ANNUAL REPORT 2012 - Rotary Doctors Sweden · janet akose vct concellor yusuf kasim driver philis mege echn (retired nurse) homabay line 2 name merab anyona vct councellor paul ologe

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RDS-Western region report Jan-Dec 2012 Page 1

ANNUAL REPORT 2012

The Rotary Doctors Sweden

Activities in the Western Region

We have come to the end of the year 2012. It has been a fruitful year and we would like to thank

all those who took part in making this year a success. To my fellows staffs in the Western region

I want to thank you for your cooperation that has made us reach this far together. To all our

visiting doctors we appreciate your effort and support that you are giving to our country so as we

can avail the health care services to the rural areas.

I would also want to give special thanks to our Nairobi office, the Sweden office and the entire

Board of Rotary Doctors Sweden who have given the Western region team the maximum

support.

We hope to receive that kind of support also in the year 2013.

The concerted team effort has enabled us to carry out a lot of activities during the whole year.

Apart from our normal mobile clinic activities other activities carried out this year included;

1. Protection of the springs.

2. Education of the community health workers.

3. Training of the volunteers at the health clinics.

4. Training of the clinic health committees.

5. Establishing new project area.

6. Exiting Nandi jeepline.

7. Introduction of a revised treatment manual

8. Introduction of new clinics.

9. Handing over clinics to the government staffs

DANIEL O. MURUKA

Coordintor

JACINTA K. NICASIO.

Assistant coordinator

Western Region

Rotary Doctors Sweden

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1. DOCTORS SERVING IN THE WESTERN REGION

During the year we managed to have a total of 44 volunteer doctors. It was great working

together with the doctors in the field under very remote circumstances. See attachment regarding

name of the doctors that we were privileged to work with.

2. THE STAFFING

The RDS project western region is coordinated by.

1. DANIEL O. MURUKA (Kenyan Nurse) assisted by

2. JACINTA K. NICASIO (Kenyan Nurse)

The other staffs in different stations include;

UGUNJA LINE

NO NAME QUALIFICATION

1 FRANCIS OUMA COUNSELLOR Left for another employment

2 ELKANA ASUDI DRIVER

3 GOK NURSE KRCHN

4 SARAH ANYANGO KRCHN Who replaced Francis

MASENO LINE

NAME QUALIFICATION

1 PHANICE OKELLO VCT COUNCELLOR

2 JOSEPH MAANA DRIVER

3 G. OTIENO KRCHN Volunteer nurse

HOMABAY LINE 1

NAME

JANET AKOSE VCT CONCELLOR

YUSUF KASIM DRIVER

PHILIS MEGE ECHN (Retired nurse)

HOMABAY LINE 2

NAME

MERAB ANYONA VCT COUNCELLOR

PAUL OLOGE DRIVER

GRACE OMBATI ECHN (Retired nurse)

NANDI HILLS LINE.

NAME

JULIUS KETER VCT COUNCELLOR

GOK NURSE KRCHN

3. OUR SERVICES.

The services offered at the community level by the jeepline teams include;

1. CURATIVE SERVICES

2. ANTENATAL CARE

3. FAMILY PLANNING

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4. HEALTH EDUCATION

5. HIV TESTING/COUNSELLING

4. CHARGES

The services are offered to the community at an affordable fee.

All patients pay 50ksh. 20% of this amount is given back to the clinic committee for improving

the clinic.

5. PATIENTS TURN UP.

The main activity by the Rotary doctors is provision of curative services in the community. In

this regard we have had a lot of patients coming to seek medical help in our 5 mobile clinic out

reaches. During the year the patient distribution by month is as stated in the table below..

