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Published by Victor Oriedo Essau
Aphiaplus April 2013 newsletter
Aphiaplus April 2013 newsletter

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Published by: Victor Oriedo Essau on Jun 07, 2013
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Retired midwives recruited to increaseskilled deliveries
Issue 2, April 2013
Together for Better Health in Western Kenya 
Western Kenya Project is collaborating with theMinistry of Public Health and Sanitation (MOPHS) in recruiting and building the capacity of midwives who had previously retired toincrease the availability of skilled birth attendants in the community.This is in response to the high number of women delivering at home or with unskilled attendants in the region. The Kenya Demographic HealthSurvey of 2008
2009 indicated that only 26% of expectant women inWestern Province and 45% in Nyanza Province delivered with the helpof a skilled attendant.Midwives serving in public health facilities typically retire at 55 to 60years of age when many are still strong enough to continue providingservices. T
hrough the project‟s support,
identified midwives are takenthrough refresher courses and updates on current practices of safedelivery. This includes care for HIV-positive women. The midwivesalso receive needed equipment, such as a delivery bed, delivery kit,gloves, surgical blades, water treatment kit, and reporting tools.We lose many mothers who opt to deliver at home because traditional birth attendants are not skilled enough to manage serious complicationsthat occur during labour,
says Amina Baraka, nurse-in-charge of Matete District Hospital in Kakamega County of Western Province,with frustration written all over her face.
Inside this Issue
The ‘simba’ that Geraldine
Nyongesa turned into a maternity roomGeraldine Nyongesa attending to some of her clients at her home
“But the domiciliary midwives initiative supported by APHIAplus is
making a big impact on the lives of mothers and children in this area,
she says.
“Through the midwives, we have managed to cut down on
the number of mothers and children who die due to child birth.Mothers are freer with these domiciliary midwives, and so they flock to their homes when labour beckons.
 Through this initiative, the project has trained and equipped more than270 domiciliary midwives in the region. Last year, the midwivesdelivered more than 3,450 women. No maternal or perinatal deathswere reported under the supervision of the midwives.Geraldine Nyongesa, 68,retired from public service eight years agoand is now a domiciliary midwife supported by the project. She says,
“I used to go to these women‟s houses to assist them
, but with time,their numbers kept on increasing, and this prompted me to turn myson
s s
imba‟ (bachelor‟s hut)
into a maternity room.
 Although her make-
shift „maternity ward‟ is not what one would find
in a health facility, she has set aside two beds where the women lie before and after delivery. For any woman who wishes to conform tothe cultural norm to bury the placenta at home, the project has also provided a special polythene carry bag to allow for hygienictransportation of the afterbirth back home for burial.
Inside this issue
Project-supported orphans and vulnerable children get
wings to fly
...pg 2
Mother protects her daughters from undergoingFGM...pg. 3
2012 achievements...pg. 4
Happiness at last...pg 6
Pictorials...pg 7
Project-supported orphans and vulnerable children
get „„wings to fly‟‟
Hellen Owuor, a 14-year-old vulnerable child supported by APHIA
WesternKenya, defied poverty and all other odds to score 400 marks out of the possible 500 in
last year‟s Kenya Certificate of Primary Education examinations.
With parents who are both HIV positive and no steady source of income, she fearedlosing her opportunity to pursue secondary education in a National School
. „„Even
though I got a calling letter from Kenya High School, thoughts of losing the chance
and joining a local day school crossed my mind because of poverty,‟‟ says Hellen.
 Hellen is among 43 pupils supported by APHIA
Western Kenya who benefitedfrom Wings to Fly, an initiative of Equity Bank that supports orphans and vulnerablechildren with school fees, shopping money, pocket money, and fare to and fromschool for the four years of secondary education.Equity Bank Kisumu manager Kuyo, speaking during the presentation of thescholarships
at Kisumu‟s sports grounds
, said that this initiative is aimed at mouldingfuture leaders and ensuring that children from poor backgrounds receive a chance to pursue their dreams.Kuyo urged the beneficiaries to continue working hard, promising best performerscontinued support up to the university level and even employment thereafter.Hellen lives with her parents in a one-room house in Ombo Kawere village, MigoriCounty. She attended St. Cecilia Olare primary school, where she emerged top with asterling performance that had not been registered in the school before.Having been identified for support through the Dago Dala Hera community-basedorganization, Hellen benefited from payment of school levies, school uniforms, andother support from APHIAplus Western Kenya.The project also pays school fees for other students in secondary schools.In 2012, the project paid school levies for 37,501 orphans and vulnerable children to enable themto continue their schooling and provided school uniforms to more than 60,000.
