The RICCAN is RICC’s Newsletter 1

Address and Contacts

RockHealth Integrated Care

DUHS, Kenyatta University, off Thika Superhighway

P. O. Box 43844-00100 Nairobi, Kenya

Phone: +254 716 424 448|254 725 608 292

Website: www.rockhealth.co.ke

Email: info@rockhealth.co.ke|rockhealthconsults@gmail.com

ROCKHEALTH INTEGRATED CARE Focusing on You. Our Specialty

THE RICCAN 2017

‘MATTER’

Volume 1 Issue 1

The RICCAN is RICC’s Newsletter 2

Dear Stakeholders, Ambassadors, Colleagues and Friends:

Welcome to The RICCAN. The RICCAN is organization’s

accounts and newsletter. This document is pertinent for the

organization’s success in the following four capacities:

The RICCAN can also be used as a starting point for discussions

and suggestion for changes. It compares this organization to the

other similar organizations. This creates a platform on which the

organization can improve its operations and achieve maximal

growth and development.

This report allows a detailed information into each and every

docket. This involves RICC leaders and management and

therefore provides a look into the strengths and opportunities for

improvement of the management.

Our mission: To provide medical aid and primary health care

by integrating health disciplines public health education and

capacity building for those who serve.

Vision: That the world will share in the power of community

oriented, integrated patient centered care in improving

therapeutic outcome.

Table of Contents Team Matters ................................................................................................................................................................... 2

Relations Matter ............................................................................................................................................................... 3

NCD Matters ..................................................................................................................................................................... 5

Street Families Matter ...................................................................................................................................................... 7

School Health Matters ...................................................................................................................................................... 8

Reproductive, Child and Maternal Health Matters .......................................................................................................... 9

Tropical Disease Matters ................................................................................................................................................ 10

Special Mentions ............................................................................................................................................................ 13

Create

Sustain

Monitor

Analyze

Capacity

Prioritize

Outcomes

Improvement

This report is published by RockHealth Integrated Care

and Consultancies (RICC); Directorate of University

Health Services, Kenyatta University; off Thika

Superhighway; P.O. Box 43844-00100 Nairobi, Kenya.

STAFF

Kiboi Hakeem, CEO and Co-Founder

Juma Theophilus, MD and Co-Founder

Caroline Wanjiku, Public Relations Director

Mildred Gumo, Secretary

Orato Ogoti, Projects Director

Karl Alex, Finance Director

Davies Otieno, Ambassadors Director

Noah Manoti, Human Resource Director

Aadil Chacha, Records and Archives Director

Rispah Njeri, Welfare

Gachaga P. Wairimu, Corporate Social Responsibility

Sylvia Odera, Digital and Marketing Director

TRUSTEES

Dr. Wachira Titus, Pharmacist, Lecturer, Kenyatta

University

Anne Mugasia, Head Nurse, Ghana Clinics

Joan W. Gakuya, Legal Researcher Court of Appeal at

Judicial Service Commission in Kenya

Team Matters

The ability of RICC to monitor, assess, analyze and report

recommendations.

The adaptive capacity of RICC to create and implement internal

and external changes based on recommendations.

The ability of RICC management to create and sustain the

vision, prioritize, provide direction and generate outcomes and

results.

The ability of the organization to implement all of its key

organizational and programs.

Performs an analysis over the organization’s strengths and

suggestions for strengthening its capacities.

The RICCAN is RICC’s Newsletter 3

Relations Matter Our programmes duly supported by our funders, ambassadors and

the management team would not have been as successful as they

have been without building relations with organizations and

institutions that share in our vision. We began from a humble

background a year ago with little finances from well-wishers

among the team of vision bearers. Some of the projects and

programmes we currently have implemented root from no

financials. This barricade was pulled down owing to the powerful

vision of the organization that every stakeholder in it upholds.

Indeed, it has worked for us. However, this track has seen us

endure many challenges in satisfying operational costs. Our

funders in 2017 have been very instrumental in building RICC,

making it grow at a high rate and make clear our vision.

Working together, we…

Have provided primary health care, being able to screen

for non-communicable diseases, tropical diseases and

reproductive health in 6 counties in Kenya: Nairobi,

Kajiado, Kiambu, Baringo, Kirinyaga and Murang’a.

Have waivered health costs worth 1.8 million KES in the

6 counties.

