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