CHPFUND

UNIVERSAL HEALTH CARE

UHC team executing its mandate at the community level

universal Health Care

Project: Universal Health Coverage funded by German Doctors under CHPF at Health Information Points (HIPs)

CHPF Profile/About us.

A health information point (HIP) is a level one component and a central point of coordination of health care activities, including project activities, at the community level. Through the HIPs, healthcare services have been decentralized hence brought nearer to the community. The HIPs are also a learning portal for the NCMTC students. During the pilot, the HIPs were coordinated by community health coordinators in collaboration with the CHPs, and pilot project staff together with NCMTC college trainers and students planned and carried out the project activities. Some activities extend up to the household level or include collaboration with the primary schools.

Currently there are five operational HIPs in the pilot project catchment area, four of which are located at the primary schools. The HIPs are easily accessible, strategically located tents, which are functioning as a fixed point from where people can access basic healthcare services close home on daily basis. Staff from CHPF and NCMTC together with students from NCMTC and CHPs work together on weekdays to provide a variety of health promotion services. In addition, the HIPs are used during dispensary outreaches.

CHPF with the support from German Doctors organizes and supports the healthcare services through the HIPs in various villages linked to specific community health units and specific facilities in Kilifi-South and help to empower the communities in those areas to better be able to advocate and lobby for their own health matters.

 

our goals

Our Project Goal

To improve the health status of the community in the project target area, with special attention to vulnerable and minority groups through enhancing and improving the quality of health services at dispensary level. 

Outcome

 

Communities and individuals are empowered to strengthen their health and advocate for health rights

Target Groups

Milestones

  • The project achievements/milestones

  • Home Based Care Services including follow up visits for the elderly people.
  • Educating and empowering the community members on the importance of seeking health services earlier, going for ANC, PNC and CWC follow ups as required.
  • Improved the environment hygiene of the community through health education.
  • Through the UHC project, services such as CWC (growth monitoring services) have been brought close to the community as they are now provided at the HIPs.
  • Initiation of the kitchen gardening skills has boosted the nutrition status of many families.
  • Through the project, number of CHVs has been increased and also imparted with knowledge.
  • Community is now aware of the preventive and promotive measures provided at the HIPs and availability of services.

Interventions

  • Health education on primary and secondary prevention of disease and assistance for those who report to the HIPs with specific health problems. This targets the chronically ill people and prevention of chronic illnesses.
  • Home visits to postnatal care and home based-care clients for close monitoring and management
  • Hygiene and sanitation with the school going children at the schools and during home visits being implemented at the schools where the HIPs are currently located. Through the HIPs, health education is provided and the development and of children monitored
  • Growth monitoring (CWC) where pregnant women and children below 5years are monitored and pro-actively provided with health education including family planning and support to empower pregnant women to make timely and informed choices to have the best attainable experience before, during and after pregnancy.
  • General/psychosocial counselling by the social worker to the waiting clients at the HIPs, during outreaches, at social gatherings etc.
  • Referrals to the dispensaries or to higher levels for clients in need of further management
  • Community awareness campaigns on child rights, gender based-violence (GBV), jiggers, malaria, bed bugs and elderly abuse
  • SRHR awareness creation through cascading of activities at the HIPs
  • Advocacy through community empowerment on health issues to the direct and indirect beneficiaries
  • Home based care services (HBC)
  • Physiotherapy services where the CHPs does sensitization to the community on the available services

HOME VISIT

 Home based care and home visit cannot be isolated from the Universal Health Care (UHC). Home visit is defined as the process of providing the nursing care to patients at their doorsteps. It requires technical skills, resourcefulness, judgment, relationships.

Defined as providing the services to family at their door steps to maintain the health and to reduce the mortality and morbidity in the family.

Home visit is a purposeful interaction in a home directed at promoting and maintaining health of individual and family. 

THE PROGRAM AIMS AT

  • Protection against diseases
  • Providing best possible nursing in homely condition
  • Improving the standard of family
  • Monitoring the health problems and diseases identification
  • Assessing the health ,immunization, nutrition level and environmental hazards to a family
  • Reducing MMR and IMR by providing maternal and child health service
  • Providing health education
  • Identifying the sources of communicable diseases and informing family about it
In blue is the community health promotion fund community nurse taking notes on the progress of the patient at the community during the Home Visit in Junju

Home based care case study

“You have power over your health”.

The project is to improving maternal and community health through enhanced universal health coverage” is a three-year initiative that is funded by German Doctors and implemented by Community Health Promotion Fund (CHPF), in collaboration with North Coast Medical Training College, and Bomani-Malde Dispensary (a government facility) in Kilifi County Bomani Junju Mto/Mkuu sub-location. The project’s interventions aim to assist Kilifi County Health Department in improving access to universal health coverage services by assisting the implementation of existing Ministry of Health policies and guidelines. It aims at improving the maternal and community health of Bomani/Junju/Mto-Mkuu sub-location, Kilifi South with special attention to vulnerable and minority groups in addressing the existing needs of the rural population through different interventions being implemented.

The German Doctors are advocates for a life in dignity and provide healthcare services and training for disadvantaged people. German Doctors also strive to improve health in the long run through prevention programs, accompanying nutrition programs, and training in hygiene. Through the project, German Doctors wants to bring in human and other resources and use its experience, through collaboration with partners, to empower the local community, to improve provision of quality healthcare, and to support and improve existing systems to achieve UHC in the project area.

Home-based care program was introduced in the year 2022 to support patients who are in critical condition, patients who are not able to come to the dispensary. The program is being done by the doctors, clinical officers, social worker, physiotherapy, community health promoters and students from NMCT. The students mainly are coming in for learning and exposed to the community health dynamics.

