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Murang'a County Edition

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Murang'a County Edition CHS VIPASHO Murang’a County Edition Anne Githige, Program Officer CHS chats with Dr. Charles Kigo, Medical Superintendent and Danny Mungai, Nursing Officer in Charge at Murang’a District Hospital during the World TB Day activity in Murang’a County on Monday, March 25, 2013 World TB Day, March 24: Stop TB in my life time! To mark the World TB Day this year the Murang’a community had a procession that marched through the streets of Murang’a town. The road show was to raise awareness about TB in the community. CHS was proud Kenya is to be part of the activity that attracted a crowd of people to the Murang’a ranked 10 Stadium and information on TB was shared among the 22 Tuberculosis (TB) is a leading cause of death among people infected with countries with HIV. Kenya joined the world in marking World TB day on March 24, 2013 by the highest getting into the second year of the two year Stop-TB in my lifetime campaign. TB burden World TB Day is designed to build public awareness that tuberculosis today in the world remains an epidemic in much of the world, causing the deaths of nearly one- and-a-half million people each year, mostly in developing countries. according to the WHO This year, make your voice heard about what you expect in your lifetime: Zero deaths from TB, Universal access to TB care, Faster treatment, A quick, cheap, low-tech test, An effective vaccine and A world free of TB. CHS supports the implementation of the TB/HIV collaborative activities guided by the WHO. 2013 A word from the CEO Centre for Health Solutions – Kenya (CHS) has experienced tremendous growth since inception, made possible by visionary leadership and prudent management of organizational resources for optimal value. During this period, we have grown from an unknown to a known brand in the health sector. We have experienced a 1,181% growth in funding. That has seen us manage grants of up to USD 6 million; a 568% increase in supported health facilities (29 to 192) and established a sub- granting portfolio of USD 1.6 million to a total of 30 grantees. CHS continues to support health projects in Murang’a County. This includes palliative care as well as ART for children, Dr. Paul Wekesa adolescent, adult and pregnant women. Currently in Murang’a County, CHS supports 828 paediatric cases on ART and 5,353 adults on ART and we have 1,211 paediatric cases on care and 8,855 adults on care. This is a total of 6,181 on ART and a total of 10,066 on care in Murang’a County. This support includes the management of treatment failure. In addition we support ART for co-infected TB infection, prevention and control; Intensified TB case finding; Isoniazid Preventive Therapy; TB/HIV integration; Surveillance of and Contents Management of Drug Resistant TB. MURANG’A COUNTY PROFILE .............................................. 1 PERSONNEL SUPPORT ........................................................ 2 CHS also supports Preventive services like HIV Testing and INFRASTRUCTURE SUPPORT ............................................... 3 Counselling (HTC), Prevention of Mother to Child Transmission EQUIPMENT SUPPORT ........................................................... 4 COMMUNITY SUPPORT ....................................................... 4 (PMTCT) and Prevention with Positives (PWP). Adherence and A BRIEF ABOUT CHS .............................................................. 5 Psychosocial (APSC) support is a key part within our program. CHS has also supported MoH to create Centres Of Excellence (COEs) to facilitate implementation and dissemination of best practice and knowledge sharing. These COEs are the source of knowledge and skills for the health facility’s catchment area. The Murang’a District Hospital was Murang’a District’s COE. The centre has been the focal point for a number of facility-based Abbreviations trainings, residential mentorship sessions and the main centre for community support in Murang’a County. ANC ………… Antenatal Clinic CME .............. Continious Medical Education HIV ………… Human Immunodeficiency Virus We support broad Health System Strengthening (HSS) in PLWHIV ………… People living with HIV/AIDS Health Management Information Systems (HMIS) as well as AIDS ………… Acquired Immune Deficiency Syndrome Laboratory and Pharmacy commodity and support systems. PEPFAR ………… President Emergency Plan for AIDS Relief ART ………… Antiretroviral Therapy CHS supports provision of quality care through implementation PMTCT ………… Prevention of Mother to Child Transmission of HIV of Continuous Quality Improvement (CQI). TB ………… Tuberculosis PwP ………… Prevention with Positives APSC ………… Adherence and Psychosocial Support & Community PGH ............... Provincial General Hospital PITC ………… Provider