A great deal of consultation has tied our programmes seamlessly into the recently developed Kwale County Health Strategic Plan. Current initiatives are aimed at improving health delivery at the various levels and tackling problematic health issues identified by the community during the Health Impact Assessment ("HIA") carried out in 2012.
Community Health Units ("CHU")
CHUs provide the first level of health care with trained volunteer health workers providing basic healthcare such as hygiene, sanitation, maternal and child health. Each health worker is responsible for 20 households.
Assistance has been provided to expand the Kwale and Mombasa Counties Health Departments’ Community Strategy Programme by providing funding for training and ongoing logistical support.
Base Titanium now supports 7 Community Health Units with 241 Community Health Volunteers covering 46 villages from the host site, mine site and the Likoni port facility areas.
Long-term plans for the Msambweni Referral Hospital are to upgrade it to a level that will be able to handle almost all emergency and routine medical procedures. Discussions are underway with a number of interested stakeholders to plan for the delivery of such improvements.
In agreement with local committees, the dispensary planned for the mine site was replaced with the Magaoni Health Centre which was built by Base and opened by the Kwale Governor, H.E. Salim Mvurya in July 2014. Base also provided equipment for this facility and the Bwiti Dispensary which was completed in 2012.
Support for Health Authorities
Health authorities are often faced with challenges when trying to reach remote rural areas. We have supported sub-counties throughout Kwale and in Likoni with logistics to enable them to complete important tasks such as mass net distribution, polio vaccination campaigns and drug-resistant TB awareness campaigns.
During the HIA baseline study several ailments were noted that had a debilitating effect on households. One of them is infestation with the jigger flea larvae which affects mostly children and can lead to loss of mobility and often, inability to attend school.
CHUs have also been empowered to deal with the emerging bedbug infestation menace through training in fumigation procedures and provision of fumigation equipment to enable them to deal with the problem in their respective communities.
Prevention of Mother to Child Transmission (“PMTCT”) Project
Base Titanium supports this HIV control programme through the Mentor Mothers Programme. Initiated in February 2016 in partnership with the Kwale County Government, the project operates through 24 mentor mothers placed in 12 health facilities within Kwale County.
The mentor mothers play a critical role in promoting improved healthcare and uptake of adherence, retention-in-care and psychosocial support provided to HIV-positive mothers as they draw from their own experiences as beneficiaries of the PMTCT programme to inspire behavioural change in their peers.
By September 2017, close to 800 HIV positive pregnant mothers have been enrolled into care and 11,000 HIV negative pregnant mothers reached with preventive messages. In addition, 600 defaulters were traced and 400 of them successfully brought back into their treatment regime.