Health Program Update: New Equipment and Education Enhancement

The Maasai Wilderness Conservation Trust Health Team has had a busy and successful 2015 thus far!

Health outreaches to remote areas of Kuku Group Ranch are of key importance to ensure continued adequate and accessible health services to community members. Since January, a total of three outreaches have been conducted, two in-facility outreaches to Langata Dispensary, and one to the commnity of Moilo. A total of 80 patients were tended to in these outreaches, and a total of 35 mobile laboratory tests were completed.

MWCT is proud to announce, that with support from the Ian-Hicks Foundation, the installation of a semi-automatic biochemistry analyzer in Iltilal Health Centre has been completed. This new machine will enable the clinicians at the facility to conduct a wide range of kidney and liver function tests. This is a massive milestone in MWCT's goal of providing access to quality health care to the local community. This machine will be crucial in the follow-up of patients on chronic medication as those on treatment for Tuberculosis (TB) and HIV/AIDS.

MWCT Lab Technician, Felix, with the new biochemistry analyzer

Felix and Eric (MoH Nurse) very happy with the new technology!

MWCT Health Team organized the first women health seminar at Kuku Village. Dr. Gabriel and the resident nursing officer educated 18 community women on breast and cervical cancer. Topics discussed during the seminar included: what is cancer, signs and symptoms, and preventative strategies!

Women in Kuku gather to learn about breast and cervical cancer

Health Program Update - Kuku Sports Tournament

The third annual Kuku Sports Tournament was a great success!  Hosted in Iltilal, the tournament brought together 285 youth and coaches from Kuku Group Ranch, Nairobi, and Magadi.  This fun-filled, community-building event promotes exercise and sportsmanship while nurturing local athletic talent.  It also provides an excellent platform for health education and advocacy.  The theme of this year’s tournament was “Improving Reproductive Heath, Hygiene, and Sanitation.”  When not on the field, participants learned about the prevention of HIV/AIDS and the eradication of female genital mutilation (FGM).  The tournament was jointly sponsored by the Maasai Wilderness Conservation Trust, AMREF Health Africa, and Shokut Naretoi Community Project (a partner of Dorcas Aid International).

Twelve football (soccer) teams and six volleyball teams participated in the tournament, competing in a total of twenty-six football matches and fifteen volleyball matches.  In addition to the 285 participants, ten referees officiated and crowds of spectators gathered to watch.  The tournament began with a colorful opening ceremony and lasted for three days, with game play following a knock-out structure.

On the sidelines, a health station offered voluntary HIV testing and counseling services.  In the evenings, tournament participants attended health forums in their residential quarters.  One forum focused on female genital mutilation, while the other focused on responsible sexual behavior.

At the end of the tournament, organizers crowned first, second, and third place winners for both football and soccer.  All teams that placed received a trophy.  In the end, however, the ultimate winner is the community.  A Maasai elder hoisted a trophy on behalf of all to represent the importance of this group effort.  Physical activity, good sportsmanship, and health advocacy are essential to the well-being of all young people in Kuku Group Ranch.

Conservation Program Update - Quarterly Success

Our Conservation Team has compiled its' quarterly successes and accomplishments to share with you on our blog! Enjoy reading up on the following tremendous accomplishments from the past couple of months!

Community Rangers:

A deceased elephant was found by 2 school boys herding goats. The school boys immediately informed MWCT Community Rangers about the elephant. The rangers went to the site and found a fresh carcass of an elephant with its tusks still present. MWCT Rangers removed the tusks and handed it over to KWS in Komboyo. After a post mortem was completed, it was determined the death was due to a poisoned spear, which suggests poaching. MWCT Rangers are now investigating the incident!

Our Rangers were informed by a community member from Inkisanjani about poachers planning to poach wildlife on Kuku Group Ranch. The rangers managed to successfully set an ambush and captured 2 of the 3 poachers and impounded 2 motorbikes and bushmeat.

Map of Kuku Group Ranch indicating the patrol effort and areas covered by the different ranger sectors during their security foot patrols from April to June 2014

Lion Monitoring & Simba Scouts:

During this quarter, a detailed lion population survey was conducted! The current estimated resident lion population on Kuku Group Ranch is 32 (14 adults and 18 sub-adults/cubs)!

