KMET & Partners Bring on board community health workers in the fight against TB in Nyanza.

Latest statistics show that Kenya has a large TB burden ranked at 15 out of 22 countries in the world that contribute to 80% TB cases with 3million of such cases going undetected.
It is due to such alarming statistics that KMET and Population Service Kenya in collaboration with the Ministry of Health have opted to scale up services offered in the franchised clinics (Huduma Poa and Tunza) in Nyanza with an aim of intensifying TB care detection, diagnosis, treatment and follow up.
KMET Health Communication and Marketing coordinator Amos Onderi said community health workers (CHWs) have been included in the fight against TB since they are expected to play a critical role in TB control ranging from active TB care search, referrals to defaulter tracing at community level.
Amos added that this programme also brings in private facilities in TB case management and diagnosis given that private facilities attend to about 60% of clients.
In the first training for 87 CHWs from Nyanza at Royal City hotel in Kisumu, Siaya County TB and Leprosy Coordinator Mary Wambura said the CHWs will promote early TB diagnosis and therefore boost the cure rates.
KMET CEO Monica Oguttu expressed her confidence that TB mortality rates in Nyanza will reduce since the CHWs are going to be TB change agents in the community and encourage people to go for screening.
She urged the CHWs to always consult with the providers and together walk with the community to prevent late diagnosis in what she dabbed “Operation Linda Community.”

Kisumu Sub County TB and Leprosy Coordinator Beatrice Okwaro taking the class on the importance of proper nutrition for TB clients.

Kisumu Sub County TB and Leprosy Coordinator Beatrice Okwaro taking the class on the importance of proper nutrition for TB clients.

Huduma Poa HIV testing and counseling training.

KMET last week conducted an HIV Testing and Counseling (HTC) training for providers whose facilities are within the Huduma Poa franchise.
The main aim was to train participants who were drawn from 12 different counties on how to use and interpret results on the new HIV test kits before the current ones are completely faced out.
A number of cases have been reported of clients being given inconsistent results with regard to their HIV status a situation which has prompted the government to opt for new test kits which are time crucial and easier to interpret results.
Caren Omiya a lab technician, who was also a facilitator, said the new test kits are expected to reduce erroneous results given to clients hence improve on efficiency of testing services.
The peak of the training was during the practicum session at Kisumu District Hospital and Jaramogi Oginga Odinga Teaching and Referral hospital where one of the participants managed to counsel and test a street boy who after knowing his status decided to go back home.
Kisumu District Medical laboratory technologist, Samuel Onjoro, who was also a facilitator, stressed on the need for providers to practice ethics in counseling and testing clients for good results to be realized.
  Health Communication and Marketing Coordinator Amos Onderi urged providers to implement the lessons learnt during training to offer quality services.
Amos also informed the providers that the current HIV test kits are still in use until the new ones are supplied to facilities hence clients should not be turned away because of lack of new test kits.
In her remarks during the closure of training, KMET Executive Director, Monica Oguttu stressed to providers to record and manage data on HIV properly since data is the only indicator of progress.
She also called on the providers to improve on HIV counseling and testing services in antenatal clinics due to the low outcomes as indicated in such clinics.
Monica finally challenged the providers to go back, train others in the facilities and deliver quality services.

Participants taking DBS samples during the post test.

Participants taking DBS samples during the post test.

KMET Huduma Poa conducts IMCI training to bolster efforts in managing child illnesses

 

Huduma Poa provider talks to a mother at Mbale health centre during the practicum.Information from the mother is crucial in assessment

Huduma Poa provider talks to a mother at Mbale health centre during the practicum.Information from the mother is crucial in assessment

