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 Health  Kenya Project #25829

Maternal and Child Health Clinics

by Village Hopecore International Vetted since 2011 Top Ranked Effective Nonprofit
Maternal and Child Health Clinics
Maternal and Child Health Clinics
Maternal and Child Health Clinics
Maternal and Child Health Clinics
Maternal and Child Health Clinics
Maternal and Child Health Clinics
Maternal and Child Health Clinics
Maternal and Child Health Clinics
Maternal and Child Health Clinics

 

Dear Friends

We are glad to report that for the past three months, Hopecore has made tremendous progress and remarkable impact in providing universal healthcare to the poor in Maara Sub-county. Then number of clients have increases rapidly and this is credited to the mobilization done by our NCHVs.

We are happy to report that for the period between June 19 and August, our Neighbourhood Community Health Volunteers (NCHVs) have conduct 4287 household visits. The NCHVs taught the community about: breastfeeding, nutrition, family planning, Immunization and hygiene. This has led to significant reduction in diarrheal related cases and minimum cases of malnourished children. We also collected a list of success stories from our NCHVs:

 “....after several visits and health education in two households whose mothers have not been taking their children for immunization, these mothers have accepted to take their children for immunization and they are ready to continue without failing for theyhave realised the importance taking the kids for immunization"

“...l met a mother last week who had not taken her Child for immunization. The child was eleven months old and he had not been given measles vaccine. l took time to advise her to attend clinic. This week l was very successful and happy to find out  that the child was given the vaccine. This created a lot of impact to the childs health”

“...two malnourished children who were  under the care of Village Hopecore for last two months have picked well and they are very healthy.both parents and community are proud of that, continue with the same spirit, thanks Hopecore God bless you”

Our Maternal Child health clinic has registered remarkable number of patient where:

 -         3562 Mothers have been educated.

-         2271 Children Under 5 years participated in growth monitoring

-         1760 Children under 5 have been treated.

-         1,266 Children under 5 years have been dewormed

-         425 Children under 5 have been given Vitamin A dose.

-         19 Malnourished children were referred to a dietitian

 In August, we started operating a full-time clinic that opens from 8:00Am to 4:00Pm. The clinic makes our health service more reliable because clients can visit the clinic at any time and when we don’t have our mobile clinics in their villages. For a period of one month, we are glad to report that we have been able to treat 273 patients. We expect much turn-up at the clinic because of the reliability of our services.We got positive feedback from a client who visited the clinic:

“...am very happy about Hopecore full-time clinic because am able to bring my child to clinic after am done with my home chores and at any time. The nurses are very hospitable and am glad I got all medication for my daughter ”

 We have been able to accomplish all these because of the generous support from donor like you and for that we say a big Thank you for the continued support.

June 2018

 

With the success of our NCHV program and Health Champion program we have a huge number of agents of change based in the community supporting Maternal and Child Health.

We have been collecting success stories from our NCHVs and CHWs, some examples of these are below.

-      “Last week I visited a baby who had asthma. I am pleased that the baby is doing well after HopeCore nurse, Winjoy did regular and strict follow ups and was able to advise the mother on the best way to care for the baby”

-      “After visiting a household which had no latrine for 12 days, the head of the household has started constructing a latrine. Also, 4 new households have reported drinking clean water after my regular home visits”

-      “After visiting a mother who was pregnant and advising her to go to the hospital to delivery, I found that she took my advice and delivered in the hospital”

We also regularly collect data on the condition of our patients after they have completed their course of treatment, or a few weeks after we have seen them. We do this in order to measure the effectiveness of our programming and treatment plans. We are happy to report that to-date in 2018, 75% of a representative sample of patients are healthy when we follow up, 18% are showing signs of improvement, and only 7% need additional visits from our nurses.

Additionally, we are happy to report that our NCHVs and CHWs conducted 1,012 home visits between May 1, 2018 and June 18, 2018. Additionally, we have an update on number of clients reached so far this year:

-       5,422 mothers have been educated

-       2,347 children under 5 have been treated by HopeCore nurses

-       3,615 children have participated in growth monitoring

-       1,923 mosquito nets have been given to children in the entering class of their school

-       1,666 children under 5 years have been dewormed

-       1,177 children under 5 years have gotten their recommended Vitamin A dose.