Provided medical personnel to administer medication to

fire victims in Nairobi County, South C area.

Have conducted Non-Communicable Disease (NCD)

camps in two campuses, Kenyatta University and Multi-

Media University. Screening totaled 2,118 beneficiaries.

Offered a medical health and wellness camp to street

families and Mathare Slum being able to see more than

1000 clients in a day.

Provided medication to 102 children in St. Patrick’s

special school in Thika County providing refills for

neurological conditions and treatment of tropical diseases.

Provided consultation and treatment to 298 children at

Huruma Children’s Home.

Availed contraceptive options to 90 students at Kenyatta

University.

Featured in The Taifa Leo newspaper as public health

advocates and ambassadors.

And our power doesn’t stop there!

We have offered refresher training to our ambassadors

before field events.

We were selected to benefit from a grant awarded by the

British Council to Digital Opportunity Trust Kenya.

Our most important funders are the short-term

partners we have had this year. Institutions and

organizations that have been our greatest

supporters are:

Medanta AfriCare

Aratus Health Ltd.

Harley’s Pharmaceuticals

Marie Stopes Foundation

Lizzie Wanyoike Foundation

Rotary Foundation

University of the Sciences, Philadelphia

Kenyatta University Catholic Community

We are especially grateful to these funders that

have provided unrestricted support, which, along

with ambassador dues gives us the ability to

respond quickly and strongly medical issues in the

primary health care sector in Kenya.

Through Digital Opportunity Trust Kenya, a

Canadian subsidiary, we have been able to receive

a funded training and capacity building on social

enterprise development from the British Council.

What does this say about the organization?

The management can been charged with

credible expenditures.

Financial support is well spent to ensure

sustainability of other programmes and

projects.

Our vision has been shared and received

by like-minded organizations.

The organization can be able to achieve

double and even triple when it has

secured long term relations with funders.

Funders Count

The RICCAN is RICC’s Newsletter 4

Ambassadors Count

Ambassadors offering triage services Three ambassador guests from

University of Hong Kong and Texas

Consultants from Kenyatta University

(left) and USciences Philadelphia (right)

Who are Ambassadors?

RICC has ambassadors who subscribe to annual premiums and therefore entitled to priority to its medical camps, training sessions,

recommendation letters and medication cover from the RICC Drug Stores. This is a contractual agreement (Ambassador Agreement)

that is renewed yearly. An Ambassador agreement is the foundation of the working relationship between RICC and its Ambassadors. An

Ambassador agreement clarifies the expectations of both parties in relation to length of time commitment, confidentiality, attendance at

training, and adherence to the organization’s policies and procedures.

An "Ambassador" is anyone who, without compensation or expectation of compensation beyond reimbursement, performs a task at the

direction of and on behalf of this organization. An "Ambassador" must be officially accepted and enrolled by the agency prior to

performance of the task. Unless specifically stated, Ambassadors shall not be considered as "employees" of the agency.

In the year 2017, RICC has been able to involve more than 150 ambassadors in its projects. A system has however been established to

filter the large number to 30 who are best committed to the vision. There is a registration fee and a recommitment premium quarterly.

Number

Access to over 150

Ambassadors

Distribution

Predominantly medical

students from institutions

offering medical courses.

10% are professionals in

hospitals and other

organizations. So far

ambassadors have come

from:

Makerere University,

Uganda

Kenyatta University,

Kenya

Jomo Kenyatta

University, Kenya

University of Nairobi,

University of Texas,

USA

USciences, USA

University of Hong

Kong. China

Identity

Branded wear / RICC Bib, ID

Card.

DETAILS

Ambassadors offering consultation

services to street families

The RICCAN is RICC’s Newsletter 5

NCD Matters RICC-MEDANTA-ARATUS

About: The partnership in 28th January 2017, 1st and 2nd of

February 2017 brought together RICC, Aratus Healthcare

Limited, Medanta Africare and Harley’s

pharmaceuticals. The partners had different roles to

perform which at the end of the day culminated to

utmost success at the end of it all.

