievements and shortcomings. Let us delve into the reasons behind any challenges we faced in implementation. Learning from the past, we can enter the new year 2024 with renewed strength and a commitment to improvement.
The four regional meetings served as enlightening experiences, providing insights into our current position and the directions we aspire to take. Our priority moving forward is the development of rural health services, focusing on the transition from hardship to health. We also express our gratitude to the longest-serving staff of CCHS, especially those in rural areas, who are retiring this year. I commend the hardworking staff and facilities of each region. Special recognition goes to the Highlands region for their valid recommendations. Wewak, in the Momase region, showcased an outstanding presentation on the EDEN Program, and we credit them for the successful coordination of this health initiative.
Despite the National Office’s challenges, especially during times of restricted funding, we must acknowledge the blessings of numerous trainings, board meetings, successful regional conferences, and projects supported this year. Moreover, His Holiness the Pope, through the Apostolic Alms and the Nuncio to Papua New Guinea, generously blessed CCHS with a donation last quarter which assisted us in purchasing most in need basic medications for our facilities in need.
We appreciate everyone’s continuous support and cooperation throughout the year and look forward to a successful 2024.I would also like to take this opportunity to thank everyone who have crossed paths and helped us the SSpS Sisters. We celebrated our congregation’s 125 years of service in PNG all over the country and was honored to be present at the celebration in Wabag.
God Bless
Sr. Jadwiga Faliszek
National Health Secretary
Catholic Church Health Services
Momase Conference Emphasizes “Back to Basics” Approach for Comprehensive Care
The Catholic Church Health Services of the Diocese of Lae concluded a successful regional conference held from the 5th to the 8th of September 2023 at the St Joseph’s Pastoral Center in Lae, Morobe.
With the principal theme of “Back to Basics,” the conference highlighted its commitment to delivering comprehensive, compassionate, and equitable health care, health promotion, and disease prevention to the people served by CCHS.
Participating in the event were health managers, administration personnel, and clinical staff from Wewak, Aitape, and Madang, along with representatives from the National CCHS office in Port Moresby. Notably, Vanimo was the only diocese absent from the four-day gathering.
Distinguished guests, including CCHS National Health Secretary Sr Jadwiga Faliszek, Morobe Provincial Health Authority Public Health Director Kelly Mesere, Bishop for Lae Diocese Reverend Bishop Rozario Menezes, and Family Health Coordinator for Lae District Lina Kusak, added prestige to the occasion.
Sr Jadwiga highlighted the significance of the conference in fostering the exchange of ideas and work experiences among CCHS nurses. She acknowledged the unwavering support of Mrs. Kusak, Mr. Mesere, and Bishop Rozario.
During his address, Mr. Mesere emphasized the strong partnership between CCHS and the PHA, noting the existence of 55 reporting sites in Morobe, including CCHS. He expressed gratitude to the Lae Diocese (CCHS) for its consistent support in the Health Sector.
The conference saw the formulation of nine resolutions and discussions, one of which centered on adopting the EDEN Concept from the Christian Health Services and implementing it across all CCHS Dioceses.
Challenges affecting service delivery, such as drug shortages and the deterioration of staff houses and facilities in rural areas, were openly discussed during the conference. Medical Insurance for Nurses emerged as a key concern, with the National Health Secretary assuring participants that it would be raised at the upcoming Catholic Bishop Conference meeting.
Another crucial point of discussion involved Community Health Workers intending to pursue a Bachelor’s in Nursing. The consensus was that they would need to resign from active duty and rely on self-sponsorship.
Looking ahead, the Momase team committed to inviting a representative from other CCHS in different regions to their next Regional Conference. This move aims to enhance engagement and knowledge-sharing across regions.
The conference concluded with the announcement that the Diocese of Wewak would host the 3rd CCHS Momase Regional Conference in 2025, further solidifying the commitment to collaborative efforts in advancing healthcare within the region.
CCHS Momase: Diocese Health Profile
Archdiocese of Madang Health:
The Metropolitan Archdiocese of Madang, established on the 24th of February 1896 and officially recognized in 1966, serves as the Catholic headquarters for the Momase region in Madang Province. Under the leadership of Archbishop Anton Bal D.D., the Archdiocese oversees all Catholic services, including the Catholic Church Health Services (CCHS). The health services are managed by Health Manager Nola Marita, who diligently implements national health policies and plans in collaboration with the Diocese Health Board and in partnership with the Provincial Health Authority.
Madang boasts a total of 31 CCHS health facilities, comprising 3 health centres, 7 health sub-centers, 3 community health posts, 15 aid posts (7 of which are currently closed), and 3 care centres. Recognizing the need for improvements, the health team is actively proposing to the Madang Provincial Health Authority (MaPHA) to upgrade several facilities. The initial focus is on elevating all health sub-centres into health centres and transforming the key health centres in Alexishafen and Mugil into District Hospitals.
The primary objectives of this proposal include:
- Signing a Service Level Agreement (SLA) with MaPHA to strengthen collaboration.
- Registering and upgrading all proposed health facilities to enhance service delivery.
- Renovating staff houses to provide conducive living environments for healthcare professionals.
- Formulating and implementing an Activity Implementation Plan for the next 5 years, ensuring strategic and sustainable healthcare development.
This initiative aligns with the regional conference’s spirit, which provided the Madang team with inspiration and a platform to strategically plan their next steps in delivering high-quality healthcare to the communities they serve. The Archdiocese is committed to fostering health and well-being in Madang Province, and these proposed enhancements signify a significant stride towards achieving this noble goal.