HB1 LINE UGUNJA

LINE

NANDI HB2 MASENO

LINE. TOTALS

MONTHS <5 A <5 A <5 A <5 A <5 A JAN

167 254 138 437 59 135 145 251 132 335 2,951 FEB

234 342 222 767 76 248 168 280 164 450 2,957 MARCH

157 346 228 852 45 213 151 331 174 460 2,115 APRIL

106 215 117 556 72 282 109 204 158 296 2,710 MAY

153 250 260 698 68 256 114 244 206 461 3,124 JUNE

210 345 331 777 79 277 116 222 229 538 2,053 JULY

247 373 333 878 77 324 134 347 393 945 4,051

AUG 230 320 309 816 98 459 149 328 285 911 3,905

SEP 150 330 212 667 60 270 113 268 191 627 2,888

OCT 312 440 268 793 97 404 154 340 263 667

3,738

NOV 165 305 312 729 95 322 108 329 235 612

3,212

DEC

85 184 113 294 32

101 74 158 97 301

1,439

TOTALS

2216 3704 2843 8264 858 3291 1535 3302 2527 6,603

35,143 AV. PTS

PER

MONTH

185

309

237

689

72

274

128

275

211

550

2,929

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COMMENTS

Total patients seen in the year = 35,143

This an 11.2% increase as compared to the year 2011.

This increase could be attributed to the emergence of new clinics with very high patients turn up.

0

200

400

600

800

1000

1200

1400

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

HB1

UGUNJA

NANDI

HB2

MASENO

COMMENTS

The combined graph of all the five jeep line clearly gives the following impression.

- Ugunja line remains the busiest jeep line in the region almost throughout the year.

- Maseno remains the second busiest, however with high patient turn up between July and

august. At this the time Nyamsenda clinic started.

- Nandi Hills jeep lines has been the least busy jeep line in the western region.

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MONTHLY PATIENTS DISTRIBUTION BY JEEPLINES

Comparison of under five years turn up and adults (all over five years).

UGUNJA JEEPLINE

COMMENTS: - The busiest month of the Ugunja jeep line July, March and August.

- The least busy months are December and January. The low turnup in December could be

attribute to early closer for December holidays, while in January to the later start.

MASENO JEEPLINE

COMMENTS: - The busiest month of the Maseno jeepline is July, August and October.

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- The least busy months are April and December. We normaly close early during

December, the month of April is always a hard month with scarcity of food. The little

money people get they spend it on food.

HOMABAY JEEPLINE 1

COMMENTS: - At the Homabay 1 jeepline, the busiest month was October followed by July.

December is the least busiest month followed by April.

HOMABAY JEEPLINE 2

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COMMENTS: - The Months of March, July, October and November were the busiest month in

Homabay jeep line 2.

- As is the case in the other jeeplines, more patients above five years are seen more than

the under five years.

- The least busiest month as usual is December and April.

NANDI JEEPLINE

COMMENTS: - More patients seen in August and October than other months.

- December and January are the least busy months in Nandi jeeplines.

ABOVE 5 AND UNDER FIVE TURN UP.

JEEPLINE TOTAL PTS <5% >5%

1 HOMABAY 1 5,920 37.4 62.6

2 UGUNJA 11,107 25.6 74.4

3 NANDI 4,149 20.7 79.3

4 HOMABAY 2 4,837 31.7 68.3

5 MASENO 9,130 27.7 72.3

35,143 28.4 71.6

GENERAL COMENTS ON THE PATIENTS TURN.

- There is observable trend in patients reduction in the month of April across all the five

jeeplines except in Nandi. This could be atributed to the hard economic times coupled

with food scarcity.

- July is the most busy month, followed by August.

- December becomes the least busy month across the 5 jeep lines, this could be attributed

to early closing for December holidays.

- As much as 30% of the total number of patients is children under 5 years old.

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6. HIV TESTING SERVICES IN THE JEEPLINE.

The RDS offer HIV testing services in their clinics, patients are counseled and thereafter tested

after obtaining a consent.

This provides the patients with an opportunity to know their status and take an early action

depending on the test results.

This service is offered across all the 5 jeeplines in the western region. However there is no

statistics for the Nandi Hill jeepline. For the other jeeplines the number of patients that had

counseling and tests (C/T) are noted below, as well as those that had a positive status (+VE).

HB1 LINE UGUNJA

LINE

NANDI HB2 MASENO

LINE.

