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KATINE COMMUNITY PARTNERSHIPS PROJECT - Guardian.co.uk

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centres. Bicycles are also being used for transporting severely ill people from villages to<br />

health centres. The remaining bicycles will be given to the VHTs after their training is<br />

<strong>co</strong>mpleted. Some of the purchased bicycles needed repair due to brakes and lights not<br />

functioning properly and will be distributed once repaired.<br />

High risk groups for malaria infection and its <strong>co</strong>mplications include children below five years of<br />

age, pregnant women and people living with HIV/AIDS. The KCPP’s baseline survey revealed<br />

that mosquito net <strong>co</strong>verage was 48% in Katine. In an effort to reduce malaria, 3250 Insecticide<br />

Treated Nets (ITNs) were procured. Since the inception of the KCPP, 1308 ITNs have been<br />

distributed to 1308 households in Ochuloi, Merok, Katine and Ojama parishes. Each<br />

household was targeted for net distribution because it was home to at least one child under<br />

the age of five. Children tend to sleep together under one net so a single bed net may benefit<br />

more than one child. Distribution of nets to children under the age of five, pregnant women<br />

and people living with HIV/ AIDS will <strong>co</strong>ntinue into the next quarter of the project. Regular<br />

visits by VHTs to households ensure that those most vulnerable to malaria (the target groups)<br />

are using the nets regularly and <strong>co</strong>rrectly. The project works closely with the existing health<br />

system ensuring that information is shared. This is important because the KCPP wants to be<br />

certain future ITN distribution from other sources does not target the same individuals as this<br />

project. During net distribution, VHTs sensitised <strong>co</strong>mmunities to ensure that there was positive<br />

health behaviour change (aiming to ensure the target groups did sleep under an ITN).<br />

As a result of capacity gaps the delivery of quality services among health centre staff and<br />

inadequate facilities at the health centres, the project <strong>co</strong>nducted refresher training in outpatient<br />

care for nine staff members working in Katine HC II, Ojom HC II and Tiriri HC IV. It<br />

also <strong>co</strong>nducted a four-day residential training for the three Health Unit Management<br />

Committees of Tiriri HC IV, Katine HC II and Ojom HC II. The project found these <strong>co</strong>mmittees<br />

already in place. 23 members attended, of which five were women. All the <strong>co</strong>mmittees have at<br />

least one women member. They were trained in their roles and responsibilities, equipped with<br />

supervisory skills, quality assurance techniques and trained in planning for health services.<br />

Immunisation equipment and supplies such as children’s weighing scales, vaccine carriers,<br />

bicycles, chairs and tables were also provided to Ojom HC II and Katine HCII.<br />

To improve on the quality of maternal and neo-natal care services, a three-day refresher<br />

training <strong>co</strong>urse was held for 19 Traditional Birth Attendants (TBAs) already existing within the<br />

<strong>co</strong>mmunity (all the six parishes), all of whom were women. They were trained in early<br />

re<strong>co</strong>gnition of high risk pregnancies, pregnancy danger signs, HIV/AIDS, prevention of mother<br />

to child transmission of HIV/AIDS (PMTCT), immunisation, re<strong>co</strong>rd keeping and knowledge on<br />

how to <strong>co</strong>nduct safe and clean deliveries. Referral re<strong>co</strong>rds at the health centres show that<br />

several referrals have been made from the <strong>co</strong>mmunity by TBAs since their training.<br />

Improved access to quality education<br />

The household baseline survey revealed that 75% of primary school going age (6-12 years)<br />

children are currently attending school; lower than the 81% for all rural areas. Gender equity in<br />

the ratio of boys to girls enrolled has only been achieved in Merok parish while the widest<br />

gaps were in Katine/Ojama and Olwelai.<br />

KCPP six monthly narrative report - October 2007 to March 2008 14

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