Diocese of Lae:
Lae was Part of the Vicariate Apostolic of Alexishafen on 15 May 1925 and later became the Vicariate Apostolic on the 18th of June 1959. In Diocese 15 November 1966 the Diocese of Lae was established and serves as the Catholic headquarters of Morobe Province. Bishop Rozario Menezes oversees all Catholic services, including the Catholic Church Health Services (CCHS) managed by Health Manager Sr Knowledge Ndlovu. Sr. Knowledge operates within the framework of national health policies, collaborating with the diocese health board and Morobe Provincial Health Authority (MoPHA).
The CCHS Lae Diocese has a staff ceiling of 44 staff and operates five facilities, including the Centre of Mercy, Mary Queen of Peace (MQOP), Bishop Henry at 11 Miles (BHCHP), St Dominic, and St Martin De Pores, the CCHS has faced challenges and made significant strides.
Challenges include drug dispensary shortages, particularly for TB, insufficient medical equipment, and staff house needs renovation compounded with four facilities awaiting registration. CCHS is planning to do more extensive community awareness on TB to curb the spread of the disease in their catchment area and continue following up with MoPHA for their facility’s registration.
The achievements of CCHS Lae Diocese include infrastructure developments, the completed extension of the HIV and Laboratory departments, and the construction of the TB Department. They have procured a hematology analyser and are currently using it. This year majority of the clinical staff received training as HIV Prescribers and one nurse was trained as a midwife.
The CCHS Lae Diocese remains committed to improving health services, with ongoing projects such as constructing waiting areas, purchasing a Biochemistry analyser, and ensuring a functional laboratory at MQOP. Collaborations with MoPHA for the procurement of a Gene Xpert machine demonstrate a forward-looking approach.
Diocese of Aitape:
Prefecture Apostolic, established on 15 May 1952, evolved into a Vicariate Apostolic on 11 November 1956 and was further elevated to a Diocese on 15 November 1966, covering the Eastern part of Sandaun Province. Bishop Siby Mathew Peedikayil oversees all Catholic services, including the Catholic Church Health Services (CCHS), led by Health Manager Fr. Patrick Iwu. A recent Service Level Agreement with the West Sepik Provincial Health Authority enhances their collaborative efforts in delivering health services together with the government.
The Diocese of Aitape CCHS manages Raihu Rural Hospital and other primary health services, focusing on continuous improvement. With an anticipated population of 164,139 in the Aitape/Lumi and Nuku Districts as of the 2022 census, CCHS operates 1 District Hospital, 11 Health sub-centers, and 4 Aid posts. Renovations are underway for two Aid posts, Paup and Walamu, and will be reopened after completion.
Staffing includes 147 personnel, with ongoing efforts to enhance facilities. In 2022, CCHS recorded 68,952 outpatient cases, 1,334 inpatients, and 42 referrals. Recent developments in 2023 include renovations, donated equipment, and an ambulance for Raihu District Hospital.
Despite geographical challenges, the CCHS remains dedicated to providing essential healthcare, showcased by 68,952 outpatient cases and significant infrastructure improvements.
In 2023, renovations, equipment donations, and upgrades, such as patient monitors, isolation units, and an ambulance, have bolstered healthcare provision. Ongoing projects involve staff housing construction and plans for structured staff rotations between rural and hospital facilities.
However, challenges persist. The scarcity of doctors, the absence of an X-ray machine at the District Hospital, limited resources, and rough terrain impeding access pose significant obstacles. Referral limitations also prioritize certain cases and underscore the need for enhanced medical capabilities and infrastructure.
Future plans involve expanding health service delivery, increasing staff, developing infrastructure, and enhancing the medical sector. A door-to-door policy aims to improve accessibility, while initiatives like staff housing, water supply, and lighting upgrades are prioritized. Medical sector development includes procuring dental equipment, a suction machine, delivery beds, and upgrading medical equipment. The Diocese expresses gratitude to supporters and remains committed to health services delivery.
Raihu CHW Training School:
Raihu CHW Training Institution is located in Aitape as part of the CCHS. The institution started in 2006, offering a 2-year competency program. The program covers 49 modules and 15 placements, ensuring students are well equipped to become certified Community Health Workers.
As a standalone entity, the school receives an annual operational grant of K20,000 from the National Department of Health (NDoH), with school fees being the primary revenue source. School Principal Rhondy Maso says the institution received 61 students this year, with 29 first-year students and 31 second-year students.
“The staff ceiling is 8, with two male tutors who are pursuing bachelor’s programs arranged by the NDoH. Which is a great help to us, and we really appreciate the assistance.” Maso said.
“This year the program ran smoothly for the past 8 months without any disciplinary issues. Successful navigation of the curriculum program, including the provision of uniforms.”
Despite that, some of the challenges included insufficient school fees and operational grants. New hires need to be included in the national payroll.
The school plans to review and upgrade its CHW curriculum aligned with GNDP 2030, implement efficient financial management, include new hires in the national payroll, and establish effective communication mechanisms with other CHW training institutions, NDoH, the Medical Board, and the CCHS National Office. Raihu CHW Training Institution is dedicated to producing competent healthcare professionals and aligning them with its mission to serve the community.