MONTHS C/T +VE C/T +VE C/T +VE C/T +VE C/T +VE

JAN 39 3 64 11 84 21 119 12

FEB 45 5 148 34 7 0 317 21

MARCH 51 15 223 64 26 4 316 24

APRIL 39 7 111 46 53 18 183 10

MAY 44 7 94 31 53 14 157 9

JUNE 53 19 65 18 46 15 172 17

JULY 70 6 43 9 46 13 121 22

AUG 60 7 35 4 93 11 108 09

SEPT 37 9 25 6 39 5 100 17

OCT 55 11 18 10 43 9 41 8

NOV 43 11 20 1 57 6 84 1

DEC 27 5 11 1 30 4 49 4

TOTALS 563 105 857 235 577 120 1767 154

COMMENTS

NUMBER TESTED = 4 378

NUMBER OF NEGATIVE TESTS = 3 764

NUMBER OF POSITIVE TESTS = 614

POSITIVE = 14.02 % of the number of tested

POSITIVITY PERCENTAGE JEEPLINE TOTAL NO. TESTED TOTAL NO. POSITIVE % POSITIVE

UGUNJA 1,092 235 21.5

MASENO 1,921 154 8.0

HOMABAY 1 668 105 15.7

HOMABAY 2 697 120 17.2

TOTALS 4,378 614 14.02

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COMMENTS

- Ugunja jeepline has the highest positivity rate followed by Homabay jeepline 2 then

Homaby jeepline 1.

- Maseno has the least Hiv infections out of those tested.

- No data was available for Nandi jeepline.

7. DISTRIBUTION OF MOSQUITOR NETS.

Distribution of Treated Mosquito Nets still remains the main way of protection against malaria.

In this respect the RDS has joined other organizations/institutions in this great fight aimed at

reducing malaria infection. The nets are given for free to pregnant women and children under 1

year visiting the clinic for the first time according to the government policy. For others the nets

are sold to the patients at 50 ksh, however for those that cannot afford this the nets are funded

from the poverty fund. The nets are distributed across all the five jeeplines in the western region

as follows;

NETS DISTRIBUTION WEF JAN – DEC 2012

MONTH UGUNJA MASENO HB 1 & 2 NANDI TOTAL

JAN 20 20 40

FEB - - - - -

MAR 40 40 40 120

APR 40 40 - - 80

MAY 40 20 80 40 180

JUNE 50 40 - - 90

JULY 26 20 - - 46

AUG 49 40 - - 89

SEP 50 30 - 40 120

OCT 30 20 80 - 130

NOV 20 20 - - 40

DEC. 20 35 40 - 95

TOTALS 385 325 240 80 1,030

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8. JEEPLINES.

UGUNJA JEEPLINE.

Ugunja jeepline is the busiest jeepline. It has five clinic sites, most of them in the Siaya District

(that is the former larger Siaya) The dominant tribe is luo. The nearest clinic being Barding and

the furthest being Esibembe.

PATHOLOGICAL DATA

There are a lot of sick patients in Ugunja line, the disease burden is high and this is also because

of the HIV/Aids prevalence in the area. A patient, most often under five have often more than

one diagnosis.

The top 5 diseases in Ugunja include;

MALARIA

PNEUMONIA

SKIN DISEASES + ULCERS

MULNUTRITION

HIV RELATED COMPILCATIONS

GENERAL BODY ACHES

VIRAL INFECTIONS

MASENO JEEPLINE

Maseno is the second busiest jeepline and with the furthest clinics. The furthest being Ituti which

means a 152 km return journey from Siaya district.

PATHOLOGY

The pathological data is almost similar as in Ugunja. See below for the top five.

MALARIA

PNEUMONIA


MULNUTRITION


GENERAL BODY ACHES

VIRAL INFECTIONS

HOMABAY LINE 1 JEEPLINE Homabay jeepline 1 is operating full time in Ndiwa district. It is the third busiest jeepline after

Ugunja and Maseno. Koguta is one of its busiest clinic and the furthest.

PATHOLOGICAL DATA

Stated below are the top five medical conditions:.

