Huduma Poa Health Network Kenya: Who are we and What do we do?

Huduma Poa Health Network is a social franchise ran by Kisumu Medical and Education Trust-KMET through the support of USAID in partnership with PS-Kenya and the Ministry of Health. The franchise was officially launched on January 30th 2013.


The network is currently made up of 80 privately owned Health Facilities serving urban and rural undeserved population with 63% rural and 37% urban distribution.

Huduma Poa operates in 15 counties drawn from the former Nyanza, Western and Rift Valley Provinces.

The network aims at harnessing skills and energies of private health providers to integrate health services & ensure their facilities are a one – stop shop for the target undeserved communities.

To realize this, the Franchise builds capacity of healthcare providers through workshops, quality assurance and on job training based on Ministry Of Health Standard operating procedures to enable them offer:

  • Family planning method mix;
  • HIV counselling & testing;
  • HIV care and treatment
  • Prevention of mother to child transmission of HIV/AID
  •  Cervical cancer screening,
  •  Integrated management of childhood illnesses
  • and TB case detection, treatment and follow-up

The franchise has an established demand creation component comprising of 160 community health workers and 5 demand creation officers mandated to forge linkages between the facilities and target communities to promote demand for and access to the health services in line with Ministry Of Health’s community strategy.

Within a period of 2 years Huduma Poa has reached to 143,000 women of reproductive age with integrated Reproductive health services and information through:

Huduma Poa Service Delivery Points, Huduma Poa Days, Community Health Promotion Sessions & Outreaches.

For more info, visit our website KMET.

By Emmanuel Oyier  Twitter: @owyier

Huduma Poa Holds Review Meetings in Kisii, Kisumu and Homabay

Members of the KMET Huduma Poa Health Franchise have come together in the third quarter of the year to jointly reflect on their combined efforts and contribution to the USAID Health Communication and Marketing (HCM) program deliverables.

The reviews focused on facility and community performances for a period of 1 year (year 3 of HCM implementation) bringing together community health workers, health providers and members of the Ministry of Health who focused their discussions on demand creation and quality of service delivery data generated from various communities and franchise facilities.

During experience sharing in three of such review meetings in Kisii, Kisumu and Homa Bay regions it came out strongly that health providers need to nurture and sustain a good working relationship with Community Health Workers (CHWs) for successful referral of clients and creation of demand for health services.

The Huduma Poa Health Network uses CHWs to reach out to members of the community with health promotion messages, to mobilize their communities during health events and to refer clients to the franchise facilities.

Members of the Ministry of Health lauded KMET for actively involving CHWs in the private health sector and training them on key health messages tailored for the communities they serve.

“I am happy that community health workers in my area are well equipped with information aides like family planning counselling bags for community health education. Good work KMET,” exclaimed Joel Milambo the Community Focal Person, Bondo Sub County.

In order to strengthen the synergy between the MoH and the private health sector, social franchise providers were prevail on to continuously submit their performance reports, forecasts and commodity order reports to the ministry of health to ensure reliable and continuous supply of health supplies to the private sector.

KMET Huduma Poa has harnessed the relationship between the ministry of health and the clinics within the Huduma Poa network so that they are able to get free contraceptive and other medical supplies from the government for free provided they document and report those services.

Huduma Poa is yet to hold the last of its review meetings this year for the Western Kenya region on 31st October.

amos onderi

 

 

 

 

 

 

 