Diocese of Wewak:
The Diocese of Wewak, established in 1966, serves as the Catholic headquarters in the East Sepik Province, operating under the guidance of the Bishop Most Reverend Jozef Roszynski SVD, DD. The Catholic Church Health Services (CCHS) within the diocese is overseen by a Health Manager Sr Anna Sanginawa who implements national health policies and plans under the guidance of the diocese health board and works in collaboration with the East Sepik Provincial Health Authority (ESPHA).
In 2023, CCHS made some positive strides in healthcare, including the establishment of an HIV Patient Database (HPDB) and reaching a total of 9 CCHS facilities now serving as ART satellite sites to the Sepik Center of Hope VCCT. This achievement will make access easier for people to access HIV treatment. Other achievements include the procurement of a 40-horsepower engine for the Kairiru Health subcentre and the ongoing construction of the Wirui Mathew Bouten Urban Clinic, set to become a level 3 health center.
However, there is still challenges in improving health service delivery, such as staff houses falling into the Sepik River (Timbunke HSC), issues with ambulance referrals, and deteriorating infrastructure in some health facilities requiring complete renovation. The shortage and aging of medical equipment, the need for constant energy and water supply, and the necessity for new ambulances further compound these challenges.
To address these issues and forge ahead, the CCHS outlines a way forward. This includes equal attention to all health programs, the construction of staff houses in Boiken Aid-post, increased health promotion in alignment with Key Result Area 1, recruitment to fill staff vacancies, advocacy for youth and adolescent health, training of more ART prescribers and health workers, acquisition of essential medical equipment, and the establishment of a Genexpert machine.
Transforming Communities through EDEN
Mary Malalita has been the Health Promotions Officer for Catholic Church Health Services (CCHS) in Wewak for several years and has been a driving force for positive change in 23 local communities. Mary’s dedication to implementing the Effective Development Empowering the Nation (EDEN) program has not only transformed the environment but also significantly improved the health and well-being of the people.
The EDEN program, initiated in 2014 with the assistance of Nickson Samblap, aimed to equip Church-run facilities, including CCHS, with the knowledge and skills to address the root causes of health issues. Despite facing challenges such as lack of funding, Mary and her team integrated the Health Promotion program with other activities, using operational grants to make the program a reality.
During her presentation at the Momase regional conference in September 2023, Mary emphasized the uniqueness of the EDEN program, stating that it aligns with biblical principles and addresses the holistic aspects of health – physical, spiritual, social, and mental. She highlighted the need for health workers to be role models, living by example to impart knowledge and skills to the communities they serve.
Mary acknowledged the challenges faced during the implementation of the EDEN program, ranging from staff lacking knowledge to poor communication and leadership issues in communities. However, she firmly believed that positive outcomes were possible through good leadership, staff involvement, and community participation.
The presentation outlined the desired outcomes of the EDEN program, including improved health and hygiene, a cleaner environment, enhanced law and order, better water and sanitation, peace, and harmony, changed mindsets, and a more educated population. Mary emphasized that achieving these results required a shift in mindset, acceptance of change, and evidence-based approaches.
Mary proposed various strategies to address the challenges and propel the program forward. These included conducting Training of Trainers (TOTs) for clinical staff, collaborating with the National Department of Health for funding and technical support, integrating EDEN activities with other health-focused initiatives, and ensuring staff submits monthly disease patterns for monitoring and social mobilization.
The goal, as outlined by Mary, is to empower individuals, families, communities, and institutions holistically, encouraging them to take ownership of their health. She envisions communities becoming self-reliant in development initiatives, using available resources to foster sustainable healthy living.
Mary’s dedication and the success of the EDEN program in the communities under CCHS Wewak’s care serve as a testament to the transformative power of a holistic approach to health. Through EDEN, Mary Malalita is not only addressing immediate health concerns but also paving the way for a brighter and healthier future in East Sepik Province.
CCHS Lae Graduates 23 HIV-Negative Children
In a heart-warming celebration of hope and resilience, the Centre of Mercy Urban Clinic, located in the Kamkumung, Morobe, marked World AIDS Day by graduating 23 HIV-negative babies, a testament to a decade-long commitment to eradicating the transmission of the virus from infected mothers to their newborns.
The Centre, known for its important role in addressing HIV/AIDS, sexually transmitted infections (STI’s), and tuberculosis in the Morobe urban settings, has been at the forefront of the Prevention of Parent to Child Transmission (PPTCT) of the HIV program. Mary Narowen, the PPTCT Coordinator, initiated the program within the Catholic Church Health Services of the Diocese of Lae in November 2013 after attending a training in Madang. She received her first HIV-positive mother in the PPTCT program that same year on December. Between 2013 and 2021, the program gained momentum, reaching a remarkable milestone of 55 HIV-positive mothers.
After thorough testing procedures, including Rapid diagnostic tests (RDTs), the babies born to these HIV-positive mothers, ranging from ages fiti2 to 9, were confirmed HIV-negative. A touching graduation ceremony took place on December 1, 2023, with Narowen and Diocesan Health Manager Sister Knowledge Ndlovu presenting Certificates of Health and Resilience to the 23 children.
The World AIDS Day event, themed “Let Communities Lead,” witnessed an outpouring of emotion as the little champions expressed gratitude to their mothers for their love and thanked the Almighty for keeping them safe. The ceremony supported by the Sexual Reproductive Health Integration Project (SRHIP), featured 23 carefully prepared gift bags, each containing an “I AM A CHAMPION” card and goodies for the children.