MALARIA

PNEUMONIA


MULNUTRITION


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GENERAL BODY ACHES

VIRAL INFECTIONS

HOMABAY LINE 2 JEEPLINE

Homabay line two is covering two districts. Homabay and Dhiwa. Lwanda and Sikwadthi are

both in Ndhiwa while the rest are in Homabay.

PATHOLOGICAL DATA

Top five medical conditions are almost similar to the other four lines.

MALARIA

PNEUMONIA


MULNUTRITION


GENERAL BODY ACHES

VIRAL INFECTIONS

NANDI HILLS JEEPLINE.

Nandi jeepline has had the least number of patients. It has been scheduled for relocation, the plan

was complete by the end of the year.

PATHOLOGICAL DATA

The top 5 in Nandi includes;

GENERAL BODY PAINS

VIRAL INFECTINS

SKIN DISEASES

PNEUMONIA

MALARIA

9. SPRING PROTECTION.

The Rotary Doctors Western Region has been actively involved in environmental

sanitation through a program supported by Rotary clubs in Sweden. The RDS has enabled

local communities access clean water for domestic use. This has been done through

protection of water sources. Community spring within villages with a big populations are

identified and protected.

The objective of the spring protection are

(a) Reduce risks of water pollution thus reducing water related diseases.

(b) Accessibility of clean water in the community.

(c) Protecting the community water source from human activities which could result into

the drying of the spring.

(d) Helping the community to form a spring protection committee.

(e) Training the committee on how to take care of the spring.

During the year six springs have been protected.

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SPRING JEEPLINE PERIOD

1 Konyango Spring Homabay jeepline 1 March-April

2 Korucho spring Homabay line 1 March- April

3 Pocho Spring Maseno jeepline June-July

4 Uhesia spring Maseno Jeepline June - July

5 Chamyet Spring Nandi jeepline September - October

6 Kapkatet spring Nandi Jeeplin. September - October

This is a picture of one of the spring taken before protection.

This the same spring picture taken immediately after protection. An extension pipe was temporarily fitted to protect

the wet floor.

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SHALLOW WELLS

During the year the RDS renovated two shallow wells which had been made some years ago but

were not working. The two shallow wells renovated include;

(a). Koguta shallow well.

(b). Ituti shallow well.

One of the committee members testing the water pump during the construction of koguta shallow well.

10. TRAINING OF THE COMMUNITY HEALTH WORKERS.

It is important to note that during the year, the RDS program in western region organized a

Community Health Workers (CHW) training course at the Homa Bay Jeepline. The training was

conducted in 5 clinics along the Homabay jeepline 1.

Four volunteers were trained as CHW per clinic. Total 20 CHWs were trained. The aim was to

provide the community health workers with knowledge to enable them identify environmental

factors which influence health status and inform the entire community on their roles to create a

desirable change. The CHW then becomes an agent of health behavior change in the community.

At the end of the training each CHW was given;

1. A certificate of attendance.

2. A community health kit.

3. Reporting tools.

11. TRAINING OF THE VOLUNTEERS. In our effort to improve health care delivery within the communities where we operate, the RDS

organized a one day workshop in December 2012 for the volunteers active in the clinics of the

Maseno Jeepline, Ugunja jeepline and the new Matungu jeepline.

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Three volunteers were trained from each clinic. The three chosen for training were, the

volunteers translating, the volunteer registering patients and the volunteers weighing patients.

The workshop objective was;

(1) Increase the volunteer’s knowledge on basic terms used during patients’ history taking

and examination.

(2) Help the volunteer identify commonly used drugs and there groupings.

(3) Help the volunteers have knowledge in both under five and over five weighing

(4) Teach the volunteers on type data collected from the patients and how to record and use

them.

(5) Teach the volunteers the art of good translation.

(6) Help the volunteers to develop Patients follow up programs.

(7) To make the volunteers understand their role in the health care provision in the

community.

It was a successful training and all the volunteers in attendance wished we were able to bring

them together each year. They said this would help them learn from each other and move

together as a team.

