- Global Comprehensive Abortion Care Initiative
- Cervical Cancer Screaning
Improved access to comprehensive abortion care and contraceptive services as integral components of sexual and reproductive health Global Comprehensive Abortion Care Initiative Donor: IPPF IMPLEMEMTATION AREAS: Nairobi,Thika,Nakuru,Mombasa,Eldoret, Kitengela and Kisumu Duration: January 2013 – December 2018 In Kenya complications of unsafe abortion contribute 30 – 40% of all maternal deaths, far more than the worldwide average of 13% - making unsafe abortion a significant cause of maternal mortality in the country which stands at 362/100,000 live births (KDHS, 2014). According to a study carried out by Ipas on the magnitude of unsafe abortion in Kenya, every year, at least 2,600 women die from unsafe abortion in Kenya; 21,000 more women are hospitalised annually with complications from incomplete and unsafe abortion.The situation is even worse for young girls are they are at a higher risk of pregnancy –related complications particularly obstructed labour and associated injury. The group is considered marginalized because there are faced with unique health challenges yet there are few health facilities that offer integrated youth friendly services on contraceptive and CAC services. It’s this realization that awakened Family Health Options through the support of IPPF,HIVOs, SAAF and other partners to ensure that services provides were adequately trained to offer Comprehensive Abortion Care services within the confines of Kenya Constitution, Value clarification and attitude transformation for providers, management and volunteers, refurbishment of clinics and supply of essential equipment and consumables. The constitution allows provision of safe abortion services under three conditions: If procured by a trained health professional, in need for emergency treatment, or when the health or life of the mother is at risk, and when permitted by any other Act of Parliament. Comprehensive Abortion Care has six elements: Prevention of unplanned pregnancy which involves Family life education, moral education, abstinence, delaying sexual debut,Family planning and contraception,Proper and consistent use of condoms, provision of youth friendly services and use of IEC/BCC materials Safe Abortion within the confines of the Kenya law Management of complications (Treatment of Incomplete abortion) Linkages with other services Advocacy for policy reforms “I do not know how it happened. Had gone out with male friends, and the last thing I remember, I was drunk. What happened after that is history”.Am confused whose is responsible for the pregnancy because the previous week I had sex with my boy-friend. One week later was referred to Family Care clinic by a friend and I was assisted by Dr. James. Am grateful for the service I received”. “I was a raped by my uncle and my mother reported the crime to the police. However, the police took no action and just when i was about to give up, I was referred to a peer educator who quickly linked me to FHOK for medical intervention. Without the link provided by the peer educator, I don’t know what would have been the outcome of my rape. “ FHOK is committed to upholding woman’s right to decide the outcome of her pregnancy and to eradicating abortion related deaths and disabilities. Any woman faced with an unwanted pregnancy has 3 choices; carry the pregnancy to term, deliver safely and bring up the child or give the child up for adoption or have a safe abortion as allowed in the Kenyan Constitution Article 26 (4). Between2013-2015 the organization was able to avert 10,106 unsafe abortions.
