- Rural Health - THCD
- CBMI – PoB
- Specific Funds - MIT/Education
- CRS (PEPFAR) – FMP, HC, CT, TB
- NACC – TOWA
- Disability & Development
- JUH – Relief, SIFA, UZIMA, Maji project
- Boresha Project - Difaem/ActionMedeor
1.RELIEF,SIFA,UZIMA,MAJI PROJECT-THE JOHANNITER INTERNATIONAL
To reduce HIV infection in Children born of Mothers Living with HIV and AIDS and improve maternal health
·Improve the capacity of Health care workers to provide PMTCT services
·Increase uptake of HIV Testing and Counselling services by pregnant women and their partners
·Increase HIV prevention services uptake by pregnant women and children born by mothers living with HIV and AIDS
·Increase knowledge of PMTCT in the general population
·Improve nutritional care for HIV positive pregnant women with low BMI enrolled in ART clinic in Zombe, Kalamba, Katakani and Lokichoggio Health centers
·Pregnant mothers attending antenatal clinic
·Pregnant women in the community who prefer home delivery (for mobilization to attend ANC clinic)
·Children born of Mothers Living with HIV/AIDS
·HIV positive pregnant women and mothers with low BMI on care and treatment in the Comprehensive Care programme at Kalamba, Zombe, Katakani, and Lokichoggio dispensaries.
1.Training of health care providers on PMTCT – the aim is to equip health care providers with skills to offer PMTCT services
2.HIV Testing and Counseling targeting pregnant women and their partners
3.Community Strategy Training -This is a community-based approach to health in Kenya. The community-based approach, as set out in the Community Strategy, is the mechanism through which households and communities strengthen their role in health and health-related development by increasing their knowledge, skills and participation. The intention is to strengthen the capacity of communities to assess, analyze, plan, implement and manage health and health-related development initiatives so that they can contribute effectively to the country’s socio-economic development
4.PMTCT awareness and mobilization of the target population.
The focus of this awareness will be on issues such as general HIV and AIDS information and prevention strategies, availability of PMTCT services and information on safe delivery. This will target the general public in order to create demand for the services. The assumption is that once people are made aware of the need to attend antenatal care, more pregnant women will seek these services, and therefore become targets for HIV Testing and counseling. Those who turn HIV positive will then be enrolled into the PMTCT program.
5.Provision of HIV prevention, Care and treatment services to HIV positive women and their newborns
6.Provision of monthly nutritional supplements for HIV positive pregnant women and mothers with low BMI enrolled at the ART clinic at Zombe, Kalamba, Katakani and Lokichogio Health facilities.
7.Monitoring and Evaluation
2. BORESHA PROJECT- - Difaem/ActionMedeor
AICHM BORESHA PROJECT
This is a DIFAEM/ACTION MEDEOR sponsored project with the goal of improving health care systems of faith based health facilities in the semi and arid areas in the northern part of Kenya. AICHM is the implementing partner. The ideology lies with these health facilities receiving this kind of assistance, they should be able to achieve sustainable health care systems at the end of the project period.
The name “BORESHA” is a Kiswahili translation of “IMPROVING” and so the overall project goal is to improve the general health situation of health facilities serving communities living in the west Pokot, Turkana and Marsabit with a lot of focus on Mother and Child health care.
Improve access to health care services of 7 health facilities through :
·Strengthening of preventive and promotive health services including Maternal Child health care and family planning, Immunizations of under 5 children, skilled birth attendance and general health education on prevention of Malaria, anemia and malnutrition.
·Improvement of quality curative services to manage diseases of public health importance to include training of health care workers on Malaria, Tuberculosis, HIV & AIDS, using the WHO/ national standard guidelines on Integrated Management of Childhood Illnesses (IMCI), Maternal and reproductive health.
·Strengthening laboratory services through linking of clinical and laboratory services to improve diagnosis and treatment maternal and child health diseases using the national standard operational procedures (SOPS).
·Strengthening drug management systems to include proper medicines and supplies management and equipment meant for health facilities through training of staff on pharmaceuticals and drugs stores management to achieve adequate and sustainable drugs stock levels and other supplies in the health facility.
·Strengthening the organizational structures of the health facilities through capacity building of health management committees on human resource management, equipment and finance management.
·Improvement of health facility infrastructure to provide adequate space and privacy, and other needs like electricity, water supply systems and communication.
·Stimulate partnership of all stakeholders through encouragement of local communities’ involvement government and other health players involvement in the project activities.
EXPECTED RESULTS OF THE PROJECT
Increased accessibility and utilization of maternal and child health care services hence reduction of maternal and child health illnesses.
