|Ted playing with Silvanos' children|
Now that the pre-team was more acclimated to the time change, they were ready to get to work. Monday morning at 8am, Ed, Father Bernard, Antony, Bernard and Jack met with APDK. Kathy, Ted, and Anne met with the Lion’s Club. The meeting was with Eunice Wandei of APDK, coordinator of community based rehab programs. They reviewed requirements for establishing community based rehab programs and learned about the micro-financing programs for people with disabilities. They saw the outside of the factory that produces wheelchairs for only $200, tailored to the specific needs of the disabled, with larger wheels for the rough road, more like a mountain bike would have so it can be repaired easily in the villages. They also make crutches, braces, and prostheses. In a different part of town, the meeting with the Lion’s club was with Dr Khan and Mr Datoo. Their mission statement is ‘we serve’. They were eager to partner and support and outreach for eyecare. It was a beautiful hospital and they balance the services well. People with money would pay for dialysis and eyework, which allow them to offer services to the poor for a minimal price. A second meeting was set up to discuss the possibility of the partnership. At 10am (yes all that was in only two hours!), they all promptly returned to the Methodist Inn to meet Zarah and Leah, consultants recommended by Amref Canada, who were hired by MCOH to do an environmental scan (more detailed than an assessment), as part of a feasibility assessment for community based health care. They presented a preliminary report with the promise to deliver a final comprehensive report mid-February. They spent so long in the meeting that the consultants nearly missed their plane!
|Data measures they track for Community Based Health Care|
Monday afternoon, they took off for Makindu, a town East of Nairobi, half way between Mombassa and Nairobi in a place called the ‘hunters lodge’. Makindu is a model Amref site for Community Based Health Care that they visited on Tuesday. They learned so much about Community Based Health Care and were able to visit two different sites that day. They met two CHEWs (Community Health Extension Workers) and were show the types of data collection and indicators that were used by the Dept of Health to monitor program effectiveness. The second site was a demonstration on using computers for data collection for Community Based Health Care. Community Health Workers (CHW) directly entered the information on their areas on health conditions to send to Amref that they’re responsible for monitoring. It gave them insight into the relationship between CHWs, CHEWs and Community Development Committee (the board). On the trip back to Nairobi, Jack purchased a GPS for better investigation of water locations…and went on a second shorts shopping trip.
On Wednesday, they had a more extended tour of the Lion’s clinic and were quite excited to start a partnership that the Lion’s would provide support at the vision clinic during the Mikinduri health clinics this year! The Lion’s club will do screening for diseases and eye conditions, i.e. cataracts. They can do very accurate vision testing. It provides an interesting opportunity to facilitate referral of patients to Nairobi and possibly more regular clinics if the need is present. Meanwhile, Jack and Fr Bernard went to the national statistics agency and got some great information about the Mikinduri area. They bought two publications on Population and Household Statistics by Administrative unit, the smallest unit in the country, which gave them a good baseline on the population that they’re serving. That book cost 4000 shillings ($50). They bought a second book called Socio-Economic Characteristics which was a bigger geographical unit and will be very representative. That book was also 4000 shillings. They were searching for topographical maps of the Mikinduri area. On Wednesday evening, they had the pleasure of meeting Bernard’s family: Emily and Joy.
|Education before clinic began|
|Boy with Club Foot|