Medical department

The Lenten season is a time to observe a period of fasting, repentance, moderations, self-denial and spiritual discpline. The Purpose is to set aside a  time for reflection on Jesus Christ-his suffering and his sacrifice, his life, death, burial and ressurection. Wishing you a prayerful lenten season>>> 

Home Care based Programme

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.

Programme Goals.
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.
Programme Objectives.
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:

HBC  Interventions.

  • 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

NUTRITION

Nutritional education was given on importance of taking balanced diet, at Centre levels 2486 (M-635 F-1851) beneficiaries were offered with food supplements through the Home care programme and CCC; they were also encouraged to use the locally available food which will boost their immunity system leading minimal health cases. Food donations were also received by the beneficiaries in the centres through the help of Aids relief programme. Use of locally available foods and innovation of kitchen garden s in each household would ease the expense of getting some vegetables and food stuffs from the market, so the beneficiaries were encouraged to initiate (Ngunia) sack gardens at their homes which easy and economical to manage regarding to water consumption.

 Planned activities: Nutrition education

 Achievements: Nutrition education was continuous

 Expected outcome: Nutrition education is expected to enhance beneficiaries’ nutritional status thus reduce opportunistic infections.

HEALTH

Health education, hygiene promotion and sanitation were emphasized in the quarter during the monthly meetings and home visits done. Health talks and ARV’s adherence counselling and self care for PLHIV where personal hygiene, environmental hygiene and access to medical services were the key issues addressed d to 4406 beneficiaries through group support meetings and home visits which born positive fruits on defaulter tracing and enrolment of new beneficiaries in the home care programme. Messages on access to natural family planning services were given to the clients and referrals were done to the clients in need of the services. Partner HTC services was done so as to enhance community prevention with positives as a strategy to fight against infection and re-infection among community members During the quarter it has been noted that the number of beneficiaries coming for opportunistic drugs had increased due to lack of the drugs from health facilities pharmacies.
Planned activity: Transport and referral for care and treatment

 Achievements

  • Beneficiaries have been issued with opportunistic drugs as prescribed from the other health facilities.
  • Transport and referral for care and treatment has been continuous.

SHELTER

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.

Planned activities: Distribution of mattress continuity, Distribution of blankets continuity

Achievements: Distribution of 124 mattress and 100 blankets to the needy beneficiaries.

Expected outcome

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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEGAL SUPPORT & HES
24 HBC beneficiaries benefited with HES start up kits, this exercise is being welcomed and commented by all people from the communities since through this poverty will be of past. Through monitoring visits it has been noted that the business are doing good and still they have a room to do well. The identified groups which had been selected to be issued with HES start up kit are now in their first week of receiving the kits.

Paralegal meetings were continuous with will writing for succession being the main topic emphasized. Education and sensitization on skills to write memory book and the importance of having a written wills was done to the PLHIV during the support groups.                                  

 

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.

At meeting point’s priests and sisters have been of great importance in addressing spiritual counselling and more of one accepting and living positive. Drug adherence and positive living was highly recommended during this quarter.

Through experience sharing the new beneficiaries were encouraged by their fellow members on how to deal with stigma and management of some opportunistic infections. Through home visits, Hes monitoring and support group meetings made the work easy where 3843 (M-742 F-3101) beneficiaries were met. Beneficiaries during the meetings shared on personal experiences from the time they tested positive on denial, hatred, meditation upto self acceptance and the positive living which has been the healing process to support group members.  
 

 

 

Division:  Kitui district:  Central, Chuluni, Mutitu, Yatta, Mutonguni, 

                                                Matinyani, and Mwitika,                                                                     

                Mutomo district:  Mutomo, Mutha and Ikutha.

     Mwingi district:  Central, Migwani, Nuu, Nguni and Mui

                Kyuso District:  Ngomeni, Muumoni, Kyuso and Tseikuru

 

1.      PROJECT OBJECTIVES

 

v  To provide nutritional support to 9,636 PLHIV

v  To provide psychosocial support to 9,636 PLHIV

v  To enhance quality of community and home based care for 9,636

 

2.      INTRODUCTION (Brief description of the project with APHIAPLUS KAMILI, target num

HBC program is run by Aphia plus Kamili in collaboration with Catholic Diocese of Kitui to all infected and affected people. The program targets 9,636 PLHIV. The implementation strategy is through community participation by use of CHV’S locational committees, parish structures to enhance group ownership.

 

3.      WORK PLAN STATUS / PROGRESS

 

Planned activities for the Reporting Quarter

 

Status

(Done, On-going, not-done)

Reason for variance

(For all the activities not done indicate reason)

Plans to Implement Activities not done in the Quarter

Nutrition Education meetings

 

On- going

 

 

Transport for Referral cases

 

On -going

 

 

PSS

On- going

 

 

Purchase of stock for HES

On- going

 

 

Paralegal meetings

On –going

 

 

Purchase of shelter                

On- going

 

 

 

 

 

 

4.      NARRATIVE

 

 

NUTRITION

Nutritional education was given on importance of taking balanced diet, at Centre levels 2486 (M-635 F-1851) beneficiaries were offered with food supplements through the Home care programme and CCC; they were also encouraged to use the locally available food which will boost their immunity system leading minimal health cases. Food donations were also received by the beneficiaries in the centres through the help of Aids relief programme. Use of locally available foods and innovation of kitchen garden s in each household would ease the expense of getting some vegetables and food stuffs from the market, so the beneficiaries were encouraged to initiate (Ngunia) sack gardens at their homes which easy and economical to manage regarding to water consumption.

