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Health

Partnership sees more NCDs patients seek medical attention

Over 6000 hypertension and diabetes patients across the county have been screened, with 2000 of them already enrolled to digital-health enabled mode of care in a bid to provide an integrated end-to -end solution for Non-Communicable Diseases burden in Makueni.
 
This is as a result of a 2-year public private partnership that was signed 7 months ago by the County government of Makueni, Novartis Social Business, Medtronic Labs and Management Sciences for Health geared towards combating NCDs in the county.
 
Several community health workers and volunteers, as part of capacity building and strengthening of the health system, have been trained on Ministry of Health’s NCD clinical training as well as using the Empower Health System, a digital platform for managing and monitoring patients.
 
During a review meeting on the implementation status of the MoU, chaired by Makueni county Governor Kivutha Kibwana and attended by representatives from the parties on Tuesday in Wote, the County health department reported nine out of ten initially planned health facilities are operational with Empower Health system.
 
The facilities include Makindu, Matiliku, Mukuyuni, Kibwezi, Kisau, Mbooni, Tawa, Sultan-Hamud and Mtito-Andei Sub-County hospitals.
 
According to the County Health Director Medical Services Dr. Stephen Ndolo, plans are underway to connect the Makueni County Referral and Kambu Sub-County Hospitals to the digital care platform.
 
The parties are working to scaling up the program to reach out to more people and reduce on the hospital deaths caused by NCDs.

Makueni Universal Health Care receives Funding to boost medical supplies

The Makueni Universal Health Care programme has received a Sh 100 million funding boost from the Ministry of Health to increase the supply of essential medicines and supplies.
 
The funding, which will be disbursed annually through Kenya Medical Supplies Authority, will complement the county’s essential medicine and supplies budgetary allocation to ensure that all the public health facilities are sufficiently stocked.
This was revealed on Monday during the signing of the Intergovernmental Participation Agreement on the implementation of universal health coverage in Kenya between the National Government through the Ministry of Health and the county government of Makueni.
 
The agreement was signed by Governor Kivutha Kibwana and Health Cabinet Secretary Sicily Kariuki at Afya House in Nairobi.
 
According to the deal, the county will also receive two special portable medical clinics to provide medical services within the informal settlements and hard to reach areas within the county.
 
The Ministry of Health, as part of the agreement, will facilitate the placement of 107 interns through the Public Service Commission in collaboration with the Makueni County Public Service Board, to offer services at Level 2 and 3 facilities.

Kibwana signs Cancer Care Deal with Two International Cancer Organizations

Governor Kivutha Kibwana has signed a cancer management deal with two international cancer organizations which will position the county as a centre of excellence in cancer care.

The deal, signed Thursday at Wote, brings together the International Cancer Institute (ICI) and Roche Kenya Limited (a leading pharmaceuticals and tissue-based cancer diagnostics company) to partner with Makueni on cancer and other Non-Communicable Diseases management.

The deal seeks to undertake an integrated care model in the county for; breast cancer, cervical cancer, prostate cancer, lymphomas, hypertension, diabetes, and mental health at the primary health care level through the referral system to the Makueni County Referral Hospital.


The two organizations will support Makueni CRH as a treatment center for oncology services and a comprehensive screening and outreach center for the same.

International Cancer Institute Chief Executive Officer Prof. Chite Asirwa, a cancer and blood specialist who signed the partnership for ICI said the organization will provide on a rotation basis mentors: 1 oncologist, 1 gynecologic oncologist, 1-2 surgical oncologists, 1 pathologist, 1 medical officer, 2-3 clinical officers, 2-3 nurse educators, 1 community liaison, and 6 community health promoters to support the Makueni treatment centre.

He said the partnership will emphasize on accessible and affordable cancer prevention, cure and improved quality management for those living with the condition, which he says has been elusive and the reason many Kenyans fly to India and other far off destinations for treatment.

Governor Kibwana said the deal will save many residents of Makueni the agony of having to sleep on the floors of Kenyatta National Hospital as they queue for cancer treatment or selling assets to fly out of the country in search of such services.

