Kenya Healthcare Outreach Program Report 14 -24 November, 2013

Kenya Healthcare Outreach Program Report
14 t h -24 t h November, 2013
Prepared by Peter Kalenga-Camp Kenya Program Coordinator
Edited by Vics Gillbard – Camp Kenya Program Manager
JRIP
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Contents
Acknowledgements
Abstract
Introduction
1. Background of the Healthcare Program……………..6-11
a. Healthcare 2011
b. Healthcare 2012
c. Healthcare 2013
2. Data Analysis and interpretation…………………………….12-29
a. General analysis
b. Eye clinic analysis
c. Dental clinic analysis
d. Malaria analysis
e. Jiggers analysis
f.
Jigger record statistics of each location
g. Skin infection analysis
h. Urinary Tract Infection (UTI) analysis
i.
Bilhazia analysis
j.
Other ailments analysis
3. Conclusion and Recomendations………………………….30
4. Future Plans…………………………………………………………..31
5. Comments……………………………………………………………..32
6. Photos…………………………………………………………………..33-34
1 Report by Peter Kalenga Kai, Camp Kenya Acknowledgements
Camp Kenya would like to thank the following people for their assistance,
guidance and knowledge. The Ministry of Health is integral to the success of
the
outreach
clinics
and
without
the
dedication
from
the
UK
nurses,
especially those who have returned year after year, the free healthcare
outreach clinics would not be possible.
Special thanks to:
Dr Stan Kinsch
All at Msambweni Ministry of Health
Base Titanium
District Education Officer
Head Teachers and Teachers from all six Primary Schools; Zigira, Muhaka,
Makongeni, Fihoni, Magaoni, Mkwambani
Darrad Oral Health Care
Kwale Eye Centre
Pamoja
Red Cross
JRIP
Japhet
Young people from Muhaka youth club
Camp Kenya staff
Harleys Pharmacy
Ocean View Dental
Diani police
Chiefs of each village
Religious leaders of each village
Local people from Muhaka, Zigira,Magaoni, Fihoni, MkwambaniMakongeni
2 Report by Peter Kalenga Kai, Camp Kenya Abstract
Many people in Msambweni County are living below the poverty line and it’s
estimated that 70% do not have access to proper educational facilities or
healthcare.
Camp
Kenya
has
been
working
with
the
communities
of
Makongeni and Muhaka for 11 and 6 years, respectively, to improve their
standards of living and gain access to educational resources through It’s
volunteer programs.
Camp Kenya started free healthcare outreach clinics in Kwale County in
2011. During the 2011 clinics, it was discovered that many children live in
unsanitary conditions and most of them suffer from debilitating intestinal
worm
infestations
and
diarrhea,
resulting
in
stunted
development
and
disease. Those under 10years of age are most at risk due to poverty and
consequently a distinct lack of nutrition, lack of access to affordable and
adequate medical facilities and a lack of personal health education further
compound the problem. Many organizations have been formed to raise
campaigns
against
Malaria,TB,
Cholera
and
Polio
through
education
awareness, both domestic and international, however, it has only worked
well with those in urban areas, where most of these organizations are based
thus leaving those in the rural areas at a high risk of death.
3 Report by Peter Kalenga Kai, Camp Kenya Section 1
Introduction
This report focuses on data and information collected during the 2013 free
medical
clinics
conducted
by
Camp
Kenya
medical
volunteers,
local
medical staff and volunteers from the 15th – 24th November. The main aim of
these clinics was to offer education on health issues affecting the local
community
consultation
in
Msambweni
with
a
area,
qualified
community
doctor
or
nurse
members
and
to
to
receive
a
be
treated
if
appropriate.
In years 2011 and 2012, eight locations within Msambweni were identified by
the Public Health Officers as areas requiring assistance, however, this year
we focused on six locations which were; Muhaka, Zigira, Magaoni, Fihoni,
Mkwambani and Makongeni.
More than 40 medical staff, both from UK and Kenyan, worked tirelessly to
treat over 5000 patients with more than three to four ailments, and within just
six days they managed to collect the data that follows.
Data was gathered from laboratory tests, medical consultations, medical
observations, focus group discussions, as well as prescriptions from medical
staff. To reduce the opportunity for results to be biased, all methods that
were used were standardized across the board.
Methods and Materials
Simple research methodologies were used to analyze the data collected
Figures, tables and numbers have been used in this report to show the total
number of patients seen and treated by the doctors / nurses, categorically
within the six locations. Bar charts and pie charts have also been used to
show how the population of specific locations are affected by different
ailments, and how they vary with the other locations, both in numbers and
percentages, followed by short discussion.
This report is divided in to 4 sections:
Introduction, historical background of the Camp Kenya healthcare program.
Statistical analysis and discussion, Remarks future plans and conclusion.
4 Report by Peter Kalenga Kai, Camp Kenya Results will determine;
•
Which location is either highly or less affected by a certain disease
•
Total number of people affected by certain diseases in each area
•
Impact from the Camp Kenya healthcare program and will enable us
to develop and improve the program year on year for the benefits of
the communities
The aim of the report is to provide a comprehensive data analysis that can
be used by both domestic and international medical experts in formulating
strategies which can lead to solutions towards certain diseases caused by
poor sanitation within Msambweni County. It is not intending to offer any
permanent treatments to diseases or offer medical advice.
5 Report by Peter Kalenga Kai, Camp Kenya Section 2
Background of Healthcare Programs
a) Healthcare 2011
In November 2011, with permission from Ministry Of Health, Msambweni,
C a m p K e n y a o f f i c i a l l y l a u n c h e d t h e H e a l t h c a r e O u t r e a c h P r o g r a m s w i t h
medical professionals from the UK to provide free medical treatment and
advice on nutrition, sexual health and hygiene and a strong focus on jigger
eradication
campaign
within
eight
villages
in
Msambweni
County
.
6 Report by Peter Kalenga Kai, Camp Kenya "#$%&'!(
During the program a short survey was conducted and it was discovered that
many children live in unsanitary conditions and most of them suffer from
debilitating intestinal worm infestations and diarrhea, resulting in stunted
development and disease, especially those under the age of 10 years of
age. During the course of two weeks, the team successfully treated 7,444
medical incidences within the locations. Many people were treated for three
or four different ailments at the same time and every patient was dewormed.
b) Healthcare 2012
L a s t y e a r i n N o v e m b e r , h e a l t h c a r e o u t r e a c h w a s i n i t i a t e d w i t h i n t h e s i m i l ar
eight locations in Msambweni. Volunteer Nurses from the UK provided general
treatment and advice on different health issues facing the community and at
least over 6000 people were treated. .
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Laboratory services were issued specifically for the malaria test and a social
malaria survey was also conducted during this period to determine whether
the community understood what causes malaria but the results were not
verified due to data misplacement.
The program was a huge success and a clear indication that the needs are
vast and wide with thousands of people on the South Coast of Kenya who
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have little or no access to basic healthcare and often are unable to gain
simple treatment.
c) Healthcare 2013
Based on our intervention last year, this year Camp Kenya intended to
provide
a
more
condensed
and
effective
program
and
consequently
collaborated with Base Titanium in order to offer a greater number of
services and education for the communities. Camp Kenya had a group of 30
volunteers comprising mainly of practice nurses, mid wives, public healthcare
assistants and social health workers from the UK.Muhaka, Zigira, Magaoni,
Fihoni, Mkwambani and Makongeni were identified as main central free
medical clinic location during the period of 15th until 24th November 2013.
F i g u r e 3
There was a huge involvement from the Government Ministry Of Health
(Msambweni County), medical students from Msambweni hospital, Kenya Red
Cross and Non Governmental Organization medical experts from Darrad Oral
Healthcare
and
Kwale
Eye
Centre.
Volunteers
from
local
small
scale
stakeholders such as PAMOJA Mwembe Tayari (A group involved with TB
campaigns and jigger education), JRIP (involved in Jigger eradication and
the coastal representative of Ahadi Kenya) and youth participants who were
utilized to translate.