The festivities included a celebration with cake and ice cream for tithe graduates, highlighting the significance of their achievement and the community’s collective effort in the fight against HIV/AIDS. Throughout this day, HIV/AIDS awareness activities continued, with testing services available for patients.
The Centre of Mercy Urban Clinic proudly boasts the highest number of negative babies, totalling 52, recorded in the Lae District. The success of this initiative highlights the ongoing dedication of healthcare workers and the unwavering support from the Sexual Reproductive Health Integration Project, funded by the Australian Government through the Papua New Guinea Australia Transition to Health.
As the world unites on World AIDS Day, the CCHS of Lae Diocese stands as a beacon of progress, proving that with fit community-led efforts and continued support, the goal of an AIDS-free generation is within reach.
350 Women and Girls Receive Free Health Checks
The Catholic Church Health Services of the Diocese of Lae took the initiative to organize a Women’s Free Health Checkup Day at the Centre of Mercy Urban Clinic in Kamkumung, Lae District, on October 3rd, 2023. The initiative aimed to raise awareness about women’s health issues and provide free health checks for women and girls in the surrounding communities of the clinic.
Samantha Tirang, the Lae Diocesan Health Service Integration Officer, emphasized the importance of women’s health in the overall well-being of families and communities. She stated, “Healthy women have healthy families; healthy families create healthy communities; healthy communities create a healthy nation, and a healthy nation creates a healthy world.”
The health team, comprising professionals from the CCHS, collaborated with the Morobe Provincial Health Authority (MoPHA), the Angau Cancer Clinic, and the Lae District TB Department. Together, they conducted an hour-long health education awareness session covering essential topics such as women’s health, female anatomy, sexual and reproductive health, and prevalent health issues like cancer and tuberculosis.
Following the informative session, more than 350 women and girls benefited from a range of free health checks. The comprehensive health checks included weight and height measurements, blood pressure checks, HIV testing, blood sugar checks, free consultation and screening with nurses and Health Extension Officers (HEO), free malaria testing, and counseling sessions with trained counselors.
Due to the overwhelming response, the health team had to schedule an additional session on the following Monday to accommodate the remaining 50 women. The event was made possible with the support of SRHIP (Sexual Reproductive Health Integration Project Funded by the Australian Government), to enhance healthcare services and promote a more holistic approach to healthcare.
Tirang emphasized the significance of educating women about their health to empower them to make informed choices and prioritize their well-being. “We believe that the only way to promote women’s rights to accessing better healthcare services is through educating women about their health,” she said. The event showcased the potential for preventative measures and women’s self-care to mitigate the impact of various illnesses affecting women.
CCHS Highlands Regional Conference
The Archdiocese of Mt Hagen successfully played host to the 1st Catholic Church Health Services (CCHS) Highlands Regional Conference from the 24th -26th of October 2023 at the Kefamo Conference Center in Goroka, Eastern Highland Province.
This conference marks the last of this year’s CCHS regional conferences with NGI, Southern, and Momase conducting theirs separately earlier this year.
The CCHS Highlands Regional conference brought together health managers, clinical staff, and administrative personnel from the 4 Highlands dioceses and 2 Deaneries (Archdiocese of Mt Hagen, Diocese of Kundiawa, Diocese of Goroka, Diocese of Wabag, Diocese of Mendi, and Deaneries of Hela and Jiwaka).
The main objective of the conference was for the participants to share experiences, achievements, and challenges in their respective dioceses and work out resolutions collaboratively that will be later presented to the National CCHS Board, the Catholic Bishop Conference, and the National Department of Health.
Special guests included the National Secretary for CCHS, Sr. Jadwiga Faliszek, and representatives from the National CCHS office. “This conference and the three other regional conferences have shown us a way forward to creating diocesan-level five-year plans and for that, I am happy for all of you.” Sr Jadwiga said.
Sr Jadwiga added, “We should all now plan and look forward to our National CCHS Conference that is planned for 2024 which will be hosted by our National Office in Port Moresby.”
Also present was the Eastern Highlands Provincial Disease Control officer, Mr. Jackson Appo, who took time out from his demanding schedule to join the conference. He shared encouraging words, expressing his gratitude to the attendees for their unwavering commitment to taking initiative and surpassing their job descriptions to serve the communities within their catchment areas.
“I hold the utmost admiration for the church-run facilities,” he remarked, “as you unwaveringly uphold your mission and vision, ensuring that you continue to serve the people even in the face of discouraging challenges and budget constraints.”
Mr. Appo concluded by saying, “Keep up the incredible work that you do, and may God bless you and your families abundantly.”
The next Highlands Regional Conference is scheduled for 2025 and will be hosted by the deanery of Jiwaka.
