First Lady Margaret Kenyatta Wednesday launched a new model of delivering health services dubbed Medical Safaris in which a large array of medical service providers will come together to offer specialized services to the public at designated locations.
The new programme which is part of the enhanced Beyond Zero Initiative is part of the ongoing efforts geared towards achieving Universal Healthcare Coverage (UHC), a key component of the Government’s Big 4 development agenda.
Addressing Narok residents who thronged Narok Stadium in their hundreds to receive the specialized medical services, First Lady Margaret Kenyatta expressed her confidence that the Medical Safaris initiative will enhance the Government’s agenda for universal healthcare by providing access to all Kenyans.
“We have committed to leave no one behind. We have committed to remain responsive to critical challenges by offering integrated specialized services to all groups in our life-cycle – pregnant mothers and their babies, adolescents and young people, adult women and men and elderly persons,” said the First Lady.
She pointed out that the Beyond Zero initiative is committed to contributing to the President’s vision for universal healthcare by conducting medical safaris around the country.
The First Lady said the initiative would also advocate for many Kenyans especially women to enrol into the National Hospital Insurance Fund (NHIF) and the Linda Mama programme so as to protect them from financial hardships associated with healthcare.
“It is my hope that all Kenyans are protected against financial hardships associated with healthcare,” said the First Lady Margaret Kenyatta.
She observed that Kenya still has significant healthcare gaps, which affect citizens.
“We all still have a lot to do to eliminate HIV transmission and reduce maternal and child mortality,” said the First Lady.
At the same event, the First Lady, who is also the national champion for health, launched Narok County’s Elimination of Mother-to-Child Transmission (eMTCT) of HIV and Syphilis Plan that will contribute towards fast-tracking pre-validation of eMTCT.
The First Lady expressed optimism that with shared conviction and solid partnerships, Kenya will achieve its goal of a healthy nation.
The three-day event began on Monday with various activities, among them the identification of women and girls who require treatment for obstetric fistula including their re-integration into their communities; registration and assessment of children with intellectual impairment; enrollment of pregnant women into the Linda Mama NHIF programme; eye care for older persons; screening of cancers including provision of routine services such as immunization, HIV testing and counselling.
The Medical Safaris which at the core of the First Lady’s Beyond Zero 2ndStrategic Framework (2018-2022) that is anchored on the principle of leaving no one behind and adopts a life-cycle approach targeting pregnant women and newborns, infants and children, adolescents and young people, men, older persons and children with disabilities, and intends to increase the number of people with health coverage from the current 16.53 million to 25.74 million.
The integrated medical safaris programme will be implemented in collaboration with County Governments to enhance synergy towards universal healthcare and catalyze action towards strategic partnerships across counties, communities, the private sector and other Government agencies.
Speaking at the event, Cabinet Secretary for Health Sicily Kariuki commended the First Lady for catalyzing sustained dialogue on maternal and child healthcare, as well as elimination of mother-to-child transmissions.
The Health CS said the First Lady’s efforts have greatly contributed to increased awareness and sustained resource investment towards maternal and child healthcare.
“With the launch of the First Lady’s Beyond Zero Medical Safaris we can only be optimistic of scaling greater heights. We all join you in appreciating that maternal, newborn and child health is the gateway to family health, Universal Health Coverage and a wealthy nation,” said CS Kariuki.
Narok Governor Samuel Ole Tunai commended the First Lady for her efforts in championing healthcare for the less privileged in society saying she is the nation’s foremost healthcare ambassador.
“You have given the Kenyan mothers and children hope and the desire to soldier on,” said Governor Tunai.
Partners who included Executive Director of UNAIDS Regional Support Team for Eastern and Southern Africa Dr. Catherine Sozi, UNFPA Country Representative Dr. Ademola Olajide commended the First Lady for her passion and zeal to improve the healthcare provision especially for the less fortunate in the society.
Public officers above 58 years and with pre-existing conditions told to work from home: The Standard
Head of Public Service Joseph Kinyua. [File, Standard]
In a document from Head of Public Service, Joseph Kinyua new measure have been outlined to curb the bulging spread of covid-19. Public officers with underlying health conditions and those who are over 58 years -a group that experts have classified as most vulnerable to the virus will be required to execute their duties from home.
However, the new rule excluded personnel in the security sector and other critical and essential services.
“All State and public officers with pre-existing medical conditions and/or aged 58 years and above serving in CSG5 (job group ‘S’) and below or their equivalents should forthwith work from home,” read the document,” read the document.
To ensure that those working from home deliver, the Public Service directs that there be clear assignments and targets tasked for the period designated and a clear reporting line to monitor and review work done.
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Others measures outlined in the document include the provision of personal protective equipment to staff, provision of sanitizers and access to washing facilities fitted with soap and water, temperature checks for all staff and clients entering public offices regular fumigation of office premises and vehicles and minimizing of visitors except by prior appointments.
Officers who contract the virus and come back to work after quarantine or isolation period will be required to follow specific directives such as obtaining clearance from the isolation facility certified by the designated persons indicating that the public officer is free and safe from Covid-19. The officer will also be required to stay away from duty station for a period of seven days after the date of medical certification.
“The period a public officer spends in quarantine or isolation due to Covid-19, shall be treated as sick leave and shall be subject to the Provisions of the Human Resource Policy and procedures Manual for the Public Service(May,2016),” read the document.