Hellen Owuor outside her home
though I gota calling letter fromKenya High School,thoughts of losing thechance and joining alocal day schoolcrossed my mindbecause of poverty.
Rianyamwamu peer educators demystifying condom size througha small-group activity 
 National Organization for Peer Educators (NOPE) implements aworkplace program intervention (WPI) that contributes to APHIA
Western Result Area 3 to ensure
increased use of quality healthservices, products, and information in the public and private sectors.
” It
focuses on improving and expanding availability of high-impact,high-quality health services at facility and community levels, increasingthe demand for those services, and improving health-seeking behaviorsin the communities.The WPI
s mandate is to create demand for service uptake in all threeintervention areas while building partnerships and networking withAPHIA
s partners and other relevant stakeholders.
 NOPE‟s WPI covers Nyamira County, Migori County, Kisumu
County,and Siaya County. The program has established partnerships throughmemorandums of understanding with 15companies and 6 institutions of higher learning
National Organization for Peer Educators (NOPE)
Continued on page 32
.The community members supported her and threatened to beat up the
circumciser who upon sensing danger decided to run for her dear life. „„Iwant my daughters to be role models and achieve the very best education.”
Says Dorcas with firmness in her voice.It took her a period of time to convince her husband that FGM was not goodfor girls. They have now agreed not to circumcise their daughters and havedecided to enroll them for the alternative rite of passage.The girls are happy that their mother saved them from the pain and other effects of circumcision. Vane, the eldest and in class six would like to be ateacher and teach more parents and girls the effects of FGM, while Joyce isaspiring to be a nurse.In December 2012, a total of 600 girls aged between 6 and 22 years wentthrough alternative rite of passage after a weeklong seminar at Tombesecondary school, Nyamira.
Continued from page 2
NOPE profile
Strategies and approaches for the WPI are outlined below:
Advocacy for management buy-in
: 136 heads of departments in 20 workplaces have participated in advocacy meetings that have led tostrengthened management support across the board.
Institutional capacity assessments:
20 organizations have been assessed to identify gaps in workplace programming.
Coordination structures:
27 focal persons and coordinators have been trained and 17 steering committees have been established to date. The
trainings increase the member‟s capacity to manage and coordinate compr 
ehensive and sustainable workplace programs.
Peer education/health activism:
18 workplaces have had employees from different departments trained as peer educators using the standard peer education curriculum. Additionally, the program has inculcated the SPLASH Inside Out module that aims at creating health activism. Atotal of 251 peer educators (140M, 111F) have been trained. Their main responsibility is to introduce health activism at their places of work byconducting informal health education/peer education sessions. A total of 60,263 condoms have been distributed so far through these sessions.
Integrated outreaches
: The WPI has conducted integrated outreaches at workplaces to provide health-related services to employees. Servicesinclude HIV testing and counseling, tuberculosis screening, screening for sexually transmitted infections, cancer screening, and family planning.
Mother protects her daughters from FGM
Dorcas and her daughters
Female genital mutilation (FGM) has significantly declined inNyamira region and may soon be a thing of the past. However, afew parents still force their daughters to be circumcised secretly.These parents organize for circumcision during the night with nocelebrations that may raise eyebrows and lead to their arrest, sinceFGM has been declared illegal by the government.To address this problem, the APHIA
Western Kenya project, inpartnership with the local Seventh Day Adventist Church, haseducated the community on the harmful effects of FGM.Community members are then encouraged to enroll their daughtersfor an alternative rite of passage that is held annually.Dorcas Nyaboke, a mother of three girls, had undergone thetraining. She decided not to allow her three daughters (Vane, Joyce,Winnie) to be circumcised.
However, Dorcas‟s husband still
believed in female circumcision and invited a traditionalcircumciser without her knowledge, with the whole process to takeplace at night. When Dorcas saw the circumciser accompany her husband to their home, she knew without being told what their intention was.She shouted, attracting a large crowd of people to their homestead,and insisted that her daughters would only be circumcised over her dead body.

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