Dickson Mtungu Mwakangalu, a Manchester Metropolitan University MPH, and Moi University MD graduate, is a seasoned public health professional with a proven record of accomplishment of managing and implementing programs in maternal, newborn and child health, family planning, reproductive health, adolescent health, nutrition, HIV/AIDS, and other infectious diseases. This is where camels act like mobile clinics and carry drugs to places no other means can reach. Animals are an important part of the Turkana community. Kimormor serves the Turkana community and is an integrated, one-stop service provision targeting both humans and animals. AFYA TIMIZA Year 4 Quarter 1 progress report. We hope other organizations and programs can learn from our experience when it comes to integrating FP/RH into their programs, especially in relation to working with complex and vulnerable nomadic communities.ġ. These models and tools have been successful in FP/RH integration because of leveraging existing projects and providing FP/RH services as a value-add to our existing health services portfolio. Amref Health Africa has developed and tested innovative models like Kimormor-an integrated one-stop shop for service delivery-and camel outreach to take services closer to the people. This is a problem in service delivery points that were not designed for FP/RH service delivery, such as HIV testing and care clinics.Įffective integration of FP/RH interventions needs to take advantage of existing successful initiatives that can help to address unmet FP needs in a targeted context. The other challenge has been around the infrastructure and equipment for privacy and confidentiality. One challenge we have experienced was a high workload in the initial phase of the project, especially for clients seeking short-acting methods. Ensuring that services are offered comprehensively in one location reduces the overall time spent at the health facility. Integration has reduced the need for clients to make an appointment for one service, then another for a separate service. Reduced waiting time: The integration of FP/RH into program activities has contributed to reduced waiting time for clients, which is also tied to client satisfaction.Clients also feel a sense of attention from the health workers once they leave the facility, they report that they feel all their needs were met. This is due to the fact that the health facilities offer a one-stop shop, saving time and maximizing opportunities to offer FP/RH services. Client satisfaction: AFYA TIMIZA clients are happy and satisfied, which we determined from our exit interview analysis.In HIV service delivery points, this model helps improve patient outcomes, especially regarding EMTCT. This is because at these lower levels, there is a lighter workload and fewer clients, unlike county referral hospitals where the workload is greater. Ease of integration: A fully integrated model is easier to implement in lower-level facilities with committed health workers, compared to county and sub-county hospitals.This is a best practice we plan to replicate in other projects. Due to the nature of the populations we serve, AFYA TIMIZA integrated FP/RH services into innovative outreach models like Kimormor 2 and camel outreach 3. Innovative integration models: Our key takeaway from this project is that it is advisable to integrate FP/RH activities into project outreach services.FP/RH integration helps minimize missed opportunities, because women are likely to seek other services at the same time they have unmet FP/RH needs.
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