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On Thursday, November 8, 2018, one of the most colorful street activation exercises was conducted in Kangemi, principally to pass messages about TB diagnosis in Kangemi, and the newest most effective machine in the laboratory, TB LAMP.
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We have the CHVs, students from Akiba Secondary school band, the MOH, and the community members joining. In fact, even children, given that we were attractive, and in colorful Tshirts, joined us.
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The 8-kilometer walk saw us traverse the Kangemi, Gichagi, Mountainview and Kangemi market areas, where the bulk of patients come from.
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The loud megaphones, and the big banners, plus the fantastic band were very instrumental in reigning on the attention of the community members, in a manner that made it easier to announce to them the new services at the new lab, and the new TB machine.
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Again, that we had the Japanese staff with us was in itself a reason for more attention. For the children and a few older people who had never seen a white person, this was a golden chance, and they joined in the walk, with some doing all they can to shake hands.
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Members of the MoH, Peres, and Jane, joined. The chief sent two representatives, whose presence solidified the meaning of the street procession.
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The members of the community were informed of the signs of TB, the precautionary measures, the diagnosis, and the free treatment available. Given that there is a new machine, which is free, it also became necessary that they are asked to come to the center regularly for a checkup whenever such symptoms occur.
The community people also got several brochures with all the details of the disease, medication, and treatment procedure.
In all the places we walked, we mounted posters on public places, shops, salons, meeting points, residential areas and chief's offices, where most people can see and read them.

In the end, we had a small talk with all the people present, gave them more brochures about TB, and asked them to continue with spreading the message, even in their own neighborhoods.

And the band drummed away, to complete the walk at a climax.

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Abuta Ogeto
posted by resultsjp at 23:27| Comment(3) | 情報


For Societies and Nations to prosper, good health and wellbeing is fundamental. Primary Health Care (PHC) plays a critical role in achieving health for all.

It is an essential feature of health system that secures accessible, affordable, cost-effective, quality, equitable, comprehensive, and integrated and people-centered systems.

Existing evidence indicate health system that are developed around strong PHC deliver better health outcomes because 90 per cent of all health needs can be met at the primary health care level.

In this regard, Kenya adopted declaration for the attainment of health for all. Kenya has made tremendous strides in health care provision. Life expectancy has improved from an average of 48 years in 1978 to 65 years.

Similarly, under-five mortality has reduced from 175 to 54 deaths per 1,000 live births and maternal mortality ratio from more than 800 deaths per 100,000 deliveries in 1978 to 362 deaths per 100,000 deliveries as per the report on Universal Health Care presented to National Assembly Health Committee by Health CS Sicily Kariuki.

This has been attributed due to, firstly, prioritize, promote and protect people’s health and wellbeing at both population and individual level, through strong health systems.

Secondly, promote primary health care and health systems that are high quality, safe, comprehensive, integrated, accessible, available and affordable for everyone and everywhere, provided with compassion, respect and dignity of health professional who are well trained, skilled, motivated and committed.

Therefore, the success of health system depends on PHC-oriented interventions geared towards proactive care, preventive measures, and health promotion at the local population level.

posted by resultsjp at 03:26| Comment(3) | 情報


Pneumonia is one of the most treatable infectious diseases yet it remains the leading infectious killer of children below five years in the world.

According to WHO 2016, pneumonia claimed 920,136 children in 2015 which accounts for 16 percent of all deaths of children below five years.

In Kenya, the most recent data indicate that it accounts for 10, 628 deaths annually with the rural areas recording the highest figures.

Despite the government providing the vaccine and antibiotics to treat pneumonia for free, the mortality rate is still high as not all children access health services especially those in the rural areas.

Local people have to walk for long distance as motorists avoid the roads which are impassable thus discouraging them from seeking medical attention.

More than 90 percent of the local people are illiterate, hindering them from seeking early treatment until the disease is severe. Language barrier is a big challenge and most of the information is either lost or distorted during translation.

Parents or guardians are urged to seek medical attention early when their children present with symptoms like coughing and difficulty in breathing as this is very important in treating pneumonia.

posted by resultsjp at 03:17| Comment(3) | 情報


The concern over rising levels of wastewater pollution experienced in urban areas due to the poor state of treatment facilities is real. Evidence has been collected by the Water Resources Management Authority (WRMA) and National Environment Management Authority (NEMA) attesting to this.

There are high levels of sewer pollution negatively impacting on water quality.
A number of wastewater treatment works are in a poor state due to lack of proper maintenance with the situation aggravated by a rapidly expanding population yet very little or no effort taken to expand the wastewater infrastructure.

The result of this is spread of water-borne diseases, loss of livelihoods, loss of natural biodiversity, reduced availability and reduced potential of the river becoming a source of safe potable water and the insidious effects of toxic substances and heavy metal poisoning which affects the health and productivity of humans.

The major effluent dischargers in Nairobi River are actually over-utilized sewerage treatment plants operated by the water and sewerage companies. Due to inadequate investment taken by the government to expand the capacity of sewerage treatment plants, these facilities have become a major source of pollution to the rivers they are discharging into.

The impact of our poor wastewater management is not only felt on the ecosystem but also on people’s livelihoods. Economically, rivers that once provided a source of income for fish farmers have disappeared due to our own negligence or presumption in managing wastewater.

The lost revenues and government taxes lost due to the poor wastewater management is interesting while little efforts are done.

Needless to say, it is important to safeguard them from declining water quality resulting from our poor management.


posted by resultsjp at 03:09| Comment(2) | 情報


Current health reports released shows that Kenya’s funding needs for HIV, TB and malaria will total Sh84 billion between 2019-22.

Owing that this is a huge amount of money and the Kenyan budget alone cannot be able to sustain the needs, this bulk of the money is targeted to come from the Global Fund, US government and other donors.

The health expenditure in Kenya is rising with new health cases each day. For the country to achieve universal health care, there is need to replace the current external partner investment with internal resources from the national and county government as well as the private sector.

The health sector principal secretary, one Mr. Tum, in a meeting on domestic resource mobilization for Health in Kenya, he said that Kenyans can cater for the health sector wages if proper procedure are followed. The event is meant to collect resources locally to boost the health sector rather than over rely on the donors.

He went on and said “Money coming from outside, be it from the national government and even what is being collected within the hospitals and dispensaries should be reinvested in the health sector".

In the meeting, it was alluded that mismanagement of the funds that come in, is the major reason why there are cases of people going to hospitals and not getting enough drugs or even staff to offer services because the staff are not paid and the drugs are not bought.

With the debate on a referendum in Kenya ongoing, the Health Parliamentary Committee is discussing on what issues in the health sector should be devolved and what should be moved back to the national government for better service delivery.

posted by resultsjp at 02:57| Comment(2) | 情報