community engagement in africa
DESCRIPTION
Dr. Kavuludi presented to Idaho State University Medical Students in more depth than the dinner address. Warning: this presentation is a medical presentation and includes graphic pictures of the body that is not suitable for children or sensitive audiences.TRANSCRIPT
![Page 1: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/1.jpg)
ENGAGING COMMUNITIES IN
WHOLISTIC HEALTH DEVELOPMENT:
THE ‘THV MODEL’
![Page 2: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/2.jpg)
WARNING:This is a presentation made
to medical students and includes two graphic slides of human anatomy that is
not suitable for children or sensitive audiences.
![Page 3: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/3.jpg)
SOME FEW HEALTH SECTOR INDICES FROM KENYA
• 5000 health facilities in Kenya• 4500 doctors; 1000 in public service. 50%
concentrated in Nairobi: Ratio 1 physician to 10,000 citizens (compared to 26:10,000 in US)
• 47,000 Nurses & other cadres of medical personnel (10:10,000)
• 4.6% GDP towards health financing ($29 USD per capita) far below the minimum $34 recommended for Africa by WHO. 40% of financing comes from Kenyan Government; 15% donors, rest by private sector
![Page 4: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/4.jpg)
SOME FEW HEALTH SECTOR INDICES FROM KENYA
• 58% of health services run by private sector which caters to high income clientele
• 90% resources devoted to curative a service that only 10% of the population accesses.
• 90% of morbidity (and mortality) is caused by preventable infective diseases (and poverty)
![Page 5: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/5.jpg)
Kenya HDI (Human Development Index) #147 (0.541)
(ranked out of 182 countries)Literacy Rate
(age 15 and over that can read and write) #107
73.6%
Infant Mortality Rate
(per 1,000 live births)
54.7 deaths/M
(2009 est.)
Life expectancy at birth
#152
53.6 years
Combined primary, secondary and tertiary gross enrollment ratio #138
59.6%
GDP per capita
#149
$1,542 USD Per Capita(2009 est.)
![Page 6: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/6.jpg)
THE BURANGI PROJECT is a total health village (THV)
program
![Page 7: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/7.jpg)
• It is a completely participatory strategy where communities analyze their situation, and plan a response strategy, and implement it using Community’s Own Resources/Persons and engaging External partners only in a facilitative role where they have no capacity in solving their own problems.
WHAT IS A THV?
![Page 8: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/8.jpg)
POINT OF ENTRY THEMATIC AREAS FOR BURANGI THV
• HEALTH– Access to quality medical care through mobile and static
health clinics– Access to quality drinking water– Improved community, domestic and personal sanitation
• SUSTAINABLE DAILY LIVELIHOOD– Improved food security– Improved income generation
• Environmental preservation – Through tree planting and use of alternative renewable
sources of energy and others
![Page 9: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/9.jpg)
RESOURCES ALLOCATION
THE 50 | 40 | 10® PRINCIPLE• 50% TOWARDS PROMOTION.
– INVEST IN PEOPLE
• 40% TOWARDS PREVENTION. – INVEST IN SYSTEMS/STRATEGIES
• 10% TOWARDS PROVISION:– INVEST IN CONSUMABLES
![Page 10: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/10.jpg)
WHAT ABOUT SUSTAINABILITY?• Involve the people right from the beginning
– Teach them to ‘learn how to learn“– To ‘learn how to dream constructively”– Elevation of self esteem and self confidence– “Doing with” rather than “doing for”
• Weigh when to give what…don’t interfere with their strength.
• Support their vulnerabilities and their weakness. Don’t do what they do well.
• Emphasize transferable skills and locally sustainable technology
![Page 11: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/11.jpg)
WHAT ABOUT SUSTAINABILITY?• Involve local leadership from the start• Involve women and school children who provide
great potential as change agents• Understand and respect their culture and social
values; handle what you might think is retrogressive culture with tact.
• Don’t aim to make them a mirror image of your self. Let them discover their inherent ability.
• Enthusiasm is the driver of sustainability.
![Page 12: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/12.jpg)
WHAT ABOUT SUSTAINABILITY?• Think “small,” think real, build on what they
know/have. • Avoid ‘elephants with strange colors’• Personal Example
![Page 13: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/13.jpg)
Essence of THV:
Breaking the vicious cycle that binds poverty, ill-health and
developmentthrough empowerment of
community members
![Page 14: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/14.jpg)
The Principles of THV In ActionConstruction of an access road though high level
advocacy and community involvementAssisting in the medical camps
![Page 15: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/15.jpg)
• Conducted Medical camps (April/August ’10/Feb ‘11)– 3800 people served with combination of US & Kenyan
medical professionals and community members
![Page 16: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/16.jpg)
![Page 17: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/17.jpg)
• Conducted a surgical camp in which 2 individuals with severe filarial morbidity
![Page 18: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/18.jpg)
![Page 19: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/19.jpg)
![Page 20: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/20.jpg)
![Page 21: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/21.jpg)
OPEN INVITATION
– Health care professionals– Students
![Page 22: Community Engagement in Africa](https://reader033.vdocuments.mx/reader033/viewer/2022042714/55641a2cd8b42a69298b45c6/html5/thumbnails/22.jpg)
ABUNDANT BLESSINGS
THANK YOU