1 / 6

Coordinating Mobile and Outreach VMMC Services in Kenya

Coordinating Mobile and Outreach VMMC Services in Kenya. Dr. Walter Obiero Clinical Manager Nyanza Reproductive Health Society. Mobilization Initial Contact Repeated Contacts Transport. Registration 5 min. Group Counseling 20-45 min (optional). Individual Counseling/consenting

thea
Download Presentation

Coordinating Mobile and Outreach VMMC Services in Kenya

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Coordinating Mobile and Outreach VMMC Services in Kenya Dr. Walter Obiero Clinical Manager Nyanza Reproductive Health Society

  2. Mobilization Initial Contact Repeated Contacts Transport Registration 5 min Group Counseling 20-45 min (optional) Individual Counseling/consenting 5-20 min HIV CT (PITC) 20-60 min Pre-Surgery 3-5 min Surgery 15-45 min Follow-up 5-30 min Post Surgery 3-5 min Total Time: 76 – 215 minutes Surgery : 8% - 45% of total time

  3. Introduction • Facility assessments done across priority districts. • <10% able to provide services due to resource constraints. • Currently 90% of all MCs done through mobile and outreach approaches. • Achieving an optimal balance between service delivery capacity and client flow requires coordination of mobilization, fleet management, supply chain management, task-shifting, team mobility. • Mobilization considerations: seasonality in client flow; client geographical distribution variation; difficulty of client booking systems; difficulty in mobilizing older clients; remuneration of mobilizers; involvement of women; dedicated clinic MC days.

  4. Considerations in Outreach/Mobile Settings • Availability and pre-operative preparation of clients have largest impact on number of procedures, not intra-operative time • Infrastructure limitations: counselling, theatre, recovery, storage, power and incineration. • HTC approaches: VCT versus PITC (increase in uptake of testing from 37% to 93.6%) • Client post-op follow-up visits poor (Return rate 30% June 2010) • Handling emergencies after routine working hours challenging. • Infection prevention in mobile and outreach settings including operating theatre, waste disposal, water supply • Data handling

  5. Mobile Services General SRH session Group MC education Individual MC counseling / VCT Mobile clinic set up Surgery ongoing Surgery ongoing

  6. Acknowledgements • Ministry of Public Health and Sanitation, Kenya • Ministry of Medical Services, Kenya • National AIDS &STI Control Programme, Kenya • National Male Circumcision Taskforce, Kenya • Nyanza Male Circumcision Taskforce, Kenya • Centres for Disease Control and Prevention • Family Health International • Impact Research & Development Organization, Kenya

More Related