SGTIM0007S
RCEA Lokichar health centre has been conducting outreaches that are progressive solution to accelerate by scaling up integrated packages of essential intervention across the continuum of care for RMNCH to reach the needy local community who are on the outcast of Lokichar towns. The goals of family planning demand-side intervention includes; changing women s, men s and couples knowledge and attitude about family planning methods, increasing the knowledge of sources of contraceptives, and increasing their use of family planning to meet their fertility desires. Reproductive, Maternal, Newborn, and Child Health (RMNCH) cover the health concerns and interventions across the life course involving women before and during pregnancy; newborns, that s the first twenty eight days of life (28 Days) and children to their fifth birthday. The identified essential intervention and because of timing of their delivery in the life course, groups them into three packages; 68 for reproductive health, 48 for maternal and child health and 23 for child health although some intervention such as vaccines for immunization and have multiple components. This summarizes and considers the potential impact and cost of scaling up proven intervention to reduce maternal, newborn, and child death and stillbirths. The reproductive health package is particularly important for providing contraceptives services. The number of maternal and child death has dropped markedly in the past 5 years, and the rate of reduction in many sub-counties in Turkana County has been too slow to achieve the goal. Progress could be accelerating by scaling up integrated packages of essential interventions across the continuum of care for RMNCH. Nutrition education, the practitioner s role is to plan and implement surveys of infant feeding practices and to give talks and demonstrations to teach mothers about the nutritional needs of infants and nutritious weaning foods. Experience in implementing Family planning, Reproductive Health, Maternal, Newborn, Child and Adolescent Health (FP/RMNCAH), Nutrition and water, Sanitation and Hygiene interventions at the community. Use of family planning services, knowledge and attitude toward contraceptives use, unmet need total fertility rate, unintended pregnancies and abortion. These outcomes were selected as they provide both short term and long perspective of family planning program achievements. The majority of maternal death occurs during or immediately after childbirth, while more than 43% of child death occurs during the first 28 days of life. Poor maternal, newborn and child health care remains a significant problem in the county and sub-counties. Furthermore progress is marked by large inequities, not only across regions and counties, but also within counties where maternal and child mortality rates and health care indicators differ substantially by geographic location as well as by socioeconomic status. Skilled attendance at birth remains particularly low in Turkana South and Turkana East and there are wide disparities within county. There effective interventions and improved coverage in low-resource setting have an enormous potential to avert maternal and neonatal deaths. Lack of access to safe, clean drinking water and basic sanitation, as well as poor hygiene cause nearly more than 75% of death from diarrhea mainly in children. The area population now access to improve water sources and still lack access to improved sanitation. Water sanitation and hygiene interventions also prevent internal parasitic infections alongside diarrhea and this infection also synergistic effect with malnutrition. Implementing water sanitation and hygiene intervention among poor households would show its highest effectiveness however wealthier households are also in need of such intervention. Intervention of stakeholders by engaging them in community mobilization in every monthly meeting, and taking of Health Works, CHEW, Nutritionists and Stakeholders for trainings on FP/RMNCAH. Supporting community and institution on health dialogues day.
