AMURT Educational Support Program, Likoni, Mombasa
In 2007 AMURT opened a nursery school in our Likoni center. We provide 55 poor children with basic education, food, and healthcare. We are currently expanding the school building with help from AMURT Italy and other supporters in the community.
HIV/AIDS Orphans and Vulnerable Children’s Program, Nairobi
Many children in Kenya are affected by the HIV pandemic. Either they are born with the virus, or they acquire it through their mother’s milk, or they are orphaned due to the death of their parents to the disease. According to the National Aids Control Council (NACC) 2005 report, 1.9 Million Kenyan children are AIDS orphans.
AMURT provides a daycare program for children infected or affected by HIV/AIDS in its community center near the Kangemi slum area of Nairobi. Kangemi has a high incidence of HIV, with one in seven people infected.
|AMURT provides HIV+ children with wholesome meals, education,
medical treatment, and the support of counselors.
The daycare center was inaugurated by F.K.A. Segai, the Provincial Commissioner of Nairobi, on 16th April 2003. It now cares for 106 children, providing counseling, education, nutritious meals and healthcare. Our counselor advises the children on coping skills (in the event of both parents dying), dealing with discrimination (people with HIV are still ostracized in Kenya) and healthcare issues. This program is supported by AMURT Italy, AMURT USA, Lions Greater Nairobi, and individual donors.
Training Program for Healthcare Professionals, Nairobi
AMURT organizes training programs for health care professionals in various Nairobi clinics. In 2006 we trained 250 nurses, laboratory technicians, pharmacists, VCT counselors, and HIV/AIDS managers.
AMURT Healthcare Center, Nairobi
AMURT ‘s Healthcare Center was inaugurated in 2003, funded by the Embassy of Japan, Prakash Patel Foundation, Giants Group of Nairobi, Singh Retread Ltd. and Abacus Pharmaceuticals. The 26 staff members make good use of the building’s 34 rooms for a wide range of medical services, including medical consultations, pharmacy, laboratory, X-ray and ultrasound examinations, dentistry, and voluntary counseling and testing of HIV carriers. In partnership with the Government of Kenya, Family Health International, and Pathfinder International we provide services in maternal and child health, family planning and treatment of HIV/ AIDS, TB, and malaria. Presently we treat 4,000 outpatients monthly at a 50% cost sharing rate, provide antiretroviral therapy for 1,800 HIV/AIDS patients and assist over 2000 patients with opportunistic infection (OI) treatment.
AMURT Healthcare Center, Likoni, Mombasa
AMURT recently built this health facility in the Likoni slum near Mombasa. The clinic has 9 medical staff, and serves as the base for 15 community based health workers who provide home based care services to over 2000 HIV patients. In partnership with the Ministry of Health and Family Health International we are provide treatment for TB, Malaria, and HIV. The major donors are AMURT Italy, AMURT USA, Palm and local sympathizers. The training program for the community health workers was provided by Pathfinder International.
AMURT Mahaya Hospital, Mahaya, Kisumu
With support from the Ministry of Health, AMURT recently finished construction of this hospital in the village of Mahaya, 72 kilometers from Kisumu in the Lake Victoria region. The main function of this hospital is to support pregnant mothers and reduce the risk the child mortality. According to our survey, 95 % pregnant mothers deliver their baby at home, often in unsafe conditions. Our maternity ward provides mothers with a safe place to give birth. The hospital has 23 beds as well as a pharmacy, laboratory, pediatric section, and small operation theatre. An average of 50 patients get treatment daily at a nominal fee.
The major donors for this project are the Embassy of Japan, Embassy of Egypt, Hyarbisan Construction Company, CDF, Kenya Concrete, and Skylark .
Primary Health Care
AMURT Kenya and the Lombardia Region of Italy partner of the project is the ASL of Mantova, through the Area Environmental Prevention of the Department of Prevention under taken a primary health care project in Kenya through the local supervision of UNICEF and Ministry of health in Kenya.
Project Intervention areas
The project covers the areas surrounding the three AMURT hospitals in Kenya:
- Urban area of Nairobi, Kangemi district
- Urban area of Mombasa, Likoni district
- Rural area of Nyanza province, surrounding of Kisumu
1. Project Objectives and Strategy
The project main activity is awareness raising and training on health issues, of the population living in the surroundings of the three hospitals, by means of field agents opportunely trained. They operate through periodic training sessions with groups of residents, using participatory methods, identifying together the main health problems and the possible solutions.
This approach, which aims also to the strengthening of the local communities and the promotion of the role of the woman, brings to the decreasing of pathologies between the beneficiaries and their families. Moreover, it stimulates the participatory development, which is realized through the design and the implementation of micro projects in the health sector. A modest budget is available for their start, and it could be increased thanks to local resources or other donors.
The existing AMURT hospitals are the hearth of the project, where it is coordinated and managed. The project foresees a modest strengthening of the hospital staff and equipments, in order to create the conditions for better effectiveness.
The project is a pilot experience for Lombardia Region health institutions, and aims to define a methodology of intervention which has to be appropriate and replicable.