He said the deal for set up of cancer treatment centres in counties was brokered by the County First Ladies Association (CFLA) chaired by his spouse Nazi Kivutha who was present during the signing of the partnership agreement.

Data from the department of Health Services in Makueni show the county has a high prevalence of hypertension and diabetes, a growing burden of cervical, prostate and breast cancer as well as sickle cell disease and unchecked mental health issues.

The Makueni CRH registered 253 cases of the above illnesses combined between July 2015 and June 2019.

Makueni deal a blow to non-communicable diseases

Makueni has yet again registered another first on its healthcare provision following signing of a multilateral agreement to combat non-communicable diseases in the county.

The county government in collaboration with Sandoz Pharmaceutical, Medtronic Inc and Management Sciences for Health, a non-profit corporation shall deliver an end-to-end non-communicable disease care model to achieve improved patient outcomes.

The 2-year partnership deal was arrived at on Friday by Makueni Governor Kivutha Kibwana, Cluster Head Norvatis Social Business Dr. Nathan Mulure, Medtronics Regional health head Africa, Chemutai Langat and Management Sciences for Health Country project director Ndinda Kusu at the governor’s office in Wote.

The care model will include; awareness and education on the chronic diseases; screening for the diseases in the community; capacity building and health system strengthening through training of community healthcare workers and volunteers; diagnosis through existing, identified health facilities and provision of quality and affordable medications.

Governor Kibwana welcomed the deal saying it was going to strengthen the County’s Community Health Strategy as well as revolutionize the Universal Health Care program.

Makueni CEC for Health Dr. Mulwa who witnessed the signing of the partnership disclosed that the County is the first to sign the deal. The model is expected to be rolled out in Nyeri and Kakamega counties.

The County Health Chief Officer, Dr. Patrick Musyoki said, “This partnership has come at the right time. NCDs are silent killers causing 55% of deaths in hospitals yet most of the African countries have not taken up the challenge.”

Makueni to pilot Telemedicine health provision

By Onesmus Nzioka

Makueni has yet again made enviable strides in its healthcare provision by venturing into Telemedicine.

Telemedicine is the remote delivery of healthcare services, such as health assessments or consultations over the telecommunications infrastructure.

The program, launched at Thange Africa Brotherhood Church, Thange ward, is a brainchild of the ABC church through the National Council of Churches of Kenya in partnership with the government of Makueni County.

The program, dubbed Comprehensive Community Healthcare Initiative (CCHI), was unveiled by ABC Archbishop in charge of East Africa Timothy Ndambuki and governor Kivutha Kibwana on Wednesday.

The program entails a mobile internet linked multi diagnosis kit based at Thange and doctors based at the Makueni County Referral Hospital, who are linked into the system through installed software on their side.

The system is both web and android based such that enlisted doctors will get alerts of booked cases from the remote health centre on their mobile phones as per their schedules of assigned duties.

Patients will walk into the Thange health facility, their diagnosis carried out by a resident nurse and the results relayed in real time to the doctors who will then analyze and prescribe the proper medication to be administered by the nurse at Thange.

For complicated cases, the system enlisted doctors will be able to seek further consultations from more qualified doctors across the globe on behalf of their patients.

Patients will also have a face-to-face consultation with the doctors, through teleconferencing, who will then direct the resident nurse(s) on what tests to carry out.

Governor Kibwana has directed the county health department to dedicate a unit for the telemedicine program on a 24-hour basis to make it work.

County Health Executive Andrew Mulwa has announced that all the county level 4 hospitals will be linked into the program so as to address a broad range of health services.

Makueni Launches Telemedicine

According to Archbishop Ndambuki, the program will be rolled out in the whole of Ukambani under the South Eastern Kenya Economic Bloc (SEKEB) if it succeeds in Makueni.

The program is enabled by a digital communication network and applications provider registered in Kenya under the name DIGLOSO run by a US based Kenyan named John Musau.

