Kenya
- Created by: Catmcampbell
- Created on: 17-06-15 12:06
Riders
Small NGO set up by group involved in motorcycle Grand Prix
Riders responsible for travelling to rural communities and providing services- health education, disease surveillance, immunisations, HIV counselling
Collaborative- operate across number of countries- managed by local people so skills stay in country
Practical and appropriate solution to widespread global health problem
Riders system- make sure partners always have well maintained ambulance- staffed by trained driver
Manage- 36 car ambulances- 3x more patients referred to hospitals by ambulances
3 million people each year have interactions with health workers
Motorcycle- cheaper to buy and run, cover more challenging terrain- ride in rough weather all year
Single track vehicle- most roads narrow and animal tracks hence ideal
Riders
Transport blood samples for testing- ensures medical samples are taken from patients at health centres and transported to labs quickly- results promptly returned
Goal- reduce turnaround time between sample collection and return of results to facility- enables patients to begin treatment earlier- more accurate consistent monitoring
Preventive Maintenance-
Replace vehicle parts at regular intervals to avoid breakdowns- keeps fleets running in better condition
Technicians bring our services near to where partner works
Travel to convenient location to conduct regular maintenance saving time and money
Training of vehicle users- road accidents- one of biggest cause of deaths across Africa
Training School- ‘international Academy of vehicle management (IAVM)- branches in Kenya and Zimbabwe
Why train? Increase in staff safety and lifespan of vehicle, decrease in accidents and maintenance costs
Kenya Feed the future
Feed the future
35% of children have stunted growth
75% of population live in the rural areas
4.6% annual GDP growth
75% make part of their living in agricutlure- sector accounts for more than half of countrys domestic product
However sector is stagnating whilst population is rising- challenges to food security
20% of Kenyans land is suitable for farming. Farmers work without updated technology
Feed the future making key investments to:
Enhance food secutiry and improve nutritional status of woman
Riders
1996- registered as independent NGO in UK
Work with ministries of health, international, NGOs and private sectors
Over 60% population live in rural locations- 14% road networks paved
Characterised by hills, mud and clay tracks
Employed 275 people
Maintained 1400 vehicles
Enabled workers to reach 10.8 million
Each week- extra 20,000 people in Kenya reached- able to travel to more isolated areas- spend double the amount of time in communities- do not waste time travelling between villages
Riders began working in Kenya with African Infectious Diseases Village Clinics (AIDVCs)- expanded into western Kenya in 2007
Operates a grassroots initiative- provides outreach health workers from local community based organisations with the transportation they require to do their jobs
Riders
Started- 2002
Staff- 8
Vehicles managed- 77
Km per month- 56
Population covered- 5 million
People lived in villages so far apart- nurses couldn’t reach them with healthcare
For a vehicle to run properly- must be serviced especially when used in hostile envir
Transport affects everything, without- development impossible
Making collections at events e.g. British Grand Prix in UK- able to raise funds to support
As transport was never factored into the costings of healthcare, without reliable system- millions of pounds invested in vaccines, drugs, condoms and trained health professionals- wasted
Improved health care access for 12 million people across Africa
3 million men, woman and children now have access to lab services at primary level
Riders
1 public health worker responsible for 20,000 people over area of 200 miles- mobility- vital
30,000 children under 5 die everyday across developing world from preventable or treatable diseases
Riders Aims:
1. Enable workers to reach those in rural areas
2. Establish sustainable transport system
3. Develop and support vehicle maintenance
Develop a self-sustaining culture of maintenance
Workers gone from spending 2 days in field each week to 4- possible as their travel time has been cut from 4 hours each day to 1- still able to reach 80km away vs. 20km before
WHO recommended 14 nurses for every 4000 residents. Kenya has 7. Cost 113 billion to KSH to train the 51,000 nurses to meet recommendation
Riders
Riders mobilised workers from local grassroots organisations-provide essential support services- workers able to see over 7x more as travel 4x further- 175km away
Riders able to reach target communities more to support patients early recognition of symptoms reducing the stigma prompting them to seek medical help
Workers spend more time identifying new cases and outbreaks of disease making referrals to health centres- limits spread
Riders visit average of 10 villages per week, spend 4 hours a day working in rural communities
Reliable transport system- workers have capacity to provide reliable and consistent follow up care
