Health Systems Strengthening

ICL works with counties to support strengthen of their health information systems and promote digital technology literacy for health care workers
Focus Areas:
  1. Empowering leaders and community members on Rights Based approach (RBA)
  2. Advocacy to influence policy in health financing, health information systems and workforce (ICHealth and BioSIM for Health)

Health SystemsToday more than one billion people cannot obtain the health services they need, because those services are inaccessible, unavailable, unaffordable or of poor quality. To deliver, a health system needs efficient workers, well equipped and up to standard facilities, money, relevant information and technologies, medicines, communications, transport as well as overall leadership and direction. Strengthening health systems and making them more equitable has been recognized as key strategies for fighting poverty and fostering development.

ICL in partnership with county, national governments and partners work to increase efficiency in data management and reporting for planning and decision making in the health care system. Further health care workers are supported to increase their productivity and management of client data and information by training on IC-Health; where they obtain a Microsoft certification. We implement a model county health system that is community-centered and integrated health services are critical for reaching universal health coverage.

Impact
  1. ICL strengthened and opened a Youth Friendly Reproductive Health Unit at University of Nairobi, Kikuyu Campus to increase use of quality reproductive health services and products.
  2. Supporting 2 Youth Friendly health facilities in Uasin Gishu and Nairobi County
  3. Trained over 200 service providers on HIV counseling, integration, cervical cancer screening and youth friendly service provision

The ICHealth training is a Microsoft certified training that will ensure that healthcare workers possess sufficient medical knowledge to use the IT applications that affect patients and their information. IC Health certification will assure the county and national governments that health care workers will have skills strengthened in Health Information System; management of personal patient data within the Health Information System and maintenance of Healthcare records for timely and accurate reporting. This contributes to meeting objectives in the MOH ICT standards and guidelines, June 2013 as;

  1. Provide effective and efficient support in the development and maintenance of ICT;
  2. Use ICT to support efficient and effective healthcare service delivery;
  3. Innovate and apply new technology consistent with ICT trends;
  4. Promote the use of ICT enabled services within the ministry.

Introduction: ICL has developed an ICT intervention for its education program (JGEC) with funding from DfID. This is known as BioSIM; a System Information Management tool.

Features: In has an inbuilt sms platform where a message is automatically sent to the client/CHV once they are registered in health facility. Registration of client is done using an iris scanner, which is the biometric identifier. This system holds bio data for the client and service providers and makes monitoring service uptake easier. The health seven pillars/components will be automated to assess facilities. An android supported App is made available to Health Management Teams, DMoH, CHEWs and CHVs for use in data entry, and reports generation. Reports from the system include performance of the health facility, disease trends, and infrastructure conditions, among other components making supportive supervision targeted and relevant.

USP: The iris scanner is an accurate unique identifier for clients in the system, hence has a high ability to track individual clients regardless of the health facility they visit and the ability to provide real time data or information.

Benefits: 1) Improve data capture, analysis and management at level 1, 2 and 3. 2) Reduction of loss to follow up; Clients will be reminded by a text message to attend scheduled hospital visits and the CHV will follow up the client where adherance has not been achieved.3) The enhanced health facilities will send feedback reports to the CHVs highlighting their perfomance and the community health summary data. 4) The CHMT will be equipped with Tablets to access real time monitoring of the healthcare data and provide targetted suppportive supervision.

Our clients: The pilot for the system will be in Kangundo Sub County in partnership .

ICL also sits in several other Technical Working Groups (TWG's) at national and county level such as the Adolescence Sexual and Reproductive Health TWG, the National Family Planning TWG among others. ICL also sits in the UNFPA youth advisory panel through which ICL plays an advisory role on youth reproductive health matters. ICL with other development partners, CSOs and government is leading the coordination of sensitization of the importance of inclusion of Age Appropriate Comprehensive Sexuality Education (AACSE) inclusion in the school curriculum.

ICL championed the revision of the Community Health Strategy policy by sitting at the National technical working group with a view to enhance community access to health care in order to improve productivity and thus reduce poverty, hunger and child and maternal deaths, as well as improved education performance across all stages of life cycle. Through HENNET, ICL participated to lobby and rally for the rejection of the Amendments in the PBO Act!

Introduction
Jiimarishe APHIA Rift has for past 5 years contributed to the reduction of new HIV infections among students in institutions of higher learning within the Rift Valley. Through funding from USAID under the APHIA PLUS Nuru ya Bonde, Jiimarishe APHIA Rift seeks to increase access to HIV & AIDS prevention information, commodities and services through Peer Education trainings, Sister to Sister sessions and integrated Sexual Reproductive Health (SRH) service outreache

Project Goal
The goal of the project is to reduce risky behaviour in sexual and reproductive health among youth in tertiary and institutions of higher learning and their social networks in the surrounding communities.

