The target area is classified as marginal agricultural area and contains high level of poverty. The Diocese implements an Home Based Care Programme that operates from four centers in the four districts, two of which are mission hospitals and two government hospitals. From the four centers 81 community based stations have been started.
The Diocese of Kitui Home Based Care Programme commenced in Mutomo and Muthale Mission hospitals in July 1991 as pilot projects, with two nurses / counselors being employed by the Diocese in each hospital. In September 1992, one nurse / counselor was seconded by the Ministry of Health to work on the programme, based at Kitui District Hospital.
In March 1994 the Diocese seconded a nurse/counselor to work on the programme, based at Mwingi District Hospital, and in August 1995, The Ministry of Health appointed further two nurses to work on the programme, also based at Mwingi District Hospital and in August 1995, the Ministry of Health appointed further two nurses to work on the programme also at Mwingi Hospital. From there collaboration with the Ministry of Health was established and the HBC programme evolved with outreach home care and group counseling activities. This collaboration continues up to date.
The programme has two principal goals. These are:-
Increase access to quality home based care for People Living with AIDS and their families
Contribute to the reduction in the risk of infection by STI and HIV by promoting positive sexual and reproductive health behaviour of individuals and groups in the community.
The programme has three specific goals. These are:-
Provide care and support to those infected and affected by HIV/AIDS.
Strengthen referral and networking system in the community
Reduce HIV prevalence through promotion of safer-sexual behaviour particularly among the youth:
- Adherence counseling both individual and group counseling
- Home visits for nursing care
- Treatment of Opportunistic Infections
- Nutritional support
- Psychological support
- Social support
- Facilitation of Group Therapies
- Health Education
- Referrals to Social and HIV Care Centres
- CHW training as CORPS
- Advocacy on behalf of PLWHAs to create free environment from discrimination and stigm
Planned activities: Nutrition education
Achievements: Nutrition education was continuous
Expected outcome: Nutrition education is expected to enhance beneficiaries’ nutritional status thus reduce opportunistic infections.
- Beneficiaries have been issued with opportunistic drugs as prescribed from the other health facilities.
- Transport and referral for care and treatment has been continuous.
At different communities the needy households were assisted to build house tanks where now the beneficiaries are being issued with the roofing materials from the programme.
Achievements: Distribution of 124 mattress and 100 blankets to the needy beneficiaries.
The mattress and blankets will provide warmth and a good sleep to those who will benefit. This will reduce cases of cold infections and get away the children’s who dose at class due to uncomfortable rest.
Holiness one of HES beneficiary takes every word from Emmaculate during HES supportive supervision, right hand side Sr. Wanda the medical coordinator CDK goes through HES records kept by one of the HBC Hes beneficiary.
The O/G group and HBC members listens keenly in session of psychosocial input.