Home-Based Counseling and Testing in Kenya

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Comprehensive, Home-based Health, Nutrition and Support Services

Many Kenyans suffer from chronic health problems that go untreated – and often undiagnosed – because they lack access to testing and health facilities. Even the Kenyan government has trouble reaching rural areas, so officials sought support to help test and treat its at-risk population. In partnership with Abbott Fund, and the Kenyan Governments, implementing partner AMPATH has screened more than 10,000 people for diabetes.

Comprehensive, Home-based Health, Nutrition and Support Services

Home-based Counseling and Testing (HCT), and immediate referral to treatment, is provided by implementing partner AMPATH’s counselors/nurses. Health workers provide diabetes testing, HIV testing, TB screening, de-worming medication, nutrition assessments, and blood pressure testing. Testing teams have been welcomed into more than 98 percent of the area’s homes, and more than 99 percent of eligible people agreed to be tested.

Comprehensive, Home-based Health, Nutrition and Support Services

AMPATH workers gather information on each person in every household, including health and demographic details and GPS location information, and they assign each individual a unique identifier. Trained health workers armed with mobile Android technology support rigorous medical record keeping, and strong follow-ups minimize drop-offs/loss. HCT is more likely to catch diabetes, HIV and other health problems early, improving treatment efficacy.

Comprehensive, Home-based Health, Nutrition and Support Services

AMPATH is providing comprehensive diabetes care services in rural areas of western Kenya where none had previously existed and now cares for more than 5,000 diabetic patients. AMPATH integrates chronic disease care into its services for some 300,000 patients who visit its clinics.

Comprehensive, Home-based Health, Nutrition and Support Services

Patient John’s story is representative of the struggle so many patients face on a daily basis. John is employed as a driver, transporting AMPATH’s life-saving supplies and the health counselors needed for providing care. His recent diagnosis of diabetes had threatened his very livelihood, as complications of diabetes were starting to prevent him from performing his job responsibilities. After just four months of care, John became symptom free, and today he is back to his regular duties as one of AMPATH’s drivers.

Comprehensive, Home-based Health, Nutrition and Support Services

AMPATH provides food support to its most vulnerable patients, nearly 30,000 each day. All new patients are screened by a nutritionist; those found to be food insecure are provided with a nutrition prescription assuring access to 100 percent of their daily nutritional requirements. Food support covers patients and all dependents “eating from the same pot.”

Comprehensive, Home-based Health, Nutrition and Support Services

AMPATH’s Family Preservation Initiative (FPI) provides programs to help patients and their families. Many patients are HIV-positive widowed mothers, unable to make a living or feed their family adequately. FPI gives assistance without encouraging dependency by offering educational income-generating programs. At the Imani Workshop, workers learn new skills and create handicrafts. All income earned through sales is reinvested in the workshop so it can continue to provide employment, skills training and other forms of empowerment.

Comprehensive, Home-based Health, Nutrition and Support Services

AMPATH also identifies orphans and vulnerable children in HCT and, where possible, enrolls them into its Orphans and Vulnerable Children program. To date, more than 20,000 children have been enrolled at seven sites offering access to education, protection, shelter, food security, psychosocial support, medical care and economic security.

Comprehensive, Home-based Health, Nutrition and Support Services

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   at AWS.Web.UI.WebControls.ImageDisplay.get_ImageUrl() Since 2007, the Abbott Fund has invested more than $4 million and Abbott has donated products worth more than $1.3 million to support AMPATH (Academic Model Providing Access to Healthcare), headquartered in Eldoret, Kenya. The primary focus of our support has been AMPATH’s home-based counseling and testing initiative, designed to offer health care services to people living in even the most remote areas.

Initially focused on HIV/AIDS testing and treatment, AMPATH soon recognized the urgent need for comprehensive responses to chronic health problems in Africa. Today the group uses its learnings in ongoing programs that provide sustainable support for Kenyans with diabetes and other conditions that require ongoing management, care and support.

An example of AMPATH’s many successful projects is the group’s BIGPIC program (Bridging Income Generation with Provision of Incentives for Care), which builds on the strong community spirit of Kenyans. BIGPIC uses a combination of group motivation, education and incentives to encourage diabetes patients to improve not only their own health, but also the health of others.

Participants are divided into groups of 10 neighboring patients. Patients’ blood sugar levels are measured at the start of the program, then at three- and six-month intervals. At the end of that time, AMPATH hosts a celebration with diabetes-friendly foods. At the party, groups that achieve the greatest levels of diabetes control are rewarded with community-appropriate prizes such as farming supplies and supermarket vouchers. To win, groups must work together to lower their blood glucose levels.

In addition to creating programs like BIGPIC, AMPATH has long been a pioneer in using mobile technologies to help identify, treat and monitor patients. The use of simple technology such as GPS systems and cell phones brings health care directly to people’s homes rather than requiring them to go to a hospital or clinic – often a hardship for those without reliable transportation. Today, AMPATH is improving the health of more than 150,000 patients throughout Kenya with its innovative outreach, testing, treatment and care programs.
Results Source: AMPATH
Results to Date

12/06/2013

Copyright © 2006, 2014 Abbott Fund. Abbott Park, Illinois, U.S.A.