Who is Kalyet?
Kalyet Afya Foundation is a Non-Governmental Organization (NGO) registered in Kenya in 2017 (no.OP.218/05/17-112/10729) to operate in 5 counties Nakuru, Baringo, Bomet, Kericho and Narok. We run a private healthcare clinic ‘Sachangwan Highway Medical Clinic’ in Molo sub-county, Nakuru. From the experience, we had in running the clinic we understood the community well and the challenges they were going through, the difficulty they had in reaching the health services because of the distance. Secondly, we saw the need of helping women of reproductive age with the knowledge of getting informed decisions on family planning and ally rumors’ and misconceptions and through it, they will get good spacing, better health and better socioeconomic status. Since summer 2019, KAF has run mobile healthcare and family planning outreach and various environment conservation projects of giving out tree seedlings and supporting tree nursery groups within the community. We have an excellent relationship with the local Ministry of Health, which support us to run these mobile health clinics by supplying family planning commodities and qualified staff on a locum basis. KAF aims to enable Marginalized rural communities to fully realize their rights to health, sexual and reproductive health and family planning
KAF offer a range of healthcare and family planning services to rural communities. This includes information and awareness raising to dispel myths and create a better understanding of the benefits of family planning, HIV testing and counseling and preventative cancer testing. The services we offer are free of charge and include a range of modern contraception methods (short and long-term reversible methods), HIV testing and counseling, cancer screening and immunizations.
Our goal: To have Healthy, empowered communities living sustainably in their natural environment
Our Mission is to Sensitize, educate and provide Family planning services and integrated health care services to rural communities.
Our Vision is to provide quality healthcare and clean environment to rural communities.
Our objectives are:
- To strengthen the capacities of CHVs (community health volunteers) in terms of knowledge enhancement, skills upgrading, attitude change, data and information gathering, analysis and dissemination who are involved in reproductive health to meet reproductive, maternal and child health needs as well as other health care services.
- To provide information on health care services and family planning to youth, women and men in the rural areas and slums areas most affordably and appropriately.
- To improve access to essential health care services to all members of the community in the rural areas.
- To contribute to the improvement of access to quality maternal and reproductive health services to people in rural areas.
- To broaden and enhance the prevention of diseases which threaten maternal health, including STDs and HIV/AIDS and lifestyle diseases through prevention, care and support to members of the rural community.
- Increase access and utilization of SRHR information and services as well as FP services among adolescents and youth in and out of schools.
- To increase the number of adolescents and youths in the community who are knowledgeable about menstruation hygiene.
- Reduce drop-out rates in girls’ education due to early pregnancies and early marriages
- To raise awareness of the environment and contribute to environmental conservation.
To achieve the above objectives the organization work through the below-integrated healthcare model to achieve our outcomes:
Recruitment of Community Health Volunteers
The project work to break down barriers by employing ‘Community Health Volunteers (CHVs) from within target communities. They receive the training required to enable them to provide quality information to their communities. They are also trained to provide free family planning referrals to the nearest static clinic. These trusted community members raise awareness about the benefits of family planning, HIV testing and other primary healthcare. They also dispel myths and misconceptions which are often quoted as reasons for not using family planning – for example, the idea that contraception leads to women’s infertility or promiscuity.
Awareness raising is aimed at both men and women, girls and boys. Men will be targeted through ‘barazas’ (community meetings), and door to door. The CHVs also engage with women’s groups, religious leaders and during events to raise awareness, and inform communities about the arrival of mobile health clinics offering primary healthcare and family planning services as well as environmental conservation awareness.
Mobile Integrated Health Clinics
To reach rural communities furthest away from static healthcare facilities, we organize mobile clinics in the areas of greatest need. These target communities will be agreed upon in advance with the local Ministry of Health office, which coordinates actions to avoid duplication. Mobile clinics are set up in schools or churches. They offer a range of services. We employ nurses and medical staff on a locum basis, to provide primary healthcare, HIV testing and counseling, cancer screening, immunizations and a range of short and long-term reversible contraceptives (from the pill to 5-year implants).
The communities will be aware of the date and location of these mobile clinics through previous information shared by CHVs.
Referrals and Back Pack Nurse services
In addition to the mobile integrated outreaches which are organized as 1-day events, CHVs play a key role in providing on-going access to family planning. CHVs make referrals of clients from their areas to the closest Kenyan government clinic, which provides the client with a free service. This ensures the sustainability of the program, by making sure clients do not unexpectedly get pregnant due to a temporary lack of access to services or finance. Once a woman has fully understood the benefits of family planning, she is more likely to access these services in future and will know where she can find them. We are therefore creating the demand, which can then be catered for by the existing services.
As well as referrals, CHVs call upon ‘back-pack’ nurses to provide services to specific households. CHVs talk to families and make a note of their address if they have a need for family planning. The CHV then passes this information onto a nurse, who brings the equipment and provisions in a backpack door-to-door, providing the service in the privacy of the clients’ homes.
Recruitment of Peer Educators
The project work to reach out to adolescence and youth in schools and out of schools by working with trained peer educators who offer information on sexual and reproductive health. The Peer educators recruited are well trained to ensure the information they are giving out is reliable and trustworthy. KAF has ensured that the peer educators on the ground are good role models to the adolescents and youths and therefore the schools, church youth events and other community youth events are comfortable with the information they are giving to adolescence and youths.