EASTLEIGH COMMUNITY WELLNESS CENTER

1st August , 2021 – 31st August , 2021

REPORT SUBMITTED TO: THE INTERNATIONAL ORGANIZATION FOR

MIGRATION

REPORT SUBMITTED BY: AMREF-KENYA

SUBMISSION DATE: 09/09/2021

Contents
1 Abbreviations......................................................................................................................3
2 Executive Summary............................................................................................................4
1.0 Progress Made Towards Realizing Results.................................................................7
3 2.1 Progress Made Towards Achieving targets for clinical services..................................7
4 2.1.3 HIV prevention, care and treatment...........................................................................9
5 a. HIV Testing and counselling (VCT, PICT, diagnostic)..................................................9
6 b. Care and Treatment (ART, PWP, KP, support group, adherence counselling)..............9
8 2.1.4 Tuberculosis services...............................................................................................11
9 HIV-Tuberculosis collaborative services..........................................................................11
10 2.2. Community outreach services................................................................................11
11 3.0Significant Stories of Change. (Maximum one page)..............................................14
12 4.0 PHAMESA Programme Sustainability (Maximum halfa page).............................14
5.0 Conclusion (Maximum half a page)...............................................................................14
6.0 Expenditure and Resource Utilization............................................................................15
7.0 Annexes/Attachments.....................................................................................................15

2
1 Abbreviations

KPs:-HIV known positives

ECWC:-Eastleigh Community Wellness Centre
ART:-Antiretroviral drugs
TB:-Tuberculosis
PMTCT:-Prevention of mother to child transmissions
OPD:-Out patient department
MOPC:-Medical outpatient clinic
ANC:-Antenatal clinic
SRH:-sexual reproductive health
HIV:-human immunodeficiency virus
CWC:-Child wellness clinic
INH:-isoniazid
MNCH:-maternal neonatal child health
CCC:-comprehensive care clinic
FP:-family planning
ICF:-intensive case finding
CME:-continuous medical education
M&E:-monitoring and evaluation
SOPs:-standard operating procedures
DRTB: - Drug resistant Tuberculosis
PNC:-postnatal clinic
HTS: - HIV testing services
EAC: -enhanced adherence counselling
NHIF: -National Hospital Insurance Funds
KEPI: -Kenya Expanded Immunization Program
PIT-Program Implementation Technical meeting

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2 Executive Summary

A 7.7% (1395) increase in OPD workload was experienced within the reporting period in
comparison to the previous reporting period where 1295 clients were offered services.
The facility has continued to offer a wide range of outpatient services including special
clinics, HIV counselling and testing, HIV care and treatment, Antenatal care, child welfare
clinic, family planning, sexual reproductive health as well as community health Programs to
the vulnerable migrants and host communities within Kamukunji sub county.
The facility managed to see 1395 clients at the general outpatient with majority being locals
at 80.4%. Somali community contributed to 86% (257) of the total migrants seen at the OPD
within the reporting month. Screening for HTS eligibility was done in all SDP where 207
clients were tested, 3 confirmed reactive and 3 linked to care and treatment within the
facility.
183 CCC clients were seen at the clinic during the reporting period, screened for TB where
none were confirmed positive for TB and none started on TB treatment.

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Okoa Maisha Team Meeting with Facility In-Charge

Figure 1: STARTING ART BY NATIONALITY FROM ALL DEPARTMENTS (OPD/MNCH/TB)

5
2.5

2
2

1.5

1
1

0.5

0 0
0
Male >18YRS Female >18 YRS

Locals Non Locals

6
Okoa Maisha Team Conducting Household Visits

Figure 2: CWC ATTENDANCE BY NATIONALITY

7
 140

121
120 118

100

80

60

42 43
40

22
20
12 10
7 7 8
5 4 3
2 1
0
MALE FEMALE Malnutrition

Kenya Somali Ethiopia Uganda Tanzania

At the CWC clinic, 338 children attended during the reporting period and examined for nutrition
services plus other routine services offered.64% (216) of the children seen during this reporting
period were locals while the Somali community contributed 67%(82) 0f the migrating
communities.156 children received Vitamin A supplements. Out of all the children seen at CWC
Clinic, 8% (28) was diagnosed with malnutrition Where 57%(16) of them being locals.