Jacinta Karimi demonstrating to the participants on how to us both hanging and bathroom scale during the

volunteers training.

12. TRAINING OF THE CLINIC HEALTH COMMITTEES. The clinic health committees contribution to health care in the areas where we visit is very

important. With this in mind we decided to organize for a one day training workshop in

December to improve their level of participation. Like the Volunteers training, three participants

were selected from each clinic for the workshop. The criteria for choice was the; chairman,

treasurer and secretary. The workshop was a success.

The objective of the training included;

1. To inform the Clinic committee about the RDS program as a voluntary organization.

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2. To inform the CHC about their role in health care provision in the community.

3. To roll out the CHC clinics hand book.

4. To help them identify other local partners and resources in the community.

5. To educate the CHC on proposal writing.

George one of the facilitators taking the clinic health committee through the program

13. INTRODUCTION OF NEW CLINICS.

It is important to note that during the year there have been several clinics that has phased our and

new clinics started. The old clinics were either taken over by the government or relocated due to

other reasons.

Jeepline Clinic Taken over by GOK Phased out new

1 HB 1 OTANGE GOK NURSE

POSTED

KOME

2 UGUNJA LIGALA GOK NURSE

POSTED

YENGA

3 UGUNJA ULAMBA PHASED OUT NGUGE

4 MASENO OTIENO

OWALA

PHASED OUT NYAMSENDA

5 UGUNJA BARDING GOK NURSE

POSTED

PAP ORIANG

(GOK nurse = government funded nurse)

PHASED OUT – Clinics are phased out when there is to low commitment from the committee,

the volunteers are not active or when they are too close to another health facility. The main

objective of moving out of a place is though that a new health care facility has been established.

It is a good result that three of the clinics have been taken over by the government for continuity.

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NOTE

UGUNJA JEEPLINE- As can be seen in the table by the end of 2012 there are only 2 of the old

clinics in Ugunja jeepline. The two old ones are Esibembe and Umala. Unfortunately the

transformation process in these two old clinics has not progressed. It will be an issue to look at

during 2013.

14. EXITING NANDI JEEPLINE.

One of the major activities this year was the relocation of the Nandi jeepline. The jeepline as

compared to other jeeplines has been underutilized. It was charactrised by low patient turn up,

reduced pathological findings. It was then decided that the output was not comparable to the

input. The decision to relocate the project was discussed with DHMT team Nandi North and an

exit strategy was planned. Our exit strategy was to find a smooth way of moving out slowly

without stopping the services in the areas where we visited. Each clinic was assessed and a

continuation plan was put in place as shown in the table below.

Clinic Exit plan

1 Kamwega

Gok nurse to be posted / meanwhile mobile clinic by Gok to

continue.

2 Mwein

Gok to post a nurse to continue the services.

3 Mogoget

Gok nurse was already posted to continue the services.

4 Kungruet

Gok to start a mobile clinics outreach to continue the services.

5 Kapkagaron

Gok nurse was already posted to continue the services.

15. ESTABLISHING A NEW PROJECT AREA.

With the eminent exit from Nandi, there was need to identify a new project area to replace Nandi

Jeepline. The assessment was initiated by talks with the Nyanza Provincial Director of Medical

Services and Western Provicial Director of Medical Services Dr. Okth and Dr. Ahinduka

respectively. Thess meetings were headed by Dr Sven Ake Hedstrom the RDS chairman.

Two districts were proposed in Nyanza; Chemilil and Muhoroni. Two districts were also

proposed by the western provincial team; Kakamega North and Matungu district.

A survey was done in then four districts. The survey was pegged around the following indicators

(a) The population.

(b) Existing health facilities.

(c) Immunization coverage.

(d) Health facility deliveries.

(e) Total area in Sq Km.

After all these aspects were analyzed Matungu district was chosen as the new project areas.

The project has been initiated in the New Year of 2013. All the preparations was done in the end

of 2012. Clinics sites have been located as follows.

