2019年02月11日

戯曲書いてます。

ここ数年、現代演劇の戯曲を書いています。仕事の合間に、いろいろと着想が沸いてきました。週末に書いています。内容はスナノミのために運動靴を集めてケニアに送る家族のお話です。いままでばらばらだった家族がボランティア活動を通じて、その絆を取り戻していくストーリーです。いつか、この戯曲の公演ができることを楽しみにしております。(まこちゃん)
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posted by resultsjp at 21:38| Comment(3) | リサーチ&アドボカシー

医療予算改善に向けてNIIMS(ケニア国内統合個人情報管理システム)の公開

ケニア事務所メンバーCalvinさんのブログ投稿の日本語訳です。

政府は大量のデジタルデータ登録を本年3月から始め、国内統合個人情報管理システム(National Integrated Identity Management System, NIIMS)の公開を計画しています。

このシステムはケニア国民と同国内の外国人の個人情報を一元管理し、登録人口(戸籍)を作成、管理、運営するためのものです。

特定の地域で正確な人口を知ること、彼らの健康ニーズ、また利用可能な施設や供給品が需要を満たしているのかを把握するために欠かせません。

対象人口は国境内に住んでいる人の中でも、特に、人の国内外への移動が頻繁に行われているケニアーウガンダ国境、ケニアータンザニア国境付近の人です。政府の主な目的は国内健康保険基金のすべての加入者を登録することです。

このスキームは、すべてのケニア人が国内のどの場所でも自由に保健サービスにアクセスするために必要不可欠です。
政府にとっても重要です。ビッグ4アジェンダ(訳者補足:ケニア国大統領ケニアッタ氏が掲げる4大政策1.製造業振興、2.食料確保・栄養、3.UHC、4.廉価な住宅供給のこと)で、国内UHCに向けた持続的開発目標実現に向けて取り組んでいるからです。

Calvin
posted by resultsjp at 17:06| Comment(3) | 情報

ケニアの看護師がストライキを開始

日本リザルツケニア事務所のアブタさんのブログの邦訳を紹介します。

3年前から続いている賃金上昇に関する交渉が決裂したため、看護師たちがストライキに入りました。
ケニア政府の賃金・年金交渉担当のLyn Meng’ichは、資金不足から正式に看護師たちの要求を受け入れることができないと公表しました。
また、各州政府、保健省、そして国庫は看護師たちに支払う資金はないことを確認しました。

「もし看護師の要求だけ聞いていたら、他の医療従事者の言うことも受け入れなければならない。これは負の意味で波及効果をもたらしてしまう」とLyn議長は述べた。

ストライキはすでに西ポコト、タイタ、タベタ、トランゾイア、エルゲヨ、マラクェット、ワジル、マンデラ、ヴィヒガ、タラカニシ、ニャンダルア、そしてニェリで起こっています。 明日からは、ガリッサ州の保健省と、サンブル、キリニャガ、そしてエンブがストライキに加わります。

キスムカウンティでは、手術、検査所、物資、そして母子保健サービスにすでに影響が出ています。

また、2月18日からは、ムランガ、ブシア、ナクル、ナロック、マクエンニ、ボメット、そしてタナリバーがストライキに入ります。

ケニア国家看護師連合のセス・パンヤコ事務局長はこう言いました。「州政府が動いて下さることを辛抱強く待っていましたが、お金を支払うことができないという誤った見解が出てしまいました」と。

議員たちは、病院のサービスが維持されるよう州知事と看護師たちが、会し、そして、徹底的に業務に関する合意について議論するよう要請しています。

しかしストライキの間、ケニアの医療サービスに関して、看護師による医療へのニーズのうち80%ほどに悪い影響を及ぼします。

Abuta

前回のストライキでは、多くの人が医療サービスを受けられずに亡くなりました。早急に問題が解決することを祈ります。
(はるか)
posted by resultsjp at 16:34| Comment(3) | 情報

BEYOND ZERO CAMPAIGN GETS A HUGE BOOST

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The media fraternity has donated millions into the First Lady Margaret Kenyatta’s Beyond Zero campaign ahead of the marathon set for March 10.

The Kenyan media have shown their huge support by donating Ksh. 77 million to the campaign which is aimed at safeguarding the health of mothers and children.

The campaign has been run by First Lady Margaret Kenyatta and it has been a huge success as she said during the reception of the money.

‘Beyond Zero Initiative has had a huge impact in health care delivery to the financially challenged especially in the remote areas of the country’.

“The impact on the ground is truly amazing. You can feel it and you can see it,” Mrs Kenyatta affirmed.

She further revealed that her current focus is on obstetric fistula, a condition she noted continues to frustrate many women.

Other corporate donors include the Commercial Bank of Africa, whose team, led by its CEO Jeremy Nguze, gave Ksh30 million and the Co-operative Bank of Kenya which gave Ksh20 million.