The programme objective for the activity was to

provide community oriented patient care in non-

communicable diseases and reproductive health across

the institutions and communities in Nairobi County. The

screening camp organized for the whole campus fraternity of Kenyatta

University aimed at launching screening camps in campuses. 1450

beneficiaries were able to know their status as far as blood sugar, blood pressure

and body mass index are concerned. 49 of the total got referred to the Ghana Clinics and

Medanta for a subsidized confirmatory diagnosis. In this particular activity, RICC was recognized

as a partner to the university’s East Africa’s Career Week during which we introduced a health pillar.

Cervical Cancer screening was also facilitated in partnership with the Ghana Clinics

providing a one-day service in the field during which 40 people benefited.

There occurred challenges especially in financing. The funds allocated to this

programme were inadequate to properly facilitate purchase of enough assets for the

camp. It therefore dawned that miscellaneous would also be inadequately financed

especially with the last minute pop ups that should be solved. Our hired machines

broke down at some point. This pointed out the need to procure our own machines

and seek proper financing. Recommendations added include charging a small fee to

create some sustainability.

RICC-ISIKCURE

On 7th June, 5 RICC Ambassadors in support

of Multi-Media University’s initiative to

provide screening services for its students,

staff and surrounding community, made its

way to Kajiado County. The camp invited

ISIKCURE with whom we worked with,

Nairobi Women’s Hospital and Marie Stopes

Kenya.

By the end of the day, 278 people got screened

by the 5 ambassadors. Referred cases totaled

to 14.

In November 2016,

RICC kicked off with a

grant from the Vice-

Chancellor of Kenyatta

University through the

Health Unit to organize a

Diabetes and

Hypertension screening

and health education

camp.

The Camp was able to

provide such services to

700 people from which

30 were referred for

further diagnosis.

Adherence to SDG 3

By 2022, reduce by one

third premature

mortality from non-

communicable diseases

through prevention and

promote mental health

and well-being.

Indicators

Early detection and

referral and Increased

awareness concerning

prevention.

50% reduction in annual

mortality rate.

The RICCAN is RICC’s Newsletter 6

RICC-JOHN SNOW INC (JSI)

The Health-Games Web App (Yeepa) is a social

networking solution for motivating knowledge games.

The combination of knowledge, strategy and luck

creates exciting learning events. Experience together

with friends and colleagues knowledge competitions in

real time. Build your expertise while gaming: whether

you are at your

workplace or on the

road using your

smartphone. Game with

Yeepa according to

your own schedule -

alone or by joining

others.

Engagement with

RICC, 13th Nov, 2017

RICC was commissioned by Chandaria Incubation and Business Center to partner with John Snow Inc. in the promotion

of an educational online platform educating the youth on non-communicable diseases and healthy living. RICC provided

community health workers (CHWs) trained to provide public health education. The team successfully mobilized nearly 200

subscriptions to the online gaming platform in 2 hours. The subscribers competed against each other by answering questions

relating to healthy living and the top 5 chosen and awarded on site. The gaming platform is a new development that RICC

would wish to promote in partnership with John Snow Inc (JSI) so as to provide a fun way of learning and gain of knowledge

to beneficiaries in its medical screening and treatment camps. In addition, the gaming platform educates the youth and young

adults on reproductive health.

RICC-ROTARY CLUB NYERI

Nyeri County, has had a whopping 12.6 % prevalence rate

of Diabetes more than 50% higher that of the country’s

5.6% according to a 2013 health survey. This has further

increased to 13% in a 2016 survey this being due to

irregularities in expenditure of funds as brought up in an

audit report. While millions are being channeled into

curative action, prevention shall be our main concern

including fishing out unidentified clinical cases and

referring them.

Initial Date: 25th Nov, 2017

Nearly 200

youth mobilized

by RICC to

Yeepa’s Online

Health Gaming

Platform

The RICCAN is RICC’s Newsletter 7

The busy consultation area with medical personnel

and a myriad of patients

Street Families Matter

The Camp took place on 1st June, 2017. The main objectives of this particular camp was to bring

affordable healthcare and free health information to the

community and identify the common healthy problems of

the community in order to devise ways of addressing

them.

Specifically, the medical camp sought to: Provide VCT

and Family planning services to the community; provide

both preventive and curative treatment for common conditions in the

community; refer those who require specialized treatment to the relevant

centers; create awareness and provide counseling on HIV/AIDS, cervical

cancer and other ailments, provide immunization and deworming, provide eye

consultation and free eye glasses and as our focus area is with street children

and street families, create awareness on how one can self-medicate from cuts

and bruises.

