Congratulations to our April 2018 Partners!

 

Footwork: The International Podoconiosis Initiative

Ethiopia

Footwork was awarded a two-year, $100,000 grant for the project, Podoconiosis Prevention and Treatment Project: Gondar, Ethiopia.

The objectives for this project are to provide treatment and care to podo patients who have not previously accessed treatment, to train more government health professionals, and to prevent new cases through raising awareness and training.  The health professionals who were trained during earlier phases of the project will provide treatment at health centers.  The project will provide patients with treatment supplies (plastic basins, soap, bandages, ointment, etc.) and custom-made shoes. Podo morbidity management includes foot care, limb washing, wound care, protective footwear, therapy for acute episodes, exercises, and elevation.  About 2.2% of the podo patients are typically in need of surgical interventions to remove their nodules.  Partner International Orthodox Christian Charities (IOCC) has a long-standing relationship with local surgeons who offer this surgery for free. The podo patients who will need surgery will be referred to the surgeons for removal of nodules.  Health education will be given to patients in order to emphasize and promote self-care.

Stakeholders meetings will be held at the beginning and end of the project.  A training of trainers (TOT) model using a Community Conversation approach will be employed, impacting approximately 10,000 family members, and enabling the establishment of a sustainable network of podoconiosis patient associations (self-help groups) for future joint efforts to help tackle the problem at the family and community levels. The self-help patient groups will give emotional, social, and practical support to one another. They will explore and learn to understand and combat the shame and stigma together, enhancing their self-esteem.

Footwork estimates that this project could reach an additional 4,000 patients and 10,000 family members. This will fund prevention activities and treatment supplies, monitoring and evaluation, and advocacy and information dissemination.  Footwork will lead an awareness campaign, conduct outreach for in-kind donations, and share information via Footwork’s website and social media.

Overall Goal

The goal of the project is to improve the health condition of the most disadvantaged podo patients by enhancing access to treatment and prevention interventions.

Kisumu Medical and Education Trust (KMET)

Kenya

Kisumu Medical and Education Trust (KMET) was awarded a two-year, $115,000 grant for the project,  Sustaining Uptake of the Every Second Matters for Mothers and Babies TM-Uterine Balloon Tamponade (ESM-UBTTM) in Kisumu, Siaya, Homa Bay, and Migori Counties in Western Kenya.

Over the past four years, KMET and Massachusetts General Hospital (MGH) have been implementing (through local partners), a UBT package for uncontrolled post-partum hemorrhage (PPH) called Every Second Matters for Mothers and Babies – UBTTM (ESM-UBTTM). While there have been fewer deaths and disabilities related to PPH over the years despite the high case complications reported, facilities continue to report cases of: referrals which they deem unnecessary; disabilities from excessive blood loss; and possible deaths due to uncontrolled PPH.

KMET will therefore aim to strengthen and sustain the knowledge, skills and access to the UBT kits in all facilities conducting deliveries in the target Counties.  The next level of programmatic activities are necessary in order to achieve sustainable uptake and integration, which will help avert PPH related deaths and disabilities in the long term.

KMET will strengthen mentorship through the BEmONC master trainers for quality and timely reporting of ESM-UBT usage. The project will focus on engaging with the UBT Champions to continually advocate for budgetary allocation for UBT. KMET will also train additional county MOH officials on advocacy for increased buy-in for ESM-UBT™ usage and this will promote replication into more health facilities. The County MOH officials and obstetricians and gynecologists will support post-training support supervision and mentorship of UBT health providers through public and private partnerships (PPP) to institutionalize use of UBT. Additionally, the project will advocate for national level policy formulation for UBT use to manage uncontrolled PPH and integration into pre-and in-service training in the medical institutions. In order to increase awareness of and demand for UBT, the project will also work with print and electronic media.

Through the Centre for Maternal Health Innovation (CMHI), the project will expand the distribution channels to improve access to ESM-UBT™ in both the public and private facilities in the target counties. Additionally, stringent data collection strategies will be used to determine need for UBT kits and demonstrate that the device is safe and can effectively prevent injury or death due to PPH.

Overall Goal

The overall goal of the project is to sustain and strengthen the utilization of ESM-UBTTM in 4 priority counties (Siaya, Kisumu, Migori and Homa Bay) in Kenya.