Rcea Lokichar Health Centre
Cooperative Agreement AID615A1600009
$60.0k 6/1/20 SGTIM0008S
SAIDIA has facilitated construction of 5 maternal shelters by local women in the community. These maternal shelters have been constructed in five areas within wamba Sub County as follows; Wamba north 1 maternal shelter, Wamba west 2 maternal shelters and wamba waso 3 maternal shelters. Mobilization of communities to participate in open maternity days and conduct outreaches in Samburu East. Open maternity days have been conducted every month to areas that are hard to reach areas and have been providing an integrated health team from the sub county health team. It consists of 5 members who have been offering different services to the community. 5 chv s per every area are engaged to mobilize communities to be visited monthly. Areas that has been visited include wamba east once, wamba north once, wamba west twice and waso thrice. Open maternity days are being conducted on monthly basis. Sensitization of communities on availability and use of birthing cushions in Samburu east, SAIDIA has put up 5 birthing cushions in 5 maternity units in Samburu east. 15 CHVs from each unit have been sensitized by SCHMT team on the use of birthing cushions in 5 maternity units , the chv s are engaged the communities that they represent on availability of the services in those maternity units. The maternity units are based in the following areas, 1 in wamba ward 1 in wamba north ward 1 in wamba west ward and 2 in waso. Sensitize the CHVs on Sexual Reproductive Health (SRH) needs of youths and adolescents and dissemination of SRH messages, 15 CHV s in 7 community units totaling 105 CHVs are sensitized by SCHMT on the needs of youths in matters regarding sexual reproductive health (SRH). The chv s are engaging youths and adolescent in dissemination of SRC messages in the community units. A total of 7 community have been reached by CHVs and these includes the following areas. Waso 2 community units, wamba west 2 community units, wamba north 2 community units and wamba east 1 community unit. Mobilization of expectant mothers to access early ANC, complete at least 4 ANC visits, deliver in facilities, access PNC, and complete childhood immunization, Mobilization of ANC mothers to attend ANC clinic have been done by 20 CHVs from various community units surrounding these 15 facilities earmarked for this activity. Once mothers attend clinic, they are then engaged by MOH nurses at these 15 health facilities on regular attendance of ANC, complete at least 4 ANC visits, deliver in the health facilities and access PNC and thereafter complete childhood immunization. 15 MOH staff covering 15 health facilities are be engaged in facilities within the 4 wards in Samburu East County. 3 facilities in wamba east 4 facilities in wamba north 4 facilities in wamba west and 4 facilities in waso. Number of mothers attending the facilities are captured in our monthly and quarterly reports. SAIDIA is working with the Sub County Health Management Teams (SCHMT) to conduct monthly meetings with CHV s to review provision of FP/RMNCAH services at community level. Sub county health management team have been conducting monthly meetings with chv s to review provision of FP/RMNCAH at the community level. These meetings are assessing the impact of the CHV in dissemination of the health messages and improve where applicable and also the health team have conducted refresher trainings during these meetings. 15 chv s each from 8 community units are engaged in monthly meeting.2 meeting wamba east 2 from wamba north 2 from wamba west and 2 from waso. Working with the SCHMT to mentor CHVs on provision of FP/RMNCAH and Nutrition services at community level, SCHMT team are on monthly basis mentor 15 CHVs each from 6 community units on provision of FP/RMNCAH and nutrition services at the community level this are done in 6 community units monthly. Community units to be engaged includes the following, 1 form wamba east 1 from wamba north 2 from wamba west and 2 from waso. Working with the SCHMT to conduct Community dialogue & health action Days, SAIDIA is closely working with the SCHMT team to conduct community dialogue and health action days.15 chv s from 6 community units are engaged after which health action days are eventually be undertaken in the six community units. 1 in wamba east 1 in wamba north 2 in wamba west and 2 in wamba waso area. SAIDIA has engaged health facility management committees, quality improvement teams to fulfill their functions and work with health providers and the community to improve integrated primary health care, 9 Health facility management committee (HFMC) from each 20 health facilities are engaged to ensure quality improvement and fulfillment of their roles and also to work closely with the health providers and the community to improve integrated primary health care at each facility. The number of facilities that has engaged from each ward include the following. 2, from wamba east ward, 4 from wamba north 6 from wamba west, 8 from waso. 180 health facility committees are reached from the 20 facilities. Involvement of local and cultural leaders and community health units to utilize SBCC materials and accelerate adoption of healthy behaviors. The community are sensitized on utilization of SBCC materials to accelerate adoption of healthy behaviors by 3 facilitators have engaged the community in 4 community units. Participation in development and implementation of monthly health promotion plans 10 SCHMT and SAIDIA project coordinator are engaged in monthly health promotion plans. The plans are guided by health needs of each wards in Samburu east and thereafter decisions are made to improve the needy areas identified. SAIDIA has enhanced capacity and deepen commitment of traditional leadership structures including Kraal leaders and Councils of elders to become local community voices for social change and social accountability.20 community leaders from 10 community units are engaged to enhance capacity and deepen commitment of traditional leadership structures including kraal leaders and councils of elders to become community voices for social change.200 elders have been engaged in the meetings. 