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Personal Stories
Three Days’ Walk to Safe Birth
When Nasenyana*, a mother of six, went into labour on February 19, 2016, she looked forward to an uneventful delivery. But by late afternoon, long after her water broke, Nasenyana’s baby had not come, in spite of the gentle nudging of the traditional birth attendant that she push harder. Sensing trouble, the birth attendant and Nasenyana’s friends recommended that she seek medical help. Nasenyana was in a dilemma. Not only did the labouring mother need her husband’s permission to leave home, but she also had to walk in pain for about 120 kilometres to the nearest health care facility,
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Blog
Restoring Her Dignity: A Health Systems Approach to the Management of Female Genital Fistula
Maternal mortality and morbidity has remained high in sub-Saharan Africa mainly due to poor access to quality reproductive health services, poverty and low education levels, lack of equity, poor road and communication infrastructure and grossly inadequate health services. Female Genital Fistula is one of the most devastating of all pregnancy-related disabilities and mainly affects poor women in under-resourced regions. Fistula mostly occurs as a result of prolonged obstructed labour coupled with lack of skilled medical care, and usually leads to permanent incontinence - a continuous leakage
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News, Uncategorized
West Pokot Makes Landmark Move by Passing Kenya’s First Ever Stand-alone County Facility Improvement Fund Bill
In a ground breaking move to increase investments in health towards universal health coverage (UHC), West Pokot County has enacted Kenya’s first stand-alone County Facility Improvement Fund (FIF) Bill.
With the support of Amref Health Africa in Kenya, West Pokot County set out to ring-fence revenues generated by health facilities for use in improving health infrastructure and other essential services towards UHC through the FIF bill.
Following a consultative meeting by health stakeholders w
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News
Applying the Social Enterprise Approach for Sustainable WASH Solutions
Located in Dalalekutuk Ward of Kajiado County, Ngatu Shopping Center was faced with challenges of water access as is the case across many other parts of the County. Kajiado receives minimal rainfall and is characterised by cyclical episodes of prolonged drought that exacerbate the water situation. As a result, rain-fed water sources such as earth dams, roof catchments and scoop holes dry up in the dry season and therefore cannot meet the water needs of the community. Through the County Government of Kajiado, the community of Dalalekutuk drilled the Elerai borehole in 2012 with a view to pro
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News
Voices from the Community as they embrace the Alternative Rite of Passage in place of FGM
Esonorua Village, Kajiado County is a community that practises Female Genital Mutilation/Cutting (FGM/C). The practise is performed on girls between the ages of nine and 15 years who are afterwards married off. According to UNICEF Kenya, the practice of FGM has been declining over the years, with a fast decline among girls aged 15 to 19. This is also seen through the 2014 Kenya Demographic Health Survey (KDHS), where the overall prevalence of FGM in Kenya has decreased from 38 percent in 1998 to 32 percent in 2003 and to 27 percent in 2008 among w
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News
Green Water Excites Villagers in Lenkisim
In Lenkisim Village, Kajiado South, the community is excited by a borehole that produces green water since the water is a natural resource that comes from underneath the ground in the same way that plants grow. Drought is frequent in Kajiado County. This is a time when most seasonal riverbeds dry up, forcing the community to rely on water from highly contaminated sources such as dry river beds, water pans (locally known as silanga), unprotected open wells, and boreholes to which women have to walk more than 10 kilometres to access. To make matters worse, the community does not have an ad
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Personal Stories
Children as Agents of Change in the Fight against Malaria
The continued spread of malaria has been attributed to, among other issues, information gaps among local communities, and specifically information on its cause and prevention. To equip communities with the right information, Amref Health Africa in Kenya in partnership with the National Malaria Control Program developed a school health program leveraging on the potential of children as agents of change within their families and the community without interfering with their academics. By sharing information on malaria taught in school with their families, questioning existing practices at home, a
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Personal Stories
Community Interventions to End Malaria
Millicent Ambani is a Nurse at Mumias Modern Health Centre. She is the deputy in charge of the health facility and one of her roles is to release rapid diagnostic tests (RDTs) to the Community Health Extension Workers (CHEWS) to distribute them to the Community Health Volunteers (CHVS) based in the community. CHVs are tasked with addressing uncomplicated malaria cases in the community as well as educating fellow community members on best practices to prevent, control and treat malaria. Using the Community Case Management of Malaria approach implemented through the Global Fund Malaria projec
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