Highlands: Diocese Health Profifile
Mt Hagen Archdiocese & Jiwaka Deanery:
The Metropolitan Archdiocese of Mount Hagen, established on June 18, 1959, and elevated to Archdiocese in 1982, serves as the Catholic headquarters in the Western Highlands Province. Most Rev. Douglas William Young SVD, DD Ph.D., governs all Catholic services. The CCHS is overseen by Health Manager Fr Peter Ripa, who implements national health policies and plans under the guidance of the diocese health board. Jiwaka falls under the jurisdiction of the Archdiocese of Mount Hagen CCHS and these two provinces operate 15 health facilities with integrated HIV/ AIDS and VCT services. Alongside two urban clinics, there are nine health sub-centers, three aid posts, and one community health post. Additionally, two satellite sites (Kiripia & Fatima) and two major ART clinics (Rebiamul & Banz) are part of the network. The CCHS Archdiocese of Mount Hagen employs a total of 70 staff members, covering administration, eye clinicians, midwives, health management, nursing officers, laboratory technicians, ancillary staff, and CHWs. Both the CCHS WHP and Jiwaka are committed to enhancing the quality of their human resources to play a pivotal role in the health facility’s growth and improve healthcare service delivery. Except for vaccinations, not provided at the Ruti and Kumdi aid posts, nearly all healthcare services are available at all facilities. However, restricted road access poses a significant challenge for underprivileged facilities like Rulna, Ruti, and Ambulla. Adequate medical equipment is also essential for health facilities to deliver effective and efficient healthcare services. Despite daily obstacles and limitations, the CCHS staff remains devoted to the organization’s mission, vision, values, and their oath to save human lives. The facilities continue to provide daily services to the people, thanks to donations from partners such as PHA, local MPs, governors, and projects like SRHIP.
Mendi Diocese:
Established on November 13, 1958, and elevated to a diocese in 1966, Mendi Diocese serves as the Catholic headquarters in Southern Highlands Province, covering Hela Province as a deanery. The Most Rev. Bishop Donald Francis Lippert OFM Cap, DD, governs all Catholic services. Catholic Church Health Services is managed by Health Manager Winnie Williams who implements national health policies and plans under the diocese health board’s guidance. SHP boasts eleven health facilities and one standalone VCT in Ialibu/Pangia to address the increasing number of HIV patients. Approximately 40% of community health workers in all medical facilities received training on ART prescription, and 90% underwent basic HIV counseling training. A Master Mentor Team reports to the Health Manager and the Health Board, contributing to effective communication with the Parish. Training at the Diocesan and Provincial levels has been consolidated, thanks to donors like St. Vincent’s, Medoer Germany, Korean Mission Aid, and others who collaborate to supply medical resources. CCHS Mendi faces additional challenges in the health sector due to social determinants, resulting in frequent staff travel deferral, continuous employee turnover, and financial constraints on facility upgrades. The current staff-to-patient ratio is under scrutiny, posing stress on health facilities with fewer employees. Over the last five years, an increase in STI cases has raised concerns about funding for internal positions, medical facility upgrades, and supplies. Future considerations include staff rotation, training, and performance relative to the budget. As patient admissions rise, so do the costs, highlighting the importance of accurate diagnosis and treatment oversight. Despite these challenges, Mendi CCHS upholds Jesus’ compassionate spirit and the gospel’s inspiration, demonstrating unwavering commitment to the community’s well-being.
Deanery of Hela:
Overseen by Mendi Diocese, the Deanery of Hela operates five health facilities: Hungi, St. Francis VCCT, St. Conrad Pureni, Hiwanda, and St. Mary’s Kopiago VCCT. Notably, St. Francis VCT has served 1600 clients, compared to other facilities. Challenges such as poor communication and a shortage of staff persist, but collaboration with partners like Hela PHA, local representatives, Exxon Mobil, Red Cross, UNICEF, and Santos helps alleviate most challenges. Despite facing hurdles like delayed HIV testing strips and the need for a laboratory technician, Hela CCHS maintains strong connections with the Hela PHA package, Provincial Government, and district level for basic services, supplies, and medical drugs. The Deanery of Hela emphasizes the need for staff training as prescribers and increased advocacy for HIV/AIDS and other health issues during outreach and public awareness at the Highlands Regional Conference.
Goroka Diocese
Goroka Diocese, established on June 18, 1959, and elevated to a Diocese in 1966, serves as the Catholic headquarters in the Eastern Highlands Province. Under the leadership of Bishop Walenty Gryk SVD, all Catholic health services are overseen by Acting Health Manager Alfred Koko, guided by the Diocese Health Board. Currently managing four health facilities, Goroka Diocese faces the early stages of management development since its separation from CCHS Chimbu. The facilities include Tafeto Health Centre, Yamiyufa Aid Post, St. Joseph’s VCT, and Pundibasa Aid Post, with a current staff of 12 clinicians and 2 administrators. However, there is a pressing need for additional CHWs, auxiliary staff, and clinicians. Goroka Diocese’s CCHS has fostered partnerships with various authorities and organizations, including EPHA, DDA, local MPs, AUSAID, Oxfam, UNICEF, Burnet Institute, PNGAustralia PATH, Igat Hope, KPAC, and RAM. These collaborations have resulted in financial support, donations, and aid for the province. Over the years, the health facilities in Goroka Diocese have achieved significant milestones. Notable successes include Tafeto Health Center being declared the best performer for immunization in Daulo District and Yamiufa Aid Post being recognized as the best Aid Post in Eastern Highlands Province. St. Joseph’s VCT has successfully integrated and serves over 500 active clients receiving ART treatment. Despite positive achievements, Goroka Diocese faces challenges common to health facilities in the country. These challenges include the need for staff housing, facility renovations, access to electricity, medical equipment shortages, vaccine storage concerns, and a shortage of medical drugs. Limited access to an ambulance and language barriers for CHWs during outreach programs are also significant challenges. Goroka Diocese aims to establish a CCHS Diocesan Board, sign a Service Level Agreement with PHA, and maintain and improve facilities such as Tafeto HC and Yamiufa AP. The goals also include building new staff housing, enhancing water supply, providing standby power, acquiring new ambulances, facility fencing, establishing a new laboratory, increasing staff numbers, offering upskilling opportunities, installing an incinerator, and expanding health services throughout the province. Though there is notable progress, challenges persist. With strategic partnerships and future goals, they aim to further enhance healthcare delivery and infrastructure in the Eastern Highlands Province.