Komo Learning Centres

Uganda

Komo Learning Centres was awarded a two-year, $75,000 grant for the project, Nama Maternal and Child Health Action Program.

Nama Wellness Community Centre Clinic (NAWEC) serves the residents of Mukono – a district near Kampala with a population of almost one million, where close to half live below the Ugandan poverty level. In Nama Sub-County where NAWEC is located, the 41,900 residents lack options for quality health care, especially services for mothers and their children.

The Maternal and Child Health Action Program (NMCHAP) has expanded NAWEC’s existing programming for mothers and their children, while providing the clinic with an opportunity to develop and implement new services for these vulnerable groups. NMCHAP will continue to provide a comprehensive package of services that include ante- and post-natal care, family planning, dental care, malaria prevention and treatment, cervical cancer screening and treatment, safe delivery, and enhanced diagnostic capacity and treatment for major childhood illnesses. Under NMCHAP, NAWEC will continue its progress toward becoming the leading maternal and child health service provider in the area.

Overall Goal

The overall goal of the project is to reduce maternal and child morbidity and mortality in Mukono District by expanding the clinic’s existing programming for mothers and their children, and providing the clinic with the tools, support, and space to develop and implement new services for these vulnerable groups.

Lifebox

El Salvador, Guatemala, Honduras, Nicaragua

Lifebox was awarded a two-year, $100,000 grant for the project, Strengthening Surgical and Anesthesia Safety in Central America (El Salvador, Guatemala, Honduras, and Nicaragua).

This project will improve the quality and safety of surgery and anesthesia provision in four countries in the Central America region (El Salvador, Guatemala, Honduras, and Nicaragua) through regional and national training programs on use of the WHO Surgical Safety Checklist as well as surgical instrument maintenance and sterilization. By using a “Training of Trainers” approach, Lifebox seeks to develop a group of regional surgical safety trainers who can be deployed nationally and throughout Central America to share best locally-adapted practices and tools for improving surgical safety.

The activities to be carried out over two years beginning in May 2018 will focus on: 1) offering a WHO Surgical Safety Checklist implementation “Training of Trainers” course regionally and then in all four countries, 2) providing a train-the-trainers opportunity on a regionally-adapted curriculum for surgical instrument maintenance and sterilization, 3) providing pulse oximeters and training on their use where needed, and 4) carrying out monitoring and evaluation of the program for sharing of lessons learned and best practices at the close of the project. By building capacity and knowledge regionally and at the national level in all four countries, the program aims to improve the safety of millions of surgical patients receiving care in the approximately 2,500-3,000 operating rooms in the region.

Overall Goal

The goal of this project is to improve the safety of surgery and anesthesia in El Salvador, Guatemala, Honduras, and Nicaragua.

Lwala Community Alliance

Kenya

Lwala Community Alliance was awarded a three-year, $225,000 grant for the project, Every Child: Reducing Child Mortality in Migori County, Kenya.

Lwala Community Alliance runs Lwala Community Hospital in partnership with the Ministry of Health. This hospital stands as a center of excellence where Lwala has built a quality improvement framework and provides on-site training in their patient-centered approach. Lwala also partners with government health centers, organizing health management committees, providing on-site quality improvement coaching to nurses and clinical officers, and recruiting, training, supervising, and paying community health workers.

Lwala’s health model starts by engaging community committees, which identify health challenges and develop their own unique solutions. These committees advocate for resources from the Ministry of Health and represent their communities in holding the health system accountable. Community committees developed Lwala’s community health worker model, specifically the concept of working through traditional birth attendants. Traditional birth attendants are the agents who communities have trusted to provide maternal child health services for generations. Instead of seeing traditional birth attendants as barriers to facility deliveries, Lwala brings them in to the formal health system. Traditional birth attendants are trained, employed, paid and supervised as community health workers. Community Health Workers track, screen, treat and refer every pregnant mother, child under 5 and person living with HIV. Community Health Workers support disease prevention, prenatal care and nutrition, elimination of mother to child transmission of HIV, facility deliveries, breastfeeding, on-time immunization, early treatment of childhood illness, contraceptive uptake, and HIV adherence and nutrition. As Community Health Workers are deployed, there are sharp increases in patient visits to facilities. In preparation for this increase in demand, Lwala provides on-site coaching to nurses and clinical officers, focused on improving the quality of maternal and child health provision.

Overall Goal

The goal of the project is to reduce maternal and child mortality.