This project aims to reduce maternal and child mortality through increasing access to and uptake of
quality health services for the population living in Machafuko informal settlement in Mombasa, a
relatively poor and unsecure area where people have very limited access to water, electricity
infrastructures and services.
In order to reach its objective, this project has been focusing on the improvement of the quality of health
services for women and children in Machafuko’s two main health facilities, Mlaleo health centre and
Junda dispensary. We have been rehabilitating the facilities, providing essential equipment, training
medical staff, and reinforcing the referral systems.
We have also been training and supporting 8 local Community Health Extension Workers and their 90
Community Health Workers with the aim to increase the quality of outreach and referral services they
can provide and thus to ensure information about and uptake of essential health services.
And finally we have been working with and within the community itself, through outreach work and
awareness raising activities.
This project’s progress could not have been achieved without the collaborative effort of the community
members who are the major beneficiaries, the health facility staff, the sub county health team, the county
health team, the implementing partners and other stakeholders such as key community opinion leaders
and administrative officers. The project launch ceremony in June 2016 that among its more than 500
attendees welcomed the Mombasa County Governor H.E., Ali Hassan Joho, the County Women
Representative, members of parliament as well as other county officials, was a very important moment
to gather key actors for supporting maternal and child health (MCH) and reproductive health (RH).
During this event medical equipment, the two tricycle ambulances, new health records information
system hardware as well as drugs and medical supplies we had received as donations were distributed
to the two health facilities. Posters, t-shirts, nametags, stickers and banners were highlighting the
visibility of the EU and the project partners. Local and national media, both print and radio, were present
at the event.
During the second year of this project, WAHA International and its two partners, CWID and NNAK,
worked together to improve the quality and uptake of RH and MCH services by continuing to support
antenatal, delivery, postnatal, nutrition and family planning services as well as HIV counselling and
testing at the two health facilities. As such, essential medical equipment for mother and child health
services was supplied to the two health facilities. Also, 90 Community Health Volunteers (CHVs) and
8 Community Health Extension Workers (CHEWs) from four Community Units (CU) in Machafuko,
were selected among the local government outreach team in March 2016 and consecutively trained on
maternal and child health topics including but not limited to, antenatal care, pregnancy related
complications, post-delivery care and post-partum complications, family planning, HIV counselling and
testing through monthly trainings.
We continued conducting the on-the-job training and mentorship programme for health workers and
midwives that has been launched in the first year. It has been of great benefit for the local midwives and
nurses who have been learning from the more senior and experienced trainers. A total of 18
midwives/nurses, 14 from Mlaleo health centre and 4 from Junda dispensary have benefited from this
ongoing on the job training programme.
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