Wabag Diocese:
Established in 1982, Wabag Diocese serves as the Catholic headquarters in Enga Province, overseeing all Catholic services under the leadership of Bishop Justin Ain Soongie. The Catholic Church Health Services (CCHS) within the diocese is under the capable management of Health Manager Josepha Recks. She diligently implements national health policies and plans, operating in accordance with the guidance provided by the diocese health board. CCHS Wabag encompasses a network of 7 health facilities, supported by a dedicated team of 66 staff members. Despite numerous challenges, including tribal conflicts and incidents of sorcery killings, the team has successfully collaborated with partner organizations to deliver relief and support to those in need. Looking ahead, the Wabag team eagerly anticipates the official signing of their Service Level Agreement with the Egan Provincial Health Authority. This collaborative effort aims to establish a strong partnership, enhancing their capacity to address health-related challenges and contribute to the well-being of the community.
Kundiawa Diocese:
Established on June 8, 1982, and later elevated to diocese status in 1966, Kundiawa Diocese now serves as the Catholic headquarters in Simbu Province, with Bishop Paul Sundu overseeing all Catholic services. The Catholic Church Health Services (CCHS) in Simbu is directed by Health Manager Sr. Josita Savari, who implements national health policies guided by the diocese health board. CCHS Simbu comprises nine health facilities situated in rural and isolated areas across multiple districts, including a standalone Voluntary Counseling and Testing (VCT) center consisting of six health centers and three aid posts. These facilities, serving 90–100,000 people in 5 districts (excluding Chuave), account for approximately 25% of the province’s total population. Twenty-eight medical personnel from CCHS Simbu operate in these remote healthcare facilities, providing family health, labor and delivery, and both outpatient and inpatient care. Services include addressing malaria, HIV/AIDS/ TB, STDs, PPTCT, RLA (Goglme), school health, UNICEF, NdoH, and NCCHS. Several noteworthy accomplishments have been achieved over the years. Notably, a Service Level Agreement (SLA) with PHA Simbu was signed in December 2022, centralizing CCHS Simbu. The internal application process, screening, and selection procedures were reorganized and refined. Maintenance of staff houses at Kendene, Bogo, and Dirima Aid Post was completed, and a five-year strategic plan and the 2024 AAP were developed. Additionally, an old incinerator shelter was maintained, and through a partnership with District Development Authorities (DDA) and the provincial administrator, three new ambulances for Kendene, Mai, and Neragaima are on their way. CCHS Simbu has undertaken various projects and training initiatives, including the UNICEF/NdoH TNSS Project, PSRH Prof. Glen Mola’s ‘Baby Bundle Program,’ and support from Hope Worldwide for TB/HIV officer training. Infrastructure improvements and maintenance are urgently needed, encompassing healthcare facilities, staff housing, and exterior landscaping and fencing. Essential requirements include waste management, access to clean water, solar-powered electricity, and basic medical supplies such as sterilizers, suction machines, monitors, medical suture kits, and instruments for incision and drainage (I & D). Additionally, there is a need for labor ward beds, nursing beds, and baby cots. Addressing the next challenge involves raising funds for three additional ambulances for aid posts in Bogo, Denglagu, and Dirima. Despite lacking support from partners this year, CCHS Simbu plans to seek funding from DDA, PHA, the provincial administrator, and NCCHS for health programs and infrastructure upgrades. A recommendation is to have a representative at PHA management, prioritize staff training and development, and establish a fixed budget for future actions.
Mingende Rural Hospital Profile:
Mingende Rural Hospital, designated as a level 3 facility by the National Department of Health (NDoH), received its official status on November 30, 2001. Catering to a population of approximately 16,000, including neighboring provinces, Mingende Rural Hospital delivers both curative and public health services. With a staff of 50, including two doctors, two HEOs, 19 nursing officers, 22 certified nursing assistants, one X-ray technician, two lab technicians, and one dentist, the hospital plays a crucial role in healthcare delivery. Recent achievements include the completion of midwifery training for four officers and ongoing post-training for one HEO. The hospital serves as a practical training ground for MBBS students and THEOs, offering weekly continuing medical education (CME). Infrastructural upgrades include a new incinerator and a triage building, with renovations converting old units into a COVID-19 isolation ward. However, slow progress in infrastructure development and repairs persists due to limited funds from partners and donors. Notable successes in 2023 involve the completion of 116 procedures in the past five months, collaboration with SiPHA for safe C/Sections on two moms, and an integrated patrol team serving remote areas in Simbu Province. Despite these achievements, the hospital faces challenges such as the urgent procurement of medical equipment, consumables, and drugs. Additionally, there is a critical need for a human resource manager to address the demands of the human resources division. Mingende Rural Hospital seeks financial support from partners and donors to overcome its challenges. Without external aid, infrastructure development, vehicle repairs, and essential medical equipment procurement progress slowly. The hospital believes that upgrading to a level 4 facility could potentially
A Journey of Healing & Hope
My journey with the Catholic Church Health Service of Mt. Hagen Archdiocese began in 1989 when I joined as a Community Health Worker at what is now the Rebiamul Urban Clinic. The humble structure, erected in 1967, still stands proudly adjacent to the modern HIV Antiretroviral Therapy (ART) clinic. Back then, it operated as an Aidpost, and the early missionaries, particularly the Holy Spirit Missionary Sisters (SSpS), played an important role in CCHS establishment in the provinces of Western Highlands and Jiwaka. Under the guidance of Sr. Gaudy Van Der Linden (SSpS), we started with dressing sores, providing pain relief, and treating common ailments like colds and coughs. Complicated cases were referred to Mt. Hagen General Hospital for further examination and treatment. The initial years were a testament to the selfless service of those early missionaries and their dedication to the health and wellbeing of the communities we served.