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CLINIC DAY TYPE OF HOUSE DISTANCE STATE OF

ROAD

KHANDAYI MON CHURCH 54 km GOOD

BUBAMBULA TUE CHURCH 30km GOOD

NAMASANDA WED CHURCH 44 km GOOD

ITETE THUR CDF DISPENSARY 43 km GOOD

SUO FRI CHURC 42 km GOOD

TOTAL DIST 213

The longest distance is Monday with 54km two ways. At other jeeplines there has been a

concern that the distance to cover are too long and cause fatigue even before a doctor start seeing

patients. In the new project we have considered this and reduced the total travels. This also

reduces the financial needs for car maintenance and fuel consumption. It is also worth noting that

for easy project monitoring and impact assessment, all the five clinics are situated within

Matungu district.

16. INTRODUCTION OF A REVISED TREATMENT MANUAL.

Over the years we have had an old treatment manual which was made by one Dr. Charlotte

Almkvist. This year two Doctors (Dr. Ina Dagis and Dr Agnes Geofy) have revised the new

jeepline treatment manual. The manual has been laminated and is in each of the doctors box in a

folder. It was laminated to keep it clean and to prevent unnecessary alteration of the content.

17. HANDING OVER CLINICS TO THE GOVERNMENT STAFFS.

As has been note above, we have successfully handed over some clinics to the Government

staffs. Our main objective has been to help the community establish a daily functioning health

unit, this can be done by cooperating with the government to start a dispensary, the CDF and

community to start a dispensary. The clinics which have been handed over to the government

include:

1. UGUNJA JEEPLINE - Ligala

- Barding.

2. HOMABAY - Otange

As well as all the clinics of the Nandi Hill jeepline.

18. STATIONS:

SIAYA - Siaya is the busiest station, with the best doctors’ house and has a wide compound. It

also has a good room as a pharmacy an advantages which other stations do not have. In the

compound the RDS western region offices are situated.

HOMABAY- The house is smaller as compared to Siaya. It has two small bed rooms with one

large one. The pharmacy is small and does not allow for storage of enough drugs to run for one

whole month.

NANDI HILLS - One of the coldest regions. There was a good doctor’s house for one doctor

only. Had small storage for drugs.

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19. COMMITTES/DISTANCE

Taking a look across the individual clinics, the average patients turn up, committee and the total

distance from the starting off each morning.

CLINIC COMMITTES/ AVERAGE. PATIENTS TURN UP

KEY:COMMITTEE: Only1 person – (poor) 2-3 person (average) 4 and above (good)

AV. PATIENTS TURN UP: POOR (10- 25 pts). AVERAGE (25-35 pts). ABOVE- 35+ pts

NO

JEEPLINES

CLINICS

AV. PTS

COMMITTEE

INVOLMENT

DIST. FROM

THE DRS HSE

(return journey)

UGUNJA

1 BARDING average Good 24

2 UMALA Above av. Average. 42

3 ESIBEMBE average good 98

4 YENGA Above av. good 68

5 NGUGE average good 49

TOTAL DIST. IN KM COVERED PER WEEK

281 km

MASENO

1 ESIKHUYU Average. Average. 101

2 WANGNYANG good Good 110

3 ITUTI Good Good 152

4 NYAMSENDA Good Good 64

5 EBUKHOLO Good Average. 91


518 km

HB 1

1 OTANGE average average 92

2 UNGA average average 88

3 KOGUTA good Good 99

4 NDERE average good 46

5 DUNGA Average poor 22


347 km

HB 2

1 SIKWADHI average Poor 66

2 ODIENYA good Poor 28

3 NYAMBARE average Good 51

4 LWANDA Poor Poor 61

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5 NYAWAWA Poor Poor 56


262 km

NAND HILLS

1 KAMWEGA average poor 62

2 MWEIN poor poor 25

3 MOGOGET average good 54

4 KUNGRUET average Good 80

5 KAPKAGARO

N

good poor 85


306 KM

COMMENTS

The furthest clinics are in Maseno line total Km is about 518 km per week. This makes the line

the most expensive in terms of fuel and car service.

