Through Lwala Community Hospital, the Lwala Community Alliance 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.
RMF-supported LCA completed the following activities:
In June 2018, 385 in-school girls and 117 out-of-school girls were enrolled in our mentoring groups. These groups teach girls about self-confidence and the skills to avoid risky behaviors. As of June 2018, 177 female students and 143 male students were trained on our Young Love curriculum. The curriculum aims to teach students about the risks of inter-generational relationships as they relate to teen pregnancy and HIV.
In 2017, only one child in the eMTCT program turned HIV- positive, and we are striving to outdo this performance by achieving a 100% eMTCT rate in 2018. We are on track to achieve this goal, with 84 HIV-exposed infants reaching 18 months and testing negative so far in 2018.
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. The 485 individuals who were identified in the Progress Out of Poverty Index were enrolled in Village Enterprise programs. Training for this cohort began in April, and they received their grant disbursements in June.
We are also in the midst of conducting a robust evaluation of our program expansion. This quasi-experimental study employs a stepped-wedge, cross-sectional design to understand health impacts in Lwala sites compared to control sites. The study focuses on maternal and child health outcomes, but also collects a wide range of socioeconomic data to help us understand more about the drivers of health outcomes. We have already surveyed 1,100 households across our current innovation hub and primary expansion location. The step wedge design allows us to repeat the survey every 12–24 months in new locations as we grow.
Partners from the University of California, San Francisco trained clinicians from Lwala and nearby partner facilities on the non-pneumatic anti-shock garment (NASG), a low-cost tool used to prevent women from experiencing post-partum hemorrhage after delivery which has been used 8 times in our facilities.
Lwala’s health intervention has focused on primary care for children, access to medicines (particularly vaccines and antimalarials), HIV testing and care, public health outreach, and safe maternity. We have provided 4,883 couple years of protection (CYP) which is a measure that weighs the value of a contraceptive method by the number of years it provides protection from pregnancy.
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.
Outpatient Care – 5,988
Child Welfare Clinic – 3,866
Family Planning Clinic – 1,098
Inpatient Ward – 310
Antenatal Clinic – 1,134
Deliveries – 276
Postnatal Care – 341
HIV Appointments and Care – 2,927