GROUP 2

HOME VISIT
 GROUP 2
GACHERU JANE
MACHARIA ERIC
MWANGI KAREN
OGWAYA WINNIE
EMMANUEL HANS H31/2425/2013
NATHIFA MOHAMED ABDI H31/34946/2013
MUNENE VICTOR
ODHIAMBO SOLOMON ASIYO H31/52934/2012
EVERLYN ZACHARY
SIMWA ADAMS
MBATHA DENIS
AMWOGA AGGREY
ABDI SHEIKH NASSIR DIN
ZEYNAD ABDINOR ABDULE
SAFIYA AHMED SHIRE
OBJECTIVES
 HIV/AIDS
 Describe the home environment
 Socio-economic status of family
 Describe the immediate environment
 Describe in details the water supply
 Describe the waste and refuse disposal
 Describe any health services closest to the home (NGO,
CBO, etc.)
 Discuss the factors in and around the home that
contributed to the child’s condition.
 HOME ENVIRONMENT
 Informant: Mrs. N (RVD positive) with fourth born child RVD positive.
Divorced by her husband of 18 years, 3 years ago while still discordant.
 House was made of iron sheets and mud wall, with one door, one non functional
window. The interior walls have a cement bag covering to protect from the cold
from the gaps left on the walls.
 A single room approximately 10m by 10m
 Sharing the room with a welder, who works right outside the door. Almost
half of the room taken up by the welder’s materials
 Number of residents: 5 (1 adult- mother and her 4 children aged between 3
and 13 years). Two of her teenage girls live almost permanently with the
maternal grandmother in Busia.
 Sleeping arrangement: two children share a couch, the remaining two share
the only bed with the mother.
HOME ENVIRONMENT

 She cooks using charcoal, one tin at 50/- daily, in the house with
very poor ventilation. Her 24 hour recall was; breakfast comprising
tea and githeri or mandazi bought across the road, no lunch since
most of the time the children eat from school, and super comprised
of ugali, fish(from her business) and cabbage. She rarely cook
plant proteins due to high fuel requirement (charcoal).
 Sleeping arrangement: 2 of her younger girls share the couch
which is the only seat in the house. The mother shares the only
available bed with her 8 year old RVD+ son and the last born girl.
 The house was very dirty, littered everywhere, with dirty utensils,
clothes and flies hovering about.
 SOCIO- ECONOMIC STATUS

 The informant is a fish seller, 16 pieces of fish/day

 Monthly Income: 15,000/- (9,000/- from the sale of fish and 6,000/- merry go
round).
 Monthly Expenditures:
 Food: 5,320/-
 Fuel: 1,500/-
 Utilities and rent: 2,000/-
 Water bill: 900/-
 Health: Almost free!* from AMREF where she and her RVD+ son are
being followed
 School fees: 6,000/-
 Waste disposal: 280/-
 Total Monthly Expenditures: 10,680/-
IMMEDIATE
ENVIRONMENT
Over crowded with litter and human activities such us
cooking and selling on the road-side.
Open sewage flowing in front of the door, very close to
where she fries the fish
Air pollution from the dust and waste matter in the sewer and
loud music from the neighborhood.
Land pollution is from the poor waste disposal-paper bags,
waste foods, sewer.
Safe immediate environment esp. in the day time; not so safe
at night especially after 9pm
Friendly neighbors who are of mixed tribes, they borrow
items and money and even food items from time to time.
WATER SUPPLY
 From the Nairobi county water services which
runs once a week, charged at 2/- per 20 liters. The
taps however have been running dry for the last 2
months. Most of the time she buys water from
vendors at 5/- per 20 liters or from the water
kiosks in Laini Saba, 2 kilometers away.
 Water for drinking is not boiled and not stored
very safely- the jerry-cans not closed, served in
dirty and dusty cups.
 Use 60 liters/day, translating to 12 liters per
person, with the cost per day being 15/-
SANITATION
 Personal hygiene:
 Reports washing hands before cooking, before eating and after eating.
However, we observed that this is not necessarily true, as the child who
was at home during the visit was served food and ate without washing
hands.
 Reports washing foods such as vegetables and fruits before cooking or
eating.
 Pit latrine and bathroom are both outside the house shared by very many
families and passersby. She reports that the pit latrines are very dirty that
she opted to pay for her family a monthly fee of 200/- to use a fairly clean
one located a distance of about 300 meters from her house. The bathroom is
poorly drained and walls partially covered.
 Waste disposal is into an old sack that she empties into a collection point,
that is collected every Sunday
HEALTH SERVICES
 The health facilities closest to the home are:
 AMREF clinic in Laini Saba (preferred health
facility)
 Kibera Health Centre in DC’s compound
 SHOFCO in Mashimoni Squatters.
 Mbagathi Hospital
 Kenyatta National hospital
FACTORS THAT CONTRIBUTE
TO THE CHILD’S CONDITION
1.House hold;
Small house vis-a –viz the large family size.
Overcrowding to the point of not getting quality care. Little
attention to the special nutritional needs of the RVD+ child due to
extreme poverty by the family that can barely feed itself.
The night cold from the gaps in the wall predisposes the RVD+
child and the mother to recurrent pneumonia
2. Environment;
Poor sanitation predisposes the family to recurrent pneumonias and
other upper respiratory tract infections.
Lack of the needed social support and the stigma that comes with
raising a HIV+ child by an RVD+ mother.