Namunyak in the company of two adult lionesses and cubs

Of these, 5 lions are collared. These lions are monitored closely by the Simba Scouts on a daily basis. In the event that one of these lions moves into an area close to livestock or bomas, the Simba Scouts will warn the community and herders to watch out and avoid these areas in order to prevent conflict which may lead to the retaliatory killing of lions! A wonderful tool for us!

Lion movement of the 2 GPS collared lion (Yellow = Namunyak; Pink = Neluai)

Wildlife Pays:

Our Wildlife Pays Program this quarter was very busy! A total of 259 incidents of livestock predation were recorded; most incidents being due to hyena, followed by cheetah and then jackal. The total value of the payout was 1,552,400 Ksh.

Number of heads of livestock killed per wildlife species in this past quarter

Community Outreach:

Wildlife Pays Outreach - In these meetings, MWCT's program coordinators spoke to the community about the benefits that MWCT is giving to the community, and their role in protecting their natural resources and wildlife in turn!

MWCT and Campi ya Kanzi Staff Meeting - A meeting with all of the staff of both organizations was held at the beginning of June. During this meeting, the achievements of 2013 were announced and future MWCT projects and goals were discussed

Environmental Education Outreach in Inkisanjani and Olkaria - MWCT Outreach Officer, Joseph Lairumbe, went to Inkisanjani and Olkari Primary School to give an environmental education lesson (Know Your Wildlife) to the school children. These lessons were attended by 200 and 250 pupils respectively! The children greatly enjoyed learning about wildlife - and they were encouraged to protect the wildlife and other natural resources in their area

Moran Chief Initiation Ceremony - On the 3rd of May, Peter ole Sombol, was initiated as the leader of the Maasai warrior age-set from the Iltilal Manyatta. MWCT Program Coordinators and Management attended the ceremony and had a brief meeting with the new chief after the ceremony. Peter is in full support of conservation and the work of MWCT and is motivated to teach and encourage his fellow warriors about the value of wildlife and wildlife protection of Kuku Group Ranch!

MWCT and Campi ya Kanzi staff

Health Program Update - Half Year Report

The Maasai Wilderness Conservation Trust Health Program shares and reports on their successes thus far, halfway through 2014. Thus far, the Health Team has successful conducted 16 outreaches to different remote areas within Kuku Group Ranch. A total of 670 patients were attended to during these outreaches; this includes 224 children who received their vaccinations against different childhood illnesses. These children would have otherwise missed the vaccinations at the appropriate age when they need them most.

MCWT Dr. Warai on one of his many health outreaches

In the months of March and June, MWCT partnered with the Ministry of Health in two supplemental immunization campaigns towards prevention of neonatal tetanus and eradication of polio. This partnership was very successful resulting in achievement of over 100% coverage of set targets, and 4945 persons immunized by MWCT health personnel.

Starting in May of this year, MWCT Health Team has introduced mobile laboratory outreaches. The MWCT employed laboratory technologist travels on a regular basis to provide laboratory diagnostic services to the patients attending this facility. A total of 85 tests have been conducted during these outreaches!

Mobile laboratory

The distribution of sanitary pads to teenage girls within the Kuku Group Ranch Schools has been very successful thus far in 2014. A total of 1379 school girls have received a reusable sanitary pad package, which with proper use, is designed to last for one year. This allows the girls to safely and comfortable attend classes, which consequently, the academic performance and self-esteem of these girls has improved consistently. The presentation of the sanitary pads is preceded with a discussion on female reproductive health.

Enkusero school girls receiving their sanitary pads

The Health Program has actively been working with community health volunteers (CHVs) in various projects during the year thus far. A total of 90 community health volunteers attached to four different health centres have participated in MWCT organized outreaches. Starting in April this year, MWCT launched the CHV Health Education Program (CHEP). This is a community health volunteer led initiative that aims at educating the patients attending a clinic on important health topics such as sanitation, child nutrition, women health and benefits of family planning. The education sessions are conducted in the local Maa language. Since the inception of the program, 12 weekly education sessions have been conducted.

CHV Education Program in Olorika

During the first half of 2014, the MWCT ambulance was involved in 9 incidents of emergency patient transfers to Loitokitok District Hospital, over 50 kilometers away, for specialist medical care. Furthermore, the vehicle has facilitated 22 health outreaches to various community areas and schools within the Group Ranch.

"Anna" the ambulance on one of her many outreaches 

The MWCT Health Team will continue to extend its' tremendous efforts across the Group Ranch for the remainder of 2014 and onwards; ensuring the residents of Kuku Group Ranch are continuing to receive adequate and accessible health services.

Health Program Update - April Efforts

We apologize, as it has been a while since we have updated on the MWCT Health Program! We can assure you that the team is still working incredibly hard to improve and increase the access to adequate health services across the Group Ranch!

For the month of April, the outreaches continued into the community of Kuku. Two outreaches were held, assisting a total of 82 patients over the two days!

CHV assisting in distributing medication at the Kuku Outreach

On April 27, Sam (an MWCT nurse stationed at the Iltilal Health Centre), organized a supplementary immunization outreach targeting all children less than five years that have not completed their immunization schedule as per the Kenya Expanded Program on Immunization (KEPI). A total of 46 children were immunized on this outreach!

Community Health Volunteers (CHV) have been busy at the Iltilal Health Centre. During the month of April they gathered at the facility to receive new household registers to be orientated on log booking and the procedures of recording household health data in the community.

Iltilal Community Health Volunteers

The Community Health Volunteers in Olorika attended their quarterly forum in April. MWCT organized this forum and lunch for the CHVs, a total of 20 attended the event. Dr. Gabriel addressed the CHVs present on MWCT's aims and goals in environment, conservation, and health promotion.

And finally, in line with the MWCT health goal of supporting the delivery of quality healthcare to the community; 50 doses of intravenous ceftriaxone (broad spectrum antibiotic) and 50 tubes of eye ointment for the treatment of conjunctivities were purchased for the Iltilal Health Centre.

The efforts of the MWCT Health Team are spreading farther and wider everyday! Visit www.maasaiwilderness.org for more information!

Health Program Update - March Efforts

As usual the Maasai Wilderness Conservation Trust Health Program team has been working hard. The month of March had them extending their efforts all across Kuku Group Ranch.

The routine health outreaches continued into the month of March, including an outreach to Kuku in which 85 patients were attended to. Further, a new outreach was initiated in the month of March - a mobile laboratory. The MWCT lab technician, whom is permanently stationed at Iltilal Health Center, travelled 25 kilometres away to the Langata Dispensary. Here he managed to do complete prenatal testing for 7 women, as well as a total of 5 tests from the outpatient clinic. The objective of this mobile outreach is to increase the diagnostic capacity of all the health facilities within Kuku, and also increase revenues in order to allow the laboratory to become self-sustained.

As a part of ensuring access and continuity of health services by residents of Kuku Group Ranch, Dr. Gabriel travelled to Langata dispensary and stayed there for 4 days.

The second round of the Tetanus Campaign continued in March. As you may remember, MWCT has partnered with the Ministry of Health to immunize all women of reproductive age. The Iltilal Health Centre Team managed to exceed the set target of 900 women, and immunized a total of 997 women at the end of the campaign!

Lining up for the Tetanus vaccination

Some exciting news about our Community Health Volunteers! The new group of 15 community health volunteers attached to the Iltilal Health Centre completed their 10-day training at the Marla on March 7! Certificates were awarded by the District Medical Office of Health.

New Community Health Workers

Health Program Update - Outreaches, Dental Improvements & Project Osiligi

The Health Program has continually been extremely busy expanding its tremendous efforts across Kuku Group Ranch, especially during this past month of February!

On February 7, a Medical Outreach and Cervical Cancer Screening took place at Olorika. 26 patients attended the medical outreach for curative care, 7 received family planning, 13 children were immunized, 4 children were immunized, 4 women received antenatal care, and 56 children were dewormed! Further, 11 women attended the talk on women's cancer and family planning!

Sam and community health worker demonstrating self breast exams at Olorika Dispensary

On February 10, another Medical Outreach and Cervical Cancer Screening occurred at Kuku village. A total of 50 patients attended the outreach. Caroline, a Maasai nurse, facilitated a talk about women's cancer to an audience of 21 women. Also on this day, we donated a OneWorld Football to the children at Kuku Primary School!