By 1991, the Aidpost’s patient count was increasing, and I, along with three other nurses, realized the need for expansion. With the support of the Canadian Government, funding from CCHS, and the Archdiocese of Mt. Hagen, we witnessed the construction of four staff houses and the transformation of the Aidpost into the now Urban Clinic building. The facility was officially named Urban Clinic signifying its growth and significance in the province.
My journey took me to the STI clinic in 2002 during the emergence of HIV & AIDs in the country and I whole heartedly embraced the role. The year 2005 marked a significant transition moment for me as I underwent HIV counseling and Prescriber training which equipped me with vital skills that assisted me to help people living with HIV or are affected by it. During that same year, a new VCT and ART building was constructed and officially opened in 2006. Despite the initial hurdles, I successfully conducted counseling and testing, prescribing ART drugs to thousands of people over the years. As of now, we have approximately 1,500 patients living with the virus under treatment, with 5-10 new confirmed positive HIV cases monthly.
Reflecting on my service since 1989, I’ve witnessed significant transformations in my role as a nurse for CCHS Mt. Hagen. I served under the leadership of health secretaries like Sr. Gaudi, Sr. Victoria, and Sr. Divya. In 2013, Fr. Peter Ripa assumed the role and has been my supervisor since. I am grateful to the SSpS Sisters, Archbishop Meier, and Douglas for their contributions. Lastly, I extend my thanks to my current boss, Peter Ripa, for allowing me to share my experiences at this conference. Despite nearing retirement, my passion to serve in the HIV/AIDS section of health services remains strong.
Echoes of Dedication: Martin Miti’s 38 Years with CCHS
In October 2023, at the inaugural Catholic Church Health Services Highlands Regional Conference in Goroka, Martin Miti, the officer in charge of Rulna Health Sub-Center, stood tall and proud. His voice, low and slightly rough around the edges, shared his journey, a lifetime of dedication and care for his people, summing up his 38 years of service with CCHS of the Archdiocese of Mt Hagen.
“Fr. Peter, I am grateful for this invitation and recognition. It’s rare, and I’m deeply thankful for the acknowledgment of my years with the CCHS,” Martin’s voice, weathered by years of service, resonated with humility as he stood in front of his colleagues. Martin’s story is intertwined with the history of the CCHS of AoMH and illustrates a life of dedication, challenges, and a passion to serve his people in the Dei district of Western Highlands Province.
“I was sponsored by the Catholic Church to undergo CHW training from 1982-1984. After I graduated, I joined CCHS in 1985 and have continued working for CCHS. This is my 38th year of service,” he said, his words echoing the resilience gained from countless challenges he overcame.
He recalled the early days with Sr. Gaudi Van Der Linden of the Holy Spirit Missionary Sister (S.Sp.S) who led a small team of health workers and laid the foundation of CCHS in Rebiamul. “CCHS started operation with 7 nursing staff, including Sr. Gaudi. They expanded from the work of the Catechist Brother Hugo, who started the first Aidpost at Rebiamul to help sick people. Not long health services spread to other districts of Western Highlands and Jiwaka. Rulna HSC was the first health sub-center to be built after Rebiamul in 1970,” he stated. “During my years of service, I have seen the development of the CCHS of Mt. Hagen. Other health centers were built, and health services reached many people in both the Western Highlands and Jiwaka,” he added, reflecting on the growth of healthcare services in the provinces. Yet, with progress came challenges, and Rulna HSC stood as a testament to the determination required in rural healthcare.
“Rulna HSC is in one of the very remote areas of WHP, approximately 80 or 90 km from Mt. Hagen. I am serving my people as I am from there. New staff refuses to go there because of the geographical location and hardships they will face there,” Martin admitted, acknowledging the difficulties of recruiting personnel for such remote postings.
The daily attendance at Rulna HSC typically ranges from 15 to 20 patients per day. By the end of each month, the estimated total number of patients seen amounts to around 200. Martin elaborated that the clinic experiences a notable surge in patient numbers during outbreaks. He said that recently the outpatient section has recorded the highest number of screenings for positive malaria cases.
The lack of proper road access made the challenges worse. “From 1986 to 1994, the road was in dire need of repair, and in 1995 the road was no longer accessible by vehicles. During these times, it was very difficult to bring medical supplies back to the health facility. Just this year, they have started a road construction to Rulna,” he said, a glimmer of hope and happiness in his voice as he mentioned the recent developments.
Martin was working alone for over a decade until in recent years, Fr Peter Ripa, the Health Manager for CCHS of AoMH sent a female officer to work alongside him. However, living conditions for the staff at Rulna HSC were far from ideal. “There is only one very old staff house near the facility that I used to stay in, but I moved out and let the young female nurse and her partner stay in. I am living and working in a bush material house I have built myself near the health center for accommodation,” Martin explained, highlighting the sacrifices he made to provide healthcare to his people. Transportation of medical supplies posed another significant hurdle.
