Saturday 22 Jul 2017

The school is situated at Rarieda in Bondo County, Kenya and was officially opened on 13 of January 2015 with 10 children and two teachers, bFebruary the number of children increased to 34 and in April 2015 we are serving 43 pupils. Due to our continous growth another  teacher has joined us to take care of baby class.


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Over the last ten years, AMURT Health Care Centre with support from development partners and the Government of Kenya has realized  tremendous growth and currently runs 15 clinical and diagnostic  departments that serves up to 24,000 outpatient cases annualy.

 

These include;

 

GENERAL OUTPATIENT CONSULTATION

This forms the Primary entry point to the facility. A team of three registered clinical officers provides these services. They attend to an average of 80-100 patients daily. An estimated 240,000 consultations have been made to date. Currently the service is provided at Ksh 100 for the first visit and 50 shillings per review visit.

 

DIAGNOSTIC LABORATORY SERVICE

Our Diagnostic medical laboratory is equipped to provide most basic routine, hematology, TB, HIV and Biochemistry tests. It is also equipped with a modern CD4 machine for monitoring immunological progression of HIV patients and acts as a regional referral centre for Westlands District. The Services are provided by two-registered laboratory Technologists. The laboratory also works in collaboration with other Public and private laboratories in Nairobi such as KEMRI, Medanta Africare and University of Nairobi for more advanced tests.

 

PHARMACY SERVICES

This in-house medical dispensing service is mainly supported by Cosmos pharmaceuticals. The company supplies essential medicines at highly subsidized prices. This benefit is extended to our clients who access prescribed medicine at half market- price. Other key suppliers include Mission for Essential Drugs Supplies (MEDS), amongst others. The services are provided by two registered pharmaceutical technologists.

 

NURSING CARE

This broad range of services that includes, injections, I.V. fluids administration, Mother &Child Clinics, dressing and patient observation is provided by a team of three registered nurses. They also provide patient monitoring in our day-care observation room for critical patients before transfer to referral hospitals.

 

RADIOLOGY SERVICES

This service was commenced in 2005.Though old and rapidly becoming outdated the mobile unit is able to take commonly requested films including chest and most peripheral films. The department employs two radiographers on locum basis. Advanced imaging is referred to the nearby Medanta Africare Diagnostic center.

 

ULTRASOUND SERVICES

This service was commenced in 2005. The service is provided twice a week by a visiting sonographer from Kenyatta hospital. Most commonly taken scans include, abdominal and obstetric scan for antenatal mothers.

 

DENTAL SERVICES

Our Dental unit was established in 2007, as a donation by Mrs. Illa Patel (board member). It consists of a modern Dental chair, compressor and all essential equipment and accessories. The unit can conduct extractions, fillings and procedures such as root canal. The services are provided by one Dental technician.

 

OPTICAL SERVICES

This is one of our newest departments, having commenced in 2012. It is a partnership with a private optical company, Vision Eye Care, provides basic ophthalmic treatment and optical services such as refractive error corrections. Spectacles are provided at half market prices. Services are provided by two trained opticians.

 

PHYSIOTHERAPY CLINIC

This department was established in 2012 in response to rising cases of physical deformities such as those due to strokes as a result of hypertension and other non-communicable diseases. Services provided are mainly rehabilitative in nature and chronic pain management. Plans are underway to expand due to growing service demand .The services are provided by one locum Physiotherapist at reasonably affordable costs.

 

ORTHOPEDIC SERVICES

This service mainly entails reduction of fractures and other bone deformities, which are quite common in this region. Services provided include application of different types of plaster of Paris (POP) casts. A visiting orthopaedic surgeon and one plaster technician provides these treatment services at on- call basis.

 

PRIVATE CONSULTING CLINICS

These clinic located on the second floor was established in December 2011 in response to demand for specialized consultations by our clientele that includes corporate insurance clients.  The clinics include dermatology, general physician services. Plans are underway to add Pediatric, ENT, and Gynecology clinic days. Currently the consultation fee is Ksh. 500. Corporate clients served include, CIC,   BRITAM, NHIF, ECLOF, among others.

 

HIV COMPREHENSIVE CARE SERVICES

AMURT Health Care Center was able to establish a HIV Comprehensive Care Centre in the year 2004, which brought to realization the primary intention of the facility, which was its primary goal. This service was supported by FHI /NASCOP and Nairobi Health management Board under the IMPACT Program. It is one of the earliest HIV comprehensive treatment centres to be established in Nairobi after KNH and Mbagathi Hospitals. The clinic provides ARVs, ARV's adherence counseling, as well as HIV testing and counseling. From an initial ten patients in 2004 the clinic now serves more than 2000 Patients on a monthly basis. It is supported by the MOH through the USAID- Funded Aphia plus program. The centre also supports the 'Goldstar program’, a local FHI affiliate, reaching about 300 private medical practitioners with ARVs in Nairobi. The  CCC as is commonly referred to, has gone ahead to integrate TB ,Sexual Reproductive Health and Family Planning services to its core services in line with MOH guidelines.