The service has also made discrimination and stigmatization an offence and has guaranteed those affected with the virus to receive adequate access to mental health and psychosocial supported offered by the government.
The new directives targeting the Public Services come at a time when Kenyans have increasingly shown lack of strict observance of the issued guidelines even as the number of positive Covid-19 cases skyrocket to 13,771 and leaving 238 dead as of today.
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Principal Secretaries/ Accounting Officers will be personally responsible for effective enforcement and compliance of the current guidelines and any future directives issued to mitigate the spread of Covid-19.
Uhuru convenes summit to review rising Covid-19 cases: The Standard
President Uhuru Kenyatta (pictured) will on Friday, July 24, meet governors following the ballooning Covid-19 infections in recent days.
The session will among other things review the efficacy of the containment measures in place and review the impact of the phased easing of the restrictions, State House said in a statement.
This story is being updated.
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Drastic life changes affecting mental health
Kenya has been ranked 6th among African countries with the highest cases of depression, this has triggered anxiety by the World Health Organization (WHO), with 1.9 million people suffering from a form of mental conditions such as depression, substance abuse.
Globally, one in four people is affected by mental or neurological disorders at some point in their lives, this is according to the WHO.
Currently, around 450 million people suffer from such conditions, placing mental disorders among the leading causes of ill-health and disability worldwide.
The pandemic has also been known to cause significant distress, mostly affecting the state of one’s mental well-being.
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With the spread of the COVID-19 pandemic attributed to the novel Coronavirus disease, millions have been affected globally with over 14 million infections and half a million deaths as to date. This has brought about uncertainty coupled with difficult situations, including job loss and the risk of contracting the deadly virus.
In Kenya the first Coronavirus case was reported in Nairobi by the Ministry of Health on the 12th March 2020. It was not until the government put in place precautionary measures including a curfew and lockdown (the latter having being lifted) due to an increase in the number of infections that people began feeling its effect both economically and socially.
A study by Dr. Habil Otanga, a Lecturer at the University of Nairobi, Department of Psychology says that such measures can in turn lead to surge in mental related illnesses including depression, feelings of confusion, anger and fear, and even substance abuse. It also brings with it a sense of boredom, loneliness, anger, isolation and frustration. In the post-quarantine/isolation period, loss of employment due to the depressed economy and the stigma around the disease are also likely to lead to mental health problems.
The Kenya National Bureau of Statistics (KNBS) states that at least 300,000 Kenyans have lost their jobs due to the Coronavirus pandemic between the period of January and March this year.
KNBC noted that the number of employed Kenyans plunged to 17.8 million as of March from 18.1 million people as compared to last year in December. The Report states that the unemployment rate in Kenya stands at 13.7 per cent as of March this year while it stood 12.4 per cent in December 2019.
Mama T (not her real name) is among millions of Kenyans who have been affected by containment measures put in place to curb the spread of the virus, either by losing their source of income or having to work under tough guidelines put in place by the MOH.
As young mother and an event organizer, she has found it hard to explain to her children why they cannot go to school or socialize freely with their peers as before.
“Sometimes it gets difficult as they do not understand what is happening due to their age, this at times becomes hard on me as they often think I am punishing them,”
Her contract was put on hold as no event or public gatherings can take place due to the pandemic. This has brought other challenges along with it, as she has to find means of fending for her family expenditures that including rent and food.
“I often wake up in the middle of the night with worries about my next move as the pandemic does not exhibit any signs of easing up,” she says. She adds that she has been forced to sort for manual jobs to keep her family afloat.
Ms. Mary Wahome, a Counseling Psychologist and Programs Director at ‘The Reason to Hope,’ in Karen, Nairobi says that such kind of drastic life changes have an adverse effect on one’s mental status including their family members and if not addressed early can lead to depression among other issues.
“We have had cases of people indulging in substance abuse to deal with the uncertainty and stress brought about by the pandemic, this in turn leads to dependence and also domestic abuse,”
Sam Njoroge , a waiter at a local hotel in Kiambu, has found himself indulging in substance abuse due to challenges he is facing after the hotel he was working in was closed down as it has not yet met the standards required by the MOH to open.
“My day starts at 6am where I go to a local pub, here I can get a drink for as little as Sh30, It makes me suppress the frustration I feel.” he says.
Sam is among the many who have found themselves in the same predicament and resulted to substance abuse finding ways to beat strict measures put in place by the government on the sale of alcohol so as to cope.
Mary says, situations like Sam’s are dangerous and if not addressed early can lead to serious complications, including addiction and dependency, violent behavior and also early death due to health complications.
She has, however, lauded the government for encouraging mental wellness and also launching the Psychological First Aid (PFA) guide in the wake of the virus putting emphasis on the three action principal of look, listen and link. “When we follow this it will be easy to identify an individual in distress and also offer assistance”.
Mary has urged anyone feeling the weight of the virus taking a toll on them not to hesitate but look for someone to talk to.
“You should not only seek help from a specialist but also talk to a friend, let them know what you are undergoing and how you feel, this will help ease their emotional stress and also find ways of dealing with the situation they are facing,” She added
Mary continued to stress on the need to perform frequent body exercises as a form of stress relief, reading and also taking advantage of this unfortunate COVID-19 period to engage in hobbies and talent development.
“Let people take this as an opportunity to kip fit, get in touch with one’s inner self and also engage in reading that would help expand their knowledge.