We had two incidences of street children that needed more medical attention and were taken to Kenyatta Hospital with the

aid of the Guru Nanak equipment and personnel. The two children were discharged on Wednesday 7th June, 2017 after

successful operations.

The success of the medical camp was attributed to the high quality services and medicines provided together with the

collaboration of the partners.

“When Out of Streets Foundation (OTS) approached RICC requesting for support as far as medical

personnel and medication is concerned, I was surprised at how much our pharmaceutical stock could

provide. As a growing organization in the midst of more experience and established healthcare facilities

such as Guru-Nanak Ramgarhia and Radiant Hospital, RICC’s stock made 95% of the total medication and

personnel. Thanks to the medication donations we received earlier in the year, we were able to provide

services to slightly more than 1000 people in street families and the slum adjacent.”

CEO and Co-Founder, RICC

Waiting area at the triage with patients

The OTS and RICC team after at the end of

the medical camp.

1000 is the

approximate

number of

patients who

received

treatment.

The RICCAN is RICC’s Newsletter 8

Huruma Children’s Home and School

On 22nd July 2017, RICC in partnership with PharmD students from University of the Sciences,

Philadelphia travelled to Ngong, Kajiado County. The children and staff at the host school,

Huruma, were yet to benefit from the free medical camp we had planned to offer. Beginning

later than stipulated due to poor roads to the institution, the eight-discipline medical team made

the day, bearing physicians, clinical officers, pharmacists, nurses, medical lab technologists,

psychologists, psychiatrists and nutritionists. The task was accomplished in 4 hours.

“I’m amazed by what RICC is doing and especially by the integrated approach you have put to practice

where a pharmacist and a physician perform a diagnosis together on one patient. I really think this

could form a good example to my students back in the US,” Dr. Pitts, University of the Sciences,

Philadelphia.

298 is the

exact number of

children who

received

treatment at

Huruma

School Health Matters St. Patrick’s Special School

On the 17TH of June, 2017, all roads were leading to St. Patrick’s Special School in Thika town where

a fun day and free medical camp was the order of the day. The focus was to bring a smile to the faces

of the children, most of whom have neurological problems including epilepsy, autism, cerebral palsy

and Down’s syndrome. RICC provided the following services on the material day:

Triage & Consultation - With the help of our

ambassadors, and the team from AISEC (Hong Kong &

the United States) basic triaging was done and treatment

for minor illnesses and injuries done for free. A total of

102 children were seen on this day, with their parents

as well.

Pharmacy - We had a fully-fledged pharmacy with drugs available for most

of the illnesses observed. For the chronic illnesses for the children with

neurological illnesses, refills were done for free where possible and the

caregivers urged to continue follow up at their

specific clinics. Deworming was performed for all children who had not

been dewormed previously till then.

Screening for Non-Communicable Diseases (NCD’s) - From the team

at laboratory medicine, screening for diabetes was done by preforming

random blood sugar (RBS) levels for the parents, guardians and staff

of the school who were present. There was also screening for

hypertension and the team from Public Health led by Casey (AIESEC,

Texas U.S.A.) delivered a lecture on preventive health focusing on diet and

exercise.

At RICC, we would like to appreciate every single person who made the day a success. It was a day full of fun and explicit

talent with many learning hot-points. Special thanks to the leadership at Golden

Mentorship, RockHealth, Rotary Thika, Kenyatta University and our hosts, St.

Patrick’s Special School.

This initiative hosted medical students from University of Texas and Hong Kong

who were on their community health rotations under an exchange programme by

International Association of Students in Economic and Commercial Sciences

(AIESEC).

102 is the

exact number of

patients who

received

treatment at St.

Patrick’s.

Children at Huruma, Ngong

The RICCAN is RICC’s Newsletter 9

Reproductive, Child and Maternal

Health Matters The Sonke Gender Justice, WHE-MATI Program

One of our partners this year,

Centre for the Study of

Adolescence (CSA), received

funding from Sonke Gender

Justice to conduct advocacy

aimed at increasing access to

comprehensive sexual

reproductive health services in

select higher education

institutions. This advocacy

initiative seeks to work

collaboratively with Kenyatta

University Administration to

review the existing institutional health policy to include access to

comprehensive HIV/RH information and services for young people in

line with the revised National Minimum Guidelines for Provision of

Adolescent and Youth Friendly Services 2015 and have it

implemented by December 2017.