Improved quality of clinical and laboratory services through enhanced capacity building of the health care workers and systems strengthening.
Strengthened preventive services and community based health care programs
Continuous availability of essential drugs, medical supplies and medical equipment throughout the project period due sustainable strengthened drug and supplies systems
Improved infrastructure in the health facilities to provide adequate space and privacy for the clients and patients
Improved institutional and organizational capacity of the health management systems on finance, human resource, HMIS and general governance of the health facility
TARGET HEALTH FACILITIES AND COVERAGE
HEALTH FACILITY COVERAGE
1. AIC Loglogo Dispensary Marsabit South
2. AIC Kalacha Dispensary Marsabit North
3. AIC Namarey Dispensary Marsabit South
4. ELCK Sekerr Dispensary Pokot Central
5. AIC Alale Dispensary Pokot North
6. AIC Lokori Health Centre Turkana East
7. PAG Namoruputh Dispensary Turkana West
The activities of the project were generated from the needs baseline assessment done at the initial stage to determine the specific targets for each health facility. These activities will be implemented throughout the project period.
1.Development of capacities of respective clinical health care workers(Medical Officers, Clinical Officers, Nurses, Midwives and others) through on job training, mentoring and supervision.
2.Develop capacities of the laboratory staff in carrying out accurate and acceptable standards on laboratory diagnostic tests
3.Strengthen capacity of health care workers on drug management and other supplies at the health facility level.
4.Improve organizational structures and governance on finance, records keeping, HMIS and human resource management of the health management committee and clinical staff
5.Provide training for community Health Workers on Maternal Child health care services
6.Support of integrated community outreaches to areas far from the health facility
7.Procurement of drugs, medical supplies and equipment to enhance delivery of quality health care services in the health facilities.
8.Train two clinical staff from each of the 7 health facilities on safe Motherhood skills to continue offering services even when the project period expires
9.Support communication systems of health facilities to improve referral of patients to the next level
10.Improve the infrastructure of the health facilities to provide space and privacy
11.Cooperate with other stakeholders in ensuring general improvement of general health status of the local communities
A.FMP-FAMILIES MATTER PROGRAM
Introduction to FMP
What Is FMP?
FMP is an evidence-based, parent-focused intervention for parents, guardians, and other primary caregivers (hereafter referred to as “parents”) of preadolescents ages 9–12 years. The program promotes positive parenting practices such as positive reinforcement and parental monitoring and effective parent-child communication on sexual topics and sexual risk reduction. FMP supports parents so they can convey their own values and expectations about sexual behavior to their children and provide their children with important messages related to HIV, sexually transmitted infections (STI), and pregnancy prevention.
The intervention sessions focus on the following objectives:
- Raising awareness about the sexual risks faced by many adolescents;
- Encouraging general parenting practices (e.g., relationship building, monitoring) that increase the likelihood that children will not engage in risky sexual behaviors; and
- Improving parents’ ability to communicate effectively with their children about sexual topics and sexual risk reduction.
How Does FMP Help Families?
The goal of FMP is to reduce sexual risk behavior among adolescents, including delaying onset of sexual debut, by training parents to deliver primary prevention messages to their children. The program gives parents the tools they need to influence the sexual risk behaviors of their adolescent children. A values-neutral program, FMP helps parents explore their own sexual values and teach these values to their children. By enhancing parenting skills and helping parents to overcome communication barriers, FMP helps parents communicate their values to their children. More effective parental communication can help to delay their children’s sexual behavior and increase protective behaviors as their children get older.
Why Families Matter
Unlike programs or classes, parents are a source of information that is always close at hand for their children. Parents are in a unique position to
- Answer questions early;
- Answer questions when they are asked;
- Provide ongoing information about sexual topics;
- Build on past talks to keep adolescents informed as they grow up;
- Dispel myths and rumors from other sources; and
- Share their values and expectations about sexual issues
Studies show that young adolescents are ready for information about sex from parents:
- Young people rate parents as their top source of information about sex
- Young people in Africa view parents as a good source of sexuality information
- The majority of adolescents agree that it would be easier to delay sex and prevent pregnancy if they were able to have more open, honest conversations with their parents and other trusted adults
How Does FMP Work?
FMP aims to help parents overcome barriers to communication so as to improve family communication about sexual risk reduction and other sex-related topics before youth begin sexual activity. It also aims to improve positive parenting skills that are associated with decreased adolescent risk-behavior, such as parental monitoring and positive reinforcement. Ultimately, the goal of FMP is to reduce sexual risk behaviors among youth by equipping parents with the tools they need to influence the sexual risk behaviors of their adolescent children.
FMP has three components:
- Risk Awareness
- Parenting Positive Skills
- Sexual Communication Skills