In April 2018, we trained an additional 25 neighborhood community health volunteers, bringing the total number deployed in the field currently to 52.

In May 2018, we deployed an additional team into the field so HopeCore now has 4 teams daily visiting schools. Each team is composed of 2 nurses, 1 health educator, and 1 or 2 community health workers. We expect to see the number of patients treated to increase this year and are excited to continue to share updates with you.

We are only able to accomplish everything with do through the generous support of donors like you!

The new cohort with the MedTreks trainers
The new cohort with the MedTreks trainers

Over the next two years, 2018 and 2019, we aim to implement a far-reaching community health worker program. We will train each of these neighborhood community health volunteers (primarily women) to be agents of change in their community. They will conduct outreach to homes, monitor women’s pregnancies, and ensure our schools are participating in healthy behavior.  

Each of these NCHVs are equipped with a mobile phone. HopeCore has developed a mobile application for both data collection and training purposes. The NCHVs have, at their fingertips, a huge amount of health information that will support them as they offer services to the women in their community.

In January, HopeCore launched the above program to support the overarching maternal and child health program. We are so excited to share the details of the training of these health promotors. The training was offered over 6 days. 

The training objectives for the 6 day training were 1) to have competent NCHVs; 2) To be the first line in combating poverty in the community; 3) To build connections with others in the community; 4) To explore the importance of partnership in improving community health. 

Day 1: Introduction, purpose of NCHVs, HopeCore's objectives, governance of NCHVs within HopeCore's existing strutcutres, roles and responsibilities of NCHVs, leadership qualities of a community leader, communication skills, counselling skills. 

The first session on the concept of NCHVs was a word visualization exercise where the participants were asked to say out loud the first words that came their minds upon hearing the words neighborhood community health volunteers. At this point the participants were already so eager to strategize and plan that the agenda be adjusted and we have more time for this sessions. The topics were well structured and captured the main basics that the NCHVs needed to know for the day.

Communications skills were greatly emphasized during this day towards focusing on the approach we give to our clients in the community, while delivering our services for the success of our programs. Qualities of a community leader were also echoed on day one training, considering the fact that our NCHV are the lead ambassadors who will act as change agents in our community through their leadership qualities. 

Day 2: First Aid and CPR

On day 2 of the training, our neighborhood community health volunteers were trained by the MedTreks team. The trainees were very attentive during this session, after realizing that this is something that can be of help, not only in HopeCore but in the community and in their homes. Most of the trainees are parents and were very grateful to MedTreks Nurses for giving them an opportunity to learn how to handle most of the accidents at home or at work, through first aid and other emergencies.

Day 3: Preconception care, focused antenatal care, individual birth plans, breastfeeding, family planning

Day 3 started with a recap of the previous days in which the NCHVs remembered 95% of what they had previously covered. The topics here were of particular interest to the NCHVs and they have requested additional trainings on these topics. 

Day 3: Nutrition, malnutrition, growth monitoring, deworming, and Vitamin A

The trainers used the morning sections to cover malnutrition, vitamin A and deworming, summing it up with a description of the HopeCore's health hotline. After lunch the trainers jumped to tackle growth monitoring and nutrition assessment, which took bit of time to show the practical part in growth monitoring and filling in the forms, which took much time for the trainees to comprehend the whole procedure. The trainees will need refresher trainings on how the NCHVs are doing the growth monitoring in the field.

Day 4: Introduction to sexual and reproductive health, STIs, HIV/AIDS & PMTCT, tuberculosis, youth counseling and referals, value clarification, data collection

Day 4 was very successful and we are expecting a great impact based on the training topics we trained especially on youth matters from the villages, churches, homes and community at large

Day 5: Malaria, diarrhea, oral rehydration therapy, coughs and colds, skin and eye infections

Today, emphasis was put on diarrhoea and oral rehydration therapy administration in order to curb the number of diarrhoea case in our community. Malaria was too emphasized and the importance of using a mosquito net was shown to be essential in curbing the spread of malaria.

