Health Update - Cancer Screenings

MWCT's Health Program recently hired a new Clinical Officer for Langata village named Emmanuel Wanyama, allowing us to greatly expand our services and keep the clinic open on weekends.  Since his arrival clinic visits have increased more than 30%, allowing us to help many more patients.  Thanks to this new flexibility, we recently offered cancer screenings in Langata for the first time to good success.

The district reproductive health officer discusses cancer screenings.

The District Reproductive Health Officer began the day by facilitating a community conservation about women's cancers, after which Sam (MWCT nurse) and Wanyama worked with the Ministry nurse to administer breast and cervical cancer screenings.  During this initial visit ten women were screened with no referrals, and the community was very thankful for this new service.

Women wait for cancer screenings in Kuku village.

Following this we held a second screening two weeks later in Kuku village, this time using our experience to plan more comprehensively for the event.  We brought our ambulance fully outfitted for the day, with supplies including a hospital bed and disinfecting bucket, and set up operations in the local Child Care Fund center.

Sam and the female government explain basic facts about types of cancer.

Because some women are uncomfortable with a male nurse performing the screenings, we arranged for a female government nurse from Loitokitok to accompany us and help for the day.  We again had a community discussion regarding cancers, then screened ten women for breast and cervical cancer, one of whom was referred for further testing.

MWCT ambulance loaded with supplies for our Kuku village screening.

Health Update - Expanded Outreaches and More

MWCT's Health Program has had a busy month on many fronts: strengthening our relationship with Kenya's Ministry of Health, showing health education videos on various topics, and expanding our community outreaches on Kuku Group Ranch to include new villages.  Throughout the year we plan to continue to strengthen our relationships with other organizations and maximize our ability to help the Maasai of Kuku.

Lena dispenses de-worming tablets to the children of Samai village.

To facilitate a better working relationship and keep an open channel of communication, Lena had a discussion with Dr. Kapkoni, from the District Ministry of Health, regarding some reflect community conflict with health professionals on the ranch.  Following the meeting we drafted a memorandum of understanding to be ratified by the area's community health committees, which will help to define the relationships and responsibilities of all groups in the complex system and ensure we can maximize our positive impact.

Sam assesses a patient during MWCT's Samai outreach.

We held two recent community outreaches to Kuku village, as well as our initial outreach to a small village nearby called Samai.  We noted during our first visit to Kuku last month that attendance had been steadily rising, and realized many patients here coming several kilometers from Samai to attend.  Therefore, during our next outreach day we spent the morning in Samai, then the afternoon in Kuku village -- and acheived a record turnout!

Lena records patient visits during our Kuku village outreach.

During the outreaches we immunized more than 50 infants, provided antenatal care to several pregnant women, distributed de-worming tablets to children at nearby schools in each village, showed videos on proper nutrition for children, mothers, and all community members, and assessed any other patient complaints.

Steve weighing a Maasai child at the Samai outreach.

Our Community Health Workers were instrumental in these outreaches, organizing and publicizing them as well as helping the day of, translating videos from Swahili to Maa (the Maasai language), and doing anything else that was asked of them.  Without their continued enthusiasm and support, we couldn't achieve nearly what we have thus far.

MWCT's Community Involvement

Often this blog details the dedicated work of MWCT's three main programs in Conservation, Health, and Education, but it is important to remember one of the pillars of everything MWCT does: our involvement with the local Maasai community.  The Maasai of Kuku Group Ranch are the reason we exist, and they make our daily work worth doing.  In the past few months we've been honored to be involved in several important community events, providing excellent opportunities to remember why we do the work we do.

Three members of the Langata women's group display their beaded jewelry.

We've already detailed our adventures at the First Annual Maasai Olympics here, here, and here, and written about a celebration of a young women's group here.  We've also been encouraging the work of a women's group in Langata Village that has been crafting beautiful beaded jewelry.  Formed in 2009 when severe drought killed crops and forced families to search for alternative revenue, the group consists mainly of older women.  Our eco-tourism partner Campi ya Kanzi has graciously offered to help sell this jewelry in their gift shop, supporting the efforts of these local Maasai artists.

Village elders bless young women taking part in an alternative right-of-passage ceremony.

MWCT also collaborated with AMREF to sponsor a three-day workshop in Iltilal Village exploring alternatives to the traditional right-of-passage ceremony for young women, which involves female circumcision.  Over 200 young girls attended the workshop, where the dangers of circumcision were outlined and an alternative ceremony proposed.  On the third day this ceremony was held, with the entire Maasai community participating and the village elders blessing the young women.

Samson leading the community barazaa and explaining the new ambulance.

Finally, MWCT held a barazaa (community meeting) to announce the arrival of an important new part of the Health Program - an ambulance!  Nicknamed Anna (after its donor, Anna Kulidjian), this ambulance greatly expands the reach of our medical capabilities, and will allow for rapid transport of very sick patients, something that was previously impossible.  Samson presented the vehicale to the community and explained how it will be used; to cover costs and instill a sense of community ownership, there will be a small fee for emergency use.  It was well-received, and the Maasai are very happy with this new convenience.

A Community Health Worker examines our new ambulance.

Health Update - Community Outreaches and Health Workers

The past months have been exciting ones here at the MWCT Health Program, as we continue our outreaches to all the communities of Kuku Group Ranch.  Recently we've been able to visit Olorika, Kuku, Oltiasika, Dip, and Langata Villages.  Most villages we try to visit once per month, though in Kuku Village we aim for twice per month.

Lena meets with a group of CHWs in Langata Village.

During our outreaches we meet with community members and often provide limited medical services and examinations.  We set up an outpatient clinic and dispense deworming medicine to children, as well as offering antenatal care and immunization clinics.  In November we partnered with Kenya's Ministry of Public Health to immunize over 750 children against the measles, and our trachoma campaign in December reached more than 3,400 Maasai.

Oltiasika CHWs prepare for an outreach by organizing supplies.

Each region's Community Health Workers (CHWs) are an invaluable part of our outreaches, working with us before and during the day to ensure a successful event.  Before MWCT's staff arrives, they publicize the outreach throughout their communities, often going door-to-door to spread the news.  They also secure a meeting place, organize supplies, and alert us to any special needs.  At the event itself, they organize attendees, help with evaluations, and arrange for any necessary follow-up actions. 

Steve works with CHWs in Olorika to map bomas in their area using Google Earth.

We've also been using the outreaches to continue our mapping of bomas (household clusters) on Kuku, so that we have a better sense of where people live and how the CHWs can distribute their efforts to best reach  everyone.  The Community Health Workers really enjoy seeing their villages on Google Earth, and are able to quickly group and identify visible bomas.  By having one MWCT staff member work with the CHWs on this mapping while the others conduct the outreach, a single day's work can be extremely productive.  We plan to continue these successful community outreaches throughout the upcoming months, and continue to improve access to healthcare for all the Maasai of Kuku Group Ranch

Our nurse Sam administers immunizations to children in Dip Villlage.