8 Report by Peter Kalenga Kai, Camp Kenya F i g u r e 4
Base Titanium Limited (LTD); a company located within Msambweni county
assisted with funding to support the program and Camp Kenya collaborated
with the local medical staff in order to plan and organize the logistics.
.
F i g u r e 5
Unlike the past two healthcare programs, this year the program was more
advanced with multiple ideas from the “oldies” (re-visiting nurses from the
9 Report by Peter Kalenga Kai, Camp Kenya UK), local medical experts and “newbies” (new UK nurses). The team not only
offered treatments to the locals but also focused on solutions to various
aspects
concerning
fundamental
health
issues
that
affect
Msambweni
community and its environs. Education on family planning, sexual health,
nutrition, TB prevention, first aid training, and polio were prioritized as well as
education on personal hygiene to prevent jiggers.
F i g u r e 6
The reason behind the collaboration with various groups and the Ministry of
Health was to promote sustainability of the healthcare program, empower
the locals on sustainable methods concerning personal health and hygiene,
especially jiggers, and signpost them as to where they can access free or low
cost medical assistance.
10 Report by Peter Kalenga Kai, Camp Kenya F i g u r e 7
Having
been
advised
with
documented
evidence
from
World
Health
Organization Camp Kenya were keen to use this opportunity to trial a new
approach
on
Jiggers
eradication
and
treatment
method
which
is
50%
paraffin and 50% cooking oil. The introduction of footbaths at each school
will also enable a study to be carried out whereby it can be determined if
this is an effective long term method which can consequently be adopted by
the locals who will be able to access the treatment easily
and potentially
reduce the cases of primary school dropout due to Jigger infection.
11 Report by Peter Kalenga Kai, Camp Kenya Section 3
Data Analysis, Interpretation and Discussions
a) General Statistics from the Six Clinic Locations
Over the course of two weeks, more than 50 medical and non-medical
volunteers successful operated six free healthcare clinics in; Muhaka, Zigira,
Magaoni, Fihoni, Mkwambani and Makongeni and below is some of their
achievements.
•
More than 4000medical incidences were successful treated
•
Laboratory tests for malaria and Bilhazia were successful carried with
over 200 people tested.
•
Strong education on Tuberculosis, First aid, sexual health, Leprosy,
jiggers and personal hygiene was carried out by the Ministry of Health
Msambweni and UK medical professionals.
•
A footbath trough was constructed in each of the six primary schools
to be used for jigger treatment purposes
•
Over 500 school children received first aid training
•
40 successful teeth extractions were done
147 people with eye problems were treated, with five having
•
successfully undergone surgery at the Kwale Eye Centre
The table below shows the data recorded during the event
Table 1
12 Report by Peter Kalenga Kai, Camp Kenya The bar chart below summarizes the total number of people seen with
different type of ailments and referrals subject to the location, where the
clinical medical survey was carried out.
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Most common diseases found were fungal skin infections, jiggers, Malaria,
Urinary
Tract
infections
(UTI),
malnutrition,
Upper
and
Respiratory
Tract
Infection (URTI& LRTI)Bilhazia, eye/ear infections, joint pains, allergy, jiggers,
pelvic infections: Salpingitis, Puerperal Pyrexis and caesarean GIT problems
e.g.Amoebiasis,dysentery,pneumonia.typhoid,ulcers,
asthma
etc.
Multiple
drugs were mostly used in these cases and many cases were treated with
pain killers and antibiotics.
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F i g u r e 9
General treatment was provided to all people, some people were treated
for more than three to four ailments. Those with critical conditions were
referred for further medical checkups.
b) Eye Clinic Analysis
Table below shows the data recorded during two days of free eye clinic
Table 2
Date
Clinic
locaton
19/11/13
Zigira
24/11/13
Makongeni
Total No
The
Total of
patients
Seen
Referred
for
Surgery
Attended
Surgery
Male
Female
57
31
26
6
2
90
37
53
11
3
147
68
79
17
5
optical test was successfully
conducted
by
the
Kwale
Eye
Centre
opticians. Modern optical equipment and technology was usedto detect eye
problems during the clinics. 147 people were treated and some issued with
free glasses, 17 were identified with serious eye problems and they were
referred for surgery.