Day 6: Water, hygiene, and sanitation, data application training

The NCHVs were trained on the importance of drinking clean water and encouraging hand washing in their communities. We discussed the impact dirty water and lack of hand hygiene can have on the health of children. Additionally, the mobile application for data collection and education was introduced, but there needs to be significant additional training on the application. This additional training will be done during the monthly refresher trainings that will come in the future. 

The whole team looks forward to integrating these neighborhood community health volunteers into HopeCore's maternal and child health programming.

This year is the year of education at HopeCore which is why we have focused so heavily in describing the training in this report. We will have monthly refreshers for the NCHVs and will continue to build their knowledge base and skills. By empowering community members with health information we are stopping the spread of misinformation, acting as a resource to the community, and imbedding accurate health information providers in homes around Maara Sub county. 

Home visits around Chogoria
Home visits around Chogoria

Our health program continues to demonstrate impressive successes. The team held an average of 30 maternal and child health clinics and 36 mobile clinics each month, reaching over 7,000 mothers with health education.

We are helping mothers and youth plan their lives through health education and provision of family planning.

Our clean drinking water program continues to be successful in 200 schools, reaching 45,000 children. With 12 new schools being built over the last 3 years, we were able to install clean drinking water tanks and hand washing stations in each of them this year. Additionally, we continue to deliver soap for hand washing to schools each term to reduce the stomach illnesses in children and their teachers.

HopeCore's health services are now offered to over 100,000 women and children in and around Chogoria.  

Here are some more 2017 highlights: 

  • Distributed over 2,000 long-lasting, insecticide treated mosquito bed nets
  • Had almost 2,000 visits to the office-based Youth Center
  • Distributed 460 reusable and disposable sanitary pads to girls, and provided health education to each one of them

We have big plans for 2018! Below are some of our new goals: 

  • Recruit, train, and manage 50 new neighborhood-based community health workers
  • Establish HopeCore Health Coordinator teachers in 170 schools in Maara Sub County, ensuring health messages are constantly reinforced and children are healthier
  • Ensure 70% of children in schools are drinking clean water and washing their hands before and after meals
  • Distribute 5,000 long-lasting, insecticide treated, mosquito bed nets
  • Establish a learning resource center for the community at HopeCore's Chogoria office

Links:

Have you been wondering who HopeCore helps through our Maternal and Child Health program? Or how we decide what our programming should be? 

We are looking to expand our maternal and child health clinics to be a comprehenisive program that supports women from their child's conception through the first five years of the child's life. We are currently looking for partners to support us in this effort, but in the meantime have done some research into the experiences of childbirth and pregancy of women in our community. Read through the stories below to hear directly from the women in Maara Sub County! 

Nancy is a 35 year old mother of 4. Her children are age 17, 10, 7 and 5. This means she had her first child when she was 18 years old. All of her pregnancies were planned except for the fourth one. Also, they were all born by the same father. Nancy received support from her sister, husband, and her grandmother. However, she did not receive any support by her bothers which was caused strife in the family. During the birth of her first child she had malaria, and pneumonia because of this she could not breast feed. The first child was feed formula. She was also able to visit the dispensary six times during the pregnancy, and she delivered this baby at a hospital. For her next child she was able to breastfeed but began to introduce solid food at three months. Then her last two children after learning from her own experience she breast feed for six months before giving them solid food. She found this method better because her last two babies were not getting as sick as the first two. Even though she visited a dispensary four times with the rest of the pregnancies most of her learning came from her own experience. Her advice to others is to give birth at a hospital like she did for each of her children in case of complications. Lastly, she encourages mothers to get tested for different illnesses before getting pregnant.

