Community Systems Strengthening

 

A large proportion of Kenyans bear one of the highest preventable burdens of ill health in the world. The community health approach is an effective means for improving health and contributing to general socio economic development. The determinants of health are best addressed through integrated responses and achieved through people’s active participation, especially at the community level. Facilitating people’s participation is a key element of community health strategy (CHS) implementation in Kenya.The Kenya community health strategy 2014-19 envisages building the capacity of households to not only demand services from all providers, but also to know and progressively realize their rights to equitable, good quality health care as provided for in the constitution.

 

Uzazi Salama project plans to establish 13 community units in a bid to strengthen the health system in Samburu. Up to now over, 8 community units comprising over 300 CHVs have been setup and continue to provide community services to over 5020 beneficiaries. Entry meetings with the community gate keepers/leaders have been very helpful in realizing this initiative which has also led to a buy in. The Community health Volunteers have been trained on Water and sanitation, hygiene, health promotion, family planning among other topics

Job aid translation;
Low literacy levels continue to inhibit knowledge transfer in most rural Kenya areas. In Samburu the project sponsored the translation of MNCH materials as well as the Job aid to local language touching on all areas i.e. immunization, nutrition etc. to make it easier for them to educate the locals
Formation of mother to mother support group
Mother-to-mother (M2M) support groups are initiatives formed under the community strategy where mothers support their peers by informing them on good practices for example the need to exclusively breastfeed, advantages of mothers to go for health services to facilities as well as offer clarifications to peers on various health issues. So far over three (3) groups tied to similar community units each with 30 mothers per group per Community have been selected and are currently being trained. Health promotion through local radio station – Over time there has been need to relay health messages among communities as a way of educating them on the need to uptake health services in the facilities as well as messages on the various health topics. During this period the project engaged the Health promotion department in the County and agreed there is need to entrench this to complement other initiatives ongoing in the County. The messages will be in form of:
  1. Recorded health talks
  2. Skits
  3. Promotional messages during  health campaigns
With the aim of training 500 community health volunteers (CHVs) in Samburu County under the Uzazi Salama initiative, the Leap mHealth Platform (http://www.leaphealthmobile.com/) has been used to complement traditional Face-to-Face training. To date twelve (12) Community Units (CUs) have been onboarded. Using simple SMS and audio technology, the Leap platform has been used to train the CHVs on the community strategy covering core health issues such as maternal nutrition, child nutrition, ante natal care, danger signs in pregnancy and after delivery, danger signs in children under five years, family planning, water, sanitation and hygiene, health promotion in the community, cholera among other health issues. To date, over 115 CHWs have been trained under this partnership, reaching over 2,875 households and 14,000 community members in Samburu County.

Success Stories

Mother’s Day Celebration

Mother’s Day Celebration

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Uzazi Salama commemorates Mother’s Day in Wamba, Samburu East, Kenya

Uzazi Salama commemorates Mother’s Day in Wamba, Samburu East, Kenya

Samburu County First Lady Lily Lenolkulal led women in the county in commemorating Mother’s Day on 14 May 2018 in Wamba, Samburu County, Kenya. Several members of the county government were also pre...

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Uzazi Salama saved my daughter and I

Uzazi Salama saved my daughter and I

The day started like any other. Ngitanet Lolmodoni prepared her children for school and went by her daily chores. She was nine months pregnant at the time, and at the back of her mind, she knew the ba...

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Mothers in Angata Nanyukie benefit from baby packs under the Uzazi Salama project

Mothers in Angata Nanyukie benefit from baby packs under the Uzazi Salama project

Every day, Josephine Lemunen walks several kilometres to look for firewood. She trades the firewood for food stuff to help sustain her small family. “I have two children, and I leave both with my mo...

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Volunteering to reduce materenal deaths in Samburu County

Volunteering to reduce materenal deaths in Samburu County

When the clock struck 12:00am on December 31st, 2016, Mary Kisai received a distress call from Anne (not her real name), one of the pregnant mothers she had been following up in her community unit. An...

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Involving caregivers in preventing child mortality

Involving caregivers in preventing child mortality

With a 50 kilometre distance to cover to get to Loolmolog Dispensary, most community members of the Samburu community find it difficult to access constant medical attention especially for diseases suc...

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Provide regulatory oversight on project implementation and Sustainability of project interventions

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Project donor
Enable mobile service reach in Samburu County.

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Programme & partnership management
Improve quality of health service in Samburu through implementation of safe care model
Health financing through Ambulance referral system.

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Learning design and implementation for health workers and community health workforce.
Improve data management for accountability. .