What we do

Reproductive, Maternal, Neonatal, Child and Adolescent Health –RMNCAH project for the establishment of 21 health facilities in Kenya.

 

 KAMANEH is contributing to the United Nations Sustainable Development Goals –SDGs:     

GOOD HEALTH AND WELL-BEING

GOAL 3 – Ensure healthy lives and promote wellbeing for all at all ages.

 

Background:

KAMANEH has been committed itself to work on building a better community for unprivileged women, newborns and children in Nairobi and Kisii Counties through provision of Community level Maternal, Child and Adolescents health care services since its inception. The organization has also been a strong advocate of sexual and reproductive rights protection and achieved to increase the awareness of sexual and reproductive rights among women and girls through partnership with women groups.

Currently we are working in partnership with Medical Link Integrated Health Program- MELIHEP, a local registered NGO in Kenya with a community hospital and maternity services in Viwandani slums in Nairobi, Kenya.

 , What we do

 

Services Provided:

  • Providing communities with information on maternal and newborn health so they know the risks to look for and can seek medical help early;
  • Provision of quality and affordable Maternal, Newborn, Child and Adolescent Health services;
  • Disseminate information and educational materials on preventive health.
  • Fundraising and forging partnerships/memberships with international organizations including sourcing for equipment and supplies donations.

Project Description:

We are planning to implement a Reproductive, Maternal,  Neonatal, Child and Adolescents Health (RMNCAH) Programme in Nairobi’s
Slums. These areas include Narok, Nakuru, Kitui, Tana River, Lamu and  Kilifi counties in Kenya;  among the 20 counties with high-burden of maternal and child deaths in Kenya.

Problem Statement:

Addressing The Three delays for Maternal and Child Survival:

As shown in the infographic below, women (or their families) often wait too long to leave for a health facility, then struggle to walk or find transport to the  available rural health facilities, and then encounter challenges once they reach a facility finding appropriately trained care providers that have the necessary supplies and medications to treat them.

(1) Delay in recognizing problems or making decision to get care.

(2) Delay in reaching health facility.

(3) Delay in getting needed care at health facility.

When a woman or child needs medical care, three things must happen: (1) She and her family must recognize the need to get help and make the decision to seek care. (2) They must be able to physically reach a health facility; and (3) The health center must provide appropriate and high-quality care. In Kenya lack of knowledge, cultural beliefs, unhealthy traditional practices, poor road infrastructure, extreme poverty, supply shortages, and lack of continuing medical education combine to make pregnancy, labor, delivery, and early childhood a dangerous time.

KAMANEH commits to overcoming these delays, ensuring that women, children, and families enjoy healthy and empowered lives. Read
more about our work on each of the delays as follows:

The First Delay: Recognizing the Need and Making the Decision to Seek Care:

 The first thing a woman or family must do in order to receive medical care is to recognize the need to seek care, then make the decision to seek care. Decision-making is affected by lack of health knowledge, low status of women, cultural beliefs and traditions, finances, past experiences, and a host of other factors.  KAMANEH addresses these issues in community-based approach, primarily by working through women’s groups, including churches and schools.

Generating Demand for Health: Empowering Women:

Women’s groups are powerful. They provide a place where women can speak openly and honestly about the challenges they face during pregnancy, childbirth, and parenthood, and more generally as women living in the same society. They can identify common problems, and devise innovative and sustainable approaches to addressing them as a collective group.

KAMANEH trains each group on maternal and child health topics 1 – 2 times per year, then helps the groups use that education to develop evidence-based dramas, songs, and performances that target health behavior improvement in their communities.

 

Future plans:

KAMANEH plans to develop an innovative home-to-home visit curriculum that is to be used by our affiliated women’s groups to use to
educate women and their spouses about maternal and child health essentials. Each group will determine its own projects and topical
focuses based on their perceptions of the problems in the community, but KAMANEH will work with each of them to address all types of Three Delay problems: a sustainable, scalable, community-based approach to targeting the Three Delays in a participatory way.

Sustainability and Health Improvement:

KAMANEH will be committed to helping all of our affiliated women’s /community groups become self-sustaining through income-generating activities. These activities will generate funds throughout the year and enable the group members to continue implanting
home-to home visit curriculum without relying on KAMANEH.

