With focus to Lea Toto With focus to Lea Toto Community Based Care - PowerPoint PPT Presentation

THE CHILDREN OF GOD RELIEF THE CHILDREN OF GOD RELIEF INSTITUTE INSTITUTE (COGRI) (COGRI) A registered Charity in Kenya, USA A registered Charity in Kenya, USA UK and Italy UK and Italy With focus to Lea Toto With focus to Lea Toto Community Based Care Community Based Care Program Program

Overall Goal. Overall Goal. To bring Christian compassion by providing Up- - to to- - To bring Christian compassion by providing Up date Holistic Care and protection for our children.( date Holistic Care and protection for our children.( both HIV Infected and Affected). Programs being run both HIV Infected and Affected). Programs being run by COGRI are: by COGRI are: � NYUMBANI CHILDREN’S HOME: Institutional care for � NYUMBANI CHILDREN’S HOME: Institutional care for HIV positive orphaned and abandoned children. HIV positive orphaned and abandoned children. � LEA TOTO: Community Based Care for HIV infected � LEA TOTO: Community Based Care for HIV infected children within the extended family system. children within the extended family system. � NYUMBANI VILLAGE: A compound expected to � NYUMBANI VILLAGE: A compound expected to support 1000 people, both orphaned children and elderly support 1000 people, both orphaned children and elderly adults. adults.

LEA TOTO PROGRAM LEA TOTO PROGRAM Overall GOAL Overall GOAL • The project goal is to mitigate the The project goal is to mitigate the • impact of HIV/AIDS and impact of HIV/AIDS and decrease the risk of transmission decrease the risk of transmission through the provision of a through the provision of a comprehensive Community comprehensive Community Home- -based Care Package based Care Package Home

COMMUNITY BASED CARE COMMUNITY BASED CARE • Definition Definition – • – • This is the care offered to chronically sick This is the care offered to chronically sick • people (As result of AIDS- -related related people (As result of AIDS complications) in partnership with their complications) in partnership with their families, local community, health facilities families, local community, health facilities all working together for the well being and all working together for the well being and good health of the sick through a package good health of the sick through a package of comprehensive care. of comprehensive care.

Comprehensive care package Comprehensive care package (components of community home- - (components of community home based care) based care) • This package usually includes: • This package usually includes: 1. Medical and nursing care including provision of ART 1. Medical and nursing care including provision of ART 2. Psychological support and Spiritual guidance 2. Psychological support and Spiritual guidance 3. Counseling and Testing Services 3. Counseling and Testing Services 4. Provision of food and nutrition supplementations 4. Provision of food and nutrition supplementations 5. Relief for social needs (social support services) 5. Relief for social needs (social support services) 6. Prevention of further spread of HIV 6. Prevention of further spread of HIV 7. Promotion of community empowerment 7. Promotion of community empowerment 8. Self reliance through income generation activities, 8. Self reliance through income generation activities, community ownership and good neighborliness . community ownership and good neighborliness .

WHY COMMUNITY- -BASED BASED WHY COMMUNITY CARE AS A STRATEGY? CARE AS A STRATEGY? • This strategy provides the most efficient and This strategy provides the most efficient and • effective way of addressing the complexity of effective way of addressing the complexity of needs of persons affected by HIV/AIDS and needs of persons affected by HIV/AIDS and their families, and in this context, Children their families, and in this context, Children Living With HIV and AIDS (CLWHA) Living With HIV and AIDS (CLWHA)

PROGRAM EXPECTATIONS…. PROGRAM EXPECTATIONS…. • To offer an alternative care from the To offer an alternative care from the • Institutional care Institutional care • Reduction of stigma and discrimination thus Reduction of stigma and discrimination thus • promoting positive living ( through involvement promoting positive living ( through involvement of communities in care & support) of communities in care & support) • Increased involvement of community in care, Increased involvement of community in care, • support and prevention efforts support and prevention efforts • Reduced hospital costs and visits Reduced hospital costs and visits • • Reduction in child abuse (abandonment and Reduction in child abuse (abandonment and • neglect) neglect) • Greater involvement of PLWHAs in the care Greater involvement of PLWHAs in the care • and support (encouraging positive living) and support (encouraging positive living)

Program Expectation cont’d Program Expectation cont’d • Improved care for immune suppressed people. Improved care for immune suppressed people. • • Reduced morbidity and mortality rate in Reduced morbidity and mortality rate in • CLWHA CLWHA • improve the quality of life and reduce suffering improve the quality of life and reduce suffering • and pain of the infected children. and pain of the infected children. • It promotes child development and It promotes child development and • empowerment. empowerment. • Helps in the coordination of services within the Helps in the coordination of services within the • community. community. • A community that is empowered to sustain the A community that is empowered to sustain the • care and support of PLWHA care and support of PLWHA

Key Achievement Key Achievement • 3,080 HIV positive children have been reached 3,080 HIV positive children have been reached • (cumulatively) through the program to date, with (cumulatively) through the program to date, with an average of 12,435 household members an average of 12,435 household members reached. 1,958 children are actively receiving a reached. 1,958 children are actively receiving a comprehensive care and support services from comprehensive care and support services from the Lea Toto. the Lea Toto. • The Program has cumulatively enrolled 621 The Program has cumulatively enrolled 621 • children on Anti Retroviral Therapy, with 552 children on Anti Retroviral Therapy, with 552 being active in the treatment. being active in the treatment. • Clinical Visits per month averages approximately Clinical Visits per month averages approximately • 1,800 1,800

Key Achievement Cont’d Key Achievement Cont’d • Voluntary Counseling & Testing Averages to Voluntary Counseling & Testing Averages to • approximately 600 persons approximately 600 persons • Highly reduced stigma and discrimination within Highly reduced stigma and discrimination within • the community, where the program operates. the community, where the program operates. • Greater participation of community members in Greater participation of community members in • care and support of those infected and affected, care and support of those infected and affected, i.e. 72% of households receive some form of i.e. 72% of households receive some form of support from their local communities. support from their local communities. • The program provides food assistance to 940 The program provides food assistance to 940 • households out of the 1,700 households, households out of the 1,700 households, reaching out to over 5,000 poor family reaching out to over 5,000 poor family members. members.

Where are We Today? … Where are We Today? … • We have a remarkable reduction of both child mortality We have a remarkable reduction of both child mortality • and morbidity rates, i.e. our morbidity rate stands at and morbidity rates, i.e. our morbidity rate stands at 62.2% while our deaths dropped from 8 to 1 child per 62.2% while our deaths dropped from 8 to 1 child per month month • Greater involvement, ownership and spirit of Greater involvement, ownership and spirit of • compassion from the local community compassion from the local community • Expansion of our outreach clinics covering now most Expansion of our outreach clinics covering now most • of the Nairobi’s slums of the Nairobi’s slums • Inadequate Knowledge on the Management of HIV Inadequate Knowledge on the Management of HIV • and related opportunistic infections especially in new and related opportunistic infections especially in new areas the program is now penetrating slums. areas the program is now penetrating slums.