20. STAFFS

Staff profile for the RDS western Region is as stated below.

NO QUALIFICATION/ DESIGNATION. TOTAL

1 REGISTERED COMMUNITY NURSES 3

2 VCT CONSELLORS 4

3 VOLUNTEER NURSES 2

4 NURSES SECONDED BY GOK 3

5 DRIVERS 4

6 HOUSE HELP 3

7 SECURITY GUARDS 3

TOTAL 22

The team work has been acceptable, though in Homabay there has been some misunderstanding

between the staffs. This has been though worked on.

21. CARS

The RDS western region has a total of 7 cars. All the cars conditions are as described below.

NO JEEPLINE MAKE REG NO. CONDTION

1 MASENO TOYOTA HILUX kav653M XX

2 UGUNJA FORD RANGER KBD 927w XXX

3 HB 1 TOYOTA HILUX KAV 624M XX

4 HB 2 TOYOTA HILUX KAV 546M XXX

5 NANDI FORD RANGER KAX 658U X

6 CORDINATORS SUZUKI G. VITARA KBA 104N XXX

7 STAND BY LAND ROVER KAM 308X Marked for sale

8 STAND BY MARUTI KAV 806V XX

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KEY

X- POOR

XX- ACCEPTABLE

XXX- GOOD

MILAGE COVERED IN THE YEAR 2012

CAR DATE

STARTED

STARTING

MILLAGE.

ENDING

MILLAGE

TOTAL COVERED IN THE YEAR

KAV 546M JAN 2011 122,743 143,954 21,211

KAV 653M MAR 2011 125,498 146,519 21,021

KAV624M JAN 2011 137,332 163,960 26,628

KAX 658U JAN 2011 115,377 137,302 21,925

KAM 308X JAN 2011 331,509 338,394 6,885

KBD 972W JAN 2011 103,555 134,759 31,204

KBA 104N JUN 2011 93,250 118,414 25,164

COMENT

i. The longest distance have been covered by KBD 972w ford ranger (maseno jeepline car)

followed by KAV 624M Homabay jeepline 1, followed by KBA 104N coordinators car. The rest

almost covered the same distance except the landrover.

22. DOCTORS HOUSES.

NO SITE NO OF

BED

ROOMS

CONDITION PHARMACY TEMP OCCUP

ANCY

COMPOU

ND

1 SIAYA 3-Same

size.

Roof not yet

renovated

Large enough

for drugs

WARM

2 doctors

Large

2 HOMABAY 1-large

2 small

Good Very small HOT at

night.

2 doctors Small

3 NANDI 2- Small Roof

renovated

Very small COLD 1 doctor Small

23. Challenges faced during the year

1. Too heavy workload- From the information given above of what has been accomplished

within the year, it is clear the western region had have a heavy work load to achieve all this.

The relocation of Nandi jeepline, training of the CHWs including developing the training

manual, training of committees and volunteers, relocating the different clinics as well as the

office work of updating some of the information formed the many activities we were to deal

with.

2. Loss of the computers- This was worst time for us this year, losing the two computers

with all the information was just too much. The thought of doing everything over again was

unimaginable, but we had to do it.

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ABBREVIATIONS

As used in the report

ANC- Antenatal Clinic

AV. PTS- Average patients

C/T- Counseled and Tested

ECHN- Enrolled Community Health Nurse

FP-Family Planning

GOK- Government of Kenya

HB1- Homabay line 1

HB2-Homabay line 2

H/C- Health Centre

HIV-Human Immunodeficiency Virus

HTC- Hiv Testing and Councelling

KRCHN- Kenya Registered Community Health Nurse

MSN- Maseno

PITC- Provider Initiated Testing and Counseling.

PMTCT- Prevention of Mother To Child Transmission

PTS- Patients

RDS- Rotary doctors Sweden.