1 meeting from wamba east 3 meetings in wamba north 3 meetings in wamba west and 3 meetings in waso. Engaged A & Y facilitators at the community and advocate for leadership commitment to facilitate formation of peer led support groups 2 facilitators are engaged for training of 150 youths in 6 community units and engage the youth in formation of peer led support groups. The youth have been trained from the following wards.50 from wamba east 50 from waso 25 from wamba west and 25 from wamba north. Mentor and scale up Binti Shujaas as Adolescents Youth Sexual Reproductive Health (AYSRH) champions and strengthen community follow up & referrals for MNCH & ASRH services. Mentoring and scale up of binti shujas as adolescent and youth sexual reproductive health champions to strengthen community follow up and referrals for MNCH& ASRH services have been enhanced. This is achieved through engagement of 2 youth facilitators to train identified youth as binti shujas to lead others as role models. 10 binti shujaa. 4 from wamba east 2 from wamba west 2 from wamba north 2 from waso are be engaged. Create awareness on gender equitable and responsive services, 2 GBV facilitators are involved in training and creating awareness on gender equitable and responsive services at 6 community units. 20 participants from each community unit are engaged reaching a total of 120 participants mobilized and sensitized on gender related issues. Build partnerships and collaboration for multi-sectorial gender integration, GBV prevention and response, SAIDIA is facilitating in building partnership and collaboration for multi-sectorial gender integration , GBV prevention and response team .This is a team that include heads of department both in security and gender streamlining team that respond in case of GVB issues in the sub county. 1 meetings hasbeen held after every 2 months to review issues regarding GBV and take necessary steps where need be. Engage community structures to play a role in SGBV prevention and response at community level Community leaders are engaged so as to play role in SGBV prevention and response in the community. SAIDIA have engaged SGBV facilitators to train 20 elders from the community.
None
Cooperative Agreement AID615A1600009
$116.4k 6/1/20 SGTIM0006S
SAPCONE works in Turkana County and with this project it is willing to work in Kibish and Loima Sub Counties where it has been operating with food security and livelihoods, governance and social accountability as we ll as peace building and community health strategy initiatives. Health seeking behavior is becoming complex and this can be solved through community strategy model and strengthening of community strategy units and health staff. Communities belief in myths and misconceptions that have been held since time the cultures started and so a lot of capacity building and mobilization is required with peer to peer sessions, creating awards for influencers, champions and role models. Most of adolescent groups because of the generation gap and influence end up being exploited hence child marriages and early sex exposure that makes them vulnerable to contracting HIV/AIDS and other related infections. Due to poor sanitation, nutrition and lack of water in certain areas, there are impoverished health conditions. The organization has a clinical officer who is the Head of programs and Social worker who is in charge of operations and so these staff has rolled out a road map to implementing the project with the assistance of the Ministry of Health and SCHMTs. The organization have deployed project coordinator and two project officers who are professionals in Health discipline for the project to assist in the execution of activities and also in reporting as well as mobilizing communities for FP/RMCNAH services. Within the sub counties, the project is working with two community liaisons/ facilitators who are professionals I community health and development to conduct actual work in the field. Kibish Sub county Activities with SCHMTs and DPHN to promote delivery of FPRMNCAH, WASH and NUTRITION services, Natumakalei community unit working to implement the following approaches. Integrated Outreaches and Kimormor Outreaches Through the support of AFYA TIMIZA Project, Natumakalei community unit has been providing support for integrated outreaches in collaboration with the County governments on a monthly basis through provision of a minimum package of ANC, KEPI, HTS, RH/FP, nutrition education, growth monitoring and Vitamin A supplementation health massages through Digisomo. To enhance service delivery in the hard to reach areas, the community unit worked in collaboration with AFYA TIMIZA Project to provide a wide range of services using Kimormor outreach approach. Through this the community unit has been able to facilitate CHVs to reach out to 35 Kraals in the rural areas of Kibish Sub County. The community unit continues to work with AFYA TIMIZA and SCHMT in providing services to populations in community units, water points and livestock markets as part of