We hve 200 patients on hypertension and diabetes, in records and …… are stable client whom are attending their clinic and adherence to drugs. As a project we give them health talks at the clinic’s day, HIPs and during outreaches; So, Irene Mkare is among the 12 patients whom were under the home-based care program.

Irene Mkarie takes a deep breath as she narrates her story, “am a mother of ……. Children and am a widow, am 62 years old, live in Chidongo village in Junju mto mkuu-ward in Kilifi sub- county. I never went to school, during our time our parents did not value education more so on a girl child. I come from a family of ………., of children and l was among of the girls who was not taken to school.

It has not been easy for me and my family when l was bed ridden with stroke, but I thank the German doctors’ services they offered for a period of ……. months, there is this lady German doctor l have forgotten her name, who also did a major work to take care of me on therapy sessions. I used to be visited like twice in a week for physiotherapy treatment and the other doctor used to give drugs and measure my pressure. He used to give me words of encouragement and always assures me that l will walk again and l will speak I will just be back to my normal situation. Which today my family is very happy especially my caretaker who is my daughter law she always gives out the testimony of me on the before and after the treatment We have 200 patients on hypertension and diabetes, in records and …… are stable client whom are attending their clinic and adherence to drugs. As a project we give them health talks at the clinic’s day, HIPs and during outreaches; So, Irene Mkare is among the 12 patients whom were under the home-based care program.

Irene Mkarie takes a deep breath as she narrates her story, “am a mother of ……. Children and am a widow, am 62 years old, live in Chidongo village in Junju mto mkuu-ward in Kilifi sub- county. I never went to school, during our time our parents did not value education more so on a girl child. I come from a family of ………., of children and l was among of the girls who was not taken to school.

It has not been easy for me and my family when l was bed ridden with stroke, but I thank the German doctors’ services they offered for a period of ……. months, there is this lady German doctor l have forgotten her name, who also did a major work to take care of me on therapy sessions. I used to be visited like twice in a week for physiotherapy treatment and the other doctor used to give drugs and measure my pressure. He used to give me words of encouragement and always assures me that l will walk again and l will speak I will just be back to my normal situation. Which today my family is very happy especially my caretaker who is my daughter law she always gives out the testimony of me on the before and after the treatment. Am also grateful to her because she was working very closely with the doctors and she was trained on how to take care of me. Until today she smiles, I call my daughter in-law my qualified home nurse, I can now speak which l couldn’t at all I was like a baby, I could not walk neither make any kind of movement l was a big burden to my caretake. But now I can walk off course not long distance, l can turn myself on the bed, l can eat on my own, which is a big relief to my family.

 Bomani dispensary gives the best services, and the doctors have good heart of supporting people and they will always give you hope of life. I never thought l will be back to normal, and today here I am very live l can chat with the doctors, friends and neighbors who thought l will die. What l will say is that the German project is that; they have really saved the lives of people in this ward. I can tell you people are spending a lot of money for transport to get the kind of services that l received, and the people living in poverty and exclusion just die. She is sad, I was in a lot of pain, I felt lonely, tears rolling over my face, I never though l will be back to my feet the only thing l could think was just death, l was just seeing a grave Infront of my bed. Am so grateful to the community health promoters who reported my condition to the officers on the ground, if it were not to them, believe me l would have been dead.

May you continue saving lives of   people living in poverty and exclusion everywhere you go and God will reward you abundantly; she smiles”.

As an organization we are happy with the progress of Irene Makire, no matter how devastated she was at the begging, because she lost hope and the family never thought she will recover. But with the closely monitoring by the doctors, it is amazing. Today Irene speak, laughs and walk, a bit independent, you would think that Irene suffered from severe stroke.

Kudos to the team of doctors-Dr. Rutger & Bea

Irene Mkare with her children

Community Health Promotion Fund – Registered Trustees
(CHPF) was registered at local level in 2015 and fully
incorporated at national level in Kenya in 2020. Its main
purpose is to support medical, health, and educational needs on
a charitable basis for needy Kenyans without discrimination.
Its core function lies in being a networking, liaison and
connecting body coordinating donor and partner support for
health in the wider area of Kilifi County in close collaboration
with the Ministry of Health and North Coast Medical Training
College (NCMTC). Ultimately, it is the dream of CHPF to
achieve equity in health and support the Kenyan government
in attaining the sustainable development goals in health and
Universal Health Coverage by 2030 by enhancing primary
health care at health care facility and community level and
linking healthcare provision to training of health workers.

community health promotion fund Community nurse administering home based care to the client at jidongo catchment area . the patient is happy for the service from the nurse. Management of such cases is taken care under the Universal Health Care (UHC)

HIP Meetings

CHPF-Health Information Points (HIPs) are very instrumental when it comes to drive towards Universal Health Care (UHC). Right now CHPF has five HIPs , that is; jidongo,kireme, Junju, Bodoi and Mirima Minne. The activities under this program includes meetings with patients to discuss health matters.
The objectives of this meetings are:-
To track patients progress after the previous meeting conducted.
Enable clients to share their experiences.
To promote drug adherence.
To enable clients to identify health problems as earlier as possible.
To give relevant health education.
Students from North Coast Medical Training College are also engaged in community welfare services in preparation to their professional duties to the community.
 
CHPF - staff advocating for good and healty lifestyle i n the community through the Health Information Point at Bodoi catchment area , kilifi south sub-county Kilifi County.
CHPF eye specialist exerming eye condition of a middle aged woman in Junju ward.

Community Health Promotion Fund eye specialist examines the vision condition of an infected woman in Junju ward, Kilifi Sub-County. This ensures ocular health, and functional ability is maximized thereby contributing to overall health, and wellbeing, social inclusion, and quality of life.