Touching and Inspiring Lives

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Like all school going girls Esther was coming from school at around on the fateful day of 27/1/2017,she was a form two student, Coming from a family of seven, four boys and three girls the school had the culture of studying extra hours in order to compete favorably with other schools in the area, What she didn’t expect is for her world to take a big turn for the worse, after parting with other students  she saw not one but four men approach her and all she remembers is being dragged to the nearest bush, when she gained consciousness a woman is recognized as her mother’s friend was hovering around her calling her name, she phoned her mother and together they brought her home, she was in pain, she was all bloody and bruised. After being taken to the hospital it was very evident that she was gang raped. After several treatment it was revealed that she had contracted fistula and was constantly leaking urine due to the forceful tearing, a condition that was strange to the family, what had family done to experience such misfortune was unknown, The mother took the chance to consult with her aunt who luckily knew Madam Florence through the #Action On Fistula outreach that  was conducted in the area sometimes back.

After screening which was done by Ms. Florence she was referred to Cheranganyi Hospital where she successfully underwent the reconstructive surgery.

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Esther alongside her class mates

The experience left the girl traumatized, afraid of the aftermath Esther decided to drop out of school she stayed at home for a while. Wadadia made two follow up assessments on her where she was encouraged to join a support group which she did and is now grateful she has learnt a lot and knows that she isn’t alone in the journey to recovering from Fistula, She is being hosted by Florence

She has embraced the Wadadia’s psychosocial counselling as an individual and in a group. Esther is a computer student at the organization’s computer skills center.” I am deeply grateful for the second chance at life and the inner peace of mind, it’s incredibly pleasing to know that there are men involved in helping women in the organization dubbed Male involvement I am happy knowing that not everyone is cruel, it is beautiful and moving that there are good people devoted to help other human beings, for now am  just contented to acquire the computer skills I contemplate going back to school.  I will be forever indebted to the Father of Wadadia the Fistula Foundation and the Wadadia family for their patience and love they  are showing women.

Esther at Wadadia’s HQ offices in mumias.

Esther in yellow during a computer class session at Wadadia’s skills center

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The team Behind the team

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`Fistula Foundation with its trusted partner Astellas have and are touching and transforming the lives of thousands of women who are affected by Obstetric Fistula by giving them a second chance through free and life restoring surgeries, they are committed to ensuring that No Woman suffers from this devastating condition with the main believe that when women are healthy and productive the community and country benefits.  Wadadia is implementing its strategies in Kenya under the programme #ActionOnFistula which the organization uses as an opportunity to mobilize communities, sensitize the masses, identifies fistula patients, refers the patients and use the opportunity to destigmatize the child birth injury. Throughout  our outreaches we  emphasize on the fact that #obstetricFistula is preventable and treatable.

The teams during the home visit to Ms. Jackline Buluma who is a fistula survivor.

The group during a group photo at Ms. Jackline Buluma’s Home

Wadadia further ensures that #FistulaSurvivors go through Intensive counselling, psychosocial support group meetings and skills empowerment as part of their healing process to enable them reintegrate back to their communities.

At the outreach.

Screening session during the outreach

the group attended various of activities from home visitation to the outreach and wadadia’s skills center

Yesterday the fistula foundation together with the Astella team paid a visit at the Wadadia’s HQ in Mumias where they got the opportunity to grace our activities ranging from Community sensitization Outreach activity at Koyonzo market, Client home visitations, skills empowerment center tour well as brief session with fistula survivors support group and the Male involvement group.

The outreach was entertaining, educative and interactive

 

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Planned Activities April 2014

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With additional 26 new CHWs to the current 88 old CHWs, WADADIA began the new quarter with a plan to conduct 2,295 home visits for 2,295 PLHIVs. This was an expected additional target of 520 clients to the previous target of 1,775 beneficiaries receiving services from the organisation’s CHWs. The new 26 CHWs were also targeted for the Phase II HCBC training in the month of April 2014.

Under SDA 2.1 for PMTCT, WADADIA had 2 outreach activities planned targeting 38 pregnant women as well as one for Male involvement in PMTCT targeting 15men. Besides the outreach events, the organisation through CHWs had a target of tracking pregnant women and achieving

87 skilled deliveries during the month of April 2014.

Under leadership and governance, the organisation had a plan to conduct one monitoring visit for each of the three sub counties of program implementation, making a total of 3 monitoring visits for the month of April 2014. Three monthly progress review meetings for CHWs in all the three Sub counties were also planned for this reporting period. The organisation also aimed at compiling and submitting the April monthly report to the PR, through the North Rift regional office of the Kenya Red Cross Society.

HCBC Phase II training

On implementing the planned activities, all the 26 new CHWs were able to complete their Phase II HCBC training that was held at MUMCOP hall in Mumias town. The  training  was conducted with the aim of completing the 10 days HCBC curriculum as required by NASCOP. The trainees who had benefited from the first phase of training with one month field practice were evaluated and taken through this second phase training held at MUMCOP hall in Mumias town. The first day was for introduction overview, and review of HCBC field activities. The second and third day of the training was for Review of HCBC principles and components, Integration of HCBC in level one services, PWP concept and pillars as well as PWP messages. The third day also involved field visit preparations that were to be conducted on day 4 of the training. Day four was set aside for the field visit and day five saw participants present their field visit reports.  Work plans, way forward and closure were done on day five which was the last day of the training.