broader linkages towards improving FPRMNCAH, WASH and Nutrition indicators across the Sub County. To enhance continuity of service, the community unit also leverage on the various community based activities that are run by other projects in Kibish Sub County to conduct integrated outreach services to reach the underserved populations. Community linkages to reduce defaulting and for continuity of care In Collaboration with AFYA TIMIZA, Natumakalei Community unit strengthened provision of services in the link health facilities especially MCH clinics through CHVs. Building on this positive experience, the community unit has been able to build the capacity of CHVs to support client appointment management, defaulter management, and to strengthen health education at the household level so as to ensure effective referral in the priority facilities. CHEWs have been instrumental in providing technical support and coordinating mother to mother support groups and men only support groups on a monthly basis through health education, identification and linking of all pregnant women to MNCH services as well as knowledge improvement on HIV and treatment. The Community unit shall works closely with the AFYA TIMIZA and SCHMT in continuing to identify the best ways to improve client retention to ANC till delivery. Promoting preventive health behaviors identity and refer complications. Through partnership with MNCH partners such as AFYA TIMIZA, THE CHILDREN and UNICEF, Natumalakalei community unit has been offering support to CHVs to offer targeted support (resources and technical assistance from the technical staff and training of CHVs and Traditional birth companions on MNCH/RH/FP, referral for ANC, advocacy for hospital deliveries, defaulter tracing and adherence, WASH for child survival, Nutrition, PMTCT, IMCI ) to improve health outcomes at the household level. The community unit still drives this initiative by scaling up the use of maternal (waiting) shelters to advocate for hospital delivery and raising skilled birth attendance. The community unit shall utilize this strategy to continue to support the CHVs on reviews of uptake of MNCH/RH/FP, WASH for child survival, Nutrition, PMTCT, IMCI at the community and household level. Consequently, the community unit shall be working has been working with TBCs and their CHVs to support activities focused on increasing the communities awareness on their own health issues while ensuring that the involvement of communities in improving their own health is a constant agenda in their community engagement forums. The CU are also leveraging on the technical expertise of the CHEWs to provide technical assistance to the CHVs to improve on reporting and ensuring data is submitted for uploading to the DHIS as well as intensifying supportive supervision to CHVs and TBCs in an effort to improve coordination of community activities targeted at improving FPRMNCAH, WASH and NUTRITION indicators at household level. Enable community units to make data-based decisions The importance of using data for decision making at community level are continue in year 5 to be cascaded down to the CHVs who are facilitated to hold monthly meetings and dialogue days that are allowing them to review their data and make the appropriate decisions to improve the health outcomes both at household and community level. Technical support are be provided to the CHVs and their communities to understand the data that is collected and its significance as well as how to identify the health problems that affect them and the actions that need to be undertaken. The project is also continuing to work closely with HRIOs to ensure they continue to report CU data through the DHIS and also continue to sensitize the community on the importance of maternal and perinatal death audits. Improve CHV motivation In recognition of the immense contribution to FPRMNCAH, WASH AND NUTRITION services offered by the CHVs at the community level, the community unit facilitated motivation of the CHVs through the funding/stipends received through AFYA TIMIZA on the basis of their performance. The project shall continue to sensitize the CHVs on IGAs and link them to the existing microfinance initiatives within the County as a sustainability strategy. Through the already existing groups CHVs are encouraged through provision of technical support by the microfinance institutions that are empowering them to continue with group IGAs for improved livelihood. The community unit leadership have also engaged with the county leadership in discussing and developing more strategies to motivate and equip CHVs with skills to enhance their group self-sustainability. Through this approach, the CHVs are be focusing on the improvement of MNCH/RH/FP, Nutrition and WASH indicators. Building capacity of CHVs, TBCs to support delivery of FPRMNCAH, WASH AND NUTRITION services delivery at the community level The community unit has been actively involved in ensuring the community service delivery structures are enhanced with knowledge and skills to deliver FPRMNCAH, WASH and NUTRITION services at the household level. Through the support from CHEWs, religious leaders, CHVs, TBAs, kraal leaders were engaged in delivering the importance of seeking health care services at the health facilities. The community unit are utilizing this strategy by working with SCHMT, FBOs and CSOs and other partners to mentor these groups to scale up FPRMNCAH, WASH and NUTRITION services referrals from the community level. To strengthen referrals, trained CHVs act as ambassadors in the community by supporting counseling and referrals to the nearest facilities.