The Second Delay: Access to Care due to:

  • Distance to health centres and hospitals
  • Availability of and cost of transportation
  • Poor roads and infrastructure
  • Geography e.g. mountainous terrain, rivers.

     

One of the biggest obstacles facing those women in Africa who would otherwise choose to deliver their babies in health centers is lack of transportation. Most people do not own a car or a motorcycle, and a majority live greater than 5 km from a health center. Many public transportation are often expensive and rarely available. Also many public health centres do not have functional ambulances which could be an option, and if available, patients are required to pay exorbitant amounts of money. This makes traditional transportation options largely inaccessible to rural women.

, What we do

 The community midwifery model was commissioned in Kenya by the Minister for Health in 2006 as an attempt to increase access to skilled assistance at birth.

The first edition of the community midwifery guidelines were developed in 2007. These guidelines have been revised in order to standardize the implementation of community midwifery services as a strategy for improving skilled attendance in the provision of maternal and newborn health care at the community level. The revised guidelines address key policies that are outlined in the Kenya Health Policy (2012-2030) regarding the provision of essential packages for health in line with the new constitution, Vision 2030 and the Community Health Strategy.

Community Midwifery Model:

  1. Definition

According to a joint statement by WHO, the International Confederation of Midwives

(ICM), and the International Federation of Obstetricians and Gynaecologists (FIGO), a

‘Skilled Birth Attendant’ (SBA) is defined as ‘‘an accredited health professional such as a midwife, doctor or nurse who has been educated and trained to proficiency in the skills needed to manage normal (uncomplicated) pregnancies, childbirth and the immediate postnatal period, and in identification, management and referral of complications in women and newborns’’ (WHO, 2004).

Midwifery is a healthcare profession in which providers offer care to childbearing women, labour, childbirth and during the postpartum period. They also care for newborn and assist mothers to breast feed (WHO, 2012). This Community midwifery model recognizes deliveries/births conducted by skilled birth attendants at home.

  1. Selection Criteria:
  • A health professional with evidence of one of the following qualifications:

o Registered Nurse/ Midwife; Enrolled Nurse/ Midwife Registered

o Clinical Officer

o Medical officer

  • A retired or out of employment health professional with obstetric/midwifery skills.
  1. Quality of care elements for Key MNH components at the Community level offered by Community Midwives (CMs):

 3.1. Focused Antenatal Care:

Find out if CMs are offering the following services:

  • Early initiation of ANC & 4 timely ANC visits
  • Individualised Birth Plan & Emerg. Preparedness
  • Assessment of danger signs e.g. pallor, oedema
  • History taking (including Previous BOH)
  • Health messages on FP, BF
  • Use of LLINs
  • ANC profile- HB, urinalysis, blood group; VDRL
  • CT for HIV and follow up care (PMTCT)
  • Provision of ARV prophylaxis,
  • IPTp provision in malaria endemic areas
  • Referral for Tetanus Toxoid
  • Iron and folic supplements
  • Identification of danger signs and First Aid/referral
  • Deworming (esp. hookworm)

 3.2. Labour and Delivery:

 CMs are to offer the following services:

  • Monitoring of labour using partograph
  • Clean delivery
  • Skilled delivery/care
  • Recording duration of labour, delivery time
  • Counselling and testing for HIV
  • Provision of ARV prophylaxis; follow up care
  • Antibiotics for premature rupture of membranes
  • Verbal autopsy
  • Counselling and referral of clients to facilities for

PPIUCD (if requested by client)

 3.3. Post-partum care:

  CMs are to offer the following services:

  • Early initiation of breast-feeding; EBF
  • 1st PN exam for Mother and Baby (24-48hours)
  • Counselling on FP method mix
  • CT HIV and follow up care
  • Initiation of infant on NVP during breast feeding
  • Mother counselled to return at six weeks
  • Encouraging partner involvement
  • Use of national guidelines, SOPs, IEC materials

 3.4. Family Planning:

  • Family planning information & services
  • Counseling services

 3.5. New Born Care:

 CMs offer the following services:

