The University of Nairobi's Fellowship in Healthcare Capacity Building
for Sustainable Development aims to build the capacity of Kenyan Health
Care Workers and Local Organizations in the health sector through an
academic model. Under this program, 2-year post-masters Fellowship
Programs and 9-month Post-Graduate Diplomas are offered under 5 training
specializations namely: 1) Program Management, 2) Monitoring and Evaluation, 3) Health Economics, 4) Health Informatics and 5) Epidemiology and Biostatistics.
Certificate programs which are 7-weeks long are also offered to provide
an opportunity for Health Care Workers to access professional training
to acquire skill sets that are critical for sustainable and innovative
implementation of health programs.
http://echs.uonbi.ac.ke/
Wednesday, July 31, 2019
Online tutors training workshop held at KCB Leadership Center
The Fellowship in Healthcare Capacity Building for Sustainable Development Program held an Online Tutor Training Workshop from 15th – 17th July, 2019 at the KCB Leadership Center.
The 3-day training was aimed at building the human resource capacity of faculty to support learners through the college e- Learning Portal http://echs.uonbi.ac.ke.
This portal hosts a Learning Management System (LMS) where a three-tier training program namely; 2-Year post-masters fellowship, 9-month post-graduate diploma and 7-week certificate courses are being offered online.
Friday, July 26, 2019
PhD Seminar: 26th July 2019
Presenter: Maurice Kodhiambo Onditi
Topic: Socio-Economic and Health Systems Determinants of Access to Paediatric Malaria Treatment in Homabay County
Topic: Socio-Economic and Health Systems Determinants of Access to Paediatric Malaria Treatment in Homabay County
Wednesday, July 3, 2019
OPTIMIZED RETENTION IN CARE MODEL FOR NEWLY DIAGNOSED HIV CLIENTS IN KISUMU COUNTY REFERRAL HOSPITAL
Name: Willis Gasami Kiriago
Registration No.: W82/89464/2016
Fellowship: Program Management Track
ABSTRACT
Kisumu County is one of the
47 counties in Kenya. The county has a diverse background comprising of urban
and rural set-ups as well as a rich ethnic, racial and cultural diversity.
There are seven sub counties within Kisumu County where the major economic mainstay
of the residents include: Fishing, Farming (rice and sugarcane growing) and
Trade. With the prevalence rate of 19.3%, the county ranks third among the 9
counties that account for the highest number of new HIV infections in the
country. Having one of the highest HIV incidence and prevalence in Kenya,
Kisumu County is working to prioritize and optimize HIV service delivery right
from the community to all of its level 2 – level 6 health facilities. In this
regard Kisumu county referral hospital is one of the high volume health
facility that offers HIV services right at the heart of Kisumu city. Due to its
strategic position KCRH has 17600 clients ever enrolled in care with 5400 active
registered HIV clients. This number could increase three fold were it not for
clients who drop out right after HIV diagnosis. The metropolitan environment
with mass transit of people makes it hard to track and retain the newly HIV
diagnosed clients in care and treatment within KCRH. This coupled with other
operationalchallenges are hindering the achievement of 959595 UNAIDS targets
for Kisumu County. There is therefore need to bring on board innovative
approaches especially targeting high
volume facilities to help in facilitating and resolving the said
challenges.
Efficient and effective
innovations and strategies can therefore play a pivotal role in closing some of
these gaps, the
project sought to design and implement a retention in care strategy that aimed
at retaining newly diagnosed HIV clients in care and treatment hence
strengthening the quality of care and achievement of the 959595 targets in KCRH
and Kisumu county as a whole.
Upon designing the RIC model, it was piloted in KCRH for 6 months.
Over that period cases of HIV positive clients who missed to be enrolled in
care and treatment reduced significantly, proving that program data can help to
inform designing of innovative interventions that can significantly help to
improve RIC among HIV positive clients without much strain on existing health
system infrastructure.