Football donated to the children of Kuku Primary School

The start of 2014 commenced with a donation of a dental chair to the Iltilal Health Centre. The work to operationalize this chair started the first week of February with a visit by the District dentist Dr. Thuo, accompanied by the Loitokitok District Hospital Biomedical engineer Mr. Herman. They approved of the room where the chair would be stationed and gave a list of requirements including drainage, water supply, and electrical fittings that need to be installed. Currently, the water supply and drainage system work has been completed and we await the electrical components. We are very excited for this addition!

Gabriel with district dentist and biomedical engineer

The ongoing Project Osiligi, an income-generating project for the women of Kuku Group Ranch, has generated approximately $1350 in revenue for the women! The women from Kuku, Iltilal, Olorika, and Langata villages have collectively made 433 bracelets and 138 pairs of earrings for Campi ya Kanzi! This project is truly making a tremendous impact on these women! 

Beadwork artisans from Langata village

Health Program Update - Outreaches & Deliveries

The Maasai Wilderness Conservation Trust Health Program was very busy for the month of January!

Medical and Educational Outreaches continued across the Group Ranch. On January 13 an 27, Medical Outreaches took place at Kuku Primary School. 76 patients were seen and 24 immunizations were given, 7 family planning were distributed, and 14 women attended the antenatal clinic, and all of the children were dewormed at Kuku Primary School!

Students at Kuku School watch a video on proper nutrition

On January 17, a medical outreach took place in Oltiasika; where 15 patients were seen and deworming of children at the nearby school took place. An education session was also held for the community on the topic of family planning and cervical screening.

Oltiasika Health Workers and Gabriel teaching community about family planning and cervical cancer

Further, the health staff of Oltiasika Dispensary were happy to report that since the installation of the solar lights at the dispensary in September 2013, they have seen an increase in facility deliveries! What great news!

Oltiasika Dispensary with overhead lighting

Health Program Update - Medical and Education Outreaches

We have some great updates to share with you from our Health Program for the month of October. Medical outreaches continue throughout this month to various villages throughout Kuku Group Ranch.

On October 14, a medical outreach took place in Kuku - 64 patients were seen at this very busy community outreach. A Community Health Worker delivered a talk to those in attendance on family planning. This talk resulted in five clients requesting for contraceptives.

Kuku community health workers dispensing medications

Mothers and babies waiting for immunizations

Also on October 15, Lairumbe presented a talk on female genital cutting to 50 MWCT Rangers. The presentation was well received, with many inquisitive questions and comments from the Rangers.

A busy immunization clinic in Kuku

In light of the recent increase in teenage pregnancies which is a direct result of girls dropping out of school, MWCT has initiated a weekly school education program in Iltilal, as well as a monthly education program in Langata. On October 17, MWCT Health staff visited Iltilal Primary School and spoke to 70 girls in Class 6 and 7 about setting life goals. The next day, staff travelled to Langata Primary School to speak to 150 girls in Class 5, 6, 7, and 8.

School girls at Langata Primary write down their life goals

Health Update - Tetanus Campaign

We would love to share a brief, but exciting new update for the MWCT Health Program which occurred in September of 2013. On September 13-19, the Maasai Wilderness Conservation Trust supported the Ministry of Health Tetanus Campaign by arranging a series of outreaches.

This campaign aimed to support women that are at a reproductive age - and are therefor more susceptible to the tetanus disease. Because this is a very fatal disease, the importance of immunization was emphasized through these outreaches as it is preventable with provided immunizations. MWCT Health Staff complied with the campaign by ensuring the message of the importance of this immunization was communicated.  

A local woman receives a tetanus immunization

This Maternal and Neonatal Tetanus Campaign was launched by the Kenya Ministry of Health to ensure a commitment to the global goal of controlling, eliminating, and eradicating vaccine-preventable diseases in Kenya.   

School girls queue to receive immunizations

MWCT organized three health outreaches to the villages of Kuku, Samai, and Enkusero to ensure that the communities living far away from the campaign would still receive the benefits that the campaign provided. As a result of this, Iltilal Health Centre exceeded it's target by 18%, which was 175 women above the targeted number.

Health Update - Outreaches and Education Day

We would like to sincerely apologize for our delay in sharing the efforts of the trust for the past few weeks on this blog! However, there has still be plenty of activity within our programs, and the MWCT Health Program has been very busy this past month. The MWCT Health Staff accomplished four village outreach programs in the month of September to different communities within Kuku Group Ranch. These community outreaches are accompanied by MWCT Heath Staff, government health staff, as well as the community health workers.