Initiated Testing and Counseling ANC ………… Ante-Natal Care VMMC ………… Voluntary Male Circumcision HTC ………… HIV Testing and Counselling NACC ………… National AIDS Control Council NASCOP ………… National AIDS and STI Control Program KNASP .............. Kenya National AIDS Strategic Plan Murang’a County Profile Population: 942,581 Population Density: 524 people per Km 2 Murang’a County In central Kenya bordering Nyeri County to the North, Murang’a to the West, Murang’a to the South and Kirinyaga County to the East. Area (Km 2): 1,798 Doctor to Population Ratio: 1:30,000 Source: Kenya Open Data (opendata.go.ke) Commission on Revenue Allocation Kenya (crakenya.org) CHS Supported health facilities in Murang’a County Gacharageini Dispensary Kanderendu Health Center Muruka Dispensary Gachege Dispensary Kangari Dispensary Mutheru Dispensary Gakurwe Dispensary Kangema Health Center Muthithi Dispensary Gatangara Dispensary Kanjama Dispensary Naaro Health Center Gatara Dispensary Kanyenya-ini Dispensary Nguruweini Dispensary Gathaithi Dispensary Kariti Dispensary Nguthoro Dispensary Gatheru Dispensary Kariua Health Center Nyakianga Dispensary Gikoe Health Center Kiairathe Dispensary Nyangiti Dispensary Gikono dispensary Kiamara Dispensary Rwathia Dispensary Gikui Dispensary 10256 Kianjugi Dispensary St. Pauline Gitaro Dispensary 10258 Kibutha Dispensary Tuthu Dispensary Githangara Dispensary Kigetuini Dispensary Wahudura Dispensary Gitugi Dispensary Kihoya Dispensary Wanjegi Dispensary Ichiichi Dispensary Kiria Dispensary Wanjerere Dispensary Irigiro Dispensary Kirogo Health Center Iruri Dispensary Makuyu Health Center Kagumo-ini Dispensary Maragua Ridge Dispensary 62 health facilities in Kagumoini Health Center Marie Stopes Clinic Murang’a County Kaguthi Dispensary Mihango Dispensary Kaharo Dispensary Mugeka Dispensary Kairo Dispensary Mugumoini Dispensary Kamahuha Dispensary Mukuria Dispensary Kambirwa Dispensary Muranga District Hospital Kambiti Health Center Murarandia Dispensary Kandara Health Center Muriranjas Sub District Hospital Training activities Human Resource for Health Activity Type Male Female Total CHS is supporting 70 health care workers in Murang’a Review Meetings 22 72 94 county to help bridge the human resource gap in the area. Dissemination 1 5 6 Currenlty the doctor to patient ratio is 1:10,000 and this way Formal Trainings 16 41 57 below the recommended 1:500. Facility CMEs 9 24 33 District CMEs 74 154 228 Support for human resource for health includes building Routine Mentorship 8 19 27 the capacity of the health care workers to optimize their TOTAL 445 reources and provide better health services. This guarantees sustainability in the provision if quality health services to the CHS is currently implementing sustainable and cost communities. effective approaches to training and knowledge dissemination through reduced reliance on didactic and hotel based approaches and use of new and innovative strategiues like Residential Mentorship, Self-driven learnign and eLearning. Human reource support KNASP III advocates for continuous training for health workers and caregivers to enhance their 18 ... Roving Clinical Officers skills. These policies are a guiding beam for CHS in 11 ... Nurses the adoption of capacity building solutions aimed 17 ... Data Clerks at promoting the knowledge and skills among 3 ... Pharmacy Technicians health care workers. 1 ... Laboratory Technicians 1 ... Social Worker 1 ... Nutritionist 70 health workers 2 ... Accountant supported in Murang’a 5 ... Provider-Initiated-Testing and Counselling Counselo 11 ... PMTCT/ TB RCOs County at a cost of KSH 24,900,000 TOTAL 70 annually After Kihoya Health Centre Infrastructure for health CHS provided the Kihoya Health Centre with a tent and the tent base work, and minor renovation works including electrical installations, door and window fitiing. This work has enabled the health facility to deliver better service to the community. Before The pscychosocial support groups now have a venue to conduct meetings and events. This has enhanced thier capacity to contribute to the way the healthb system is being aligned. Policy and strategic reviews have recommended greater community ownership of programmes and systems that deliver health services to the public. This is why CHS strengthens the capacity of communities to plan, demand and implement priority HIV interventions. CHS is proud to be in the forefront in looking out for the needs of the communities and the health system a whole. The renovation works have revamped the morale of the health workers and the community members towards better service provision in the facility and better health seeking behaviour in the community. KSH 1,034,024 for health facility infrastructure support Murang’a County in 2012 2 Equipment support Procurement and supply of equipment
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