Managed transport- encourages uptake of contracepetion uses
Gambia- no outreach clinic cancelled due to riders vs 32% before
Zimbabwe- turnaround for lab results from 8 to 3 days
Each week in Kenya- extra 20,000 people reached
Riders
Programmes:
Mobilising community health workers- a grassroots programme that provides outreach health workers from local community groups with the transportation they need to do their jobs
FLEP- grassroots organisation- works with community groups to raise awareness of HIV and offers support
Training- International academy of vehicle managment-registered driving school that offers trianing in safe driving and preventative vehicle maintenence
Riders facilitate support groups, conduct counselling, offer testing and ensure patients adhere to treatment
Riders can spend double the amount of time in communities having a motorcycle. 1 hour vs 5 hours now
New project testing- using GPS maps and tracking the coverage of the outreach health workers
Kenya
Low income, food deficient country
Kenyas postiion on the human development index has dropped from 134/173 in 2002 to 154 in 2005
58% below poverty line
Economic productivity is unevenly distributed between central areas and the sparesely populated peripheral areas
Home to 238,000 refugees and 360,000 displaced people from Sudan
HIV prevalence rate reduced from 10% to 6.7%- still major health concern- high amongst girls and migrant workers
Sanitation and safe drinking water is 42%
Drought prone areas- 50,000 malnourished children in the 27 districts
Kenya
70% urban dwellers have access to health facilities vs 30% rural population
High maternal rate due to - lack of skilled attendence at birth, HIV, poor indeaquate access to services due to geographical barriers
30% kenyans have access to medicine
2004- total expenditure on health was 4% of the GDP
Youthful population- 42% vs Elderly 5%
51% doctors leave Kenya vs 20% in SA
HIV responsible for 30% of all deaths
Non communicable diseases on the increase
Diarrhoeal diseases- one of major causes of child mortality- in areas of shortage in dirnking water, sanitation, malnutrition
Kenya Vision 2030
National long term development blue print that aims to transform Kenya into newly industrialising middle income country providing high quality of life to all by 2030 in a clean secure environment
3 Key pillars- Economic, Social, Political
Economic- aims to achieve average growth rate of 10% per year and sustaining same till 2030
Social- seeks to engender fair social development in a clean and secure environment
Political- aims to realise an issue based, people centred accountable democratic system
Dream
Want a kenya that is able to adequately feed itself, the world and give jobs
Want a Kenya with good network of roads that enhance business within country
Want a Kenya where children are educated by well trained teachers
Want a Kenya where all can afford to go to well-equipped hospitals
Kenya vision2030
Second medium term plan
Deliver accelerated economic growth, higher living standards, better education and health care, increased job creation especially for youths, commercialized agriculture providing higher rural incomes and affordable food
All necessary to address challenges of poverty, joblessness and inequality
Strengthen economy- gov spending on expansion and modernisation of railways, roads, ports, airports, energy, water
The gov will enhance economy by devoting more to infrastructure
In order to meet goals of job creation, priority will be accorded to programmes targeting training and apprenticeships to meet the demand for human resource skills required to transform Kenyan economy central to medium plan
Gov will strengthen youth employment through training enabling them to require skills and engage in productive employment on their own or suppliers to larger enterprises in public or private sectors
Vision 2030
Survey report 2014
Total number of persons engaged in formal and informal sectors increased from 12 million (2012) to 13 million (2013)- 750,000 new jobs
GDP expanded by 4.7% (2013) to 4.6% (2012) supported by infrastructual development
Transport and communication increased from 4.7% (2012) to 6% (2013)
Growth in agriculutral sectors decelerated in 2013 to 2.9% from 4.2% in 2012 due to inadequate rainfall
Kenya programmes
Response to repeated droughts, Feed the future is collaborating with other USAID programs in Kenya to improve resilience of vulnerable populations in arid areas
Trained more than 11,000 community health workers on integrating nutrition into visits with families
USAID
Works with Kenyans to improve health, education and food security
USAID provided professional learning opportunities to 6000 educators- 316,000 children benefitted from new teaching methods and the development of up to date learning materials. Also reach out to children who have been excluded from education system
Children do not have the skills or networks to access employment opportunities- USAID with the Kenyan Gov trying to scale up solutions- Youth program empowered 1 million young people- once exculded to now working with gov and private sectors.
