MAKUNGA RURAL HEALTH DEMONSTRATION CENTER Community Units/Community Engagement
Background
The facility is supported by 30 CHVs working under 4 CHEWs in 3 CHUs. The CUs have been trained on CBHIS, for CHEWs, CHCs and CHV. The community link persons have received training in: growth monitoring, maternal, and new-born and child care, identification of danger signs in pregnancy and conducting verbal autopsies. They have also received training on community malaria case management.
Makunga Rural Health DC is a government facility situated along Kakamega/Mumias in Mumias East Sub County. The facilities has a catchment of approximately 18,639 among whom 706 are less than 1 year old and 932 under 5 years old. The facility is meant to serve 4,250 women of reproductive age and in 2016 estimated delivery stood at 706.
Monthly CU Activities
Staffing
Monthly mapping, referral and linkage of pregnant women for ANC services
Defaulter tracing for Immunizations, HIV/AIDS, TB, ANC
Monthly review meetings
Dialogue and Action Days
Escorted referrals for skilled deliveries
Conducting home visits and conducting health education & promotion and doing mobilization for health services available in the link facility
Supporting the customer care desks and growth monitoring at the link facility
Monthly PSSGs and children club meetings
Monthly Peer educators meetings
Facility-Community linkages meetings
Challenges
Service
Antenatal care,
Post Natal care
Child Welfare Services
Family planning,
HIV Care and treatment
Cervical cancer screening.
Maternity Services
Rehabilitative services
Inadequate working space especially in maternity, ccc and Lab –if any
Late ANC attendance leading to low 4th ANC visit
1st ANC visit delay leading to more deliveries at home
Increased work-load at maternity since many mothers from other catchment areas come for delivery services at the facility since it’s the only facility offering 24hours maternity services.
Stock-out of commodities - pharmaceuticals, nonpharmaceuticals and laboratory reagents.