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

A closer look at Huduma Poa Sky (Telemedicine) Project

LInda Adero, a tele-medicine Nurse Counselor making a tele-consultation at the Central Medical Facility based at KMET Health Complex

LInda Adero, a tele-medicine Nurse Counselor making a tele-consultation at the Central Medical Facility based at KMET Health Complex

Kisumu Medical and Education Trust (KMET) in collaboration with World Health Partners (WHP) runs a Telemedicine based project in Kisumu and Siaya Counties dubbed ‘Huduma Poa Sky’ (HPS). The project utilizes the medical Knowledge, skills and experience of a medical doctor based at the Central medical facility (CMF) at KMET Complex to reach patients in 7 Sky Health centers mostly Huduma Poa Clinics.
In order to carry out tele-consultations, the Sky centers and the CMF are connected via internet and cellular technology. The clinics are manned by nurses and Clinical officers who also work with a network of Community Health Volunteers (CHVs) attached to the Sky health Centers. The role of the CHVs is to refer clients and where necessary and practical also make house calls to connect patients at the comfort of their homes with a medical Doctor. Once the patients are consulted, diagnosis, request for laboratory investigations and drug prescriptions are sent electronically. The patient gets the drugs from the sky centers and follow ups are done from the CMF.
Since its inception in late June 2014, the project has carried out 287 successful tele-consultations resulting into better patient care and treatment. The project intends to have 3 additional Sky Centers in the region and increase the number of CHVs attached to the facilities to a minimum of 6 per facility. In addition the project will bring on board Medical consultants and specialist on specific days, apart from equipping the CHVs with affordable drugs to dispense at the community level. The ultimate goal of this initiative is to reach the undeserved population with quality health care within a walkable distance.
By Daniel Omolo (HPS Project Team Leader)

KMET partners with six other organizations to train adolescent girls on Sexual Reproductive Health

KBT partners in a meeting dicusssing the kick off of trainings for adolescents on Sexual Reproductive Health

KBT partners in a meeting dicusssing the kick off of trainings for adolescents on Sexual Reproductive Health

Kmet signed an MOU with six other partners within the Kisumu Brain Trust (KBT) Network to implement a program meant to empower adolescent girls and young women on reproductive health.

The partners from Precious Tear Initiative, Technoserve Kenya, Mercy Compassionate, Tegemeo Pamoja, Tembea Youth Center and Watoto Musiliye Organization agreed to partner with Kmet to train girls and young women on advocacy with regard to Sexual Reproductive Health issues.

Kmet’s Youth Empowerment Coordinator, Jenipher Musuya said the trainings are expected to enable the girls and young women to make informed choices on their sexual and reproductive life as well as educate their peers within the community.

She added that the program would not only impart knowledge on reproductive health and advocacy skills, but also link the girls to youth friendly facilities where they can easily access family planning services and information.

Kisumu Brain Trust (KBT) is a network of organizations working on girl child programs in Migori, Kisumu and Siaya Counties.

Kmet’‘s major role is to capacity build the partners in advocacy to enhance their impact at the community level on Adolescent Sexual Reproductive Health Rights(ASRHR).

By Lynette Ouma

KMET holds training for advocacy on unsafe abortion

The participants in group photo. They agreed to solidify efforts in advocacy on unsafe abortion. which is one of the causes of maternal deaths.

The participants in group photo. They agreed to solidify efforts in advocacy on unsafe abortion. which is one of the causes of maternal deaths.

“It’s time to break the silence on unsafe abortion, we are losing our women to conditions that are preventable,” this was the clarion call made by the Executive Director KMET, Monica Oguttu during the advocacy on unsafe abortion training held in Kisumu.
Outlining the five causes of maternal deaths to be; severe bleeding, obstructed labour, infection, unsafe abortion and high blood pressure emphasis was made to contain the rates of unsafe abortion.
The participants drawn from the three counties of Kisumu, Migori and Siaya counties were enthusiastic to be involved in such a forum. With experience in advocacy spanning two years and others even fourteen
Under the CTG program this meeting was to strengthen the understanding of the partners in unsafe abortion advocacy and the implementation process.
Kmet deputy CEO, Sam Owoko was upbeat that KMET and the partners would work in concert to achieve the set objectives.
“The partners in CtG must closely work together because advocacy isn’t a one-man show it’s a process and requires teamwork,” he said while facilitating at the training. Adding that, KMET would lay ground and offer technical and moral support.
During the training the participants in group task were to formulate advocacy plans. In the process they grasped the need to first identify an issue, set objectives before rolling out their plans.
As part of the open session there were general concerns there is still apathy especially on contraceptives. In certain areas many adolescents were still engaging in unsafe sex contributing to unplanned pregnancies.
It was imminent there is opposition with religious belief a factor in stopping the access to reproductive health services in the three counties.
Rallying the support of the members of the county assembly was offered as a solution to influence county and national governments policies.
“We at KMET have had meetings with the governor Homa-Bay County to paint to him the grim picture and show how we can work together,” said Sam Owoko.
It’s important to engage with this cadre of persons since they have the legislative capacity which sometimes we are required to influence, he added.
The Executive Director, at the closing session had kind words for the participants for their patience and showing the zeal to commence advocating. She said they needed to invigorate themselves and pursue advocacy on unsafe abortion
Reiterating KMETs support, she said they will walk together with the partners and always be on hand to assist where necessary.
By Don King

KMET’S ECD center gives an 18 year old a gateway to literacy

By Lynette Ouma
As schools reopen for the third term session, a new dawn begins for an 18 year old boy who has decided to pursue his education starting from the ECD level at KMET’s ECD Center which also offers adult classes.
Felix Ouma, who has been raised by a single mother at Kanyakwar area, said he dropped out of ECD since he could not put up with some school rules such as working on teacher’s farms and took to menial jobs at an early age of seven.
As he narrates his story in his new class, Felix says he learnt electrical and dj skills from a friend but then he can’t read or write the names of important equipment nor operate a computer which is very vital in the dj industry, thus the drive to go back to school.
“Every wire has a name in the electrical profession yet I cannot read or write” he laments.
Felix added that he has to start his classes in the afternoon since he has to work in the morning to get cash to fend for himself; more reason he never opted for a normal school, besides the many rules he still abhors.
Unlike many people who look forward to lucrative white collar jobs after education, he just wants to complete high school and then perfect the dj and electrical skills he already has.
He says the choice to be literate especially for those who never had the chance to go to school at an early stage, depends on the line of work one is involved in.


Felix Ouma being taught different sounds by his teacher Janet Aluoch.

KMET reaches out to MCAs to solidify support on maternal health

KMET Executive Director,Monica Oguttu making a presentation during the meeting. She underlined the need for the county government to harness health policies  and services

KMET Executive Director,Monica Oguttu making a presentation during the meeting. She underlined the need for the county government to harness health policies and services

KMET organized a meeting with Members of County Assembly Kisumu to strengthen their capacity on issues surrounding maternal and child health. The meeting brought together around forty participants drawn from the media, county assembly and the technical working group.

The focus was on the role of partners in maternal health, developing a draft roadmap for maternal health advocacy within the county of Kisumu.

The Executive Director KMET, Monica Oguttu gave a harrowing story of a man who had lost his wife during delivery. This was to outline the grim picture especially the need for information on maternal mortality.

She emphasized the need for a multiple level intervention involving community, health facilities and policy makers.

The Director implored the MCAs to make Kisumu County a model in reference to improved maternal health indicators

As one of the top five contributors to maternal mortality, unsafe abortion did not miss on the agenda.

Citing the solutions among them contraception, adolescent ASRH services, male involvement, community education and women empowerment.

There was also insights into new partnership especially through the Bima Poa Plus to reduce out of pocket expenditure for healthcare. KMET proposed the adoption of a 50-50 cost bearing ratio as a way to improve maternal and health indicators.

The innovative telemedicine project, Huduma Poa Sky also brought into focus the need to widen the access to healthcare through tele-consultations targeting rural mothers and the masses.

By Don King








Youth and Contraceptives

 A info-graphic showing the different contraceptive methods

A info-graphic showing the different contraceptive methods

By Lynette Ouma

There have been many campaigns on the use of contraceptives in a bid to control the number of unwanted or unplanned pregnancies and one of the targets for such campaigns is the youth since abstinence is no longer a reality.

The biggest menace facing most unmarried youths is unwanted pregnancies and therefore its quite obvious majority should embrace the use of contraceptives. The question this poses is which type of contraceptives do majority of youths go for?

Ideally, one might quickly point out condoms as the most used since it also protects one from STI infections, besides being easily available but it might not be the case considering the high rate at which the morning after pills are being sold to the youths.

The morning after pill is for emergency purposes and it’s not one of the family planning methods though it is consumed more often by  youths especially those who are still in school and  shy away from using the known family planning methods.

Nevertheless, quite a number of young people who are not married and not ready to have children use family planning methods like the pill or the injection methods.

“I wouldn’t use a long term family method because of commitment issues in relationships,” said one of the youths when asked on her views regarding youths using long term contraceptives.

Much as youths use contraceptives, our African culture and reservations do not allow them to seek such services from facilities out of fear of being viewed as immoral resulting to most deciding on what to use from hearsay.

Others claim there is limited and misguided information about other types of contraceptives apart from condom that spreads amongst  youths since sensitization on the other types majorly targets married couples.




Reproductive Health: KMET Reaches Out to Kisumu Youth through Fashion Show

August 22nd 2014:
Some 250 youth in Kisumu were treated to entertainment galore and reproductive health information and services during a fashion show audition sponsored by KMET.

Successful models who made it past the judges desk in KFW auditions

Successful models who made it past the judges desk in KFW auditions

The fashion audition held at Alliance Francoise Cultural Centre was a preliminary process to a bigger beauty pageant dubbed Beauty with a Purpose set to take place on September 6th at Agakhan Hall Poolside.
The September event is expected to reach out to about 700 youth according to Kisumu Fashion Week (KFW) Director Enock Ndede.

Kisumu Fashion Week has been in existence for three years and attracts a huge following of youth in the region who are interested in launching a career in modelling and in the entertainment industry.
KMET through its reproductive health demand creation team known as youth peer providers (YPPS) and medical team provided services on breast cancer examination, cervical cancer screening and information as well as long term contraceptives.
Laser Arts theatre group also performed an entertaining skit highlighting the dilemma that befalls married couples, young men and women due to unplanned pregnancies in relation to unsafe abortion and limited contraceptive information.
Speaking after the event Enock appreciated the role that KMET and other partners played saying it was the most attended audition ever since Kisumu Fashion week was launched.

Check Dala57 blog for additional reporting and photos .