Pambazuko Project Project Title: Integrating Sexual and Reproductive Health and Rights into Sustainable Development & Climate Change Donor: Danish Family Planning Association (DFPA) Partnership: Vi agroforestry, Lake Victoria Basin Commission, and CREP Location: Kisumu and Siaya Counties Duration: November 2014 – December 2016 T he most vulnerable Kenyan communities continue to face increasing difficulties in accessing Sexual Reproductive Health and Rights due to poverty conditions, and now the effects of climate change. Promoting voluntary rights based Sexual Reproductive Health Rights initiatives is a costs effective viable climate change adaptation approach for vulnerable communities living within the climate change hotspot areas. Pambazuko project is a population Health and Environment Model that ensures that communities benefit from men and women’s enhanced resilience and adaptive capacity to climate change. Vulnerable communities are empowered to have partners, families, and couples in order to plan their reproductive needs. It will enable better provision for their families basic needs, improved food security, and empower women to play a more active role in natural resource management as well as a building socio-economic resilience to climate change. Pambazuko project is implemented in Siaya and Kisumu Counties lobbies for Local Governments to strengthen adaptation programmes of actions and other climate change adaptation measures to include Sexual Reproductive Health and Rights. The model promotes a multi-sectoral approach climate change that embraces the connections between Population Health and Environment (PHE). The Project is about empowering women through provision of SRHR within the Sustainable Development Goals, which is recognized as an essential part of the solution to adapt to climate change by increasing community resilience. In the Pambazuko project, farmers groups from vulnerable communities in Siaya and Kisumu Counties are promoted to adapt sustainable SRHR and conservative practices. Sustainable SRHR practices is where vulnerable women and men make deliberate efforts to plan and meet their reproductive health rights information and services. They do this by: Raising income from newly introduced sustainable farming practices to meet their reproductive needs and services. Conducting community education and awareness by social networking and dialogue processes on the integrated approach to SRHR and environment conservation. This enables other community members apply the integrated approach and enjoy its benefits. Holding local authorities accountable to address the reproductive and environmental rights of the community. Some of the benefits of the integrated approach to SRHR and sustainable development is that: The approach puts to maximum use the existing community resources It promotes gender euqality by promoting male and female participation in an integrated approach. The approach positively influences population dynamics by reducing unsustainable levels of population growth. This result is achieved through intensified provision of modern family planning methods to the targeted community. Vulnerable communities increase their food security status through sustainable food production practices. Other extended benefits include, advanced education levels particularly for young girls. Lastly, it encourages an empowered young people population who are able to advance their SRHR through an integrated approach to sustainable development.
CERVICAL CANCER SCREENING AND PREVENTION THERAPY – PROJECT Donor: MARIE STOPPES INTERNATIONAL IMPLEMEMTATION AREAS: Nairobi, Nakuru, Mombasa, Kisumu, Nyeri, Meru, Kiambu, Mombasa and UasinGishu County Duration: November 2012 – November 2016 Due to inadequate knowledge relating to cervical cancer many women continue to suffer in silence, CCS&PT project implemented by FHOK and with support from Oasis of the Palm sought to enhance service uptake in predominantly low income areas, CCS&PT project continues to conduct mobile screening targeting women. The outreaches play a critical role in ensuring that women who would otherwise not have accessed screening services receive them. Through the project a total of 185,474 women have been screened using VIA/VILI which is recommended for low resource set-up. The outreaches are conducted in collaboration with Community Health workers who are integral in mobilizing women to access and utilize screening services offered during outreaches As told by a beneficiary the project has broken both physical and cost related barriers as illustrated by a beneficiary in Eldoret: “I would not have gone to the hospital to be screened. I didn’t find it necessary then to be screened. However, because of the awareness created about cancer, mimi nakuambia vile tu niliona tent imewekwa na madaktari wa kupima, nilienda mara moja. (I tell you, immediately I saw tents erected for screening, I seized the moment at once)” The project has made a deliberate effort to reach women in very remote regions of every sub county within 12 counties where the project is being implemented. The outreaches have been conducted in collaboration with community leaders who as part of their contribution to the project provide space for outreaches to be conducted in places such as schools, churches and market areas for tents to be erected. Whereas men would initially denied their spouses access to premises where outreaches were being conducted have had a change in attitude and perceptions this has seen men take up the responsibility of transporting their spouses to outreach venues “Tukianza hata wazee walikua wanakata wakidhani ni mambo ya ukimwi kwa sababu hiyo ndiyo ilikuwa ikipimwa san asana. Lakini baada ya kuelimishawa na madaktari kanisani, mume wangu na wengine wameweza kutupatia transport hata bwana za wengine huwapelaka wenyewe.”(When we started men would refuse thinking that it was about HIV testing however after sensitization by service provider who visited our church my husband and others have been willing to provide transport while others accompany their spouses).- Project beneficiary Kisumu “I thought I should take initiative and get screened since cancer concerns everybody,” says Teresia. She was able to access cervical cancer screening during a clinical outreach was organized in Mariakani-Nakuru. Even though the outreaches are done outdoors beyond the premises of a static clinic, FHOK’s trained service providers maintain quality of care and keep records in accordance with policies that guarantee confidentiality to clients. “I would advise all ladies to go for screening even if you are young and have not had children since it affects everyone who is sexually active,”emphasizes Teresia. She is proud of the move she made and the issue was addressed immediately. “It’s not about targets but ensuring women don’t suffer in silence, I will personally break any barrier until I reach them all” – Jill The project Manager