Reduce Suffering in Kenya Via Health Care Services

by Communities Health Africa Trust
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Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Reduce Suffering in Kenya Via Health Care Services
Mwikali receiving 5 yrs. implant from CHAT's nurse
Mwikali receiving 5 yrs. implant from CHAT's nurse

Mwikali* a Form 4 dropout due to an unplanned pregnancy. Amanya* is a school dropout due to financial problems in her family. Both are from the same village.

Mwikali was visibly upset about having to drop out from her academic pursuits, and had grudgingly made her way to the clinic. She was more than hesitant to let the nurse come anywhere near her with options of FP methods - she carried herself with an air of defeat, despite her resolution to return to school once the child was older.

“The father of my child was a high school student and continues with his studies, and here I am having to take care of the baby. He won’t marry me, let alone bother to take care of his child, and instead will marry another learned lady like him,” Mwikali confessed. Her mother had insisted on Mwikali getting an implant though, and while maybe not ideal for Mwikali* – she appeared to know her mother was right.

Amanya had also arrived hours before Mwikali, to bring her little brother to the clinic for treatment of a lung infection and worm infestation. Despite having already seen the nurse, Amanya and her brother ‘hung’ around afterwards. Amanya watched closely as the nurse prepared clients with local anesthetic before administering the implant methods; one client was Mwikali and whilst writhing about in her chair, it suddenly became clear that she was more afraid of the actual insertion, than the ‘contraceptive’ itself.

Amanya had been listening to Mwikali’s story and without deliberating for even a moment, she rang her mother to get permission to receive FP services, but her mother refused. Ann (CHAT’s nurse), then briefly spoke with the mother and suggested that she visit the local clinic together with her daughter so that they could learn about family planning options together. Amanya wasn’t swayed though, not after learning of Mwikali’s hardships.
By the time Mwikali had relaxed enough for the implant to be administered, Amanya was already completing step one of the process - the pregnancy test, and was calm as she handed over the urine for the nurse to process. Mwikali was now through - and Amanya quickly sidled into the spot and eagerly offered Nurse Ann her arm, requested for an implant method!

“The implant took less than five minutes to insert and now I am ‘set’ for the next three years against the unsettling thought of finding myself with an unplanned pregnancy!” Amanya was jubilant.
Mwikali chose the five year implant method - her mother also jubilant.

CHAT aims to diminish the occurrence of unplanned and unwanted pregnancies, empowering women with education/information and access to family planning options as Guttmacher research institute, research paper 2014 series no. 2 quoted,
“Empowering a woman in poverty has to begin with access to contraception protection against unwanted pregnancies”

While this holistic family planning service may have reached Mwikali too late, there is still hope for her to return to school someday, as long as her family doesn’t grow beyond the means for which she is capable of providing.
And if, by some chance, Amanya happens to get the opportunity to return to school, nothing should impede her from doing so. Much like the many women that have visited the clinic prior to their arrival, these two young women left with brighter options to secure their futures and pursue their dreams.

Amanya receiving 3yrs. Implants from CHAT nurse
Amanya receiving 3yrs. Implants from CHAT nurse
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Empowering myself
Empowering myself

Wangui* lives in a slum surrounding Nanyuki in Laikipia County, Kenya was 20 years old when she became pregnant. After birth, she confided to a neighbor that she didn’t want to have another baby too close to the birth of her first child. Wangui’s neighbor , Rose Mulonzi, who is a community own resource person (CORPs) that partners with CHAT by mobilizing for their family planning services - informed Wambui about CHAT’s mobile health service which focus on providing poor and forgotten communities with access to family planning services. When the clinic’s yellow Land-rover eventually arrived at Wangui’s very humble shelter in this part of the slum, Wangui was visited by Nurse Ann Mwinzi, who works with CHAT’s motor mobile clinic. Having been counseled on a range of family planning methods Wangui decided upon choosing the 5 year contraceptive protection Implant method. “I chose this method because it lasts for 5 years,” Says Wangui. “You can’t forget to take it like you can with the pill -this is five years guarantee protection! Against unwanted pregnancies.” She adds. Through CHAT, women like Wangui are transforming their lives by accessing family planning services. With access to contraceptives she now has the choice to plan for the future and at long last is feeling ‘empowered’ to begin planning her future. “This is what and where, how do they say – “womens empowerment” begins – I have a considerably more ‘power’ to now control a little my future and plan for it.. Wait until I share this with my friends and relations who are and have gone through horrible suffering – unskilled abortions, infanticide, school girl pregnancies - haaa, please, wait let me go and call them….” “It would be the end of the world - a world of hopelessness & ever deepening poverty if I didn’t have this service,” she says, beaming when she returned with some friends. Wangui was lucky to receive professional family planning advice. In many slum communities, widespread myths about contraceptives mean that many women like Wangui don’t have the facts they need to make informed choices. CHAT’s grassroots partner, Rose shared this most apt and very real quote with Wangui, by a UNICEF director, William G. Hollingsworth: “Family Planning could bring more benefits to more people at less cost than any other single technology now available to the human race”. In this quarter, a total of 22,345 individuals were reached with Family Planning/ ecological awareness services, out of which 8,657 women were provided with different family planning methods of their choice.