 

Planned activities

·         Nutrition education

 

Achievements

·         Nutrition education was continuous

 

Expected outcome

·         Nutrition education is expected to enhance beneficiaries’ nutritional status thus reduce opportunistic infections.

 

 

HEALTH

 

Health education, hygiene promotion and sanitation were emphasized in the quarter during the monthly meetings and home visits done. Health talks and ARV’s adherence counselling and self care for PLHIV where personal hygiene, environmental hygiene and access to medical services were the key issues addressed d to 4406 beneficiaries through group support meetings and home visits which born positive fruits on defaulter tracing and enrolment of new beneficiaries in the home care programme. Messages on access to natural family planning services were given to the clients and referrals were done to the clients in need of the services. Partner HTC services was done so as to enhance community prevention with positives as a strategy to fight against infection and re-infection among community members During the quarter it has been noted that the number of beneficiaries coming for opportunistic drugs had increased due to lack of the drugs from health facilities pharmacies.

Planned activity

·         Transport and referral for care and treatment

 

Achievements

·         Beneficiaries have been issued with opportunistic drugs as prescribed from the other health facilities.

·         Transport and referral for care and treatment has been continuous.

 

 

 

 

 

 

 

 

 

 

 

 

SHELTER

 

HBC beneficiaries assisting one another in tying the mattresses, thank you APHIA.

 

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.

Planned activities

·          Distribution of mattress continuity

·         Distribution of blankets continuity

 

Achievements

Distribution of 124 mattress and 100 blankets to the needy beneficiaries.

 

Expected outcome

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.

LEGAL SUPPORT & HES

 

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.

 

24 HBC beneficiaries benefited with HES start up kits, this exercise is being welcomed and commented by all people from the communities since through this poverty will be of past. Through monitoring visits it has been noted that the business are doing good and still they have a room to do well. The identified groups which had been selected to be issued with HES start up kit are now in their first week of receiving the kits.

Paralegal meetings were continuous with will writing for succession being the main topic emphasized. Education and sensitization on skills to write memory book and the importance of having a written wills was done to the PLHIV during the support groups.                                    PSS

The O/G group and HBC members listens keenly in session of psychosocial input.

 

At meeting point’s priests and sisters have been of great importance in addressing spiritual counselling and more of one accepting and living positive. Drug adherence and positive living was highly recommended during this quarter.

Through experience sharing the new beneficiaries were encouraged by their fellow members on how to deal with stigma and management of some opportunistic infections. Through home visits, Hes monitoring and support group meetings made the work easy where 3843 (M-742 F-3101) beneficiaries were met. Beneficiaries during the meetings shared on personal experiences from the time they tested positive on denial, hatred, meditation upto self acceptance and the positive living which has been the healing process to support group members.  

 

 

5.      CHALLENGES AND RECOMMENDATIONS

 

Challenges

Recommendations

  1. Lack of budget to train on business basic education to HES beneficiaries.

Aphiaplus kamili to advice accordingly if we can get budget on the same.

  1. Transport

Need for a motorbike so as to reach more beneficiaries when vehicles are not available.

  1. Many households are demanding for Hes start up kits

Empower them to have improved lifestyles so as to qualify for exit.

  1. Social stigma

Counselling during support group

 

 

6.      LESSIONS LEARNT AND SUCCESS STORIES (Lessons learnt during implementation of the activities for the quarter and success stories)

  • HES has brought about change in living to the first beneficiaries, where to some to have a milk tea was a dream but today there is milk to make tea courtesy of HES through Aphia plus kamili.

 

  • Family testing and cPwP has reduced stigma whereby most of the HBC beneficiaries who had stopped attending support groups rejoining the groups.
  • Disclosure hence leading to partner testing and common understanding
  • OLMIS data collection has led to increased attendance to the support group and also the rate of bringing the necessary documents needed has increased.

 

 

7.      INNOVATIONS

 

·         Uses of PLHIV beneficiaries as peer educators in the newly formed PLHIV groups were useful in assisting new beneficiaries accept their HIV status.

·         Attaching community health volunteers to centres has improved file updating and ease in reporting.

·         Collaboration with social workers from the ministry of healthy has really helped in reaching out the HBC clients in different areas.

9.      PLANS FOR THE NEXT QUARTER

Activity

Timeframe

Responsible Person

PSS

Oct- Dec 2013

Project coordinator

Accountant

Project centre staff

Referral for treatment

Oct-Dec 2013

Project coordinator

Accountant

Project centre staff

HES

Oct- Dec 2013

Project coordinator

Accountant

Project centre staff

Legal protection

 Oct- Dec 2013

Project coordinator

Accountant

Project centre staff

Nutrition education

Oct- Dec 2013

Project coordinator

Accountant

Project Centre staff

Paralegal meetings

Oct-Dec 2013

Project coordinator

Accountant

Project centre staff

Exchange visit

Oct-2013

Project coordinator

Accountant

Project centre staff

World Aids Day

Dec 2013

Project coordinator

Project accountant

Project centre staff

 

 

10.  KEY RESULTS / ACHIEVEMENTS TABLE (Complete for your interventions)

 

 

Components of HBC

Achievement for the Quarter

M

F

Total

1

Nutrition

1960

7676

9636

2

Clinical & Nursing Care

1960

7676

9636

3

Shelter

61

193

254

4

Psychosocial Support

1960

7676

9636

5

Legal Protection

44

71

115

6

Household Economic Strengthening

160

509

669

 

Total Number of HBC Clients Served

1960

7676

9636

 

 

 

 

 

 

 

 

 

 

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