By Emmanuel Oyier

Ziba Ufa Launch

KMET in partnership with Simavi yesterday launched the Ziba Ufa project in Migori County, a project which intends to reach the youth with sexual reproductive health information in Kisumu, Migori and Siaya counties.
While launching the project, the Migori Deputy Director, Wafula Nalwa said the project is very relevant and timely since youth are getting lots of sex information via the media and there is need to equip them with the right information.
“Our youth today have a lot of sexual reproductive health challenges because of the messages they get from the media. We must step in and help them because if we don’t, someone will.” Said Nalwa
Nalwa added that the telemedicine concept that the project will be employing to reach the young people with the SRH information is well thought of because, majority of the youth today are IT informed, hence can willingly and frequently access services.
Migori Women Representative, Eunice Bosco ,appreciated KMET’s efforts in reaching out to the youth and said that the use of telemedicine gadgets, would enhance confidentiality and reduce the stigmatization youths have when they to walk into facilities to seek RH services.
Caro Nyandat, KMET’s Reproductive Health Coordinator pointed out that the project intends to set up three youth friendly model facilities in Uriri, Migori and Awendo sub-counties.
She noted that with the incorporation of telemedicine, there should be improved uptake of voluntary counseling and testing services, access to STI treatment, safe delivery, contraceptives ARVs and above all, information on SRH to the youth.
A demonstration on how telemedicine works graced the day as the audience got amused when one of the youth was able to connect to and get services from a provider in Kisumu.
In attendance were stakeholders from the Ministry of Health, Ministry of Education, student leaders from Rongo University College, students from nearby primary and secondary schools and youths from various youth groups.
By Lynette Ouma

 A demonstration of how the telemedicine technology works

A demonstration of how the telemedicine technology works

Breast cancer fight begins with you and me……get screened now!

October-is-Breast-Cancer-Awareness-Month

October is a profound month in the medical world. It’s tagged the Breast cancer awareness month. It’s normally a period to take stock and reflect on the fight against breast cancer in the world.
If you have lost a dear one, the feeling, the agony is tormenting. Seemingly if you have seen some you know suffer this ailment, you can relate.
Breast cancer is normally associated with women compared to the male folk. In the United States this cancer is most common in women aside from skin cancer.
The self-help literature and media like videos always tip to a lump on the breast, you and I can attest to this.
What is breast cancer?
It’s a malignant tumour that grows in one or both of the breasts. It develops in the ducts or lubes (the milk producing areas of the breast)
Why do women develop breast cancer more often?
The hormone in a womans body that is estrogen and progesterone increases the development.
Estrogen triggers cancer cells to double. Interestingly, estrogen can cause the breast cancer cells to double every 36 hours. Progestron triggers the cells known as stromal cells to send signals for more blood supply which leads to feeding of the tumour.
Are breast cancers the same?
There exist different stages based on the size of the tumour and whether the cancer has spread. It’s important for doctor and patient to know the stage of the cancer as it helps in making treatment options
How can I identify breast cancer, what can I look for?
The most common sign would be a lump, abnormal thickening of the breast, change in colour or shape of the breast.
Other signs
• Dimpling or puckering of the skin
• Swelling , redness or warmth that does not go away
• Nipple discharge that starts and appears only on one breast

What’s the situation in Kenya?
In 2012, Kenya established a National Cancer and Prevention and Control Act making it one of the few countries with legislation for cancer. This development means the Ministry of Health called for revenue allocation for cancer control in the government budget.
A faulty national health insurance plan which hinders access to medical care compounded by apathy and lack of access to accurate information makes screen rare and cancers undetectable.
Myths exist with belief cancers are curse from the ancestors and elders
What is the treatment for breast cancer?
Patients with breast cancer have many treatment options. Most treatments are adjusted specifically to the type of cancer and the staging group. Treatment options should be discussed with your health-care team. Below you will find the basic treatment modalities used in the treatment of breast cancer.
Surgery
Most women with breast cancer will require surgery. Broadly, the surgical therapies for breast cancer can be divided into breast conserving surgery and mastectomy.
Breast-conserving surgery
This surgery will only remove part of the breast (sometimes referred to as partial mastectomy). The extent of the surgery is determined by the size and location of the tumor.
In a lumpectomy, only the breast lump and some surrounding tissue is removed. The surrounding tissue (margins) are inspected for cancer cells. If no cancer cells are found, this is called “negative” or “clear margins.” Frequently, radiation therapy is given after lumpectomies.
Mastectomy
During a mastectomy (sometimes also referred to as a simple mastectomy), all the breast tissue is removed. If immediate reconstruction is considered, a skin-sparing mastectomy is sometimes performed. In this surgery, all the breast tissue is removed as well but the overlying skin is preserved.
Radical mastectomy
During this surgery, the surgeon removes the axillary lymph nodes as well as the chest wall muscle in addition to the breast. This procedure is done much less frequently than in the past, as in most cases a modified radical mastectomy is as effective.
Modified radical mastectomy
This surgery removes the axillary lymph nodes in addition to the breast tissue.
Depending on the stage of the cancer , your health-care team might give you a choice between a lumpectomy and a mastectomy. Lumpectomy allows sparing of the breast but usually requires radiation therapy afterward. If lumpectomy is indicated, long-term follow-up shows no advantage of a mastectomy over the lumpectomy.
Written by Don King
Additional information sourced from http://www.cancercarekenya.com http://www.africacancerfoundation.org

