Turkana Central sub-county has the highest burden of HIV, with a prevalence of about 6.7%. The most affected areas are around the lake region, Lodwar town, and settlements along the highway. Malnutrition cases are also on the rise, with a recent survey showing that slightly more than 30% of the children are malnourished.
Turkana Central sub-county has 43 functional health facilities, with a distance of about 25–30 km between them, making accessibility for essential services a nightmare for the majority of our residents. To reach all the population, integrated outreaches play a key role in improving in our performance indicators as a sub-county.
As a sub-county, Turkana Central appreciates RMF for coming on board and upscaling outreach activities to 12 sites, which are undertaken monthly through the sub-county MOH office. These outreaches will improve the performance of MNH indicators, nutrition, HIV services, and general public health through health education and talks.
Role of the Sub-County MOH Office in Outreaches:
Activities Performed during Outreaches:
Health education is key to improving health seeking behavior and the general wellbeing of the community.
The aim of nutrition screening is to support growth and development milestones for children and also support pregnant women to prevent pregnancy-related complications.
Immunization is key to preventing communicable conditions among children during the growth period. As a sub-county, we have a monthly target of about 450 fully immunized children. During this outreach period:
Vitamin A supplementation in children is essential in supporting rapid growth, maintaining healthy vision, and helping to combat infections. During this outreach period:
Deworming is a major gap in our sub-county. The outreaches will highly boost the indicator, even as we try to reach as many children as possible. It’s one of the indicators in which we performed dismally at the just concluded annual county review meeting.
A majority of pregnant women come to only one ANC appointment late in their pregnancy. As a sub-county, 4th ANC coverage for 2016 was 45%. To improve 4th ANC coverage, outreaches will play a key role in reaching as many mothers as possible. This can be achieved by line listing all the mothers who came for ANC at the facility and then follow up with them during outreaches. The outreaches will target all the mothers who usually do not access services.
As a result of the just concluded outreaches:
After responding to a September 7th, 2009 NY Times article by Jeffrey Gettleman, which highlighted the life threatening impact of the drought in Northern Kenya, Real Medicine Foundation coordinated a supply chain for water and food aid, and medical support to the region. We were able to provide a 4-week supply of food and water to 4,500 persons in severely drought affected regions of Turkana, Kenya where it had not rained in 4 years.