Second Term Project (Kilifi County): Year 3 Activity Report
Activity plan
| Year 1 | Year 2 | Year 3 | |
|---|---|---|---|
| April 2020 - March 2021 | April 2021 - March 2022 | April 2023 - March 2023 | |
| Main Activities | Improve infrastructure and systems of health services and increace capacity of healthcare workers | Strengthen and expand activities at community level | Establish sustainable community health systems |
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Progress of project activities
Limited access to health services
People who have no health facilities within 5 km from home
Over 60％
Mobile clinic users
(Vaccination, nutritional status monitoring, anthelmintic, Vitamin A provision)
4,395 persons
Number of patients served at healthcare facilities
(Prenatal examination, delivery at a childbirth/healthcare facility with the assistance of a specialist, vaccination, Vitamin A provision, etc.)
23,816 persons
Clinical laboratory construction
1 wards
Shortage of healthcare workers and their skills
# of nurse at a local health facility
1 or 2
Training for healthcare workers
Basic Emergency Obstetric and Newborn Care
Supportive supervision
Goods management and problem solving
Training for Community Health Volunteers
Household registration procedure, the method of observation during pregnancy, home care methods, etc.
Awareness-raising training for community leaders
38 persons
Family planning and risks entailed by juvenile pregnancy
Limited access to safe and clean water
Usage rate of improved sanitation facilities
5%
Education for Water, Sanitation and Hygiene for public health officers and community health assistants
2 villages were certified as open defecation free by the government
Lack of knowledge of local residents, drought and the consequent water shortage, and difficulties cultivating crops
Severe malnutrition and a high poverty rate
46.4％
Awareness-raising training for pregnant woman
150 persons
Maternal and child nutrition, breastfeeding methods, etc.
Training on poultry farming for Mother to Mother groups
Saving and loan activities conducted by Community Health Volunteers and Mother to Mother groups
35 groups
Insufficient commitment of local governments (health budget/cooperation)
Local government health budget
26％
Regular advocacy-group meetings
Twice
Solutions to problems at dispensaries
Regular meetings with regional government officials and partners
5 times
Reported period: April 2022 to September 2022
Description of activities
Improved access to maternal and child healthcare services
Improve health facilities (clinical laboratories)
Provide medical services
Training for healthcare workers
Training on Basic Emergency Obstetric and Newborn Care
- Emergency method of maternal and neonatal resuscitation
- Response to severe nephropathy caused by pregnancy-induced hypertension
- Prevention of obstructed labor, sepsis, and malaria
- Improvement of surgical skills
- Post-abortion care, response to neonatal jaundice, etc.
Supportive supervision
- Insufficient documentation of information about
- Shortage of storage trays for essential medicines
- Lack of fire protection measures
Training for community healthcare workers
Community Health Volunteers
- Information shared about the household registration procedure, the method of observation during pregnancy, home care methods, etc.
Under the supervision of community health assistants, 150 community health volunteers visited a total of 4,782 households.
Holding monthly meetings
Commending eight community health volunteers
Mother to Mother groups
Holding monthly meetings
Group members exchanged opinions on facilitating the use of mobile clinic services, the method of utilizing grow bags in cultivation, encouraging COVID-19 vaccinations, chicken raising methods, etc.
Community leaders
- Awareness-raising about teenage pregnancy and family planning
- Effective methods of communicating with young people
- Lack of time spent for family conversation, shortage of space in each household, poverty, changes in awareness of the community, etc.
Establishment of mechanisms for improving nutrition and water, sanitation and hygiene practices
Strengthened efforts to improve nutrition in communities
Cooking demonstration
- Offering nutrition training to a total of 150 pregnant woman
- Training Mother to Mother group members in poultry farming
Community-level nutrition improvement training
Nutritional screening
- Screening children for malnutrition through mobile clinic services
- Carrying out follow-ups on 188 malnutrition cases
- Holding meetings to review data on the children’s nutritional status
Development of water supply facilities and sanitation training for communities
Community-led total sanitation (CLTS) training
Awareness-raising about how to wash the hands
Strengthening the health system
Enhancing the partnership between the communities and government officials
Advocacy groups met each other regularly (every quarter) to discuss issues faced by the respective dispensaries.
Stationing full-time clinical laboratory technicians, ensuring road access to facilities, deploying ambulances, etc.
County-level and sub-country-level health officials shared best practices at the dispensaries and discussed measures to address the increase in the number of malnutrition cases.
Voices from the community
Mr. Mugalla Mvurya (Nutrition Coordinator, Ganze Sub-County)
As a sub-county nutrition coordinator, I supervise the provision of nutrition services in Ganze Sub-County. I am responsible for supportive supervision, coordination of nutrition services, and advocacy in the field of nutrition. We also work with the Mother to Mother Project to plan the project’s nutrition-related activities, implement the plan, and monitor the implementation.
We would like to extend our heartfelt gratitude to the Mother to Mother Project for having a direct positive impact on the lives of the people in Bamba and Jaribuni. Various activities conducted under the project, such as follow-ups on malnutrition cases, community-level nutritional improvement, agricultural support, and provision of chickens and seeds, have changed life in the communities. In addition, training opportunities provided by the project have helped improve the capacities of workers who provide medical and nutritional services.
The values for nutritional metrics have been improving. More specifically, the percentages of people receiving the administration of iron supplements, vitamin A preparations, and anthelmintics have grown. The number of mothers who go into labor at facilities has increased, while many mothers now begin to breastfeed their babies earlier than ever before. The percentage of mothers who raise their babies only with breast milk has also grown. Furthermore, the percentage of malnutrition patients who discontinue receiving medical treatment has decreased. The quality of data management has also been enhanced. These are examples of the general improvement.