Village members wait patiently for services provided in our outreaches

These community health outreaches continually aim to mobilize information to Maasai community members to create an understanding of the programs of the Maasai Wilderness Conservation Trust, and the services provided within.

As an added outreach, MWCT Health staff took the wonderful opportunity to deworm 333 school children as they were all gathered in Olorika for the Maasai Wilderness Conservation Trust Education Day. The MWCT Education Day is a day celebration that is hosted for the primary school located within Kuku Group Ranch that receives the highest top marks on the KCPE exams (Kenya Certificate of Primary Education).

Deworming pills are handed out to school children in Olorika

In other very exciting news for the MWCT Health Program, the Iltilal Health Centre received the most amount of child deliveries under skilled care at the health facility in the month of September. This is very exciting for our program, as it is the highest monthly total for this year! Furthermore, the proposed renovations in the Langata dispensary have now been completed. As a result of these renovations, a new room has been constructed that will now act as a post-delivery room, as well as serving double-purpose as a room for Dr. Gabriel to stay on his 3-day outreaches to this village.

Continued efforts in health outreaches to villages of Kuku, Olorika, and Oltiasika

Furthermore, we would like to share the following link that has displayed the MWCT Health Program efforts to utilize Medical Aid Films in the communities with the Kuku Group Ranch. Maasai Wilderness Conservation Trust is featured on their website here: http://medicalaidfilms.org/working-in-the-maasai/

Health Update - New Village Outreach Program!

Sam giving a talk on cervical cancer during an Oltiasika outreach.

MWCT's Health Program has stayed busy since we last posted -- lots of exciting work going on all over Kuku Group Ranch!  In the months after the rainy season we've made great progress with our village outreaches, having successful ones each month and starting a new 3-day outreach program in which our nurse Sam and lab technician Felix spend 3 days each month at our 2 primary clinics around Kuku Group Ranch that don't have regular MWCT staffing.

Sam explains a self-breast exam to women in Oltiasika while government nurse Peter demonstrates.

During their 3 days at each clinic they provide cancer screenings for women in the area, family planning sessions, immunizations for children, lab work and testing, and shorter outreaches to smaller surrounding villages with no health facilities at all.  They also give talks to the community on the importance of testing, hygiene, deworming for children, and many other topics.  Finally, they work with the local Community Health Workers to ensure the care provided during the rest of the month is as good as possible.

Sam and Felix with Olorika Community Health Worker Daniel.

We initiated this program in June by sending Sam and Felix to both Olorika and Oltiasika for 3 days each; it was very well received by the communities.  In addition to performing operations and testing, Sam made a point to teach the government nurses how to perform the tasks and they did very well.

Olorika CHW Daniel checking in on the chickens.

In Olorika we also helped with the Community Health Workers' income-generating project, raising chickens.  The money generated by selling the chickens will help purchase small supplies to allow the CHWs to be as useful as possible. Every day we're working to make MWCT more useful to the surrounding Maasai community!

Health Update - Outreaches and Visitors!

It's been a good month for the Health Program, with continued outreaches and education about the aims of our program aimed at helping the Maasai community understand how the Maasai Wilderness Conservation Trust functions and the different services available through our programs.

Lena and Sam prepare to see patients during a recent Health outreach.

We've also been thrilled to host a very important visitor for two weeks -- MWCT Development Coordinator  Kira Seibert was visiting from the United States!  As our lead publicity and development coordinator in America, this visit allowed her to get a much more personal, in-depth understanding of the aims and activities of the Trust.  After three weeks of Health outreaches, safaris, hikes in the Chyulus, meetings with Community Rangers, and much more she didn't even want to leave!

Kira seeing the Conservation Program's work close at hand.

This month in Oltiasika we also practiced some new techniques aimed at maximizing our impact in the short time we have available in each small community.  In addition to the regular seeing of patients by Sam and Felix, Lena spoke with Maasai about the importance of family planning  options and techniques while they were standing in line.  Furthermore, we're developing a plan to expand our Health outreach program by rotating our nurses around to the various dispensaries for a few days at a time, rather than just one or two days per month.  All of these improvements are designed to use MWCT's resources in more effective and efficient ways.

A child is examined during on of MWCT's Health outreaches.

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.