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FPCORP providing FP/ecological sensitization
FPCORP providing FP/ecological sensitization

Susan is a dynamic community minded woman and has been partnering with CHAT as a family planning mobiliser for over ten years. Born and brought up in a remote Samburu community, Lodonokwe, and a mother of four children, she goes on to add “When I met CHAT then, I was not aware of family planning (FP) as I was born and brought up in a “Catholic environment”. CHAT provided me with access to an innovative FP training containing a strong component of ecological awareness – this was facilitated by another partner of CHAT’s, the GoK – so, together with about 14 other mobilizers from 7 different counties I was introduced to FP services. I tried for myself using Depo-Provera - an injectable contraceptive protection method that provides 3 months protection, for the first few months before changing to a long term method, a 5 year Implants; the benefits of this for me as a Samburu women was profound – henceforth, I became eager to educate other women in the neighboring communities and sub-counties about these methods”.
To meet her targets Susan is guided by the performance based MOU she has with CHAT, she has a schedule to visit the communities she serves, and an activity guide. “After meeting with the locum nurse to make a plan for the nurse to assist with the technical work, I visit the communities to mobilize about fp/ecological awareness and TB.”
I live and work in a usually hot, dry environment that is experiencing an alarmingly rate of land degradation. “ I see no more grassland – just dust and stones due to our overstocking - water shortages are being experienced today more than ever before”. Susan will trek through this to reach these communities, many of whom still practice a very traditional nomadic life styles. Some of these practices are harmful, especially to a girl or woman “My tribe experience many unwanted pregnancies that often result in harmful abortions, and many are even desperate enough to commit infanticide – however, I KNOW, that if my people could access contraception, this horrific suffering can end….our whole quality of life would begin to change for the better - and I am eager to inform others that there is a ‘ choice’ – they do not have to bare all this suffering….but many of us poor and marginalised Kenyans still are challenged with not having access to FP services”.

With access to FP which is enriched with environmental sustainability knowledge being the major drive towards a health community, Susan creates awareness of the importance of a sustainable population - also explaining about the positive improved impact to their ecosystems as a result -emphasis is put on how each species needs the other for peaceful co-existence. “Lack of information is harmful if a community is to strive to be healthy - if our ecosystems are not in harmony, are not well taken care of, our economy will become increasingly poorer and hence, my community will continue suffering,” she explains.
She lamented, “the need of my people to plan their families in accordance to their available natural resources is urgent - such as manage our land back to being grasslands – no longer accept a future of dust bowls, our dry river beds to trickling streams, our eroded mountainsides to forested slopes – I dream and pray for us to return – of a sustainable life – accessing FP services provides the foundation to this recovery – without this basis we will just continue to destroy ourselves and all around us”

A typical traditional Samburu manyatta
A typical traditional Samburu manyatta
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No one likes needles!
No one likes needles!

It was a pleasantly sunny afternoon for the motor mobile clinic when it arrived in Kirimon. Kirimon is a small community in Laikipia north. CHAT’s nurse, Pauline, was working away under a tree, waving down everybody she saw as she waited for Susan, a community own resource persons (CORP) who does family planning/ecological awareness mobilization with CHAT. Susan came back much sooner than usual from doing her door to door family planning & TB mobilization. She was being ‘hauled’ back to the clinic by a very enthusiastic client - a lady named Naishoree.

