The Non-Communicable Diseases Quality Management (NCDQM) Project aimed at strengthening the healthcare system through improved capacity in management of selected NCDs within four sub-counties of Nairobi County. The settlements included Ruaraka, Westlands, Embaksi East and Embakasi West. During implementation of the NCDQM project, the African Institute for Health and Development (AIHD) worked closely with the Nairobi City County Health Department-NCD Unit, the German Federal Ministry for Economic Cooperation and Development (BMZ), Malteser International (MI) and IntelliSOFT Consulting.
The project used innovative technology to build the capacity of healthcare workers to adhere to clinical guidelines in the management of hypertension and Diabetes Mellitus (DM). Implementing partners developed and facilitated the adoption and domestication of Electronic medical records (EMRs) system in health facilities within the four implementing sites. Notably, the system provided a platform to easily digitize medical data leading to improved NCD health information in 45 selected health facilities. The AIHD team conducted data quality assessment (DQA) to collect data on the two NCDs and assess the quality of data collected in the health facilities.
Apart from the system, the AIHD equipped the health facilities with equipment, lab reagents and other lab consumables. Moreover, healthcare workers and community health volunteers (CHVs) were sensitized on the NCDs, particularly, hypertension and Diabetes Mellitus (DM) both in the health facilities and at the community level.
Non-Communicable Diseases Nairobi County CIP launch
PATH Kenya contracted the African Institute for Health and Development (AIHD) to implement the advocacy and mobilisation component of the project, Integrated Mother and Baby Friendly Initiative Plus (MBFI+) targeting vulnerable neonates in Kenya. The overarching goal of the project was to contribute to a reduction in maternal and newborn mortality. In Kenya, the project focused on establishing a Human Milk Bank (HMB) in Pumwani Maternity Hospital (PMH).
The advocacy and mobilisation component was based in Pumwani health facility and the community around it. The component focused on promoting uptake of HMB by healthcare workers in Pumwani maternity Hospital and community health volunteers (CHVs) and the community in Kamukunji sub county.
The advocacy and mobilizing component is aimed at creating awareness on the significance of HMB and mobilizing potential donors in Pumwani area to voluntarily donate breast milk to the HMB at Pumwani Maternity Hospital, Nairobi. The specific objectives of the component included:
The advocacy and mobilisation engagements were guided by the following themes:
As part of their 2019 Community Ambassador Programme, CIGNA- a global health services company, dedicated to helping people improve their health, well-being and peace of mind. CIGNA partnered with the African Institute for Health and Development (AIHD)-which is a Non-Governmental Organization (NGO) based in Nairobi- to undertake an initiative dubbed “Be Beautiful, Be Healthy”. The aim of this initiative was to mobilize barbershops and salons in Nairobi, to aid in the delivery of health promotion and disease prevention messages on Non-Communicable Diseases specifically, hypertension and diabetes.
Non-communicable diseases (NCDs) represent a major public health problem. These diseases, mainly cardiovascular diseases, diabetes, cancers and chronic respiratory diseases contribute to the majority of causes of death and constitute a major burden for socio-economic development especially in developing countries. The NCDs are chronic in nature and may have no cure; however, existing evidence indicates that these diseases are largely preventable by means of effective interventions. In addition, early detection and proper management of such diseases can reduce morbidity and premature death and may improve quality of life.
The key objectives of the Be Beautiful, Be Healthy initiative were:
The Initiative was launched during a breakfast meeting on July 26,2019 at IBIS Style Hotel, Westlands. Key stakeholders present were drawn from the Government, civil society organization (CSOs), private sector, barbershops and saloons. The aim of the launch was to create awareness and buy-in among the stakeholders.
The target areas for the Initiative were; Kilimani, Westlands, Nairobi Central Business District (CBD), Kenyatta Market, Kariobangi Northand Umoja Market. Ten (10) clinical volunteers (nurses and nutritionists) were recruited, trained and dispatched to salons to conduct health talks on a daily basis. During implementation of this initiative, the AIHD and CIGNA partnered with The Aga khan University hospital and the Good life Pharmacies to offer onsite free medical checkups on Saturdays at the various Salons and barbershops.
The two organizations also partnered with the Nairobi County Health department – NCD unit to ensure sustainability and scale up of the Initiative. Additionally, the Unit acted as the point of referral to the patients who were found to have abnormal readings during the screening process, hypertension cases and diabetics, for treatment.