People above 60 years seemed to be more affected. The common eye
diseases seen were Dacryocystitis, Conjunctivitis and Ketatitis.
People affected with cataracts were referred to Kwale Eye Centre for
surgery. Out of the 17 people referred only 5 turned up for the surgery. It is
14 Report by Peter Kalenga Kai, Camp Kenya unknown why the others did not attend, however this could be due to family
responsibilities, financial constraints or fear which may also be to do with
being uneducated. Ivyflur, Moicell, orbidex,Tetracycline and Gentamycin
eye drops were issued to treat various eye problems.
Figure 10 15 Report by Peter Kalenga Kai, Camp Kenya C) Dental Clinic Analysis
F i g u r e 1 1
A dentist from Darad Orol Healthcare conducted the operations in three
days as indicated on the table below. Modern dental equipment and
technology was used during teeth extractions and treatment.
The table below shows the data collected during three days of free dental
clinics
T a b l e 3 Total
patents
Treated
Extraction
&
Medical
Treat
16
Date
Clinic
Location
Only
Treatment
22/11/13
Fihoni
16
23/11/13
Mkwambani
19
8
4
2
5
24/11/13
Makongeni
28
16
1
1
10
Total
63
40
5
3
15
12
Refused
extraction
0
Referred
4
16 Report by Peter Kalenga Kai, Camp Kenya ?'9234!
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Out of 100%, 63% had their teeth extracted and were given medication, 8%
received only medication, 3% resisted extraction due to fear.29% were
referred to Darad Oral Healthcare for root canal (RCT),full mouth scaling,
permanent fillings and further medication. Diclofenac and antibiotics such as
Ampiclox and Amoxylin were typically used for the dental treatment.
Medicaine was used during extractions as an anasthaetic.
Reasons identified leading to tooth decay was determined as:
•
Lack of dental health education on how to care for teeth
•
Ignorance – lack of initiative to brush teeth
•
Lack of access to dental care when a tooth problem starts
•
Use of cariogenic foods (sugary food which causes tooth decay)
•
Poverty – lack of funds for toothbrushes and toothpaste
Most of the people referred for root canal, mouth scaling and permanent
fillings were willing to go for treatment but due to financial constraints, they
have been unable to attend so far. Dental treatment is expensive and locals
cannot afford the treatment .e.g. Root canal filling can cost more than 500
Kenyan shillings (USD $5) and for a person living on less than one US dollar
per day, this can prove to be extremely expensive.
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d) Malaria Analysis
Malaria is a disease caused by anopheles mosquito, it has been categorized
in the list of globally dangerous diseases that causes infertility and mortality,
especially with expectant mothers and children. Recently, Scientists from the
London School of Hygiene &Tropical Medicine discovered a mosquito species
that potentially gives dangerous new malaria which has never been
implicated in the transmission of malaria before.
F i g u r e 1 3
Many organizations have been formed to raise campaigns against Malaria
through education awareness, on both a domestic and international level,
but it has only worked well with those in urban areas where most of these
organizations are based, leaving those in the rural areas at a high risk of
death. During the consultations at the clinics, 501 people were referred to
the laboratory for malaria testing. Two laboratory technicians carried out the
tests using; unfrosted slides, walkadine solution and a microscope to
determine the presence of plasmodium malaria parasite in blood cells of
each correspondent. Malaria rapid test kits were used to verify the results to
ensure precision.
18 Report by Peter Kalenga Kai, Camp Kenya The table below shows significant figures of the final laboratory results
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Out of 501 who went through the laboratory test, 35% (174) were found to be
Malaria positive. Last year, a similar survey was carried within the same areas
and only 47 people were identified to be Malaria positive. This year the
numbers are significantly higher. The table above shows Fihoni is leading with
a high percentage of Malaria cases followed by Magaoni.
The bar chart below presents the data of malaria cases recorded during the
clinic period
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e) Jigger Analysis
Jigger is a painful parasitic infection, most commonly affecting feet and
fingers, caused by the chigoe flea (Tungapenetrans). If left untreated it can
lead to more serious secondary infections, expensive medical bills and loss of
study time for children. It also increases the risk of spreading HIV as people
share the needles that they use to remove the flea larvae.(B yDipesh Camps
international Healthcare Posted on 7th December 2011).