Project Objectives
  1. To reduce risky behaviour among 14,000 at risk youth (aged 18 - 29) in tertiary and higher learning institutions in Rift Valley by December 2015.
  2. To mobilize 6,000 young people to take up SRH services and provide accurate and relevant health information by December 2015.
  3. To increase proportion of YPLHIV among target groups accessing a minimum package of Prevention with Positives by 100 and link them to health facility and community structures by December 2015.
  4. To strengthen linkages with existing health institutions structures and committees in HIV and AIDS by December 2015.
Achievements
  1. Reached 45,441 at risk girls with Sister to Sister (S2S) EBI
  2. More than 1,500 youth tested and received their HIV results
  3. Trained 24 S2S facilitators
Scope
The project is implemented in Laikipia, Narok and Nakuru counties

Our Partners
  1. USAID
  2. FHI360
  3. APHIA Plus Nuru ya Bonde
Introduction

Jiimarishe APHIA Western has directly contributed to result area 3 of the USAID Funded APHIA Plus Western Project. The result area seeks to see increased use of quality services, products and information. The Project implements a combination prevention program targeting youth in and around institutions of higher learning, with a special focus on Sexually Active Young Women (SAYW).

Project Goal Jiimarishe APHIA Western's goal is to support Ministries of Health and other relevant partners to improve health outcomes and impact through sustainable country led programs and partnerships.

Project Objectives
  1. Reduce risky behaviour among at risk youth (aged 18 - 26) in institutions of higher learning in Kisumu, Kakamega and Siaya Counties.
  2. Increase uptake of health services among youth in institutions of higher learning in Kisumu, Kakamega and Siaya Counties.
  3. Reduce SGBV cases among youth in institutions of higher learning in Kisumu, Kakamega, and Siaya Counties.
  4. Increase participation and ownership of the project among institutions of higher learning in Kisumu, Kakamega and Siaya Counties.
Achievements
  1. Distributed over 70,800 condoms to youth for HIV prevention
  2. Recruited 24 student PLHIVs for Prevention with Positive program
  3. Reached over 9,800 sexually active women with BCC interventions as Splash Inside Out (SIO) and Shuga screening of whom 1,559 were tested and received their HIV results
Scope The project is implemented in Kisumu, Kakamega and Siaya counties targeting - Maseno University, Kisumu Polytechnic; Masinde Muliro University of Science and Technology; Jaramogi Oginga Odinga University of Science and Technology (JOOUST)

Our Partners
  1. USAID
  2. APHIA Plus Western Kenya
  3. PATH
Introduction
The Jiimarishe WRP Project has contributed to the reduction of HIV prevalence and incidence in Bomet, Kericho and Nandi counties by targeting Female sex workers (FSW), truckers and women aged 15-24 years with different EBI interventions. These interventions included Peer education (PE), Respect Kenya (RK) and Sister to Sister (S2S).

Project Goal The project seeks to achieve primary prevention of HIV infection and improving support to Persons Living with HIV and AIDS. Project Objectives
  1. To increase skills-based HIV training for young people
  2. To facilitate positive community discourse on HIV and AIDS
  3. To reinforce the role of parents and other protective influences in the community
  4. To improve knowledge and practice of preventive measures relating to HIV among the general population, MARPs, and Vulnerable populations
  5. To foster a community planning and implementation process that encourages inclusion and parity among community members
Achievements
  1. Reached more than 21,700 young people with HIV prevention BCC using Peer Education, Respect Kenya and over 3,380 with MARP intervention
  2. Tested and gave results to 8,204 new HIV testers and 2,561 repeat HIV testers
  3. Reached over 330 key populations (191 commercial sex workers and 144 truckers) with HIV prevention messages and commodities
Scope
The project covers: Nandi, Kericho Bomet counties

Our Partners
PEPFAR CDC through Walter Reed Project

 



Introduction
The SEAL (Sexual reproductive health, Economic empowerment, Academic and career mentoring, Leadership and governance) project was initiated in 2009 in Nairobi County and later expanded to two other counties i.e. Machakos and Uasin Gishu counties. Currently the project is being implemented in Nairobi, Machakos, & Uasin Gishu counties with prospects of expanding to Turkana in 2016.