Makueni has officially signed a Memorandum of Understanding with the company for extensive roll out of the program.

Makueni in Partnership with Christian Health Association on HIV prevention

Makueni’s efforts to combat the HIV epidemic has received a shot in the arm following a partnership agreement with Christian Health Association of Kenya (CHAK) to scale up these efforts.

The agreement, signed on Monday by governor Kivutha Kibwana and CHAK’s Secretary General Samuel Mwenda seeks to facilitate the implementation of comprehensive HIV Prevention, Care and Treatment Services in pre-selected faith based facilities within Makueni County

The selected facilities include Kikoko Mission Hospital, Makueni Catholic Dispensary, PCEA Kasasule Health Centre, Kambu Catholic Dispensary and Mbitini Catholic dispensary.

As part of the partnership, CHAK will primarily:

Provide financial support on a monthly basis for human resources support in the facilities captured, subject to funding availability from CDC to the Makueni County Health Management Team as discussed and agreed upon by both parties.

Offer clinical, & Health systems strengthening mentorship at the pre-determined Health facilities.

Participate in joint support supervision with the County Health Management Teams.

Timely submission of MoH monthly reports as per the pre-existing framework to the Makueni County Health Department

Train the personnel in the pre-determined health facilities on various aspects of HIV & T.B service delivery and reporting.

Makueni on the other hand will among others:

Offer staff management including staff appraisal and taking disciplinary measures where necessary.

Provide data capturing and reporting tools for the HIV and TB care and treatment and to Conduct Data Quality Audits of the health facilities captured.

Facilitate consistency in supply of pharmaceutical and laboratory commodities that are vital to the day to day implementation and overall success of the HIV and TB care and treatment interventions as envisioned in the agreement.

At Least 50 Women in Makueni to Benefit from Free Fistula Surgeries

Over 50 women living with fistula related complications in Makueni County are expected to receive free surgeries and medical advice in a weeklong free Fistula Camp at the Makueni County Referral Hospital.

The execrise which began last week Friday 29th and runs to April 6th was officially flagged off on Monday by Deputy Governor Adelina Mwau, Safaricom Foundation’s Assistant Programmes Analyst Antony Otieno and Council Member, Flying Doctors Society of Africa Illa Devani.

The activity, courtesy of a partnership between the County Government, Safaricom Foundation and Flying Doctors’ Society of Africa aims at creating awareness about fistula and the importance of quality maternal health services.

Since Friday, at least 100 women have been screened and 23 admitted at the Mother and Child Hospital, Wote, for surgeries which commenced on Monday.

Accounts by some of the women admitted for surgery tell of a people who have been living in delibitating conditions with a near withdrawal from all social activities due to stigma.

The Mother and Child Hospital Medical Superintendent Dr. Doris Mbithi said victims of this condition suffer from depression, rejection and trauma and choose to suffer in silence as the cost for corrective surgery is prohibitive to many.

A normal corrective surgery costs at least Sh 65,000 and requires specialised medical procedures.

The World Health Organization has termed fistula as the single most dramatic aftermath of neglected childbirth estimating that more than 2 million women live with fistula worldwide.

It is estimated that there are 3,000 new fistula cases in Kenya each year, and only 7.5 percent of these are able to access medical care.

This means that every year, more than 2,700 women with new fistula cases do not receive the necessary medical attention.

Over 50 cleft lip and palate patients set to benefit from free surgical clinic

Over 50 cleft lip and palate patients from Makueni are set to undergo free surgical and rehabilitative treatment at Makueni Level 5 Hospital courtesy of the county government, Smile Train Africa and BelaRisu Foundation.

Health Executive Dr Mulwa who officially opened the 3-day surgical camp said the program is one of the major steps towards implementation of the Makueni universal health cover that ensures accessibility of health services to all.

“Today we have a free camp for patients with cleft lip and palate. This  program is in line with our universal health care which ensures that no one is left behind in accessing health services,” Mulwa said.

