NYANG’IELA HEALTH CENTER Background
Community Units/Community Engagement
Nyang’iela is a GOK Level 4 health facility within Rachuonyo south (formerly Kasipul) sub county. The facility is located along the OyugisRodi Kopany road about 4km from Oyugis town. The facility has a catchment population of 5,960 among whom 336 are under 1 year and 1,459 under 5 years. The facility should serve 2,194 women or reproductive age and in 2016 has an expected delivery of 384.
The facility is supported by one CHU - Kotieno Kochich and 15 CHVs and 7 Peer Educators all supervised by one CHEW. They are tasked with the responsibility of client retention, documentation of referrals, adherence and psychosocial support, community/facility linkages, contact tracing, conducting health promotion activities, and Positive Health CHVs Brief on follow up:
Staffing
Follow up of children for immunization
Mapping of ANC Mothers.
Follow up of mothers for skilled delivery and referrals for ANC visits
Community based promotion of FP
Community case management with diagnosis and treatment of malaria.
Outreaches-CHVs mobilization
Challenges
Inadequate working space especially in MCH, maternity and Lab. New building under construction used by sick antenatal, & post-natal mothers.
Delayed commencement of ANC attendance leading to low 4th ANC visit.
1st Delay leading to more deliveries at home- CHV escorting clients to HF
Increased work load at maternity since many mothers from other catchment areas come for delivery services at the facility – support in MNCH equipment and consumables
CHVs to continue with Mapping of Pregnant mothers during home visits and strengthen escorted referral
*There are no doctors, pham technologists, drivers or lay counsellors in Nyang’iela Health Center.
The table below illustrates 2015/2016 achievements in some selected indicators Indicators
Qtr 1
Qtr 2
Qtr 3
Qtr 4
Total
EPP New ANC Skilled deliveries
96 102 46
96 67 66
96 68 45
96 80 57
384 317 194
Imm. Penta-1
76
63
73
73
270