KMET’s Huduma Poa Social Franchise recruits and trains community health volunteers

KMET huduma poa Franchise oriented CHVs from western and Nyanza region on empowerment of the community concerning CHS such as the use of family planning at Victoria comfort inn, Kisumu.

The three-days program that started on the 6th June 2017 to 8th June 2017, was to help enhance community access to health care in order to reduce poverty, hunger, child and maternal deaths, improve individual productivity and education performance and also to strengthen the capacity of communities to access, analyze, plan, implement health related initiatives at household and community level.

The program was officially opened by the CCSFP from Kisumu E. Oyolla, KMET team taking the participants through welcoming and introduction session to familiarize with each other and was coordinated by the deputy CEO of KMET Mr. Sam Owoko, who encouraged the CHVs to be the first people to receive the services i.e. cervical cancer screening, breast cancer screening and even knowledge on the use of family planning methods, before going out to empower the community concerning these.

The SCRH coordinator of Kisumu West, Elizabeth Nailentei, took the participants through introduction to family planning, where they defined what FP means or what they understood from the word Family planning and how it works.

Two practical sessions were done, one was to illustrate how one would be able to use his or her income depending on the number of children they had considering needs like school uniforms and school fees, food, quality time and medical care in the ratio 1:2:2:3 respectively with the income being KES 20 constant.

This activity was conducted in groups of 4 and it was realized that with many children, all your income would be spent and sometimes it would not even be enough to cater for the needs of your family and for this reason, you would not be able to save or do savings, your children would be malnourished because of lack of food, they would not be educated because you will lack money for school fees and also you may end up upbringing thieves as they would now sort to stealing as a way of survival or to sustain their needs.

In the second practical session, the CHVs were given the task to draw, label and state the functions of the inner and outer parts of the male and female reproductive organs in order to understand them and this was done if groups of 3.
The CHVs were then given an opportunity to state out the various challenges that they or women in the community were facing concerning the use of Family planning and these were some of the stated challenges:
Women staying with expired implants and IUCDs because they lack money for the removal of the implant as the service is being done at a fee.

12-15 years’ girls get pregnant in large numbers and so as much as women are being enlightened on the use of FP, these children should not be excluded because they are sexually active.

Some women complain of excessive bleeding when using family planning methods.
Some religions do not encourage the use of FP and so convincing people from these religions becomes a big challenge.
Some women on IUCD experience pain during sex and the IUCD dislocates or disappears with time and this causes vaginal infections and complications that even leads to surgery in order to remove it.

Women give birth to many children who they cannot manage to take care of not because they are not aware of FP methods but because their husbands are against FP and this is a topic that always brings issues and disagreements to the family and so, even men should be enlightened on FP and its merits etc.

Women in interior communities or rural areas should be more enlightened on FP as many of them do not know what these are and they do not even know how they look like as some of them would even describe a coil as a padlock that locks the vagina.
Dorcus A Ndiare, a CHV from Alego Usonga, speaking during the orientation program, stated that they should be provided with samples of the different types of FP methods such as the IUCD and the implant, to show them to the community and see how they look like and how they actually work so that they understand more rather than empowering them just theoretically and by word of mouth as this will help convince many on the use of FP.

It was also realized that implant as a method of FP is the most used method at 42.76% through huduma poa, followed by injection at 26.5%, IUCD at 17.4% and pills coming last at 13.34%.