Key activities; i. Establish an Adhoc Committee

ii. Develop a roadmap for review process

iii. Develop zero draft and align draft to existing key documents

iv. Finalization and production of policy document

RICC was tasked with helping review Sexual and Reproductive Health

Rights (SRHR) policies in the university, act as the host organization

to the CSA project in Kenya and advocate for change in the SRHR

policies. Follow-up is being made under the projects office, RICC.

RICC and MSK Partnership

A partnership between Marie

Stopes Kenya, Peer Counselors

and RICC yielded an initiative

to educate adolescents and

campus students against high

risk sexual behaviour and offer

options of contraceptives for

access at will.

The initiative, running from 26th

to 28th of September, 2017

offered services to successful 90 referrals who got counseled before

receipt of a contraceptive method.

SDG 3: Ensure healthy lives and promote

the well-being for all at all ages.

By 2022, RICC targets to increase the number of

centers for sexual and reproductive healthcare

services, including for family planning,

information and education, and the integration of

reproductive health into county and national

strategies and programmes.

Indicators

Increased satisfaction among women of

reproductive age (15-49), about use of

family planning and other modern

methods.

Increased health awareness among both

men and women so as to improve their

health seeking behavior.

Early detection and referral of clinical

cases of reproductive health diseases

Adherence to a full schedule of

immunization in populations we are

targeting such as Kajiado, Garissa and

Wajir County

Targeted Social Impact

RICC, CSA and Advocates from

Directorate of University Health

Services

Students being educated on

reproductive health by a peer

counselor

State of our medical programmes

at RICC calls for:

Partnerships for the goal with RICC.

Financial support to establish

community programmes (detailed in

our budget)

Donation of medications and

vaccines.

Professional support in any way

possible.

The RICCAN is RICC’s Newsletter 10

1: Arrival of The Deputy Governor of Baringo County, County Executive

of Health and Tiaty Sub-County Executive of Health (left to right)

4: The Flagging off Session

Tropical Disease Matters Responding to the Outbreak of Malaria and Food Shortage

Pictorial Flow of Events

County government of Baringo

2: H.E The Deputy Governor Baringo County, Mr. Jacob Chepkwony

receiving RICC services at the triage by Noah Manoti during the

simulation at Chemolingot Sub-County Hospital.

3: Brief Meeting with County Stakeholders

5: RICC Co-Founders Juma Theophilus and Hakeem Kiboi (left to right)

having a brief meeting with the Deputy Governor of Baringo County on ways

to further the county’s vision on health after this pilot programme.

The Deputy Governor was amazed at this initiative by the

youth. This report will form the base line on which RICC and

the County Government of Baringo will develop a road map to

better the health and livelihoods of people of Baringo.

The RICCAN is RICC’s Newsletter 11

Services Triage

Consultation

Public Health

Education

Laboratory Services

Wound Dressing

Pharmacy

Figure 3: The Pokot community lined up to receive medical services

The route to Pokot passed through Marigat. The team was received at Marigat by the County Executive Director Mr.

Wesley Kiprop. Food donations for the feeding programme was purchased and travel arrangements made. The team

arrived at Chemolingot received by the Sub-County Administrator and the Ward Administrator, Mr. Peter Kiptalam then

later spent the night at ACK Church.

At Chemolingot, on Thursday, 9th November, 2017, the ambassadors were received by Mr. Peter Kiptalam, Tirioko Ward

Administrator. The team spent the night at Chemolingot through the facilitation of the county government and the . The

team left for Rotu in Tirioko ward after a ceremonial flag-off by His Excellency (H.E) the Deputy Governor, Mr. Jacob

Chepkwony, Dr. Kwonyike Andrew, County Executive Officer for Health, Baringo and the Sub-County Administrator,

Mr. Moses Akeno. The flagging off ceremony was preceded by a simulation of the medical camp at Rotu and H.E Jacob

Chepkwony got screened and received a physical examination from our medical personnel.

The County Government availed land cruisers for the team’s to and fro travel and in addition, several army police to

provide security. Some of the areas through which the team passed have been recently involved in ethnic clashes and

battles such as Kapedo in Turkana County. Apart from security, the KDF also made available their lorry to ferry the

foodstuff across the rough terrain.