F i g u r e 1 5
Camp Kenya has been treating jiggers on a small scale, since 2011, using
potassium parmaganate. The number of cases this year has been significantly
lower which could indicates that; jigger healthcare campaigns held during
the healthcare clinics in 2011 & 2012 had an impactor maybe because there
has been a lot of jigger campaigns in the region. During the 2012 healthcare
outreach clinics, 1282 people were treated for jiggers, shoes were distributed
and approximately 200 houses fumigated. The reduction is highly likely to be
a combination of all of these factors.
20 Report by Peter Kalenga Kai, Camp Kenya The Table below shows jigger data collected during the clinic period
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Date
Clinic
Location
Total
No.
People
checked for
Jiggers
Jigger
Not
Present
Jigger
Present
Not
infected
Infected
18/11/13
Muhaka
550
466
84
55
29
19/11/13
Zigira
1158
954
200
183
17
20/11/13
Magaoni
700
462
238
163
75
22/11/13
Fihoni
710
414
104
78
26
23/11/13
Mkwambani
274
187
87
61
26
24/11/13
Makongeni
477
390
60
38
22
Total
3869
2873
773
578
195
3869 people who attended the medical clinics were checked for jiggers and
only 773 were found to have jiggers present. In general, 195 people out of
773 were seriously infected by chigoe flea (jigger parasite).The table above
shows Magaoni is leading with those people seriously infected.
See the Pie chart below
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Magaoni and Zigira had the highest number of jigger cases with 31% and 26%
respectively,as shown on the pie chart above. A sustainable method of jigger
treatment was introduced;mixiture of50% kerosene and 50% vegetable oil.
Unlike in the past, when potassium permanganate was used, which is very
expensive and the locals could not afford to purchase, the aim of this
initiative
was
to
ensure
all
school
children
will
be
able
to
access
a
sustainable and affordable treatment. By dipping their feet inside the trough
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that contains the mixture of kerosene and oil every day as they attend their
classes this has the potential to dramatically reduce the number of children
with infected jiggers. This treatment is still under trial, however it was highly
supported by the Ministry of Health (Msambweni) and if it works
then it will
be a very good sustainable method to fight jiggers.
F i g u r e 1 7 22 Report by Peter Kalenga Kai, Camp Kenya f) Jigger statistics recorded in each location
Muhaka
Out of 550 people who were scanned for jiggers, 15% were found to have
jiggers present with 5% seriously infected. (See figure 18. below)
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Out of 1158 people who were checked for jiggers, 16% were found to have
jiggers present with 1% seriously infected. (See figure 19 below)
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Magaoni
Out of 700 people who were scanned for jiggers, 34% were found to have jiggers present
with 23% seriously infected (See figure 20 below)
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Fihoni
Out of 710 people who were scanned for jiggers 15% were found to have jiggers present with
4% infected. (See figure 21 below)
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Mkwambani!
Out of 274 people who were scanned for jiggers, 32% were found to have
jiggers present with 9% seriously infected. (See figure 22 below)
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Out of 477 people who were scanned for jiggers 18% were found to have
jiggers present with 5% seriously infected. (See figure 23 below)
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g) Skin Infections
A fungal infection is also known as Mycosis. Although most fungi are harmless
to humans, some of them are capable of causing disease under specific
conditions. Fungi reproduce by releasing spores that can be picked up by
direct contact or even inhaled. That’s why fungal infections often affect the
lungs, skin, or nails. Fungi can also penetrate the skin to affect your organs
and cause a whole body systemic infection”. (Article written by Abdul
Wadood Mohamed and Winnie Yu | Medically Reviewed by George Krucik,
MD Published on July 25, 2012)
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Fungal infections are contagious disease and can spread from one person to
another. Figure 24 below shows the total number of people treated for fungal
infection in each location.
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Common fungal skin infection cases recorded were; ringworms, athlete’s
foot, anychomycosis and candidiasis. The total number of cases recorded
was 527,Zigira and Magaoni led with over 100 cases.
