Health Consultation Meeting 20100323

From Map Kibera

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Revision as of 09:39, 6 April 2010

Health Mapping Stakeholder Meeting, iHub, 20100323

Attending:

Josh, UNICEF
Anne, AIDS Portal
Maureen, Coptic Hospital/Map Kibera
Mikel, Map Kibera
Hannington Ojijo, CEDI-Kenya/community pharmacist
Erica, Map Kibera
Jamie, formerly KANCO, Health Geography consultant

summary

overall collecting data and stories on community/service providers in the field of HIV, public health through mapping and community consultation, and empowerment of community owned means to express needs.

what are the available services and gaps?
what data and programs to coordinate data already existing programs?

kinds of things to map

- clinics
- inpatient vs outpatient
- govt/ngo/public/private
- doctors? nurses? trained medical personnel?
- ex. Ushriki, Cfk, Amref, MSB, CDC, Kicoshep
- opening hours
chemists
- dispensing vs non-dispensing
health NGOS
VCT
herbalists, traditional medicines
counselling services

Types of Services

Maternal Health
Malaria
TB (int'l medical corps, leaving kenya)
communicable vs non-communicable disease

three levels

community clinics, basic services
larger clinic in Kibera, specialized services (MSF, etc)
hospitals, all

other kinds of health activities

public health education (like CEDI)
condom distribution
teen pregnancy services
health outreach through youth groups, women's groups, churches
- so many advocacy groups
- media helps, kibera journal, pamoja

Referrals

Wider service area

Kenyata, Ochindi, St. Mary's etc.
MSF only refers to Bengatthi, and offers transport
kibera clinic refer cases they can't handle
perception is that hospitals are too expensive, even just the registration, has resulted in deaths
handle major diseases

Herbalists

traditional medicines, used to treat asthma, diarrhea
cheaper
controversial in treatment for TB, AIDS
hygiene questionable
training not standardized
less stressful than entering official medical facilities

interesting reporting opportunities

Counseling services

VCT
alcohol & drugs addiction
HIV
PMCTC

Data sources and other schemas

http://mapkibera.org/wiki/index.php?title=Tagging#Health

Ministries of Health master facilities list
- has categorization of services
- www.ehealth.or.ke
- each facility has a unique code ... this can be linked from OSM
- each facility has a location .. Jamie has contact

Master facilities schema

contact info -- phone number /email
who owns it
type
geocode hierarchy, gps coord
status (open/closed)
opening hours

CBO are missing from MHFL

National AIDS Control Council (NACC) has CBO data
KANCO has CBO data

KANCO breakdown of types of activities

prevention
care/treatment/support
mitigation
management & coordination

Survey Design

Balance needed in level of data collection for privacy and acceptability to community. What's the sweet spot?

       SPECTRUM

name ------------- types of services ------------- patient details.

Issues

costs -- this may be difficult to collect share -- they are variable! negotiated.

Missing Needs in the Community

veterinary services (rabies treatment for animals and people)
no dental facilities in Kibera, Nairobi hospital is expensive.
no radiologists
mental health ... nearest facility is Mathare Mental Hospital, 100km away (connect to British high commission dude)
optometrists (gideon's story)
emergency medical services, ambulances ... related to security
research on deaths

Presentations

UNICEF Kenya's interest

what are the commitments to health made by Government, NGOs
National AIDS commitment plan
M&E
SODNET

presentation

filtering based on category of facility
data sharing through categories, downloads
Anne, through UNAIDS, looking at data standards, central registry.

Potential Uses

Midwifes

some trained midwifes
hundreds, difficult to map
cheaper, birth at home

Judy is interested in having midwifes report birth/deaths via Ushahidi.

to connect with help for problems
birth certificates -- lack of registration leads to problems later on, school registration
follow up care
immunizations
death certificates

Knock Out Stock Outs

availability of drugs
community facilities deal in affordable drugs for minor cases (malaria, etc)

Rape/violence

referred to Nairobi Women's Hospital
considered expensive

smart card system

500 /= insurance cover
probably won't work

@@ Line 8: / Line 8: @@
 * Hannington Ojijo, CEDI-Kenya/community pharmacist
 * Erica, Map Kibera
-* Jamie, KANCO/Ushahidi
+* Jamie, formerly KANCO, Health Geography consultant
 == summary ==
@@ Line 20: / Line 20: @@
 == kinds of things to map ==
-* clinics
+** clinics
 ** inpatient vs outpatient
 ** govt/ngo/public/private
 ** doctors? nurses? trained medical personnel?
-** ex. Ushriki, Cfk, Amref, MSB, CDC, Kincoship
+** ex. Ushriki, Cfk, Amref, MSB, CDC, Kicoshep
 ** opening hours
 * chemists
@@ Line 36: / Line 36: @@
 * Maternal Health
 * Malaria
-* TB (intl medical corps, leaving kenya)
+* TB (int'l medical corps, leaving kenya)
 * communicable vs non-communicable disease
@@ Line 69: / Line 69: @@
 * cheaper
 * controversial in treatment for TB, AIDS
-* hygience questionable
+* hygiene questionable
 * training not standardized
 * less stressful than entering official medical facilities
@@ Line 89: / Line 89: @@
 ** www.ehealth.or.ke
 ** each facility has a unique code ... this can be linked from OSM
-** each facility has a location .. jamie has contact
+** each facility has a location .. Jamie has contact
 === Master facilities schema ===
@@ Line 101: / Line 101: @@
 === CBO are missing from MHFL ===
-* National AIDS control countil has CBO data
+* National AIDS Control Council (NACC) has CBO data
 * KANCO has CBO data
@@ Line 109: / Line 109: @@
 * care/treatment/support
 * mitigation
+* management & coordination
 == Survey Design ==
@@ Line 125: / Line 126: @@
 * no dental facilities in Kibera, Nairobi hospital is expensive.
 * no radiologists
-* mental health ... nearest facility is Mathare Mental Hospital, 100km away (connect to british high commission dude)
+* mental health ... nearest facility is Mathare Mental Hospital, 100km away (connect to British high commission dude)
 * optometrists (gideon's story)
 * emergency medical services, ambulances ... related to security
@@ Line 133: / Line 134: @@
 === UNICEF Kenya's interest ===
-* whate are the commitments to health made by Goverment, NGOs
+* what are the commitments to health made by Government, NGOs
 * National AIDS commitment plan
 * M&E
@@ Line 139: / Line 140: @@
 === presentation ===
-* filtering based on category of facilitiy
+* filtering based on category of facility
 * data sharing through categories, downloads
 * Anne, through UNAIDS, looking at data standards, central registry.
@@ Line 154: / Line 155: @@
 * to connect with help for problems
-* birth certificats -- lack of registration leads to problems later on, school registration
+* birth certificates -- lack of registration leads to problems later on, school registration
 * follow up care
 * immunizations