Child mortality rates within western Kenya and North Rift regions has been pointed out as reason enough for providers to implement Integrated Management of Childhood Illnesses, IMCI, within their facilities.
KMET Deputy CEO Sam Owoko called on providers to embrace IMCI since it’s a conceptual approach which offers simple and effective methods to comprehensively prevent and help manage the leading causes of illness and mortality in children below five years.
Sam also said that KMET is ready to partner with and provide loans to the private health facilities which have funding problems that reduce their capacity to offer quality healthcare to clients.
He further outlined the benefits the health facilities would accrue such as accreditation and quality standards through Safe Care.
“You can start from level 1 all the way to level 5 which is the highest and gives a facility international status,” he said.
Amos Onderi programs coordinator Health Communication and Marketing underlined the need to implement IMCI because that’s the main reason for training the providers.
The training brought together providers from Kisumu, Homa Bay, Siaya, and Nandi among other counties from around Western Kenya.
The providers were able to learn several aspects of child disease. From the signs and symptoms which present themselves.
The providers were involved in practicum sessions at the Mbale Rural Health Centre and Vihiga District hospital where they attended to inpatient and outpatient.
The facilitators, Charles Ngwalla, Kisumu county clinical officer, George Nyawalo, county clinical officer Siaya, Azenath Aluoch, county clinical officer, Homa Bay County were instrumental in aiding the training session. With vast experience in child diseases they were crucial as they imparted knowledge to the providers.

 

Siloam and Cherengany Health Facilities Crowned as Centres of Excellence

Two private health facilities working with the KMET Medical Credit Fund (MCF) have been crowned as centers of excellence in their counties for attaining high standards of quality health provision.

KMET Deputy CEO Sam Owoko, Hands over the certificate of excellence to Mr. Jacob Kisang, Cherangany Nursing Home Administrator.

KMET Deputy CEO Sam Owoko, Hands over the certificate of excellence to Mr. Jacob Kisang, Cherangany Nursing Home Administrator.

IMG_3259Siloam Hospital in Kericho County and Cherengany Nursing Home in Trans Nzoia County are now model centers for other health facilities after attaining Level 3 SafeCare standards.

SafeCare are defined tools used to address patient safety and are aimed at satisfying patients’ needs through improved hospital infrastructure, human resource, hygiene, and privacy in a stepwise approach.

SafeCare has 5 levels and the highest level that has ever been attained by facilities in the SafeCare program in Kenya is level 3.

The two health facilities embarked on the journey to quality in 2011 which has seen them move from the minimum quality requirements of health provision (SafeCare Level1) to SafeCare level3 with technical support from the KMET MCF team.

Speaking after the release of the assessment report for Siloam

Hospital, Kericho county Chief Executive of Health, Hellen Ngeno urged health facility owners to embrace quality control measures such as SafeCare so as to improve client satisfaction.

“I would also urge KMET and their partners in the SafeCare program to consider working with public facilities,” she added.

Access to affordable financing

Private facilities that partner with KMET in the SafeCare program also benefit from affordable financing plans in order to enable them invest further in expansion of their health services and quality standards.

Cherengany hospital has been able to buy a CT scan machine, equip a fistula unit with ward beds, equip an operation theatre with beds and construct a new maternity unit with a loan they secured through partnership with KMET.

Similarly Siloam Hospital has been able to expand their services and infrastructure and are currently constructing elaborate surgical & dental units and an outpatient department. Eearlier on in the year they launched a fully equipped renal unit with a capacity of 3.

Quality Director SafeCare (Amsterdam), Nicole Spieker who visited Kenya for the award that SafeCare has partnered with the National Hospital Insurance Fund (NHIF) to introduce quality standards in all facilities enrolled with NHIF in bid to strengthen Public Private Partnerships.

KMET NUTRIFLOUR

KMET produces and packages supplementary flour for highly nutritious porridge. The flour is processed using locally available cereals, legumes and fruits. The emphasis on using local products ensures that the flour is both palatable and affordable for clients. The products can purchased on order , at any KMET Huduma Poa Health facility or at our premises in Tom Mboya estate
1. Nene nutriflour
Nene nutriflour is a  porridge flour suitable for older infants (over 6 months) and pregnant or lactating mothers. It is a blended enriched delicious healthy porridge with basic essential nutrients and natural pro-growth factors that are critical for growth and development. Nene is a stable whole firmly well balanced flour made of pearl millet, soy and nuts delicately blended in a well rationed formula that gives adequate calories, proteins, essential fatty acids and minerals that are required during growth and development of growing children and unborn babies.