Smile Train Africa Program Director Jane Ngige noted that the camp is in accordance with a Memorandum of Understanding signed between them and the county government two years ago that is geared towards promotion of health through the surgical camps and capacity building of medical professionals.

She said: ” Two years ago, we signed an MoU with the County government and that is why we have today’s camp. The main objectives of the agreement is to help train medical professionals as well as help children with cleft lips and palates in Makueni.”

Health Chief Officer Dr Patrick Musyoki said plans are underway to devolve the surgical camps to Sub-County hospitals so that patients can access the services easily and have them run after every 3 months.

Makueni Unveils 200-bed Ultra Modern Mother and Child Hospital

Makueni has unveiled one of a kind Mother and Child Hospital at Wote.

Out of the 200 beds, 120 are for adults and 80 for neonates.

The facility, the first public hospital to offer aqua-birthing services in the country was commissioned on Thursday December 6th by national First Lady Margaret Kenyatta and Governor Kivutha Kibwana. The ceremony was also attended by regional leaders among them senator Mutula Kilonzo Jnr and MPs Daniel Maanzo (Makueni), Patrick Musimba (Kibwezi West) and a host of county first ladies.

The facility is expected to be a regional specialist referral facility for maternal and child health services with a catchment population of close to 100,000.

The facility will provide amenities including:

  • Consultation Services – Gynaecological, Obstetric, Neonatal consultation services;
  • Antenatal wards – for mothers who are not in active labour;
  • Ultra-modern New Born Unit with neonatal Intensive Care Unit (ICU) – with baby cots, incubators and phototherapy unit;
  • Post-surgical wards – for patients who have undergone surgical operations;
  • Labour ward with private rooms and 6 delivery beds;
  • Twin operating theatre with capacity for laparoscopic surgeries;
  • Gynaecological wards – for non-pregnant women of reproductive age with clinical issues;
  • Neonatal Ward – for both sick and well neonates;
  • Aqua-birthing facility – a first in public hospitals in Kenya;
  • Laboratory services – for diagnostic support;
  • Pharmacy services;
  • PET room – for mothers with pregnancy related hypertension complications;
  • Conference facilities – for continuous staff medical education; and
  • Kangaroo Mother Care room – for preterm neonates.

According to governor Kibwana, The Makueni Mother and Child Hospital is in line with the county’s priority to ensuring the provision of the highest attainable standards of health as envisaged in our constitution.

He said it is also aligned with President Uhuru Kenyatta’s big four agenda.

“Besides the Mother and Child Hospital, the County Government of Makueni has invested heavily in the improvement of health services especially the maternal and child health,” he said.

“The county government has increased physical access to health care. For example, we have in the last five years doubled the number of the physical facilities from the initial 109 facilities in 2013 to the current number of 232 operational facilities in 2018. This has reduced the average distance to access a health care facility from 9km to 4.5 km currently,” he said further.

The facility has been constructed in phases for the last four financial years at a cost of Sh 135 Million which includes both construction and equipping.

Makueni inks deal with Centre for Health Solutions for healthcare promotion

Makueni County has signed a Memorandum of Understanding with Centre for Health Solutions Kenya (CHS-Kenya) to advance its quality of healthcare promotion.

The MoU, signed by governor Kivutha Kibwana and CHS-Kenya Chief Executive Officer Paul Wekesa on Monday seeks to:

Support in implementation and expansion of high quality HIV Care, prevention and treatment through training and capacity building activities, provision of commodities and other relevant assistance;

Provide technical advice to policy makers and to those in county health institutions that will deliver the services through the MoH;

Establish collaborative framework to institutionalize the use of evidence informed interventions through activities such as baseline assessments, program reviews and operations research;

Enhance support in monitoring activities of the National Tuberculosis Leprosy and Lung Disease (NTLD) Program through support, supervision and quarterly meetings.

The deal, according to governor Kibwana, is in line with the county government’s commitment to advance appropriate and rapid responses to the County’s HIV/AIDS epidemic and to health promotion in general.

The deal will cover 64 health facilities across the county, among them the sub county hospitals and the Makueni County Referral hospital.