Tuesday, July 2, 2019
HEALTH CARE HUMAN RESOURCE CAPACITY BUILDING INITIATIVES INFLUENCING SUSTAINABILITY OF HIV/AIDS SERVICES AT SIAYA COUNTY REFERRAL HOSPITAL, KENYA
Name: Gloria
Chelang’at Kitur
Registration No.: W82/89462/2016
Fellowship:
Program Management
Institutional Affiliation: Siaya County Referral Hospital
ABSTRACT
The HIV prevalence
in Siaya County is 24.8 percent (4.2 times higher than the national prevalence)
according to the Kenya HIV Estimates 2015. It is estimated that by the end of
2015, a total of 126,411 people were living with HIV in the County. There is a
need for improvement in the County’s cascade of care to achieve the unmet gaps
of the UNAIDS 95:95:95 targets in identification, linkage, and viral
suppression. Timely HIV diagnosis, optimal linkage and retention to care for
persons diagnosed with HIV, increased coverage of ART and viral suppression can
only be achieved with a competent Healthcare workforce. The Kenya Healthcare
system however, experiences an acute shortage of qualified and competent Human
Resources for Health (HRH) in addition to their uneven distribution both
geographically and within facilities. Focusing on Siaya County Referral
Hospital (SCRH), this project sought to determine the Healthcare Human Resource
Capacity Building Initiatives Influencing Sustainability of HIV/AIDS Services
at Siaya County Referral Hospital. Project objectives included: to identify the
human resource capacity gaps in terms of knowledge, skills, competencies and
numbers; to identify the human resource capacity building initiatives currently
being applied at Siaya County Referral Hospital; to determine the influence of
terms of engagement, remuneration, performance appraisal, work environment and
turnover intent of staff; and to identify the program level challenges faced by
development partners all influencing sustainability of HIV/AIDS services at
Siaya County Referral Hospital. A sample of forty SCRH staff, four hospital
executives and two program officers was drawn. Questionnaires and Interview
Schedules were used to collect primary data for the baseline survey. The survey
findings revealed the major human resource capacity gap was staff numbers with
specific skills and competencies. The widely used human resource capacity
building initiative at SCRH was formal training and on-job training/mentorship.
The terms of engagement, remuneration, performance appraisal and work
environment greatly influenced the staff turnover intent and ultimately
employee satisfaction. Lack of sustainability plans for the HIV programs at
SCRH was a major challenge. It was therefore recommended that an SCRH Human
Resource Capacity Building Committee be established whose mandate, in
conjunction with the SCRH Management Team, Siaya County Health Management Team
and the HIV Program Development Partner, would be to develop a HR Needs
Assessment Report, a HR Capacity Building Plan, a Staff Engagement and
Performance Status Report which would guide the development and implementation
of a HIV Program Sustainability Plan for SCRH. The project could eventually be
rolled out to the sub-county hospitals in Siaya County as well as other
facilities offering HIV clinical services in Nyanza region and Kenya at large.
Monday, July 1, 2019
A WEB BASED ROUTINE DATA QUALITY ASSESSMENT (RDQA) TOOL FOR UPSCALLING HIV DATA AUDIT AND MANAGEMENT FOR SIAYA COUNTY HEALTH FACILITIES
Name: George Odhiambo Okoth
Registration No: W82/89456/2016
Fellowship
Track: Health Informatics
Participating Local Partner (PLP): Siaya County Health
Department
ABSTRACT
The project
provides for an enhanced
user oriented Random
Data Quality Assurance (RDQA)
tool .It forms a valuable
monitoring and
evaluation tool that should be used to elucidate the
national
information system strengths,
and determine country
specific
data quality issues that require to be addressed at
each level.
Its aim is to encourage and
support implementation of the County
EMR in order to ensure good, robust
and reliable quality
health data are produced
from the health facilities. This RDQA
tool provides an enhanced
way of working with health data
and assuring data quality
or planning and decision making.
For this reason, the
tool will aid Data Quality
Assurance processes for
facility, sub-county,
county,
project/ programme, national managers and planners
to determine whether the
type, quantity, and
quality
of health data
needed to support sector decisions
have been achieved.
The tool is the culmination of experiences
and lessons learnt in the design, implementation
and statistical analyses and
use of health data
over
time. The tool is intended to be
updated and used periodically
by all
to verify the quality
of data and employ
interventions to correct existing procedures
and practices that would lead to good
data quality.
The DQA Tool focuses exclusively on
(1) verifying
the quality of reported
data,
and (2) assessing the underlying data management and
reporting systems for standard program-level output
indicators.
The DQA Tool is not intended to assess
the entire. M&E system of a country’s response to HIV/AIDS, Tuberculosis or Malaria. In
the context of HIV/AIDS, the DQA relates to component 10 (i.e. Supportive supervision and data auditing)
of the “Organizing
Framework
fora Functional
National HIV M&E System”.
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