2017 12 01 WORLD AIDS DAY
Today, December 1, marks the World Aids Day. With that in mind, we appreciate the fact that most of the Aids patients stand a greater chance of co-infection if predisposed to condition for TB spread. We note, especially to the CHVs who will be attending the World Aids Day celebrations, to communicate the messages to them, especially when they speak to them at various tents in the stadium. I had written a short message to be given to the HIV patients, on how to prevent themselves from the infection of TB.
TB, when in the body of a patient with HIV, can easily kill the patient. It is, therefore, better to have prevention than taking medicine for too long to be cured of TB.
We have noted again that the introduction of the bicycles has increased the number of patients referred to the laboratory. However, we have detected a worrying trend, which I informed Mr. Shikanda about. Most of the patients take too long to be served, and their results are late. It is ideal that the lab technicians be informed of their work, very strictly. The quality of the bicycles has been praised, and it has encouraged access to many places. Over the last two months, the numbers have increased by 67 per month.
HIGH MORTALITY AMONG TB-HIV CO-INFECTED PATIENTS
In the CHV meeting today, we have learned that four patients who had both HIV and TB have passed away.This information comes at a time when the Kenya government has released statistics for 2016 which portray a very low survival rate for patients with co-infection.
Out of the 53,000 co-infected patients discovered last year, 24,000 died in what the MoH says was as a result of late diagnosis and treatment. In Kangemi alone, a total of nine co-infected patients have died in since 2016, a fact that confirms the high mortality rate among such patients. It has been advised that HIV programmes and TB programmes be held together, to facilitate the speedy diagnosis and treatment, hence reduce the worrying mortality rates.
In the meeting, I have informed Mr. Shikanda, the head of the Kangemi Health centre, to address the matter, as regards HIV and TB infection. Partners working around HIV should be ready to cooperate and refer the patients for TB testing, as a measure to improve early diagnosis.
2
2017 12 03
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GGG+
SDGs
CHV
30 1 2 CHV
3
4 65 (
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Lilian
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100 CHV
2017 12 04
1
2017 12 06
6
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2017 12 07
KANGEMI HEALTH CENTRE T.B CLINIC
HP 12 17
17
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(12 7 )
CHV TRAINING CONTENT REVISED
In line with efforts to give better training, to tackle emerging issues, we have revised the content of training of CHVs. In this year's training, we shall include a number of lessons which were not covered previously. We shall pay particular attention to the elimination of
stigma, prompt action towards TB patients, accelerated access to TB information, and sustained community CHV partnerships. Much as Kangemi currently leads in the TB statistics in the laboratory, and the number of patients being treated, we are aware that there are many more not discovered. It would be pointless to treat people, and when they go home, they stand a risk of reinfection from patients who have not come for medication.
This focus shall be critical in this training. We shall ensure that the new CHVs work towards zero tolerance to TB. They shall make sure that they go to every hose, and ensure no TB patients has not been attended to. Further, the CHVs must be at the forefront at eliminating stigma. This is the major reason why many people with Tb have not come out to be treated. It is our sincere dedication to this project that will bear fruit. Together with the Kenya team, I shall be at the forefront in working hard to ensure this happens, and we kick TB out of Kangemi.
2017 12 08 GGG
2017 12 09
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2017 12 10
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12 3
100
IWJ
2018
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2018 …
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2017 12 11
12 12 UHC UHC 1
11 JICA
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2 12 12 12 10 11 COP23 ● 4 =
Le Journal du Dimanche
0.2 17
0.3 11
EU
EU 2020 50 59 7000
2017 12 13 UHC
12 12 UHC UHC
12 13 14
VIP UHC
WHO ADG UHC
1978 40
UHC JICA
UHC JICA
WHO SDGs3
UHC
2017 12 16 10 12
2018 2 10 10 12
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2017 12 20 18 20
2018 2 21 18 20
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2018 1 13 14 16
3 8-3
2017 12 14 KANGEMI
Results KANGEMI Citorolam
UHC
UHC
In a `bid to bring a much more focused team, it is imperative that we have lessons that focus on such facts. Together with Dr. Asma, I am in the process of preparing lessons that will be incorporated into the training, and have the CHV know exactly the roles required of them.
The new lessons will cover the following aspects of their work: 1. The TB-HIV correlation, treatment, and care
2. Stigma and discrimination 3. Infection control and prevention
4.Role of CHVs in a community health system 5.Tracing of defaulters
6.Recording, monitoring, and reporting
7. Epidemiology and Nutrition of patients with TB
With the support of the experienced medical personnel, it is my hope that these will be beneficial, and will encourage us to have a more vibrant, and knowledgeable CHV group for the anti-TB campaigns.
UHC 2 2 WHO UNICEF UHC 29 UHC UHC
”Health for All” 2019
UHC UHC
UHC 3
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28000 39000 4030
560 990 1560 3410
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6140 11500 17640 LHR →
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SDGs
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2017 12 16 2 12 ※ 100 ※ 2019 2015 30 ※
2017 12 17 Global Fund 100 “ ” 4 380 http://fgfj.jcie.or.jp/global-fund 320 5 Technical Review Panel
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2016 100
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UHC 2017 http://www.mofa.go.jp/mofaj/ic/ghp/page11_000064.html
12 2 UHC
2017 12 19
3
ONE CHV SUCCUNBS TO HIGH BLOOD PRESSURE
The CHV community is saddened to reveal the death of one of their members, Elizabeth Waigwa Waweru.
She dies today, 19th December 2017, after ailing for a long time from High Blood Pressure.Ms. Elizabeth was one of the mature CHV
who was from Kangemi central, and has been involved in a number of Cmmunity volunteer work for the last 15 years.She is survived by a five children, and her husband.
Communication on burial arrangements will be done later since the preparations are underway.
May she rest in peace.
2017 12 21 CHV
CHV 25
communication
2017 12 22
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2017 12 24
1. 3-5% (WHO)
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TRAINED CHVs TO BEGIN WORK IMMEDIATELY
The first batch of trained CHVs will commence their work immediately after the short break for the Christmas Holidays. Effectively, they will be working in the community from January. Lilian Nyokabi will be in charge of their supervision, and in that line, she will demand a monthly report from them to gauge their performance. Further, we noted that the work they do must be reflected in the statistics in the laboratory, the drug intake, as well as the discovery of patients from the villages in Kangemi, and referring them to the facility for testing and treatment. The rest of the training will be carried out next year.
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[ ] 11
2017 12 26 LAMP
LAMP
https://www.otsuka.co.jp/company/newsreleases/2017/20171214_1.html
https://www.kantei.go.jp/jp/singi/kenkouiryou/suisin/pdf/h29_iryoukenkyu_taishou.pdf
2017 12 27 29
29
28
79.5 8.0
75.6 19.0
398 200
SDGs
https://www.jiji.com/jc/article?k=2017122600215&g=pol
HP
http://www.kantei.go.jp/jp/98_abe/actions/201712/26sdgs_award.html
