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“Promoting Access to quality healthcare”
CHAK REPRODUCTIVE HEALTH/FAMILY PLANNING
PROGRAM Presented by; Jane Kishoyian
Christian Health Association of Kenya
CCIH 30th Annual Conference 2016: Johns Hopkins University, Baltimore, MD, USA
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Outline • Kenya context • Program goal and objectives • Program motivation • Program support • Achievement • Challenges • Way forward
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Kenya context • TFR – 3.9 KDHS 2014 – down from 4.6 in 2009. (Rural
women have more children than urban women)
• Unmet need for family planning - 23%. (KDHS 2014). • Most popular method is injectable at 26%, implants
10% and pills 8% • The Government offers 60% of modern contraceptive
while private and FBO offer 40%. • CPR -58% (KDHS 2014) • IMR-39/1,000 live births • Under fives MR – 52/1,000 live births • MMR – 400/100,000 live births (WHO 2013)
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Program Goal To improve reproductive health through:
Increased CPR Reduced unwanted and mistimed pregnancies Lowerered incidence of unsafe abortion Reduced maternal morbidity and mortality Decreased fertility rates over time
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Objectives • Capacity building of HCW and CHVs on
RH/FP • Sensitization of Religious Leaders to
champion RH/FP • Increase supply of FP commodities and RH
services • Create and sustain demand for RH/FP • Advocate for resource allocation • Disseminate lessons learnt
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Program Motivation • CHAK’s commitment to support member health
facilities to address; • Poor access and utilization of RH/FP • The unmet need for FP services • Declining attitudes towards FP use
• capacity building needs (skills) to improve service delivery
• Lack of men support and involvement • Need to enhance supply and demand side
interventions
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Motivated staff Staff team building
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Increase uptake of
RH/FP services at
Health Facility & Community
SERVICE DELIVERY-HF
& COMMUNITY
ADVOCACY/POLICY
ENGAGEMENT & INFLUENCE –
National & County
MONITORING, evaluation &
DISSEMINATION
CAPACITY BUILDING
INFORMATION
PROVISION/DEMAND CREATION
CHAK RH/FP Program Model
“Promoting Access to quality healthcare”
Achievement • Trained 250 Religious leaders on advocacy
and 150 CHVs for service delivery at community level
Kendu Adventist Mission Hospital Maua Methodist Hospital
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Equipping health facilities • Eight (8) facilities were supplied with
implant , IUCD and BTL Kits. IEC and guideline distributed
ACK Maseno hospital and Monianku health center
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Capacity building of HCW
Christian Health Association of Kenya
Basic emergency obstetric care (BEmOC) and long acting FP methods training • 120 HCW trained and review meetings
follow up and on job trainings
“Promoting Access to quality healthcare”
Christian Health Association of Kenya
Training of Religious Leaders to improve family planning service demand
“Promoting Access to quality healthcare”
Achievement • Baseline survey conducted that indicated
low uptake of FP in the faith based facilities • A total of 250 Religious Leaders trained and
engaged in giving FP health messages and services respectively.
• A total of 1,424 community meeting organized by religious leaders in 6 counties
• A total of 16,824 people received FP messages from Religious Leaders in 6 counties in Kenya.
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Achievement
• 4,635 clients referred to health facilities for FP methods by religious leaders
• Improved method mix • Improved FP uptake • Community based distribution of pills and
condoms • Improved support for FP commodities from
the County Health Departments as a result of advocacy
“Promoting Access to quality healthcare”
achievements • 32 dialogue days have been conducted in the 8 facilities • Effective referral for clients for BTL – 52
women supported to undergo BTL services – last 16 months
• Increased male involvement - More men accompanying and paying for their spouse to receive FP services.
• 2 out of 8 HF reported stock out-initially 6 • 38,611 new FP accepters in 8 facilities
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Engaging CHVs in FP 150 CHVs trained
Community dialogue day Training of CHVs
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Experience sharing forums
Christian Health Association of Kenya
Faith-based increase in new FP users; Seven folds in three years -384 to 2839 Namasoli Health Center, Vihiga County, Kenya 2012-2015
Kenya won excellence in leadership for FP award during the ICFP 2015 in Indonesia- CHAK was
represented and shared best practise
Challenges
• Staff turnover • Cultural and religious biases against
contraception • Occasional erratic supply of commodities • Many health facilities lack equipment to
support BEmOC • Inadequate skilled personnel - on LAM • Inadequate funding
“Promoting Access to quality healthcare”
Way forward • Continue with capacity building through
mentorship • Continue support in commodity
management to ensure no stock-outs • Address myths and misconceptions • Strengthen the data collection and
reporting system • Source for more funding
Christian Health Association of Kenya
“Promoting Access to quality healthcare”
Acknowledgement • Gates Foundation – Eastern & Central region • Packard Foundation- Nyanza & Western region • Bread for the World – All other regions • CCIH • MOH • County Health Departments • Religious Leaders • Communities
Christian Health Association of Kenya
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