“Transportation of medical drugs doesn’t reach the facility. Most times, the logistics company does not bring the medicines. I had to use the Catholic Legion & Corona mothers to help me carry the medicines to the health facility from where they are being dropped off,” he said, acknowledging the invaluable support of local communities in ensuring the availability of essential medicines.
Referral of patients to the Mt Hagen General Hospital was a dispiriting task. “We would carry patients that need doctors and specialist care or complicated cases on stretchers and walk for 6-8 hours. Some have lost their lives on the way when their conditions are very critical,” Martin explained the life-and-death struggles faced by patients.
These challenges extended to maternal healthcare, with Martin expressing the heart-wrenching reality. “Over the years I was a male working alone and some mothers feel uncomfortable coming to the clinic to deliver though some do come others prefer village birth. In most village deliveries, the vulnerable mothers lose their lives, their babies, and sometimes both due to retained placenta, loss of blood, and neonatal infections,” he revealed, emphasizing the urgent need for improved maternal health services.
Despite many challenges, Martin’s passion to serve his people burns bright. “Before I resign, as I am reaching my retirement age, I would say that I still have the passion to serve my people, however, I would like someone like myself to serve my people because my heart goes out to my people who are the most rural and one of the disadvantaged people in WHP. Their need for health services must be met by a nurse with a passion to serve,” he declared, a plea for continuity and commitment to the cause.
The story of Martin Miti is not just a story of a dedicated healthcare professional; it is a testament to the strength of many CCHS health workers around PNG serving in the rural and remote areas who are committed to bringing health and hope to those often forgotten by progress. In the heart of Rulna, amidst the challenges and triumphs, Martin Miti’s journey will be treasured as a legacy of selfless service to the rural disadvantaged.
Dedication of a Lone Health Warrior in Lake Kopiago
In the remote Lake Kopiago in Hela Province, Joe Pee a dedicated 34-year-old Community Health Worker (CHW) and Antiretroviral Therapy (ART) Prescriber is known as the Dokta in his community. Operating from the St Marys Voluntary Counseling Testing (VCT) site, Joe Pee’s journey is one marked by perseverance, compassion, and an unwavering commitment to serving his people.
Joe’s story begins in 2016 when he graduated from the Kumin CHW Training School in Mendi, Southern Highlands Province. After completing his 3-month probation, he found himself at St Joseph Secondary in Tari, Hela province, where he cared for and treated sick students. This experience laid the foundation for what would become an extraordinary career in community health.
In 2017, Joe was transferred to Epeanda Health Center before being redirected to St Mary’s VCT Lake Kopiago by Winnie William, now the Health Manager for CCHS of Mendi diocese. Initially joining a wellmaintained facility with a female nursing officer, Joe faced adversity when his colleague left, leaving him as the sole healthcare provider in this remote part of the province.
Despite the challenging circumstances, Joe remained dedicated, driven by his desire to serve his people. “Although the pay package was not satisfying, I have a heart for serving my people,” Joe remarked. His commitment is evident in the daily workload he shoulders, attending to 15 to 25 general outpatients and over 30 patients, including those living with HIV. On busy market days, Tuesday, and Thursday, he sees 30 – 50 patients.
Joe’s responsibilities extend beyond counseling and prescribing ART; he plays a crucial role in primary healthcare. His approach involves careful screening, prioritizing severe cases before attending to those with milder symptoms. Being the only staff at the VCT, he faces the daunting challenge of managing the workload, especially on market days.
Lack of necessities adds to the challenges he faced with workload. With no electricity or solar inverters, Joe relies on head torches and mobile torches to attend to emergency cases at night. The absence of a midwife in the health facility poses challenges for childbirth, with mothers resorting to giving birth in their homes. Joe, respecting cultural norms, feels powerless to intervene.
HIV during one of his many outreaches in Strickland,
a remote part of Hela Province.
Looking to the future, Joe Pee advocates for additional support. “We do not have a midwife in the health facility; therefore, mothers give birth in their own homes. I cannot do anything as I do not have the proper training and, I respect our cultures,” he emphasizes. Joe urgently requests the deployment of a female CHW or a midwife to address this critical gap in healthcare provision.
In addition to personnel, Joe recognizes the need for upskilling to better serve his community. Expressing a need for training in midwifery, dental extraction procedures, and general nursing, Joe envisions a more comprehensive healthcare approach to cater to the growing population in his area.
Despite the challenges, Joe Pee remains a symbol of resilience and dedication, working tirelessly to bring healthcare to his people in the heart of Lake Kopiago. His story is one of selflessness and commitment, echoing through the valleys of Hela Province, where the light of health and hope shines brightest in the hands of a lone health warrior.
presenting Joe Pee his certificate for completing a
full HIV ART Prescriber Training in 2022.
The cervix is part of the reproductive system in girls and women. It is a strong muscle that lies below the uterus or womb, and it can carry the fetus’s or baby’s weight during pregnancy.
If the body cannot clear the HPV, this can lead to cancer. The virus sub-types 6, 11, 16, and 18 are known to cause cervix cancer. Abnormal changes or growth on the cervix caused by the virus can take a long time to develop without any symptoms. HPV can be spread by skin-to-skin contact or through sexual intercourse.
