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FORTRES OF HOPE AFRICA

FORTRES OF HOPE AFRICA. Presentation on our experience Doing TOT to and person to person . Presentation by Felistah Mbithe. FOHA introduction. FOHA is an adolescent organization initiated in year 2006 to empower less fortunate adolescent girls with socio-economic skills.

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FORTRES OF HOPE AFRICA

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  1. FORTRES OF HOPE AFRICA Presentation on our experience Doing TOT to and person to person . Presentation by Felistah Mbithe .

  2. FOHA introduction • FOHA is an adolescent organization initiated in year 2006 to empower less fortunate adolescent girls with socio-economic skills.

  3. Safe motherhood project • Motivated by the need to reduce maternal mortality in Kenya ( unsafe abortion) • Target area Kayole, Dandora, Mukuru and Mathare slums. • Kenya losses 14,000 women every year due to pregnancy related complications. • Due to illegal status of the abortion services, women opt for unsafe ways of terminating pregnancy(Herbs, sharp objects ,Bleach)

  4. Kenyan legal and political position. Sec 26 of the Kenyan constitution. • Sec 26, on the right to life, reads: • 1. Every person has the right to life • 2. The life of a person begins at conception • 3. A person shall not be deprived of life intentionally, except to the extent authorized by this constitution or other written law. • 4. Abortion is not permitted unless in the opinion of a trained health professional, there is need for emergency treatment, or the life or the health of the mother is in danger or if permitted by any other written law. • *****abortion on demand*****

  5. Activities • Training on miso for medical abortion. • Contraceptive (information and access) • Community Awareness creation on Safe and unsafe abortion.(Forums)

  6. This how it is ? • For a long time, Our safe abortion sessions have been marked with information that didn’t connect with the target we worked with. • Questions of accessibility and affordability was unrealistically answered(reality) • The question- who provides this “abortion services ” in the community =chemists(pharmacist),midwives. • Power in word of mouth among women. • Its affects the grass-root women ,so why not go grass-root (community based approach)

  7. Context we work in

  8. Who and where • Training pharmacists, Nurses and Midwives-(unregistered) • Increasing Accessibility of Miso in the community. • Creating awareness on miso for safe abortion to adolescent girls and women***.

  9. Training Pharmacists and midwives • 10 pharmacists and 10 midwives on miso for safe abortion and PPH. • All this individuals are not registered with any professional body or never been to any of the professional training. "trained health Professional” • 5 new of the drug but admission was different(swallow 2,put 1 or 2 in the virgina).Most times, there was failure. so the opted for MVA. Which many disliked a lot. • A lot of support from the participants as they seek to reverse the trade(failing procedures that lost business for them)

  10. Training adolescent girls • We are the individual who seek the services and we are ready to learn. • Power in Word of mouth . • “Sms and face book” • Ability to reach to in school adolescent girls.(Who we are still fingering out how?) • Trained 53 girls in FOHA (to-date)

  11. Community awareness • Training 5 women/girls group (70 women and girls). • Word of mouth spreads like bushfire among women. • We had to find out a way to reach to other women. • Most criticized group discussions ever. ”abortion group”

  12. Sms and Facebook. • Safe choice Page • Attracted debates around abortion issue in Kenya.( Against –For ) • Connection with women and girls nationally and internationally. “ hey,also wanted to know whether the drug can be bought off the counter or where?i mean the arbortion drug?

  13. success • Trained 10 midwives and 10 pharmacists on miso for safe abortion and PPH. • Trained 53 girls in FOHA on Miso for abortion and PPH. • Reached to 70 women and girls in the community on Miso.(Girls and women groups) • Making Miso Available in the community. • Administering miso to almost 1000 women and girls in(girls+ midwives+Phamacists and women) • Able to partner with FHOK,CFK,others

  14. Challenges • Politics among the pharmacists and midwives • The fundamentalist (pro-life and confused) • Unavailability of miso in wholesale/retail. • Training adolescent girls • Unavailability of internet connection from our office. • Limited resources. • Monitoring the administering of miso (In reality how many women where met) • People still not sure of the efficiency***

  15. Case study • My name is Merschack ,I operate a small chemists /clinic in Dandora Phase 4. I despense medicine and treat minor aliment. When women come seeking for abortion I used to perform the MVA(surgical abortion). It was a very tedious and horrifying procedure I hated so much. I felt guilty all the time; seeing women virgina and blood was heartbreaking. • Thank a lot WOW/FOHA for providing Miso information. I feel so at peace and I don’t have to go through the horror .Since August 2011 I have administered Miso to around 30 women

  16. Some of the pharmacists and midwives during our 2rd evaluation meeting • Thank you …..

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