RMF-supported Lwala Community Alliance (LCA) is a community-led, nonprofit health and development innovator working in Migori County in rural western Kenya. Through Lwala Community Hospital, the organization provides approximately 50,000 patient visits each year. The mission of the organization is to build the capacity of the people of North Kamagambo, including its neediest residents, to advance their own comprehensive well-being. The hospital is part of a larger effort to achieve holistic development in Lwala and the surrounding community, including educational and economic development.
This quarter, RMF-supported LCA:
There was a sustained reduction of morbidity and mortality through access to quality health care for the people of North Kamagambo. There were 15,630 total patient visits between December 2017 and February 2018 across all three facilities that we support: Lwala Community Hospital and two government health centers/dispensaries, Minyenya and Ndege Oriedo. Lwala registered a 96% skilled delivery rate for all mothers in the catchment area. In 2017, we achieved 98% prevention of mother-to-child transmission of HIV. So far in 2018, there are 70 babies in our eMTCT program.
By the end of February 2018, Lwala enrolled 6,331 children in the maternal and child health community program. We continue to provide education to community members on the consequences of poor sanitation and benefits of latrine construction through an intensive community-led total sanitation (CLTS) initiative. Lwala has continued to exceed its target of fully immunizing 90% of children under 5.
Improved graduation rates, educational results, and health outcomes for school-aged girls and boys of North Kamagambo has been the outcome of the Education Program. The one-to-one model of the e-reader program showed a 19% improvement in literacy in program participants. We are anticipating a multiplied impact during the second and third years of the program.
In order to provide financial access to even the most impoverished community members, Lwala continues to partner with the organization Village Enterprise. Village Enterprise provides training and microgrants to community members so that they can start their own small businesses. In February 2018, Lwala provided poultry vaccines to all of the groups starting agriculture enterprises and offered business skills training to 87 small business owners.
Preparation is underway for a follow-up to the mobile-based, community-wide household survey that was completed in early 2017. This survey will be conducted in our current catchment area, North Kamagambo, and our expansion area, East Kamagambo. This survey will allow us to understand population-based information, such as health-seeking behavior and HIV stigma. We expect the survey to begin in late April 2018.
In February, Community Programs Director Winnie Oyugi traveled to Seattle to participate in the iLeap International Fellowship Program. In December, Lwala held our annual staff retreat in the nearby city of Kisii. Our Executive Director and Impact Director traveled to Lwala to attend, and staff participated in team building activities and vision sessions.
Lwala is a village of approximately 1,500 people near Lake Victoria in western Kenya. Within an hour’s walk, approximately 3,000 additional people live in nearby villages accessible by dirt roads. Poor physical infrastructure, including impassable roads during the rainy season, lack of electricity and lack of reliable drinking water, have helped to create a critical healthcare challenge in Lwala. The mission of the Lwala Community Hospital is to meet the holistic health needs of all members of the Lwala community.