With this spirit towards medical care, Kenya can reach the goal of Primary Health Care and UHC at large.

Dicken

posted by resultsjp at 16:23| Comment(3) | 情報

ROLL OUT OF NIIMS REGISTRATION TO IMPROVE HEALTHCARE BUDGETING

The government plans to roll out the National Integrated Identity Management System in the country, for mass digital registration starting March this year.

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The system will create, manage and operate a national population register as a single source of personal information for all Kenyan citizens and Foreigners in the country.

This will be critical in knowing the exact number of people in a specific area, their health needs, and whether available facilities and supplies meet the demand.

Target population is people living within the borders of particularly Kenya- Uganda and Kenya-Tanzania border which are frequent on movement in and out of the country. The main aim for the government is to register all participant on the National Health Insurance Fund.

This scheme is essential for all Kenyans to access health services in any part of the country freely.

This is important for the Government for the big 4 agenda that the government is trying to achieve in sustaining the development goals towards the Universal Health Coverage in the Country.

Calvin
posted by resultsjp at 16:03| Comment(3) | 情報

WASTE NEEDS TO BE PRIORITIZED

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Uncollected solid waste is one of Nairobi's most visible environmental problem. Many parts of the city, especially the low and middle-income areas, don’t even have waste collection systems in place.

In high-income areas, private waste collection companies are booming. The residents pay without really caring where the waste will be dumped.

Nairobi’s current waste disposal system has failed to prioritize garbage in terms of infrastructure and also actors that are involved aren’t controlled or supervised.

There is no enforcement of laws and regulation that can help govern the private sectors involved.

The county government according to reports has clearly stated that it cannot manage 2475 tons of waste that are produced daily.

There is a need for institutional change that will be sustainable because efforts of late efforts have been put in place by the Governor that left some places of the city clean but unfortunately they worked for a period of time and the situation was the same again.

Fortunately, JICA has entered into an agreement with Nairobi County to assist it to develop a sustainable solid waste management system.

Hilda
posted by resultsjp at 15:44| Comment(3) | 情報

理事会・総会

日本リザルツでは2月8日金曜日に、理事会及び総会を開催しました。
今回は特に総会に多数のご参加をいただき、議題以外の部分でも様々な議論がなされて盛況でした。
また、総会終了後に懇親会を開き、こちらも大いに盛り上がりました。

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posted by resultsjp at 14:55| Comment(2) | 情報

CHVs ARE VERY VITAL IN THE HEALTH SECTOR

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It will cost Kenya 11 billion shillings over the next four years to hire CHV’s, Mr. Daniel Kavoo the acting head of the Community Health and Development Services unit at the Ministry of Health said during the Reproductive, Maternal, Newborn, Child Health and Nutrition conference organized by World Vision in Nairobi on 5th February.

The health volunteers will play the biggest role in the Universal Health Coverage because they provide primary and health promotion services.

Alice Yugi, the nutrition and child health expert at World Vision Kenya said without the volunteers, Kenya will not improve her nutrition, maternal and child health indicators.

“The CHVs boost maternal and child health by sensitizing mothers on the need for good nutrition during pregnancy and once the child is born,” she added.

The volunteers will be trained by the national government but will be compensated by the counties and each will be paid a token of Shs. 2,000 every month whereby they will serve in their own villages.

Pauline

posted by resultsjp at 14:50| Comment(2) | 情報

NURSES’ ONGOING STRIKE TO AFFECT HEALTHCARE SERVICE

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Nurses have gone on strike over the unfulfilled collective bargaining agreement to increase their salary three years ago.

Salaries and Remuneration Commission chairperson Lyn Meng’ich declared that the government would not be able to meet nurses’ pay demands because it can’t afford to.

Council of Governors, Ministry of Health and the National Treasury have all confirmed that they do not have money to pay the nurses.

“If we give in to the nurses’ demands, other health workers will also demand the same. This will have a ripple effect on the health sector,” she said.

The strike is on in West Pokot, Kisumu, Taita Taveta, TransNzoia, Elgeyo Marakwet, Wajir, Mandera, Vihiga, TharakaNithi, Nyandarua and Nyeri. Tomorrow, nurses in Garissa, the Ministry of Health, Samburu, Kirinyaga and Embu will join the strike.

In Kisumu County, surgical, laboratory and maternity services have been affected.

On February 18, Muranga, Busia, Nakuru, Siaya, Narok, Makueni, Bomet and Tana River will join the strike.

Kenya National Union of Nurses secretary general Seth Panyako said that they have been patiently waiting for the governors to act but read mischief in their assertion that there is no money yet it was budgeted for.

Senators are now asking the governors to sit down with the nurses and thrash out a workable agreement so that services can resume in hospitals.

In the meantime, Kenya’s healthcare services will be affected given that 80 % of the medical needs of Kenyans are handled by the nurses.

Abuta

posted by resultsjp at 14:31| Comment(2) | 情報