USAID and Kenyan Gov- Kenyans have increased access to HIV prevention and treatment and care services- 490,000 on anti retroviral therapy by the end of 2011
USAIDS support to countrys fight against TB ensures drugs are delivered to health facilities- support has helped Kenya to pass the WHOs TB targets of treating 85% of patients
Achieving MDGS
It will take time and commitment to mobilise the necesssary resources, train the required people and establish the needed infrastructure
Challenge- rapid population growth- the number of people in demand for health, education etc is increasing- means the amount of resources and infrastructure required to meet MDGs is increasing
Family planning can reduce population growth and make achieving MDGs more affordable reducing child mortality
High rates of population growth- high fertility due to lack of family planning- kenyan woman on average have 5 children each. 25% of woman want to limit births but are not using any method of family planning
Family planning- result in fewer children requiring education
helps to reduce number of high risk pregnancies that result in maternal and IM
Kenya could be expected to reduce 3.9 million unintended pregnancies, 14,000 maternal deaths and 434,000 child deaths by target date in 2015
Health in Kenya
Coolest places in central around Mt Kenya- T decrease by 1.5
Colder areas coincide with highest rainfall, over 2000m annually on the mountain
Areas of high population density found in cooler provinces of central and Nairobi
Western- highest population 600+per sq km
High population around Mombassa on the coast, T= high, influnece of ITCZ and monsoon climate given rise to high levels of rainfall. Region benefits from cool sea breezes- high tourist trade
Highest population where higher levels of rainfall and T is cooler- links to reliance on farming- needs more moderate conditions. Areas coincide with mountainous regions
Areas of highest population density are highest poverty levels- too many people for the resources. In western areas of highest rainfall- people suffer from flooding where lose everything
Health in Kenya
Advantages and Disadvantages of rotating expat programme:
+ves:
increase number of health workers, expats will bring new skills which they can share with colleagues. They may be positive role models for local people encouraging them to stay in country
-vs:
Constant change makes it hard to form relationships between patient and doctor, workers may not speak local dialects making communications difficult
Poverty- people have to rely on ecosystem for fuel wood- deforestation. People hunt for food even in national parks. Lack of funds for sanitation- waterways become polluted- diseases
There has been improved managment around Mt Kenya- improving the condition of the forest
Health in Kenya
Rural environment issues:
Forests are degraded to feed population- forests important features of water supply
Growth of city puts pressure on Nariobi national park
Mt Kenya- intense population growth around mountain
Urban environment issues:
North- growing rapidly to a city of 3 million
Slum dwellers in Kiberia have ruined rivers due to poor sanitiation
Poor air quality, vehicle pollution
15000 tonnes of waste generated in N per day
Progress towards MGDs
Strengths:
Education likely to reach target- HIV teaching in school curriculum. Poverty decreased by 20% in 2000. Reduce HIV by 2014 (2007- 8.4%- 6.3%). Increased sanitation
Weakenesses:
Child mortality, Maternal mortality, Indeadeqate infrastructure, private health care- noone can afford, distribution inequalities- 70% urban vs 30% rural
Opportunities:
Inclusion of HIV education in school curriculum, increased investment in green energy, mobile network coverage increased (49% - 68%) 2009-2011, Invest in family planning and transport maintenence
Threats:
Non communicable diseases on rise, poverty, lack of health facilities in arid areas, dependent on foreign aid
Kenyas Relief
Land- 570,000 sq km
Water- 11,000 sq km
Low plains rise to central highliands bisected by Great Rift Valley; fertile plateau in west
197 airports- 16 paved runways vs 181 unpaved
Roads- 160,000km- paved -11,000, unpaved- 150,000
Mount Kenya- 5200m
Kilimenjaro- 5895m
Kenyas Precipitation
Climate varies from tropical along coast to arid inland- due to topography
Most PPT where highest rates of poverty and population are
Unequal distribution- N, E dry S, W wet
Relief in highest areas
Mombassa- high relief- ITCZ, low pressure- air rising- rainfall- Highest use of malaria nets found
Malaria found in high precipitaed areas- mosquitos like warm humid climates
Kenyas Cropland
Arable land- 9.5%
Water pollution from urban and industrial wastes- degradation of water quality from increased use of pesticides and fertilisers- deforestation, soil erosion, poaching
Highest % of cropland in highest relief, PPT, poverty and population areas
Kenyas Poverty
58% below poverty line- $1.46 a day in urban areas
Kenya failed to sustain economic growth and complete its demographic transition- population expanded turning country into poor resource one
Poverty in rural areas and city slums- HIV aids orphaned 1 million children, conflicts, domestic violence and prostitution
Rural economy dependent on substience farming- 75% countrys agricutlure output
Rural farmers depend on rain- erratic weather patterns and effects of climate change have affected this
Highest rates in West where high population density, food security, presence of malaria, precipitation
Related discussions on The Student Room
- AQA GEOG4B 19th JUNE 2015 »
- AQA Geography Unit 4B 2015 exam »
- Appropriate Universities for Law »
- How can I join political party in Kenya? »
- AQA Geography Unit 4B June 2015 exam »
- I am looking for students taking Broadcast Journalism »
- Tourism case study »
- gsce 2019 »
- Health when staying in Kenya for 3months? »
- Volunteering in Kenya »
Comments
No comments have yet been made