Betty is 24 years old and from Gakth. She is married with two children ages 7 and one and a half. Her 7 year old child attends school, and her and her husband are both farmers. Both children were planned and it was her own decision to get pregnant. She did not speak to anyone else for advice. She was very excited each time she found out she was pregnant and was not scared. She went to a dispensary three times for each pregnancy. She felt like the second pregnancy was much easier and she prepared for each child’s arrival by being less active in the last trimester. Her first child was born at home by her grandmother who had lots of experience with being a midwife. Betty was able to go to the hospital the following day for a checkup. Her second child was born in the hospital which she felt was a better experience,  because of the care she received. Both children were breastfed and introduced to solid food at six months which was advised by a doctor. She advises others to deliver at hospitals because of the complications, and better care at them too.

Lucy is 38 years old and has four children. The children are ages 13, 10, 5 and 2 and a half. She is from Kigui. The first three pregnancies were planned, and she did have complications with her second pregnancy. With her second child the position of the baby caused her to not be able to work at all. This caused a financial burden for her family. Everything turned out okay and the first three children were born in the hospital. There she had support from her whole family. Her fourth pregnancy caused the most strife for her family. She did not have any support from home, felt financially unprepared, and did not know her due date. Because she did not have support from her husband or family her fourth child was delivered at home with the help of neighbors. After delivery she went to a dispensary right away. All four children were breastfed. the first one was introduced to solid foods at three months and the second one was introduced to solid foods at two weeks. the next two children were introduced to solid foods at six months.

Christine is 30 years old. She has three children, ages 18,13 and 6. her first pregnancy was not planned and she was not married. she was still living in her parents home. that child was delivered in a hospital as her parents were able to afford the hospital bill. Her next child was born on the way to the hospital but since she lived so far away she was not able to make it there on time. her friends helped deliver the baby and she went home immediately after. she had not visited a hospital until two weeks later. Her 3rd child who was also born at home with the help of the neighbors. she was able to visit a hospital two weeks later. Sadly, Christine was not supported very well especially by her husband, and so the financial burden was on her as well as taking care of the children.her first born was not able to attend secondary school because it was too expensive. She is hoping her 2nd child will be able to attend next year. She advises future mothers to visit the hospital when they can, eat a balanced diet, and find way to support the family.

Mercy is 20 years old with one 2 month old child. She was able to visit a true hospital twice while pregnant as well as deliver in a hospital. She did not spend much time at the hospital after the delivery and has only returned for immunizations. Thankfully, Mercy has had much support from both sides of the family and plans to stick to the advice she has been given to breastfeed and introduce solid food at 6 months.

Lydia is 30 and has 5 children ages 18, 11, 8, 6, and 2 and a half. Her three oldest were born to her first husband and the younger two were born to her current husband. With each child she was able to visit a dispensary 3 times during the pregnancy. The first child was born at a hospital in Nairobi, but because she could not afford the hospital, the rest were born at home. Each of the first 4 were breastfed and the last was not because he refused to. Because of this he was started on solid foods much sooner than the rest to limit the cost of formula. Lydia advises women to deliver in the hospital if possible and to make regular hospital visits during pregnancy.

Stella is 28 years old and has two children ages 3 and 3 months. Her husband is a builder. Both of her pregnancies were planned and she hopes to have more kids in the future. During her first pregnancy she was not able to eat well because she did not have an appetite. She ended up losing a lot of weight. During her second pregnancy she was able to eat better. She ate a lot more greens as she had been advised by the doctor. After her second child was born she developed a food allergy and needed to stay in the hospital for several days after delivery. Thankfully, for both pregnancies she was able to visit the hospital several times. Also, both kids were delivered in the hospital. Unfortunately, Stella’s family kept their distance after the children were born for fear that she would ask for financial assistance.

 

 

Also! We recently published a video of our work in Maara Sub County. Click below to learn more. 

Links:

 

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Organization Information

Village Hopecore International

Location: Chogoria, Eastern Province - Kenya
Website:
Facebook: Facebook Page
Twitter: @HopeCoreKenya
Project Leader:
Okumu Sylvanus
Chogoria, Eastern Province Kenya
$9,795 raised of $75,000 goal
 
91 donations
$65,205 to go
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