Sustainable Approaches For Community Empowerment
Cooperative Agreement AID615A1600009
$156.6k 6/1/20 SGTIM0010S
NEST is a Community Based Organization that works on economic empowerment of illiterate women in Samburu County, Advocates for health services uptake on Family Planning (FP) and Sexual Reproductive Health Rights (SRHR), gender equality through policy adoption and implementation. NEST employs a three-front focus in tackling the challenges and barriers to a decent livelihood by Samburu community specifically Youth, women and children. NEST Advocates for better service provision in the County, Budget allocation on FP and SRHR services for the youth and Women is Samburu County and collaboration in identifications of gaps that bring the challenges of FP and SRHR services delivery to the illiterate and youth in Samburu County. NEST being women and youth led organization also advocates t0 strengthen the healthcare infrastructure and fostering an enabling environment for family planning at the heart of a variety of important strategies to address unmet FP/RMNCAH need in Samburu County. Encourage strong political will and open support of comprehensive family planning programs in Samburu County. NEST is fostering awareness that unintended pregnancies and births can contribute to high rates of population growth, potentially outpacing a County s ability to meet the needs of its residents and undermining national development goals. Promoting gender-sensitive policies and programs, especially within the health, gender and youth departments in Samburu County Government, to help policymakers recognize and remove obstacles to the accessibility and availability of reproductive health and family planning services. Advocating for formal contraceptive security plans to ensure uninterrupted access to a variety of contraceptive methods.
None
Cooperative Agreement AID615A1600009
$20.0k 6/1/20 SGTIM0004S
KIBA CDO improves household s members by poviding their health, Education, Psychosocial support, household economic strengthening, and coordination and care. KIBA works with local leaders, communities local administrations, church leaders, youth leaders and community health workers (CHVs) to ensure they are resilient and thriving. It has reached the most vulnerable groups such as youth and women, in their efforts towards sustainable development through addressing public health concerns, livelihood security and poverty alleviation strategies. The organization works with the existing health structures and especially our health facility and our able community health workers (CHW) that are attached within KISIMA model health center to strengthen referrals for the expectant mothers to address the issue of continued giving birth in their homes ,and for the few that visit the clinic do not actually complete the ANC 4 visit and in addition also not completing childhood immunization for their young ones in our nearby community health facilities around. The organization is sensitizing the CHVs on sexual reproductive health (SRH) in order for them to continue disseminating to our young Morans and ladies in our communities unlike also to those who are school going.in addition, to support sensitization in guiding and counseling teachers mentorship forums so that they can provide and mentor the youths. KIBA is working with county government of Samburu to develop memorandum of understanding which is binding us all together to enhance consistent meeting in order for all of us to be accountable to the delivery of health issues to our people. Mobilize communities to construct, maintain and utilize maternal shelters, and revive those shelters that has been run down to continue serving the community. KIBA is working closely with the ministry of Health and especially our dispensaries and model health centers that are within our areas of operation and by doing this we are engaging our community health workers (CHWs) who are attached to our nearby facilities. KIBA has mobilized community members and support Ministry of health to conduct open maternity day s outreaches in hard to reach areas like Noonkeek, and Mugurr, Sensitize CHVs on Sexual Reproductive Health (SRH) needs of youths and adolescents and dissemination of SRH messages. KIBA has mobilized and conducted quarterly guidance and counseling mentorship forum in lodokejek ward this is helping to mentor and provide guiding and counseling to adolescent youth in their institutions when it comes to reproductive health. KIBA have identified two mentors to champion for Adolescents Youth Sexual Reproductive Health (AYSRH) in order to strengthen community follow up and referrals for MNCH and Adolescent Sexual Reproductive Health services. On the other hand to enhance capacity and deepen commitment of traditional leadership structures like morans and council of elders to become local community voices for social change and social accountability. Through our community health units especially from Kisima Model health center we have initiated and establish a role play group that we are using to educate our people on F/P RMNCAH. KIBA has been implementing nutrition, guiding and counselling, WASH and through our CHVs, Quality Improvement teams (QI) and caregivers groups have been able to reach as many as possible people with our area of operation.
None
Cooperative Agreement AID615A1600009
$30.0k 4/1/20