 

Home Visits

CHWs continued with home visits to their client with the aim providing HCBC services. The visits had several objectives among them was to assess the progress made since previous visits. They also aimed at updating care givers and their clients on nursing care skills. Besides that, CHWs addressed nutritional issues, adherence, safe water, prevention treatment and management of OIs as well as personal hygiene. Through the 2,056 home visits, CHWs reported to have reached 2,019 beneficiaries where 1,519 were females and 500 males. 85 clients did not receive the services in April 2014.  CHWs reported 1,964 clients to be on ARVs. The reports indicate more women to have been enrolled and received services on HCBC compared to the male clients. This is attributed to the fact that women in these communities are the most infected and even affected by the burden HIV. Besides that, men in these communities take long to cope with effects of HIV thus leading to delay in uptake of health care services both at community and facility level. Most men being bread winners in most families stay away at work which makes it difficult to be reached with services during home visits.

 

PLHIV Outreach Events

All the 3 planned outreach training events were held for 90 PLHIVs and care givers. In total theses were 22male and 68 females. The content disseminated was developed as provided in the minimum package manual for outreaches which included: Basic facts about HIV, a topic that involved definitions of HIV and AIDS, PWP and PMTCT and HTC.  Other topics covered were STIs which included types of common STIs and how to prevent the infections, condom use positive living, stigma reduction, opportunistic infections and how to prevent them was also covered, community and health facility linkages. To ensure the sessions were lively, participatory and interactive, the facilitators used various techniques of facilitation among them, mini lectures, questioning, role plays, skills demonstrations, group work and plenary discussions, brainstorming and energizers were also instrumental in delivery of the content to the 90 beneficiaries.

 

ANC/ PMTCT Initiatives

Tracking of pregnant women

Both old and new CHWs continued with enrolment and tracking of pregnant mothers for the purposes of supporting the mothers in accessing ANC services as well as PMTCT services for the HIV positive ones. Tracking of pregnant women also aimed at supporting and ensuring that all the pregnant mothers are equipped with information for healthy living of both the mothers and their unborn babies during the course of pregnancy. CHWs were also required to ensure that the mothers accessed health facilities for delivery by skilled health care providers. During this reporting period, tracking was done for 766 pregnant women with 131 deliveries being reported. 102 of these deliveries were facility deliveries while 29 were home deliveries. The home deliveries were attributed to cultural values, beliefs and practices. It was also noted that due to literacy levels and lack of support by their spouses due to cultural values and distance to facilities were causes to the reported home deliveries.  26 pregnant women among those being tracked were PLHIVs all on HCBC and PMTCT interventions. 5 of the 26 PMTCT mothers delivered in April 2014. One the five mothers delivered at home but the responsible CHW assisted her in accessing post natal care at a health facility within 72 hours.  24 teenagers of ages 16 to 19years were also reported to have delivered with 3 of them delivering at home. None of the teenage mothers were HIV positive by the time of delivery.

Stephen Ombikhwa, a CHEW with pregnant women in an outreach training event in Matungu Sub county

Stephen Ombikhwa, a CHEW with pregnant women in an outreach training event in Matungu Sub county

Through the PMTCT outreaches, 45 pregnant women and 16 men were reached with information on HIV ANC and PMTCT. These were two events for pregnant women and one other event organised for men involvement in PMTCT. Through these events, participants were issued with IEC materials on the importance of ANC clinics and family planning.

Under SDA 3.1 for Leadership and Governance, the organisation was able to conduct the 3 planned monitoring visits in the three Sub counties of program implementation. 18 PLHIVs and 9 ANC/MCH clients with 5 of them on PMTCT were reached through the visits. Under this same SDA, the organisation participated in the PR’s CSOs quarterly coordination progress review meeting held in Eldoret town at Boma Inn hotel for the entire north rift SRs. WADADIA was represented by the Program Assistant, the Accounts officer and one Field officer. The Community Health Workers’ monthly progress review meetings were conducted as planned. Except for Mumias with two meetings held, one meeting was held in each district making it a total of four meetings held as planned for the month.

Quality Improvement Training

The WADADIA program staff were privileged to participate in the Continuous Quality Improvement training held at the Boma Inn of Eldoret town. The training organized and supported by the KRCS’ Global fund management unit was conducted by IDEAL Public Health and Development Consultancy – (IPHDC) targeting the North rift SRs program staff. This was a three day training attended by the Program Assistant and the two field officers.

The training with the aim of equipping trainees with knowledge, skills and practices on Continuous Quality Improvement in HIV programming was successful as all participants were issued with certificates of participation. Action plan as well as action points were developed as way forward for the training for all the organisations. Following this, the staff were tasked with developing organisational action plan for implementation of the QI process.

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