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.

Objectives

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:

  1. To create awareness on human milk banking (HMB) among healthcare providers (medical and non- medical staff) and community members;
  2. To strengthen capacity on HMB of healthcare workers medical and non-medical staff in Pumwani health facility;
  3. To sensitize gestating and lactating mothers on the uptake of HMB in Pumwani health facility; and
  4. To engage external stakeholders at the county level on HMB.

 

Activities:

  1. The AIHD team held separate project information sharing meetings with healthcare workers in Pumwani health facility and CHVs in Kamukunji sub County.
  2. The project team held a workshop with local leaders in Kamukunji sub-county to sensitize them on HMB.
  3. The team held public barazas with community members in Kamukunji sub County to sensitize them on HMB.
  4. Distribution of information, education and communication (E.C) materials on HMB.
  5. The AIHD team supported continuous medical education (CMEs) focusing on HMB in Pumwani health facility.
  6. The team conducted health talks and sensitization meetings with gestating and lactating mothers at Pumwani health facility.
  7. The AIHD team attended and participated in project-related meetings/forums organized by partners (PATH and APHRC) on HMB.
  8. The AIHD project team strengthened support groups for lactating mothers to be used as champions for change to demystify myths and misconceptions on HMB.

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2.2 Thematic Areas for Advocacy and Mobilisation

The advocacy and mobilisation engagements were guided by the following themes:

  1. Background information on HMB;
  2. The importance of breast milk and donated human milk alternative for vulnerable neonates;
  3. Safety and quality assurance and control measures of the donor human milk (DHM)(screening, handling, storage, pasteurization and allocation);
  4. Lactation support, breast milk expression, early initiation of breastfeeding, exclusive breastfeeding, maternal nutrition and hand hygiene; and
  5. Debunking the myths and misconceptions of donor human milk.

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Achievements

  1. 1.A total of one hundred and thirty-eight (138) PMH staff both medical and non-medical were sensitized on HMB in a series of meetings at PMH and nearby hotels (Grand Royal and Nomad Place Hotel). Moreover, a total of
  2. 2.Two thousand, three hundred and twenty-eight (2328) community members from Eastleigh North, Eastleigh South, Muthurwa/ ShauriMoyo and Pumwani wards were sensitized on HMB project.
  3. 3.The AIHD project team supported a total of four (4) CMEs to sensitize PMH staff. Through these CMEs, eighty-three (83) PMH staff were sensitized on HMB.
  4. 4.Two sensitization meetings were held with support groups for lactating mothers. A total of one hundred and twenty-five (125) mothers were sensitized.
  5. 5.The AIHD project team sensitized a total of four hundred and twenty-one (421) mothers, gestating and lactating, through a series of meetings in PMH and Pumwani catchment area.
  6. Two meetings were conducted with community leaders (opinion leaders, religious leaders, youth leaders and heads of CHVs). A total of sixty-two (62) leaders were sensitized in Kamukunji, Starehe and Makadara sub Counties.
  7. 7.The AIHD project team attended a total of sixteen (16) meetings organized by partners on HMB.
  8. 8.Distribution of HMB I.E.C materials was done in meetings held with local leaders, mothers, CHVs and community members in Pumwani catchment area and PMH staff.

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:

  1. Mobilize a network of barbershops and beauty salons in Kenya to promote the Be Beautiful, Be Healthy Initiative;
  2. Share messages for the prevention and control of high blood pressure, diabetes, cancer and obesity; and
  3. Conduct free screenings to the hairderessers,barbers and their customers to encourage early detection and encourage the practice of screening.

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.

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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.

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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.

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