Annex 3 Jeepline Handbook

MASENO and UGUNJA JEEPLINES

THE SIAYA AREA The Maseno and Ugunja jeeplines are based in the town of Siaya, which is situated in the in on the northern shores of Lake Victoria. Due to the vicinity of Lake Victoria the climate is humid and warm. Siaya County measures a total area of 964 sq miles (2,530.5 sq km) the county total populations is 842,304 Siaya town had a population of 41,174 of whom 13,787 are classified urban. (1999 census)

The main rainy season is from March to June and short rains can be expected between August and December. But even during the rainy season the sun shines and the days are warm. However the weather patterns have been changing and now it can rain during other periods. Average annual rainfall in Siaya District is 1.200 mm. Minimum daily temperature is 15 degrees Celsius, maximum 30 degrees.

Nyanza Province is a densely populated part of the country. There are approx. 5,2 million inhabitants out of the nation´s total population of 33 million people. You can find many tropical crops here, maize, rice, cassava, papaya, mango, avocado, pineapple, sugarcane and cotton. There are two planting seasons in the year, the main one in February. The majority of the population in Siaya District are Luos. They do not practice circumcision like many other tribes in do. Luyia people also live in Nyanza but mainly further north and east in the Western Province.

Fishing in Lake Victoria is of great importance to the economy of the province. Try Tilapia and Nile perch. You can buy fresh fish from Siaya market, the main market in or frozen from the supermarkets in town.

The trip from Kisumu to the Doctors´ house in Siaya takes approx. 1 hr by road. Please NOTE – there is NO PETROLSTATION between Siaya and the town of Luanda.

Locally in Siaya shopping for vegetables, fruit, bread, margarine, eggs, fresh milk, soft drinks, beer, fresh fish, can be done (ask Emily who will get the “local” price).

At SIAYA SELF SERVICE STORE you can find lots of other household goods like toilet paper, soap, tissue paper, simple glasses, torches, etc.

The big supermarkets in Kisumu: NAKUMATT stocks everything from food including fresh meat and fish to blankets, shoes, rubber boots, towels, electric goods and wines. You can get fresh packeted milk in Siaya but it might be advisable to bring back some packets of long-life milk from Kisumu. At the market, one of the biggest and nicest in the country, you can buy fruits and vegetables but also baskets, stools, tables, kanga cloths. Look outside in the back where you can see sandals made of tractor tyres, watering cans and all manner of containers hammered out of scrap metal. This is true recycling!

Kisumu is a sprawling lakeside town which offers three centrally situated hotels: - SUNSET with a stunning view over Lake Victoria, especially at sunset, and a nice herd of impala antelopes grazing below the swimming pool area. - IMPERIAL which is the meeting place for the ROTARY CLUB of Kisumu at lunchtime on Thursdays. - NYANZA CLUB, close to Sunset, also with swimming pool. Daily membership fee in NYANZA CLUB is 150 KES (Kenyan Shilling). But if you stay overnight the membership fee is included in the cost accommodation. There are also several fast-food eating places around the central part of town. The KISUMU MUSEUM, on the outskirts beyond the market is well worth a visit. It has an impressive collection of poisonous snakes!

THE JEEPLINES

Maseno line The staff: NAME POSITION PHANICE OKELO VCT COUNSELLOR VICTOR OSODO DRIVER FAITH NAFULA JUMA NURSE TEAM LEADER

The clinics DAY CLINC NAME CLINIC HOUSE ROAD MON Eshikuyu Church GOOD TUE Pap Oriang church FARE WED Esibembe Church GOOD THUR BARDING Functional FARE dispensary FRI Ebukhoolo Dispensary house GOOD

Maseno jeepline is scheduled for exit at the end of may 2015, The clinics visited are all schedule for exit and there is already plan underway to plan for a smooth exit in all the clinics we visit. Once a week there is not a visit to the ordinary jeepline clinic but instead there is a visit to Barding dispensary. There the doctor will see patients together with the staff (nurses) and in that way also share knowledge and informally train the staff. The rest of the jeepline team is at the same time having health education at schools nearby.

Ugunja line The staff: NAME POSITION ALVAN NGAYO NURSE TEAM LEADER ELKANA ASUDI DRIVER JOTHAM OGOMBE HIV COUNSELLOR

The clinics: DAY CLINC NAME CLINIC HOUSE ROAD MON Nyamsenda Iron sheet house GOOD TUE Umala Church GOOD WED Ukwala Sub district hospital GOOD THUR Yenga GOOD HOUSE GOOD FRI Barndege GOK Dispensary GOOD

At Ugunja jeepline there are not an ordinary jeepline clinic twice a week, but instead there are visits to a sub-hospital, Ukwala, and a Health Centre, Bar Ndege. There the doctor will see patients together with the staff (clinical officers or nurses) and in that way also share knowledge and informally train the staff. The rest of the jeepline team is at the same time having health education at schools nearby.

THE DOCTORS´ HOUSE The house is privately rented and situated about 5 min. drive from the hospital near the District Commissioner´s residence. It is situated in a large compound with grass, has a hedge all around the property covering a fence. There are trees and palms as well as flowering bushes like hibiscus and creepers. The property has a metal gate, which should be kept locked at all times. Inside the compound is also the living quarter for the field coordinator. At the further end of the garden an office and a staff house.

The house is entered through a shaded verandah. The main door has a heavy metal grill door. Inside is a combined sitting room/dining area. The kitchen is small but compact and has one of the two fridges (the other one is in the dining room). It also has a stove, which is run on both electricity and gas. Adjacent with a door to the back yard is the “dhobi” room where washing and ironing is done. All washing is done by hand!

From the sitting room leads a corridor with a guest toilet and basin and a second bathroom with standing shower in a bathtub as well as a hand shower, basin and toilet. There are three small bedrooms and one slightly larger one. In each room there are two beds, built-in cupboards with space for hanging clothes and drawers or shelves. One of these drawers is lockable and so is the whole cupboard. There is also a bedside table and a reading lamp in each bedroom as well as a mirror.

It is important to take as much precaution as possible against mosquitos. The beds in the house all have impregnated nets and all windows have mosqutio-netting but try to keep your bedroom door closed in the evening and spray the room if necessary.

HOUSE STAFF SUSAN will take care of cooking, cleaning, washing and ironing. She is off on Sundays and she will work half day on Saturdays.

SAMUEL OGALO is the gardener/day watchman and comes from Siaya and he shares his work with SAMWEL OWINO and WINSTONE OTIENO

You can ask Susan to do the local shopping. Food and tea with sugar in thermos should be given to the night-watchman as it is customary in Kenya.