2. Expected Results
- Awareness raising and training on health, hygiene and nutrition of about 120 informal groups of women and men, each of them composed of about 40 people. On total, each group will be object of about 5 days of training (this can change on the basis of field needs). We estimate about 600 training sessions will take place during the project lifespan. And 4800 families will get training.
- Strengthening of human resources and hospital equipments, aiming to the best management of the project and of the increase of health demand from the population, which is expected as one of the project output
- Participatory identification and implementation of micro projects in the health sector, through community building. Projects have to be simple and locally rooted, with large impact on the population. For example, among them we remember: safe water provision, environment sanitation, mosquitoes control.
- Study of a methodology for sanitary prevention in African Countries for deprived social groups, which will be made available to Lombardia Region health institutions.
3. Project activities
12 field agents are raised and put to work (CHW – Community Health Workers). They are in charge of health promotion on field, and respond to coordination personnel. They are selected and trained where needed. Material for beneficiary training is prepared. The field training programme takes place, and training is base on participatory methods.
Each hospital has 4 CHW. Each CHW operates with about 10 beneficiary groups, which is composed of about 40-50 people, mainly women. Group identification starts from existing community experiences. Places and timing for training are defined on field.
Each group take part to a programme composed of 5 training days or more. Group member will receive small money for their time. Training subjects are defined on field, in accordance with needs. Indicatively, they will include:
- Nutrition for children and adults
- Safe water and water sanitation methods
- Hygiene and environment sanitation
- Family planning
- Mother and child care
- Prevention of infective sicknesses (Hiv/Aids, malaria, tuberculosis)
- Methods of control on flies and mosquitoes
- First aid
AMURT Kenya and AMURT USA launched a project in Kenya called “KENYA INTEGRATED HIV/AIDS PROGRAM” funded by USAID. This project reflects ambition and optimism for making a measurable difference in the health status of communities members of Bondo, Mbita,Kendubay (Oyugois), Malindi, Ukunda Likoni, Kikuyu, Thika, and Nyeri. It consists of three provinces with 9 new AMURT centers.
Through this program, AMURT will launch a series of activities to promote the adoption of healthy behavior and an increased use of HIV/AIDS health services. This will prevent the transmission of HIV and to bring sustainable services to those infected and affected by HIV in targeted areas by
1) providing needed OVC services and strengthening community capacity take responsibility for the care and wellbeing of OVCs aged 6-18 years
2) institute a strong prevention program to protect those that are not infected
3) improve treatment, care, protection of rights and access to effective services for those infected with the virus.
- 3,000 OVC enabled will be supported to lead productive lives as accepted members of society
- Local organizations and neighborhood committees strengthened to create sustainable support structure to oversee the development of the 3,000 OVC
- 1,000 PLWA provided with home based care and access to required services; and counseling and preventive education provided to their care givers and friends.
- Mass education in abstinence and fidelity provided to 1,000,000 people that includes 100,000 out-of-school youth
- 2,000 youth affected or infected by HIV provided with hope by engaging them in society through youth clubs or vocational training programs.
- Training program for 120 OVC counselors, 90 community resources persons, 120, HBC counselors, 18 chiefs and paralegal staff will be trained.
Prevention of Mother-to-Child Transmission of HIV, Nairobi
This HIV+ mother received milk from AMURT
|HIV/AIDS has caused the death of more than 1.5 million Kenyans since the 1980s. Currently an estimated 500 Kenyans die daily as a result of the disease.Many mothers carry the virus, which puts their children at risk, too. 40 – 50% of transmission of HIV from infected mothers to their children takes place during breastfeeding. This can be prevented if the mothers are given treated cow’s milk or infant formula. However, most women in the Nairobi slums are unable to afford breast milk alternatives.
AMURT is currently providing pasteurized cow’s milk to women in the Kangemi slum. They come to the AMURT community center every day to receive one liter of treated whole cow’s milk. They receive this allocation of milk for the first 12 months of their child’s life. After 12 months the baby is given unimix, a nutritious mixture.
The women are referred to this program from the AMURT Health Care Center, where they receive counseling in ante-natal care.
|Vocational Training Center for HIV/AIDS Infected and Affected Vulnerable Children, Nairobi.
Our vocational training center supports HIV/AIDS infected and affected children aged 13 to 18, by training them in tailoring, hairdressing, computer skills, and handicraft making. In 2006 we trained 16 young boys and girls who are working in different commercial places and earning their own livelihood. This program was initiated by Pfizer Austria.
Micro-Credit, Capacity Building and Skills Training, Nairobi
The Sister’s Self Help Group started with 12 mothers in July 2003 under the leadership of Lillian Mochama, herself a widow with eight dependents. The intent of the project is to help the women with HIV/AIDS, who are desperately poor, find the means to better provide for their families.
AMURT has now trained 48 HIV-infected women to make tie-dye fabric, shirts and children’s clothes. In January 2004 AMURT provided the group with 4 sewing machines so they could decorate their items with lace.
Many of the women suffered from discrimination, even from their own families, due to HIV. In the self-help group they find a supportive community, a means to earn an income, and hope for the future. This program was initiated by World Conference on Religion and Peace (WCRP).