To enhance EMTCT the facility offers HTS to eligible ANC and PNC mothers. All the new
ANC mothers, as well as revisits attending their 3 rd Trimester visit are screened for eligibility
and offered HTS, a total of 62 new ANC mothers were tested for HIV where none was
identified as KNOWN HIV POS already on ART and none diagnosed as new positive. 47
clients were seen at the postnatal clinic out of which 1 were KPs already on ART where 46
were offered a HIV test and none was reactive. Family planning services were offered to 58

The facility is well integrated and offers HTS to MARPS, who include long distance drivers, female
sex workers and men who have sex with men. On HIV prevention services, 4 clients with history of
HIV exposure and confirmed HIV negative and 4 were started on PEP. Other services offered to the
MARPS include Health education, FP services as well as STI screening and treatment

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Figure 3: SRH SERVICES BY AGE AND NATIONALITY

160 152
140
120
103
100
80
60
40
40
18
20 7
4 0 4
0
> 18YRS HOST > 18YRS MIGRANT
GBV KEY POP STI SCREENING
STI TX CA CX TX FP

Community health workers were involved in door-to-door visits where they managed to visit
163 households imparting health knowledge on importance of child immunization,
conducting general community referral where applicable and on Covid-19 stay safe measures.
83 patients were referred to the facility, 53 for HTS, 5 for ANC, 2 TB Contacts, 19 Elderly people
above 60 years and 4 immunization defaulters traced and referred.

The facility conducts special test (Non-HIV), routine tests as well as HIV disease monitoring tests. A
total of 126 tests were performed during the reporting period. Within the pharmacy a total of 3,542
prescriptions were dispensed.

From Right a Okoa Maisha Team member conducts household visit and to the far right they
are visiting a breastfeeding Mother.

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Okoa Maisha team together IOM Research Assistance conducting Covid-19 related community
survey study

3 Progress Made Towards Achieving targets for clinical services

1.1.1 General outpatient including laboratory and special clinics

A total of 1295(86%) clients against an annual target of 1,500 were seen at the OPD. 510 were over
18 while 782 were under 18 years of age. 294 of those attended were migrants with the Somali
community accounting for (257)87%.

Figure 4: ATTENDANCE BY AGE AND NATIONALITY

400 359
350
300
KENYA
250 219 222 SOMALI
198
200 ETHIOPIA
150 133 UGANDA
100 TANZANIA
59
50 29 36 20
3 0 0 0 1 0 10 1 0 1 0
0
MALE <18YRS FEMALE <18YRS MALE >18YRS FEMALE >18YRS

2.0 Reproductive health, maternal and child health, nutrition

The facility managed to attend to 367 children at the child welfare clinic translating to 52% against
the set monthly target of 700 while 58 clients seeking Family Planning services (58% of the set target
of 100). Community Health Volunteers have intensified their efforts to offer health education to

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community during door-to-door household visits on importance of immunization and other MNCH
services. To enhance nutrition services clinicians, refer all under-fives for nutrition assessment where
those malnourished babies are issued with therapeutic and micro-nutrients supplements. Among those
assessed 9% was malnourished.

Okoa Maisha Team Conducting Household Visits

Nutritionist Department
Figure 5: CWC/FP PERFORMANCE VS. TARGET
100%
90%
80%
52.4
70%
60% 367
700
50% CWC
40% FP
30%
58
20%
10% 58
100
0%
TARGET PERFORMANCE % PERFORMANCE

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4 HIV prevention, care and treatment

5 a. HIV Testing and counselling (VCT, PICT, diagnostic)

6 b. Care and Treatment (ART, PWP, KP, support group, adherence counselling)

HIV Testing Services:

A total of 307 clients were offered HTS services from all testing points within the ECWC,
translating to 26% of the set target.4 clients tested HIV positive and 4 were linked to the
ECWC CCC, translating to 100% linkage rate and initiated on ART.
Currently the facility has 438 active clients on ART and all were screened for TB using ICF
forms. Adherence to medication is done to clients every visit through morning health talks.
Each client is attached to a support group which meets on a monthly basis.
There were 1 Death , 7 Transfer Out and 4 clients were traced back to care within the
reporting month.

Table 1: Total number of people tested and linked to HIV Care by nationality

Nationality Gender Tested Positive Linked Linked to HAART

M 98 2 2 2
Kenya
F 110 1 1 1

M 35 0 0 0
Somali
F 42 0 0 0

M 2 0 0 0
Ethiopia
F 3 0 0 0

M 0 0 0 0
Uganda
F 7 1 1 1

M 5 0 0 0
Tanzania
F 5 0 0 0

Total 307 4 4 4

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Okoa Maisha Team conducting household visits

7 Tuberculosis services

8 HIV-Tuberculosis collaborative services

Within the reporting period we had 48 clients actively attending TB clinic. 2 new cases were
initiated on Anti TBs. Contacts of the index cases were traced and screened for TB and no
contact was diagnosed with active TB. No DRTB case was diagnosed within the reporting
period.

5.0 Conclusion (Maximum half a page)

The project endeavour to offer quality health services to both migrant and non-migrant
communities. We will continue to strengthen monthly Data Quality Assessments to assess
client management and follow up by the clinicians.
Continuous service delivery will be implemented at both facility and community level.

6.0 Expenditure and Resource Utilization

Attach an activity based budget and expenditures report and explain variances

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7.0 Annexes/Attachments

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