The project seeks to meet the Sexual Reproductive Health needs of secondary school students through addressing the social determinants of health i.e. education and poverty. Embedded in the project is the human rights based approach to programming and advocacy for Comprehensive Sexuality Education (CSE) in schools. The expected outcomes of the project is reduced teenage pregnancies, increase in age of sexual debut and reduction in rates of HIV incidence among the school going population. The primary target population for this project is secondary school students while the secondary targets are the school boards of management, parents, and teachers as life skills promoters.

Project Goal The project seeks to improve reproductive health outcomes for young people in secondary schools through a holistic approach that addresses social determinants of health

Project Objectives
  1. To improve reproductive health for young people in a rural setting through adoption and implementation of the holistic approach
  2. To enhance sustainability of the holistic model in Nairobi to enable continued improvement of reproductive health outcomes for young people in secondary school.
  3. To Improve reproductive health of secondary school students through inclusion (Advocacy) of CSE in the school curriculum - this is being implemented through the Jiimarishe UNFPA project that focuses on reproductive health of adolescents and youth.
  4. To enhance entrepreneurship and innovation in high school curriculum nationally.
  5. To Increase the roles of citizens and communities within 3 Counties (Machakos, Nairobi and Uasin Gishu) in shaping their developmental agendas through development and facilitating implementation of community led strategic plans within the counties.


Achievements
  1. Successfully developed and implemented the triple Helix model that combined all aspects of development (SEAL) with key stakeholders that include government, universities and cooperate
  2. Trained more than 720 peer educators in 75 schools who have in turn reached approximately 14,400 young people aged 14-18 years with behavior change communication activities through small groups, one on one, and thematic events
  3. Trained over 180 teachers have been empowered to deliver quality life skills sessions to students
  4. Up to 720 parents have been trained in parent-child communication and entrepreneurship,
  5. Through the projects leadership, governance and advocacy efforts, 3 ward strategic plans have been developed and launched
  6. Participated in the development of guidelines on age appropriate comprehensive sexuality education (CSE) with the Ministry of Education, Science and Technology (MoEST)
Scope
The SEAL project is implemented in Machakos, Nairobi and Uasin Gishu Counties

Our Partners
  1. Children Mission/Devent
  2. Economic Projects Transformational Facility (EPTF)
Introduction
ERIKS project is a High School programme being implemented in Kisii county. The project is tailored to increase the level of risk perception of the youth in school and to also promote abstinence as a HIV prevention measure. ERIKs is a joint project implemented by I Choose Life Africa in close partnership with Ministry of Education Science and Technology and Ministry of Health.

Project Goal Jiimarishe ERIKS project seeks to reduce HIV incidence among 15-19 year olds in Kisii County

Project Objectives
  1. To increase levels of risk perception through knowledge and skill building among 15-19 year olds on HIV/AIDS
  2. To promote abstinence among 15-19 year olds
  3. To strengthen county coordination mechanism for harmonious implementation of HIV/ AIDS related school health programs
Achievements
  1. Jiimarishe ERIKS project serves 3,000 adolescents aged 15-19 years and 30 university students aged 20-24 years, who serve as mentors for the adolescents.
  2. The project also serves 5,250 individuals including teachers, parents and other community members.
Scope
The project is implemented in 10 secondary schools in Kisii County

Our Partners
  1. ERIKS Development Partners
Introduction

Jiimarishe UNFPA is a project funded under the GOK/UNFPA 8th Country Programme that responds to national priorities as articulated in the second medium term plan 2013-2017 of Kenya Vision 2030, and contributes to the United Nations Development Assistance Framework 2014-2018. The programme targets its interventions in Homabay, Kilifi and Nairobi counties. The Jiimarishe UNFPA project seeks to increase priority on adolescents, especially on very young adolescent girls, in national development policies and programs as well as increase availability of comprehensive sexuality education and sexual and reproductive health.

Project Goal The Jiimarishe UNFPA project's goal is to increase priority on adolescents, especially on very young adolescent girls, in national development policies and programs, particularly increased availability of comprehensive sexuality education and sexual and reproductive health.

Project Objectives
  1. To advocate for the integration of comprehensive sexuality education in the school curriculum
  2. Build capacity of youth networks to facilitate their meaningful participation in development processes, particularly in matters of sexual reproductive health and rights.
Achievements
  1. 85 parents, 76 Civil Society Organizations and 182 inter-religious leaders have been sensitised on importance of Age Appropriate Comprehensive Sexuality Education for buy-in and support.
  2. 53 members drawn from 24 youth groups and networks have been capacity build on Advocacy and M&E for meaning participation in development processes and SRH advocacy.
  3. ICL has facilitated participation of 15 youths from identified networks in national, regional and international youth forums on RH
Scope The project targets Nairobi, Homa bay and Kilifi counties

Our Partners
UNFPA, MOH and MoEST