Health Consultation Meeting 20100323

From Map Kibera

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

Contents 1 summary 2 kinds of things to map 2.1 Types of Services 2.2 three levels 2.3 other kinds of health activities 2.4 Referrals 2.5 Herbalists 2.6 Counseling services 3 Data sources and other schemas 3.1 Master facilities schema 3.2 CBO are missing from MHFL 3.3 KANCO breakdown of types of activities 4 Survey Design 5 Issues 5.1 Missing Needs in the Community 6 Presentations 6.1 UNICEF Kenya's interest 6.2 presentation 7 Potential Uses 7.1 Midwifes 7.2 Knock Out Stock Outs 7.3 Rape/violence 7.4 smart card system

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