UGJ- Ugunja

VCT-Voluntary Counseling and Testing

+VE-Positive

-VE- Negative

22


Jeepläkare utresta 2012 Plats Förnamn Efternamn Utdelningsadress Postadress

Maseno Johan Ljungberg Vinkelvägen 1 302 93 HALMSTAD

Pieter de Nes Oosterwoldsweg 12 NL-8433 PV Haulerwijk

Jan Lindgren Västergatan 4 A 411 23 GÖTEBORG

Gunilla Augustsson Box 4234 311 04 Glommen

Lea Peltonen Kuulantie 11 FI-94700 KEMI

Agnes Györffy Lönnvägen 6 541 48 SKÖVDE

Marjon Nahuijsem Van heemstralaan 24 NL-6814 KJ Arnhem

Alena Novak Frälsegårdsgatan 8 461 54 TROLLHÄTTAN

Jonna Idh Skolgatan 2 A 593 33 VÄSTERVIK

Ugunja Sayeh Sattar Mintensgatan 3 B 416 63 GÖTEBORG

Per Andrén Lingonvägen 10 352 45 VÄXJÖ

Maud Uggla Styrbordsgatan 8 426 76 VÄSTRA FRÖLUNDA

Bengt Augustsson Box 4234 311 04 Glommen

Nadia Bandstein Wollmar Yxkullsgatan 10 118 50 STOCKHOLM

Usama Dhaha Köpmangatan 5 B 702 10 ÖREBRO

Sofia Ekdahl Kvarngärdesgatan 6 A 412 73 GÖTEBORG

Anne-Marie Pernulf Ullåkersvägen 54 756 43 UPPSALA

Otto Paulsen Sundspromenaden 15 211 16 MALMÖ

Nandi Hills Bertil Malmodin Uddnäsvägen 26 791 46 FALUN

Birgitta Goine Wiking Lindstedts väg 3 871 60 HÄRNÖSAND

Bertil Almqvist Tullaregatan 18 252 67 HELSINGBORG

Vanda Friman Myrbäcksvägen 20 B 436 42 Askim

Tarja Kyllönen Siltasaarenkatu 11 C 59 FI-00530 HELSINGFORS

Rients Padt Schoolstraat 33 NL- 4693 BE Poortvliet

Christer Oldne Skolgatan 25 456 51 SMÖGEN

Herman Noordman Kalkwyk 84 NL-9603 TE Hoogezand

James Wariaro Odlingsvägen 1 170 77 SOLNA

Homa Bay I Bengt Hildebrand Valhallavägen 67 114 27 STOCKHOLM

Lea Peltonen Kuulantie 11 FI-94700 KEMI

Jeff Irvine Åtorp Löa 714 94 KOPPARBERG

Diana Ljung Sass Doktor Hjorts gata 4 B 413 23 Göteborg

Remigiusz Dubik Fålhagsleden 101 754 49 UPPSALA

Siemen de Boer Dwarsweg 30 NL-8383 RP Nijensleek

23


Sven-Göran Blanck Täppesbrovägen 3 252 85 HELSINGBORG

Pierre Navier Kaggeholmsvägen 18 122 60 ENSKEDE

Carl-Henry Pressfeldt Torntorget 6 A 302 26 HALMSTAD

Homa Bay II Magnus Höglund Östra Storgatan 102 553 21 JÖNKÖPING

Birgitta Fredriksson Onsdagsgatan 13 216 19 MALMÖ

Philippe Bron Lilla Varvsgatan 14 lgh 4803 211 15 MALMÖ

Erik Hagman Södra Strandgatan 16 FI-10600 EKENÄS

Jonas Karlström Torsgatan 48 B 113 37 STOCHOLM

Harry Neys Havenrak 19 NL-1151 AG Broek in Waterland

Hans Danielsson Mariefred 8405 281 95 VANKIVA

Anders Ehnhage Fatburs Brunnsgata 32, VI 118 28 STOCKHOLM

Maja Eriksson Östman

Norra Grev Rosengatan 17 F 703 64 ÖREBRO

Documents

ANNUAL REPORT 2012 - Rotary Doctors Sweden · janet akose vct concellor yusuf kasim driver philis mege echn (retired nurse) homabay line 2 name merab anyona vct councellor paul ologe