Young Leaders: Voices of Innovation for MDGs

Young people play a pivotal role in any culture and society. Constituting the largest percentage of the population they are quite-essential in pursuing Millennium Development Goals and the Sustainable Development Goals. They advance health related issues from girls empowerment to reproductive,maternal, newborn and child health.

KMET through the sisterhood for change (SFC) which is a youth empowerment program http://www.kmet.co.ke/index.php/tw/youth-empowerment were able to reach out to the youth especially young ladies  through education, so that they have the skills and knowledge to make smart behavioral decisions.

The young leaders forum courtesy of Johnson and Johnson Global Health highlights this

http://new.livestream.com/accounts/9976688/events/3382803/videos/62951492/player?width=640&height=360&autoPlay=true&mute=false

World Contraceptives Day

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KMET through the Homa Bay family planning advocacy project joined in celebrating this year’s World Contraceptives Day. The project is supporting the Homa Bay county government develop and approve a five year family planning strategy especially for four of the most needy sub counties. The sub counties are  Ndhiwa, Mbita, Homa Bay and Suba.

Homa bay county health minister Dr Lawrence Koteng who was the chief guest encouraged providers and the partners to continue the fight to improve maternal indicators in the county.

He underscored the need to have planned pregnancies pointing out the use of contraceptive would help in child spacing and timing.

The Homa Bay family planning advocacy project is supported by Population Action International (PAI) who were vital in providing support towards organising this year’s event.

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KMET Empowers a Forgotten Group in HIV/AIDS Campaign: Nyanya Oloo narrates the plight of grandmothers affected by HIV/AIDS and how KMET came to their rescue.

Maria Oloo narrating how KMET came to her aid and the others in their group.

Maria Oloo narrating how KMET came to her aid and the others in their group.

The impact of HIV/AIDS in the society has been told again and again but little is usually highlighted on its effect on the elderly, especially grandmothers who always have to resume the role of child upkeep.

Maria Oloo an elderly lady in Obwolo, Kisumu, is one of the many grandmothers who have to spend their old age trying to make ends meet for her early orphaned grandchildren due to HIV/AIDS.

The 69 year old lady, mostly referred to as Nyanya Oloo, says her son and daughter in law succumbed to HIV/AIDS leaving her in custody of five grandchildren.

Nyanya Oloo becomes melancholic as she recalls a new responsibility she had of ensuring her grandchildren got at least basic education yet she was living in abject poverty.

She says her life had to change completely and she decided to seek help by walking with her grandchildren from one organization to another to get well wishers who could help her grandchildren go to school.

In the process of walking from place to place with her grandchildren, other orphans within the village who also faced the same predicament joined her until she found herself voicing the plight of 30 other orphans to attain at least basic education.

As a result of her involvement with children who are either infected or affected with HIV/AIDS, Nyanya Oloo was one of the old ladies selected to attend KMET training on Nyanyas (grandmothers) and access to ECDE education, income generating activity and entrepreneurial skills, care giving as well as community Conversation.

‘Kaka wanyanya, KMET nopuonjowa kadho aora komak lwetwa ber moingo ka oting’wa e tok, ‘she   says in Luo as she beams with happiness. (KMET taught us that it was better to cross the river with our hands held instead of being carried on the back)

Nyanya Oloo notes that the KMET training was an eye opener since the Nyanyas living with orphans opted not to wait for handouts but instead formed a group, started income generating activities to support the orphans and even mobilized the community and enrolled many children at Obwolo ECDE with the support of KMET.

She is very grateful to KMET for having chosen to empower a forgotten group, the elderly ladies, who most often are charged with the responsibility of taking care of HIV/AIDS infected or affected children after their parents pass away.

By Lynette Ouma.