Kenya: Lwala Healthcare Project
Patient Numbers at an All-Time High: Q4 2016
February 18, 2017
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 antimalarials), HIV testing and care, public health outreach, and safe maternity.
During this quarter RMF funded maternal and child health costs including:
- Personnel costs for nurses Rose Gayo and Caren Siele
- 58% of medicine costs

Results &
ACCOMPLISHMENTS

Hospital Program
Access to Quality Health Care
- 2016 patient numbers were at an all-time high at 46,769, which is a 53% increase from 2015.
- Lwala sustained a 97% skilled delivery rate for all mothers in the catchment area and 95% prevention of mother-to-child transmission of HIV.
- Contraceptive uptake reached an all-time high of 5,771 couple years of protection (CYP) during the year. Couple years of protection is a measure that weighs the value of a contraceptive method by the number of years it provides protection from pregnancy.

Public Health Program
Positive Health-Seeking Behaviors
- Lwala successfully reached its target of enrolling 5,000 children in the maternal and child health community program, reaching a total of 5,070 children by the end of December.
- The pilot phase of a mobile data collection program was rolled out during the quarter, training 29 community health workers to use electronic tablets for data collection in the Thrive Thru 5 and HIV community program.

Education Program
Improved Exam Scores and Literacy
- The preliminary findings of a research study on the e-reader program implemented at three primary schools in the region show encouraging results that e-readers are improving literacy.
- The average standardized primary school completion exam scores from across all primary schools rebounded to their 2014 levels at 241 out of a total 500.

Economic Development Program
Partnering Locally to End Poverty
- The management of the Development in Gardening Program has been officially handed over to Lwala Community Alliance. The economic development staff at Lwala will lead the agriculture and nutrition program throughout the community, with plans to reach the most vulnerable households.
- An official partnership with Village Enterprise is underway, in which local entrepreneurs are provided in-depth training to start and grow small businesses. Village Enterprise is a nonprofit operating in Kenya that is dedicated to ending extreme poverty in rural Africa through entrepreneurship and innovation.

Monitoring and Evaluation
Initiating Great Improvements
- The M&E team hired a database administrator, Anthony Maina, who brings expertise in Salesforce and has already shown great initiative in improving the data systems at Lwala across the board.
- Plans for a community-wide household survey were made during the quarter, when Lwala Community Alliance received ethics board approval in Kenya and developed the survey questionnaire in CommCare, a mobile application that will ensure high-quality data and a faster data collection process overall. The survey will be carried out in January 2017.

Operations and Finance
Managing Daily Functions
- A joint Kenya-US finance policy was developed and approved, ensuring that policies and procedures are clearly laid out to be followed and monitored on an ongoing basis.
- The earned revenue from patient fees at Lwala Community Hospital increased from $37,000 in 2015 to $48,000 in 2016, now covering 14% of the hospital budget.
- Hillary Omolo, the new Health System Strengthening Partnerships Manager began his tenure at Lwala Community Alliance in December.
- Lwala received approval for the National Health Insurance Fund in Kenya, which should lead to a new source of revenue in 2017.
- A gender equity committee was established in the Kenyan office to encourage equity and handle cases of inequity brought forward by staff.

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

More
Photos
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Numbers
Served
Direct Beneficiaries
2016 patient numbers were at an all-time high at 46,769, which is a 53% increase from 2015
Indirect Beneficiaries
Approximately 35,000. The total population of North Kamagambo is 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