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GN Urinary Tract Infection (UTI)
Urinary Tract Infection is an infection in any part of the urinary system —
kidneys, ureters, bladder and urethra. Most infections involve the lower
urinary tract — the bladder and the urethra. (Definition by Mayo Clinic)
The figure below shows the number of UTI cases recorded in six locations.
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The total number of UTI cases recorded was 144, during the survey, women
were found to be mostly affected.Based on Mayo Clinical findings; women
have a greater risk of developing a UTI than men.
A.D.A.M medical Encyclopedia review 26th January, 2012, states that
“Women tend to get UTI’s more often because their urethra is shorter and
closer to the anus than in men. Because of this, women are more likely to get
an infection after sexual activity or when using a diaphragm for birth control.
Menopause also increases the risk of a UTI''
Many cases were recorded at Magaoni compared to any other location with
a total of 36 people followed by Fihoni with 33 respectively.
In each case, strong antibiotics were the typical treatment used for all UTI
infections and a strong sexual health education provided to the
congregation.
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Bilharzia
Bilharzia is a disease caused by parasitic worms called Schistosomes.
Environmental management board states that, over one billion humans are
at risk worldwide and approximately 300 millions are infected by Bilharzia.
It is common in the tropics where ponds, streams, dams and irrigation canals
are present. Schistosomes must alternate between humans and snails to
complete their life cycle. Under the tropics; any body of water containing
vegetation could contain Bilharzia-transmitting snails. Washing, swimming or
p a d d l i n g i n t h a t w a t e r t h e r e f o r e e x p o s e s y o u t o i n f e c t i o n b y th e p a r a s i t e .
When the worms get into your body, they feed on red blood cells and
dissolved nutrients such as sugars and amino acids. (Environmental
management)
This can cause anemia and decreased resistance to other diseases. The
female lays hundreds of eggs each day, which find their way out of the
human body through the urine or the faeces, depending on the species. This
reactyion is mostly caused by the large number of eggs becoming stuck in
various body parts, in particular the liver ; causing liver enlargement and
malfunction and the kidneys (causing kidney damage, detectable by blood
in the urine).
The victim passes red urine, tinted by blood lost through the damaged
kidneys. In the case of intestinal Bilharzia, blood may be passed in the faeces
but is not often recognized. Both types of Bilharzia cause serious anemia and
fatigue.
Samples were referred for Medical Laboratory test to determine the presence
of Schistosome eggs both in their urine and faeces. Few cases were recorded
in each station. No Bilhazia cases were found at Fihoni.
Figure below displays the results.
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ON
Other Ailments!
The bar chart below presents the total number of people recorded with
several other diseases
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Other ailments group is a general term which is used to define minor cases
such as headache, Joint pains, tummy discomfort, ulcers e.t.c. Many people
in this category were treated for more than three to four ailments, hence
making the numbers to go higher than all diseases treated individually.
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Conclusion and Recommendations
In conclusion, the healthcare outreach clinics this year have enabled a
number of local health groups and professionals from the UK and Kenya to
come together and offer over 4000 people from rural communities the
opportunity to access free advise, consultations, tests, treatment and
education. People have been referred to gain further treatment and sign
posted to suitable, local health clinics.
The new integration of local medical students proved to be beneficial for all
and it is believed that both the students and the UK volunteers gained a
great deal from the experience which will enable the students especially, to
progress within their chosen profession. The addition of a dentist and
opticians enabled people to be treated at the clinics and offered a far more
specific benefit if suffering from dental or eye problems.
By joining forces with Pamoja and JRIP, the focus was on educating the
children especially how to care for and treat their jigger infestations which
was of greater benefit and more sustainable than previous methods used.
Ministry of Health and Pamoja gave intensive educational talks to all people
that were waiting about TB which targeted a specific audience and from
that we hope that more people will go for TB screening.
The Red Cross trained all students at the primary schools we were based at
and this will in turn generate discussions, enthusiasm and sharing of
knowledge to their peers. It is hoped that the first aid training will be
beneficial to avoid simple accidents becoming disasters.