  • Hand washing with soap and water by care giver
  • Recording of Apgar Score assessment
  • Check-up within 24-48 hours after birth
  • Care of the normal newborn (e.g. clearing airway)
  • New born resuscitation
  • Newborn phy. exam including assessing for LBW
  • recognition of danger signs
  • PMTCT: ensure ARV prophylaxis at birth
  • Early initiation & support for EBF/infant feeding
  • Community based IMCI
  • Growth monitoring
  • Referral for immunization
  • Hygienic cord care

 3.6. Referral

The CM’s referral activities includes:

  • Use of referral form/notes
  • Recording of personal details of clients/patients referred
  • Whether accompanied by CM, relative, etc or not
  • Whether managed by local health committees
  • Availability of revolving fund for emergency transport
  • Community involvement in referral
  • Linkage with a health facility
  • Directory of referral sites/facilities with contact details

Make a regular donation of $200.00 monthly:Top of Form Regular

To ensure good health for the entire community, KAMANEH will establish 7 primary health care facilities in the selected 7 counties in Kenya equipped with life-saving medications, supplies, and training of Community Health Volunteers to support CMs. Your support helps provide 1 facility with the support it needs for 6 months, thereby treating hundreds of people.

, What we do

 

The Third Delay: Poor Quality Care in Health Facilities:

Due to poor facilities and lack of equipment and medical supplies:

Kenyan health facilities–like many other places in the world–suffer from severe shortages in trained healthcare providers, equipment, supplies, and essential medications.

KAMANEH works with communities to identify these types of challenges by developing simple, cost-effective solutions to addressing them–supporting the use of solar electricity during nighttime deliveries, surgeries, and treatments; the infusion of low-cost supplies and equipment;  continuing medical education for healthcare professionals; and conducting maternal and child health research to improve the quality of maternal and child health services in the catchment areas.

 CASH DONATIONS:

Your support can provide:

  • $5 – a treatment of antibiotics for a child with pneumonia;
  • $10 – supplies for a woman to deliver in a health facility;
  • $20 – for full set of immunizations for 2 children;
  • $25 – one year support for HIV infected adolescent
  • $25 – safe treatment for woman suffering from miscarriage;
  • $100 can purchase 35-40 insecticide treated mosquito nets to prevent malaria;
  • $200 can pay for Specialty testing for childhood cancer;
  • $25 for A Pap smear for 5 women to screen for cervical cancer;
  • $50 allows an HIV-positive pregnant woman to deliver her baby in a hospital;
  • $100 Treatment for 5 women before cervical abnormalities become cancer;
  • $2,000 –a portable ultrasound machine;
  • $400 – salary for a midwife in a month;
  • $30 – 6 months of treatment for diabetes;
  • $40 – 6 months of medication to treat hypertension;
  • $500 – monthly rent for the facility;
  • $600 – medical supplies in a month;

GIFT DONATIONS ARE ACCEPTED FROM THE FOLLOWING LIST:

  1. Scale, electronic, mother/child, 150kgx100g
  2. Scale, electronic, infant,10kgx5g
  3. Scale, beam type, infant,16kgx10g
  4. Scale,beam type, adult, 6-180kg x100g
  5. Scale, springtype,infant,25kg x 100g with set of weighing trousers
  6. Light, examination, mobile, with accessories
  7. Medical diagnostic equipment
  8. Electrocardiogram (ECG) recorder, portable, with accessories X
  9. Ophtalmoscope, set
  10. Otoscope, set
  11. Scanner, ultrasound, mobile, with accessories
  12. Sphygmomanometer, adult, aneroid
  13. Sphygmomanometer, child, aneroid
  14. Stethoscope, adult, binaural
  15. Stethoscope, foetal, monaural
  16. Stethoscope, pediatric, binaural
  17. Thermometer, clinical, digital 32-43 °C
  18. Timer, respiration, for Acute Respiratory Infection (ARI)
  19. Tourniquet, rubber, approx. 50cm
  20. Tongue depressor,wooden,single use
  21. X-ray system, fixed, with accessories and infrastructure
  22. X-ray system, mobile, with accessories
  23. X-ray, viewer (negatoscope), 1 to 3 bodies
  24. Continuous Positive Airway Pressure (CPAP) system, with accessories
  25. Defibrillator, basic, with accessories
  26. Forceps, Magill, adult
  27. Forceps, Magill, child
  28. Incubator, newborn, transport, with accessories
  29. Infusion pump, with accessories
  30. Laryngoscope, adult/child, set
  31. Laryngoscope, newborn, set
  32. Monitor, patient, portable, with accessories
  33. Nebulizer, with accessories
  34. Oxygen concentrator, with accessories
  35. Pulse oximeter, portable, with accessories
  36. Pulse oximeter, spotcheck, with accessories
  37. Pump, suction, foot-operated
  38. Pump, suction, newborn resuscitation
  39. Resuscitator, hand-operated, adult, set
  40. Resuscitator, hand-operated, child, set
  41. Resuscitator, hand-operated, newborn, set
  42. Cabinet, instruments, double door
  43. Cabinet, medicine, double door
  44. Footstool, two steps
  45. Stand, infusion, double hook, on castors
  46. Stool, adjustable, on castors
  47. Stretcher, foldable
  48. Stretcher, patient, with side rails
  49. Table, examination
  50. Table, gynaecology, delivery, with accessories
  51. Table, instruments, Mayo type, stainless steel, on castors.
  52. Trolley, dressing, stainless steel, 2 trays
  1. Disposable Container, sample, 50 ml
  2. Disposable Lancet, blood, safety, sterile (Sizes*)
  3. Disposable Swab, cotton-tip, tube, sterile
  1. Blood glucometer, with accessories
  2. Cytology stain, kit
  3. Haemoglobin color scale (refi ll kit)
  4. Haemoglobin color scale (starter kit)
  5. Rapid Diagnostic Test (RDT), Human
  6. Immunodefi ciency Virus (HIV), kit
  7. Test kits Rapid Diagnostic Test (RDT), malaria, kit
  8. Rapid Diagnostic Test (RDT), Treponemal, syphilis, kit
    • Test kits Rapid Plasma Reagin (RPR), syphilis, kit
  9. Test strip, pregnancy
  10. Test strip, urinalysis (10 parameter)
  11. Test strip, vaginal infection, pH
  12. Female condoms
  13. Intra-Uterine Devices (only prequalifi ed copper IUDs)
  14. Lubricants
  15. Male condoms
  16. Bandage, elastic, 7.5cmx5m, roll
  17. Blanket, survival, 220x140cm, non-sterile
  18. Bracelet, identifi cation (Sizes*)
  19. Compress, gauze,sterile & non-sterile,single use
  20. Cotton wool, 500g, roll, non-sterile
  21. Tape, medical, roll (Sizes*)
  22. Umbilical clamp, sterile,single use
  23. Umbilical tape, 3mmx50m, roll, non-sterile
  24. Cannulas, Intra Venous (IV) short, sterile, single use (Sizes G*)
  25. Infusion giving set, burette 100-150ml, sterile, single use
  26. Infusion giving set, sterile, single use
  27. Needles, luer, sterile, single use (Sizes G*)
  28. Injection devices Needles, scalp vein, sterile, single use (Sizes G*)
  29. Safety box, for used syringes/needles
  30. Injection devices Stopcock, 3-way, sterile, single use
  31. Syringes, auto-disable (AD),(Capacities ml*)
  32. Syringe for insulin, sterile, single use
  33. Syringes, luer, sterile, single use (Capacities ml*) Syringes, reuse prevention (RUP),(Capacities ml*)
  34. Disposable Tube/catheter/drain Bag, urine, collecting, 2000ml
  35. Disposable Tube/catheter/drain Catheter, Foley, sterile, single use (Sizes CH*)
  36. Disposable Tube/catheter/drain Catheter, urethral, sterile, single use (Sizes CH*)
  37. Disposable Tube/catheter/drain Collector, urine, adhesive, 10-100ml X
  38. Disposable Tube/catheter/drain Prongs, nasal, oxygen, non-sterile, single use (Sizes *)
  39. Resuscitator, hand-operated, adult, set