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Increasing Domestic Workers Access to SRHR through Door-to-
Door Integrated Services.Presented at: Amref Health Africa International Conference
From Evidence to Action: Lasting Health Change for Africa25th November 2014
Job Odoyance AkunoManager, Preventive and Promotive Health
NOPE-Kenya 27 November 2014
National Organization
of Peer Educators (NOPE KENYA) Founded: in 2000, registered 2000, becomes
international 2007.
Vision: A world with healthy communities and sustained
social development. Mission: ‘To build capacity of communities and
organizations for delivery of quality health and social services.’
Strategic Goal: NOPE is a premier international organization with strong integrated systems and structures to build the capacity of communities towards delivery of diverse quality services.
NOPE MOTTO: “Building Capacities, Changing Lives”
Background
Estimated that half of the 2.3 million households in Nairobi use the services of a domestic worker.
Four in every five of these workers are female, commonly referred to as house girls.
Others are gardeners, cleaners, guards and drivers
Most of them live with the family that employs them.
They have limited assess to sexual and reproductive health information and services.
Description
NOPE conducted Social Mapping and size estimation of DWs
Equipping DW with life skills: to improve their Sexual and Reproductive Health (SRH) knowledge and practices.
Provision of appropriate package of Services: These included Post-Abortion Care, Post-Rape Care, Family Planning/EC, HTC services and financial literacy.
Increasing accessibility of services: Due to restrictions on movement and time, NOPE provided convenient services around the streets junctions where they prospect for work, within the gates or doors of their work places and operated at hours and days that are acceptable to domestic workers sub-populations.
Description-
The project used the triple E approach implementing the domestic workers sexual and reproductive health project, this included; Empowering domestic workers to advocate for their
sexual and reproductive rights through advocacy training and mentorship.
Engaging health facilities and other service providers in provision of sexual and reproductive health services to domestic workers and
Enhancing access to knowledge and information for behavior change amongst domestic workers
Achievements The intervention trained 517 peer educators
reaching 15,000 DW with integrated services, Trained Health Service Providers and law enforcers
to offer DW friendly SRH services; Trained 30 DWS as health right advocates Effectively referred 295 survivor of Sexual
violence Strengthened representation with 912 DW joining
KUDHEIHA Supported Formation of 54 table banking
groups(1620), 18 groups linked to Micro-Finance Institutions
Products
Developed a Domestic Workers Sexual & Reproductive Health Communication Strategy 2013.
Developed Domestic Workers SRH Peer Education Facilitators Manual and Participants Hand-outs.
Targeted IEC materials on SRH information and services
Developed referral directory and inventory. Popular versions of the HAPAC and SOA
Lessons learnt
Door-to-door integrated services are effective Most domestic workers experience sexual
violence but have no recourse and resources for redress.
Advocating with Health Care Managers can improve services to DWs- “opening on Sundays”
Through collaborative efforts between MoH, Trade Unions and PBOs, the rights of domestic workers can be protected and access and utilization of services improved.
Next Steps
There is need to equip DW with information and skills as well as resources to deal with GBV.
There is need to Scale Up domestic workers comprehensive package of friendly services.
Programs for domestic workers require collaborative partnerships to increase quality and range of services to the population.
Partners and collaborators
Funded by FHI360 with PEPFAR through USAID Co-implementer, KUDHEIHA Nairobi County Reproductive Health Team, the health
facilities) The Government of Kenya – the Kenya Police, the
office of public administration Post Rape Care Centre’s – Maria Immaculata, LVCT,
MSF-France and MSF- Belgium Religious institutions – the Catholic Church, the
Madina Mosque, the Hindu Temple Employers of DWs and the domestic workers.
Contact:
Presenter: Job Odoyance Akuno Email: [email protected]. Cell: +254-723 850599 Executive Director: Philip Waweru
Mbugua Email: [email protected].
NOPE website: www.nope.or.ke Email: [email protected].