For the program to be successful on a continuous basis, we as Camp Kenya
would recommend that we should be joined by a specific sexual health nurse
focusing solely on sexual health and offering forms of contraception,
Leprosy education for communities and mother and baby care.
There are many areas that can be researched on the back of this report and
we would welcome all new information gained if it will be of benefit for
future clinics.
30 Report by Peter Kalenga Kai, Camp Kenya 2014 Jigger Treatment Trial
We will hold a meeting in January 2014 inviting all Community Health Workers
from the six locations, Public Health Officer, Head of Health at all six primary
schools and Nancy and Shee from Pamoja.
We will discuss how best to implement the foot bath approach and when and
where to arrange collection of the kerosene and oil mix.Pamoja will be in
integral in the monitoring and evaluation, alongside feedback from the
CHW’s who will communicate directly with the Head of Health from each
school.
We have funding to trial this method for three months and it is suggested that
this starts from February until April 2014 which will enable schools to settle
into the new academic year and also it will give a greater overview as to
h o w m a n y c h i l d r e n f r o m e a c h s c h o o l a r e c u r r e n t l y a f f e c t e d b y j i g g e r s . I t w il l
only be the students who currently have jiggers who will dip their feet to and
from school each day thus giving a greater opportunity to gain accurate
results.
31 Report by Peter Kalenga Kai, Camp Kenya Comments from UK & local volunteers
A great rewarding experience, meeting lifelong friends and using your
knowledge to help others “Chris Hovel, UK volunteer Nurse
“ T h e p r o g r a m w a s v e r y w e l l o r g a n i z e d p l u s v e r y e n jo y a b l e . t h a n k y o u ”
Susan Hicks, UK volunteer Nurse
“ A r e a l l y e n jo y a b l e t r i p , s o m a n y c h a n g e s ( t o t h e p r o g r a m ) , w h i c h w a s g r e a t ,
Students nurses were brilliant. Camp staff really looked after us so well plus
all amazing.” Rebecca Monaghan, UK volunteer Nurse
“I have loved every minute, I will definitely be back.”Ellie Rudd, UK volunteer
“Glad to hear that the camp was a success!!!!” Saif, Harley's Pharmacy Limited
“It was a pleasure to be part of the team and to reach out to the many
children and families that were touched in the six days! It shows that when
we are committed and united as partners we can achieve more and even
reach out to those who had no hope of anyone getting to them. It was really
great, there was constant consultation and feedback and appreciation of
each other’s views which is very important for a true partnership” Christine
Mwaka, Community Health Officer, Base Titanium
“Words cannot really describe priceless experience! Professionally, culturally
and socially as well as cheesy but truly making a difference “
Karen Rudd, UK volunteer Nurse
“It was a great opportunity for us to get more exposed to the field of
community health service and give our best in first aid training to our fellow
peers. We therefore, believe our collaboration made a great impact to our
community and we would like to pass our gratitude’s to all organizers”
Juma Yusuf, Red Cross Volunteers
“It was educating and we really learnt a lot from the UK nurses and we
shared a lot with them as well. There were also aspects with regards to
therapeutic management and nurse management that we learnt. I would
recommend more medical students are involved next time as it was an
enlightening experience and we saw lots of new cases that we hadn’t seen
before” Belinda Karimi, Msambweni Medical Student
“Great to see sustainable work/local involvement”
MichelleO’Driscoll, UK volunteer Nurse
“The screening was successful because we achieved what we had targeted,
which was to see those with eye problems at each of the clinics. We
received so many glasses and we will use the frames which will be very
useful. We hope to be involved with the healthcare program again”
Mohammed Chame, Kwale Eye Centre
“To me, the activity was carried out smoothly and I want to thank Camp
K e n y a a n d l e t t h e m c o n t i n u e w i t h t h e i r m o t t o t o r e d u c e t h e ji g g e r f l e a
infestation” Mr Makoti, Public Health Officer, Ministry of Health
32 Report by Peter Kalenga Kai, Camp Kenya 33 Report by Peter Kalenga Kai, Camp Kenya 34 Report by Peter Kalenga Kai, Camp Kenya