OBER HEALTH CENTER Background
Challenges
Ober Health Centre is a government facility situated along KisumuOyugis road next to Ringa Market. It was recently upgraded to a level 4 facility. The facility has a catchment population of 10,973 among whom 416 are under 1 year old while 1,811 are under 5 years. The facility catchment has an approximate 2,721 women of reproductive age and in 2016 had an estimated delivery of 439.
Late commencement of ANC attendance leading to poor completion rate of 4th ANC visit
1st ANC visit delay leading to more deliveries at homethe CHVs escort clients to HF for delivery. TBAs incorporated in CHV activities to discourage home deliveries
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
Community Units/Community Engagement
Staffing
Ober facility is supported by 30 CHVs working under 2 CHEWS within the Kakelo Dudi A and Kawere CUs. There are 30 CHVs and 4 PEs attached to the facility. At least 2 CHVs are on duty every day. They are attached to MCH and OPD, they are tasked with responsibilities of client retention, documentation of referrals, Adherence and psychosocial support, community/ facility linkages, contact tracing, conducting health promotion activities and Positive Health Dignity and Prevention activities in all the entry points which they are attached to. CHVs Brief on follow up:
*There are no Doctors, Pharm Technologists, Drivers or Lay Counsellors in Ober Health Center.
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
Table showing data on some selected indicators Indicator
Qtr 1
Qtr 2
Qtr 3
Qtr 4
Total
EPP
423
423
439
439
1724
New ANC
112
132
132
128
504
Skilled deliveries Imm. Penta-1
67 92
85 85
111 104
111 102
358 383