Naishoree sat beside Nurse Pauline looking very comfortable; it seemed like she had already made a decision with the information she had soaked in from Susan on their way to the clinic under the tree. She explained that she is a mother to 10 children, for a 32 year old woman this does seem like quite a burden, for any woman really!  Susan said that she had met Naishoree in the village, she was going to World Vision (an NGO) to request for some goods. She simply cannot afford to purchase enough food for all her children nor does she have the strength, land let alone time to plant a substantial garden. Naishoree took Susan’s arm almost immediately the moment Susan mentioned family planning and dragged to Nurse Pauline.

She quietly listened as Nurse Pauline explained the various methods of contraception at length, Naishoree seemed to dismiss the shorter term methods without much thought. Eventually she said to Pauline that she doesn’t want any more children and she would like something that will stop her from ever having another child again. Tubal ligation was mentioned and that seemed to spark an interest in Naishoree’s eye but once she had understood what the procedure entails she said that she’d rather go for the 5 year contraception protection method.

During the five minute insertion procedure Naishoree told Pauline that if she knew about family planning before she would have only had five children, she would have done a lot of things differently and maybe her life would have been different. Once she was all plastered up she got up and admired her arm and she said that she will tell everyone about the importance of family planning. She took Pauline by the hand and shook her hand so vigorously that her pen fell out her front pocket.

Naishoree is so very grateful for the services CHAT provides. “…these services wouldn’t be possible without your help, thank you.”

 

** NB names have been changed to protect individuals, all stories have been approed by each individual before posting.

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Pauline Treating A Patient
Pauline Treating A Patient

The day starts before the birds do, there is still mist outside, the grass is cold and wet with dew, it’s time to start packing and set off for the next community. All that is heard is the zipping up of tents and bags. A metal pot is nestled on a small gas stove, a hot cup of sweet tea is all that is needed to keep the “wolves away” in the early morning. Once finished, Nurse Pauline with Peter, CHAT’s driver, pile into the yellow land rover and make their way to their next community, this could be as close as 50km or as far as 150 km or more usually following off road tracks and trails.

It’s a long drive, the team is always relieved to arrive at the next community. The fun doesn’t stop yet! First in order is to find a good place to set up the simple clinic for the day. This can be from setting up the treatment tables under a big shady tree (shade-less depending on the weather) to finding empty classrooms or kiosks big enough to fit in everything including Pauline herself and a patient. They begin unpacking the medicine and set up the two rickety metal tables, Peter sets up the tent nearby for private services.

Not only is Peter CHAT’s driver, he is an excellent mobiliser. Pauline won’t be seeing him for a while, which is just fine as Susan, Community Own Resource Person (CORPs) had “backpacked” from her home community to mobilize here for a few days, she had come up with a number of people who needed our services; from family planning, HIV/AIDS counseling and testing (HCT), TB information to basic curatives. Susan works alongside CHAT with a performance based MOU after CHAT facilitated her training.

Evelyn came to Pauline with her 18 year old daughter, Mary. Mary got pregnant while she was in school. She has a child who is only three months old. Mary had an accident some time ago which has left her with a problem with her leg making it difficult  to do normal day to day tasks, her mother has to help her with her child and many other house hold duties daily.

Evelyn explained that she wants Mary to go back to school, the child will be cared for but they are both afraid Mary will not manage with another child on board. Nurse Pauline having listened, took the time to explain each FP method. After some time Mary decided that she wanted the 3 year implant; after receiving the implant she was excited about going back to school - she had a smile from ear to ear.

Evelyn asked Pauline for her mobile phone number so she could keep in touch with her, she hopes that Pauline will return to visit them. Mary was also given Susan’s, CHAT’s FPCORP’s number. Small displays of thanks and appreciation really make it worthwhile, even the day seems less hot! 

Tummies are rumbling, when is it lunch time? The team doesn’t stop for lunch, there are patients waiting to be treated. They will wait until the evening when they have time to prepare a meal.

Before night falls they set up camp for the night. Bags come out and the same zipping noise is heard. Peter shares with Pauline that they provided services to 78 impoverished people yesterday – 96% wanted family planning ecological awareness services – 55 chose the 3 year implant method of contraception method!

Another day well spent, thank you for all your kind donations that make these ventures possible!

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Communities Health Africa Trust

Location: NANYUKI, LAIKIPIA REGION - Kenya
Website:
Project Leader:
SHARON WREFORD-SMITH
Nanyuki, Kenya
$33,100 raised of $100,000 goal
 
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