Medical Camp (For a complete epidemiological findings, visit www.rockhealth.co.ke/documents )

525 is the

number of

patients seen

and treated

during the

medical camp

Figure 1: one of the five consultations the camp had

Figure 2: The laboratory area with malaria test kits, blood

sugar testing, urinalysis dipsticks and a wound dressing

sub-section

The RICCAN is RICC’s Newsletter 12

Figure 5: RICC Ambassadors packing cereals for the community Figure 4: Some of the bags had already been

distributed in whole to the respective villages

Feeding Programme

The RockHealth Team was able to serve the entire population

that showed up to the site. With the aid of The Ward

Administrator, Sub County Administrator, Mr. Peter Kiptalam

and Mr. Akeno Moses respectively, we were able to group the

community into 6 villages.

The food was distributed equally among the villages with each

village getting 2 sacks of maize, 1 sack of beans, 1 sack of

sugar, 2 sacks of rice, 1 sack of maize flour and 40 liters of

cooking oil all sacks 90 kg. The household distribution was to

be done by the village elders.

Some of the remainder was donated to the mission church

received by Fr. Sean McGovern who also distributes food to

the Pokot community too.

The food donation targeted 400 households each having 3 members and hence totaling up to 1200. However, three is an

assumption later realized to be double-fold per household.

Visit to Rotu Community Dispensary

Rotu Community Health Unity is a registered health facility under

KMPDB registration no. 002808.

This dispensary is well built, equipped and has been run by the Catholic

Mission since it was built. It has been non-functional since end of July,

2017 upon departure of the head nurse. This is a huge problem for the

people of East Pokot, Tirioko Ward as this is the only dispensary they

have. Revamping the dispensary under RICC is a long-term engagement

we have scheduled to discuss with the county government so as to

prevent outbreaks and provide immunizations.

Figure 6: Mothers lined up to receive food for their families

More than

400

Households

received food

donations

The RICCAN is RICC’s Newsletter 13

Special Mentions Taifa Leo (Daily Nation) Newspaper

Swahili version of the Daily Nation

newspaper, Kenya. Taifa Leo is the only

Swahili-language newspaper published

from Kenya. Founded in 1958. It is

published by the Nation Media Group

(NMG)

Translation: Students who are Taking

Kenya’s Public Health to the Next Level

Featuring: The Co-Founders of RICC (Juma Theophilus and Hakeem Kiboi),

RICC projects and the social impact on the community as far as primary health is

concerned.

A Word to the RICC Ambassadors

Digital Opportunity Trust (DOT)

Kenya won a small grant from the

British Council to prepare youth led

social enterprises to be investor-

ready.

RICC was recognized by DOT for its

contribution to supporting vulnerable

populations, health, education and

jobs therefore supporting ‘inclusive

and sustainable economic growth for

human development’.

We therefore were selected to benefit

from its project: “Support for Social

Enterprises in East Africa”.

RICC was selected as one of the only

two healthcare organizations in

Kenya and was the only healthcare

organization in Kenya to successfully

complete the rigorous training.

We have since developed systems in

our newest, “corporate health and

wellness programme”.

THE BRITISH COUNCIL

PIE

“I am very grateful to my ambassadors who expressed an utmost and top notch

dedication towards giving back to the society. It is always an excellent

experience to give back to the society. I would like to encourage them always to

be ready when called upon for any mission to help our fellow countrymen. My

words cannot describe my heartfelt gratitude, but i believe that your reward is

with God. Challenges will always be there, but your cooperation and

commitment are so much valued. My fellow executive members also made my

work easier when delegating duties, thumbs up to them. It is always my pleasure

to work with such a committed and focused team.” The RICC Ambassador’s

Director, Davies Otieno.

The RICCAN is RICC’s Newsletter 14

0

200000

400000

600000

800000

1000000

1200000

1400000

1600000

Kiambu County Kajiado County Baringo County Embu County Nairobi County Total

HEALTHCARE COSTS WAIVERED PER COUNTY IN KES

Clients Costs waivered

1996

522 525

1200

3206

7535

0

1000

2000

3000

4000

5000

6000

7000

8000

Kiambu County Kajiado County Baringo County Embu County Nairobi County Total

NO. OF CLIENTS PER COUNTY