Kenya: Lwala Healthcare Project
Hospital Registered with Medical and Practitioners Board: Q2 2016
October 27, 2016
Liz Chamberlain
Summary of Activities
The primary beneficiaries of RMF-supported Lwala Community Alliance are children, women, HIV-infected persons, and the elderly. Prior to the establishment of Lwala Community Hospital, there was no immediate access to primary health care or HIV/AIDS testing and care in the area. For this reason, Lwala’s health intervention has focused on primary care for children, access to medicines (particularly vaccines and anti-malarials), HIV testing and care, public health outreach, and safe maternity. The impact has been substantial since opening, though more work is to be done, and systems of measurement need to be strengthened.

Results &
ACCOMPLISHMENTS

Hospital Program
Increased Patient Numbers
Lwala saw increased patient numbers, possibly due to the free care newly offered for under-5 children and the likelihood of other family members simultaneously seeking care at the hospital. We are investigating the cause further. HIV testing and support was intensified during this reporting quarter; 2,854 individuals were tested and counseled, and 7 new support groups were created. The Lwala Community Hospital was registered with the Medical and Practitioners Board in Kenya; this is a major step in gaining accreditation for the Kenyan National Health Insurance Fund.

Public Health Program
Testing and Treatment of Malaria
The service package that Community Health Workers (CHWs) are providing at the household level has been expanded to include home-based testing and treatment of malaria for children under 5. Through conducting thorough data checks and through CHW encouragement of child vaccination, 80% of Lwala children community-wide are now fully immunized. The involvement of men in women’s reproductive and general health issues has increased, in part due to a newly-formed committee that focuses on child protection and women’s rights.

Education Program
Handwashing Stations
In-school health clubs, in collaboration with RMF-supported Lwala Community Alliance, are constructing permanent handwashing stations that are fed by water tanks and supplied with soap. Two schools have completed construction and 11 are in the process. Structured observations of the eReader program were carried out by a Vanderbilt graduate student in May and June. The results of her observations are expected to feed into program improvements and an overall assessment of the impact of the eReader pilot project.

Economic Development Program
Partnership with Village Enterprise
The economic team conducted a series of community consultation sessions to identify economic needs and areas of potential growth in the local economy, which will guide strategies of the economic development program. A partnership with Village Enterprise, a nonprofit dedicated to ending extreme poverty in rural Africa through entrepreneurship and innovation, has been formed, and a pilot project is planned to launch in the fourth quarter of 2016.

Monitoring and Evaluation
Second Best Health Facility
The Kenya EMR (Electronic Medical Records) system has fully moved to point-of-care usage at Lwala Community Hospital with all clinical staff working with HIV patients. Patient tracking is now taking place primarily through the online system. The Kenyan Ministry of Health and Planned Parenthood Global conducted data quality audits at Lwala Community Hospital, and the hospital received high marks from both organizations. Lwala Community Hospital gained recognition as the second best health facility in Migori County in terms of data quality in Kenya EMR.

Administration and Management
Operations and Finance
A new centralized procurement process is now functioning within the Operations department; a stock room now stores frequently used items available for request from all departments. An M-Pesa account was created and is currently in use at Lwala Community Hospital, reducing the number of cash transactions. M-Pesa is a platform for mobile banking in Kenya. A performance management process has been rolled out in Kenya, starting with employee reviews at the management level. The process includes each staff member completing written performance reviews and having an in-person meeting with his or her supervisor to discuss goals and targets for the coming year.

Background
& Objectives
Background
Lwala is a village of approximately 1,500 people near Lake Victoria in western Kenya. Within an hour’s walk, approximately 3,000 additional people live in nearby villages accessible by dirt roads. Poor physical infrastructure, including impassable roads during the rainy season, lack of electricity and lack of reliable drinking water, have helped to create a critical healthcare challenge in Lwala. The mission of the Lwala Community Hospital is to meet the holistic health needs of all members of the Lwala community.
Objectives
- Improve patient care and clinical operations
- Improve access and facility infrastructure
- Expand and improve quality of education programs
- Professionalize the organization through better policies and practices
- Properly procure and account for physical, financial, and human resources
- Increase impact of health outreach programs
- Build capacity of community members in income generating activities
- Improve programs through better communication and monitoring and evaluation

Numbers
Served
Direct Beneficiaries
During the reporting period, 12,971 patients were served at Lwala Community Hospital.
Indirect Beneficiaries
Approximately 30,000. The total population of North Kamagambo is about 16,500, and programs are a magnet to people beyond North Kamagambo.


More Reports on: Lwala Healthcare Project Archive
Country Page: Kenya
Initiative Page: Lwala Healthcare Project