Mr Rashid Salim Muengele (Kenya)

Health improvement by leveraging community participation: cultural experiences in Kajiado County, Kenya

HEALTH IMPROVEMENT BY LEVERAGING COMMUNITY PARTICIPATION;

CULTURAL EXPERIENCES IN KAJIADO COUNTY, KENYA

PRESENTER :

RASHID MUENGELE SALIM

Saturday 7 March 2020

• INTRODUCTION

• OBJECTIVES

• METHODS

• RESULTS AND DISCUSSION

INTRODUCTION

• 13TH AUGUST- 2NDSEPTEMBER 2018

• SANITATION – Availability, Accessibility, Quality and Proper use.

• NOMADISM – High contribution to Open Defecation (OD)

- 45.5% (Kajiado) & 50.3% (Narok) according to KMTC 2016

- 12.04% IN Kenya according to WHO 2015

• Loitoktok Sub-county grapples with OD.

Map of Amboseli Ecosystem

A perfect co-existence of humans, animals and the environment

Selection of Faculty, Collaborators

5

• Competencies

• Multi skilled professions & Disciplines

• Vets, Nurses, Educationists, Wildlife, EnvironmentalistsMentorship

• Community experience

• OH skills

• Able to transfer skills

Selection of Students

• Mix- Male: Female,

• Based on

Competencies

Pre-requisites

Learning Curve

Clear career growth plan

Unique abilities & Qualities

6

OBJECTIVES

• ASSESSING COMMUNITY ONE HEALTH NEEDS-ANIMAL, HUMAN AND ENVIRONMENTAL INTERFACE IN SIANA CULTURAL BOMA

• PRIORITIZING THE ONE HEALTH NEEDS

• DEVELOPING AND IMPLEMENTING SUSTAINABLE INTERVENTIONS

• DEVELOPIMG MONITORING AND EVALUATION FRAMEWORK.

METHODS Study description

• Exceptional resource values: Biodiversity like

(Lake Amboseli), habitat diversity, landscape

diversity, Scenic (Mt. Kilimanjaro), Culture

and Social resource value

Selection of study site and sample selection

• Interface between humans, animals and wildlife.

Study design

• A cross-sectional study design was employed to assess the

community OH needs

• Linear ranking tools using meta-cards, matrix scoring and

fishbone diagram to prioritize OH needs

METHODS • PARTICIPATORY RURAL

APPRAISAL – RESOURCE MAP

• PRIORITIZATION USING PROPORTIONAL PILING METHOD

• OPEN DEFECATION WAS PRIORITZED

• OTHERS: LIMITED ACCESS TO

MARKETS TICK INFESTATION HUMAN WILDLIFE

CONFLICT RESPIRATORY DISEASES

Proportionate piling to prioritize Community needs

METHODS

• ROOT CAUSE ANALYSIS

• FORCE FIELD ANALYSIS

• POTENTIAL INTERVENTIONS –MATRIX PILING SENSITIZATION ON RISKS THE

COMMUNITY IS EXPOSED TODEMONSTRATION OF THE CYCLE OF

DIARRHEAL TRANSMISSION

• KEY INFORMANT INTERVIEWS AND FOCUSED GROUP DISCUSSIONS WERE EMPLOYED

• MONITORING AND EVALUATION THROUGH COMMUNITY PARTICIPATION

RESULTS AND DISCUSSION

few toilets attributable to limited resources

social norms stand at the premise of discouraging use of

toilets

the toilet structure posed a challenge

indirect factors included poverty and a lack of participatory

approach to development

RESULTS AND DISCUSSION

• MULTIDISCIPLINARY APPROACH

• USE ONE HEALTH CONCEPT

• IMPROVE, USE AND MAINTAIN PIT LATRINES

• SIANA CULTURAL BOMA

Action Plan Commitments

ACTIVITY FACILITATORS TIMEFRAME

Sensitization on the importance of pit latrine

usage

Leaders and elites

Chairlady

Immediately

Addition of two pit latrines Big life programs

Siana committee

Two months

Training children on proper use of toilets Chair lady and all Siana community

members

Immediately

Hand washing Chair lady Immediately

Signage John through the chair lady One week

Online marketing Alex and Daniel on going

UNIVERSITY OF NAIROBI

ACKNOWLEDGEMENT: