0.01 (a) ORGANISATION BACKGROUND
Matata Hospital started its operations in 1992 as a small Community Health Outreach Programme. It is located in Oyugis Town, Rachuonyo South District within the larger Rachuonyo Community, which has approximate population of 390,000( 1999, Government of Kenya census). The closest health facility to Matata Hospital is Rachuonyo District hospital which we work with in collaboration, but always has intermittent supplies of drugs and medical supplies. It therefore means several clients who would have ordinarily gone to the District Hospital turn to Matata Hospital. This situation creates real pressure on the available and the utilization of resources as Water supply.
(b) STRATEGIC POSITION
To provide a sustainable integrated high quality health care services delivery within the framework of available facilities and technologies; and thereby raising and exceeding on the clients’ confidence and expectation in the value of our services.
We are committed to providing needed quality and compassionate health care services that are responsive to those we serve. We achieve this Mission through collaborative partnerships to improve the health status and quality of life of our community with effective capacity building and community outreaches.
(iii) Objectives of Matata:
(iv) Specific Objective
To request for funds for the building of a community Dispensary able to provide sustainable curative and preventive health services for the Kosele Community in Central Kasipul Ward. When completed, the dispensary targets a total population of 11,256 people with sustainable health services within their reach.
(c) NAME OF THE PROJECT: KOSELE COMMUNITY DISPENSARY 2017
BACKROUND- KOSELE COMMUNITY
Kosele Community is located to the west part of Kasipul Sub-county, Homa Bay County and is in Central Kasipul administrative ward. Kosele market houses the Sub-county headquarters. It is about 10 kilometers from Oyugis town and 9 kilometers from Kendu Bay Town. The area is dry most of the time and exhibits general health challenges, in view of the fact that accessibility of clean and safe water has been a problem. Matata, however recently developed a community shallow well, but with the high population around the area, it is far from adequate. Since it hosts government offices and concentrated households, the population is high at about 11,256.
The area has several primary schools and secondary schools within the nearby localities, and the nearest health facilities are either at Rachuonyo Sub-County Hospital, Matata in Oyugis (10Kms.) or Kendu Adventist Hospital, Kendu Bay Sub-County Hospital (9Kms).
With unreliable rainfall patterns, low land productivity and inadequate accessibilities to health services and water, it means food security is a challenge for the community, hence spiral poverty.
0.02. Problem statement
The problem being addressed is the ill health situation of the Kosele community and their inability to access quality health care services conveniently and within their reach for improved quality of life.
This is aggravated by:
> The distance and costs of currently receiving health care services.
> Poverty which is an issue within the area, making the community to make hard decision whether to go for health services when one is sick or look for family food. Most households have large families which they cannot easily feed, educate and give adequate medical attention.
A part from HIV/AIDS in Homa Bay County which is still rating at 25.7% against the national rating of 6.4 %( Kenya HIV County Profiles, NACC, 2014), there are other health challenges; malnutrition, malaria, typhoid fever and warms, among others.
Kosele Community has no reliable health facility closer to them. Further the followings are the Socio-Economic and cultural conditions that the proposed development would improve:
0.04. Planning and implementation
We opted for participatory approach by conducting a needs assessment in developing this project Proposal. The community identified their needs which were collectively prioritized. This proposal addresses the need for a Dispensary. In the steps up to where we are, the community has been involved in planning together and they have donated land for the project; have a dispensary development committee and works with the Matata Hospital for the same purpose. The community is so hopeful and greatly supports the idea. This has been witnessed by time and efforts they put in together with the organizational skills.
0.05. Monitoring and evaluation
This component has been designed to promote both downward (beneficiary) and upward (donor) accountability. It will help in gaining timely information on the project progress and in making informed decisions.
This will be done through:
0.07. Project sustainability
On completion of the project, it will be handed over to the Dispensary Management Committee and the Ministry of Health who will provide the technical staff, provide medicines and drugs and carry out supervisory roles.
This strategy has proved to be very successful in the past. There would however be need to recruit some Community Health Workers around the proposed dispensary, train them to assist in the mobilization and sensitization of health issues.