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KMET NENE nutriflour for children and expectant women


Ingredients

Precooked nuts and soy, pearl millet and fortified with permitted vitamins and mineral mixes.

2. EXTRA NUTRIFLOUR
Extra is an enriched well blended composite flour with adequate nutrients essential for vital body function . The flour is formulated to boost appetite and improve adherence to drugs especially for clients on strong medication.
Ingredients: precooked nuts and soy, bull rush millet, amaranth seeds, ginger, permitted vitamins and mineral mixes.

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Extra nutriflour suited for clients on strong medication

3.  AFYA NUTRIFLOUR
Afya nutriflour is a  nutritious porridge flour suited for  the whole family use.
Ingredients:
Precooked nuts and soy, pearl millet fortified with permitted vitamins and mineral mixes.

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KMET Afya nutriflour for whole family use

The flour, packed in 500g packets go for sh.50 per packet at the KMET premises.

Woman gets a new lease of life

Judith Aoko lives with her grandmother and two of her children In Kanyairo village about 20 km from Siaya town. Her grandmother is the breadwinner to both Aoko and the children.
The 27 year old Aoko wears a shy demeanour, looks naïve and doesn’t speak much. She is epileptic the grandmother tells us.
Aoko has had two births while in her twenties yet no man has claimed responsibility of the children says her grandmother.
“I think some men take advantage of her situation when she gets epileptic fits or because she appears to be little mentally challenged” adds Rose Sewe a community health Volunteer working for Huduma Poa.

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Judith’s grandmother (left) and Judith Aoko at their home in Kanyoire Village

Rose Sewe had heard about Aoko’s story and decided to consult Rose’s extended family for a solution. She talked to the Uncle and grandmother and they unanimously agreed that it will be prudent to have the lady put on a contraceptive method.
Aoko who was orphaned at a young age attended primary school and is able to write and read even though her comprehension of facts is questionable. She was taken in for counselling at Future Life Medical Clinic and through the guidance of the clinical staff she settled on an implant.
The grandmother says she is happy that her granddaughter is now on a birth control method because she is not ready for more grandchildren.

“Life has become hard, the farm does not produce enough like it used to, so we have to be wise. I love my granddaughter and I wish she gets a good man to live with her someday,” she concludes.

By Emmanuel Oyier

Ignorance on family planning messed me up says mother of seven

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 Rosemary  (In black t-shirt) with her children at her house in Siaya 

Far right is Caroline the Huduma Poa Community health volunteer who counselled her.

Rosemary Atieno had just gotten married as a second wife in Udida Village, Siaya County and like in many polygamous relationships she enjoyed a lot of attention and affection from her husband.

The first wife had given birth to one child and had been unable to conceive thereafter, so when Rosemary bore a baby girl within their first year of the marriage the husband’s family was delighted.

That was 23 years ago and a lot has changed since then. Rosemary now 38 years old, is a mother of seven children who she has to support by herself.

Her first born daughter born in 1991 completed primary school and got married off due to what Rosemary terms as hardship within her home.

Her husband who is a casual labourer has since given her house a wide berth and spends all his time in the first wife’s house claiming that Rosemary’s house is too crowded and chaotic because of the children.

Rosemary says that she feels like her spouse is blaming her for having given birth to too many children, yet it is the man who had been constantly asking for baby boys in their marriage.

“Sometimes I ask for money and he says the little he earned has been consumed and at a point even asked me why I could not do family planning like other mothers do.”

The state of affairs at Rosemary’s house caught the attention of one community health volunteer (CHV) attached to a Huduma Poa Health facility nearby.

The CHV known as Caroline counselled the mother and referred her to Future Life Health Clinic for a method of contraception. Unluckily, Rosemary tested positive for pregnancy and could not have a method then.

She had to wait until six months after delivery to get a 5 year implant.

“I wish I had this information earlier, my life would have been better “says Rosemary.  “I feel bad I knew too late” she sombrely adds.

She says she is contemplating having a permanent method of contraception meanwhile she is on a five year implant.

Like many other ladies, Rosemary says she had only heard about Deprovera as a method of contraception prior to talking to the Huduma Poa Community Volunteer but did not go for it because of the side effects ladies say it has on them.