 

AMBULANCE/FIRST AID TRAINING 

This service commenced in October 2013. A Toyota Hiace van has already been converted into an ambulance capable of providing basic life support services .Services provided by a trained nurse and driver on call.

 

MNCH/FP CLINIC

AMURT HealthCare Center provides antenatal, postnatal, family Planning and PMTCT, services for mothers. In addition immunizations and well baby clinics for children under five's. Most types of Family planning methods are available including injectable, oral contraceptives, implants and IUCDs. The MOH and 'TUPANGE' programs support these services. A team of three Well-trained Nurses provide the services.

 

TB CLINIC

This clinic currently located at the comprehensive care center is supported by the MOH through 'Kenya Leprosy and TB program'. Since its inception in 2004, numerous cases have been diagnosed through our laboratory and treated at the clinic. Patients diagnosed elsewhere are also referred for monitoring by our TB clinician. Regular supervision is done by the District TB coordinator from the Ministry of health.

 

amurt growth

 

FUTURE PLANS 

Radiology Department-There is an urgent need to upgrade the current X-ray machine to a modern digital model. Introduce advanced imaging including, CT scan.

Estimated cost Kshs.15 million.

Laboratory-upgrade the current Blood analyzer to advanced modern models, PCR machine, expands current scope of Biochemistry tests to modern ones offering variety of services.

Estimated cost Kshs.5 million.

Kidney analysis-Establish a dialysis unit with at least five machines targeting 50 chronic and 30 acute renal failure patients  on a monthly basis within  our catchment area.

Estimated costs Kshs.10 million.

Phsiotherapy-Expand the current room to a modern rehabilitation and physical exercise unit.

Estimated costs Ksh 5 Million

Installation of electric lift-that will facilitate patient movement to other services from Ground Floor to Third floor.

Estimated cost Kshs.6 million.

Satellite ClinicTargets opening at least Eight Satellite Clinics in five county headquarters including Kiambu, Machakos ,Kajiado, Eldoret, Kisii, Kakamega, Ugunja,  Nakuru.

Estimated costs Kshs. 20 Million each.

In-patientDeveloping partnership with a leading hospital in India to establish an estimated 400- bed hospital at AMURT farm in Kikuyu sub-county, which will provide amongst other services, Cancer treatment with facilities capable of diagnosing and treating commonly encountered malignancies in Kenya. This will go a long way in serving our clientele who currently can only be referred to already overburdened District and Referral Hospitals.

 

 

 

 

          

HIV/AIDS Orphans and Vulnerable Children’s Program, Nairobi Kenya

Many children in Kenya are affected by the HIV pandemic. Either they are born with the virus, or they acquire it through their mother’s milk, or they are orphaned due to the death of their parents to the disease. According to the National Aids Control Council (NACC) 2005 report, 1.9 Million Kenyan children are AIDS orphans. 

AMURT provides a daycare program for children infected or affected by HIV/AIDS in its community center near the Kangemi slum area of Nairobi. Kangemi has a high incidence of HIV, with one in seven people infected.

Street Children’s Nutrition Program, Nairobi Kenya
Under this program 600 children are given a healthy meal and a glass of milk every Sunday. The children are also taught environmental cleanliness and the safe use of water. Occasionally we provide counseling for the children. Watch video on drug abuse by one of our supporting projects.
 
School and Children´s Home - Wasswa village, Mukona District, Uganda Uganda
The AMURT-sponsored school is located in a picturesque setting in Wasswa village in the rolling hills of Mukona District, about 60 miles from Kampala. The school draws from a population of 30,000 people living in seven villages within a ten mile radius.
 
The school was first started in 1988 on twenty acres of land donated to AMURT. It was a simple project in the beginning, with twenty village children being taught under a tree! The first building was constructed in 1991, and now the school has 333 children from Nursery to Primary 7. Twenty-one children are boarders and eight children are orphans in our care.
 
The school is popular as it achieves a high academic standard. In 2003 the school stood second in academic performance out of thirty-eight primary schools in Nagajji County. This was a surprisingly good result for a rural school. The reason for the school´s success is discipline (the teachers come to work every day!) and the extra classes that are taught in the afternoon.
 
The school follows the government syllabus, teaching Luganda, English, Math, Science, Geography and Agriculture. In addition we offer classes in Story-telling, Art and Physical Exercise.
We are caring for eight orphans, who were screened for eligibility by the local council before we received them. Five live with us, and three are accommodated in the nearby village.
 

 

 

AMURT Health Care Centre, Likoni, Mombasa
In 2005 AMURT built this health facility in the Likoni slum near Mombasa. The clinic has 9 medical staff, and serves as the base for 15 community based health workers who provide home based care services to over 1000 HIV patients, PMTCT, SRH, STI services. In partnership with the Ministry of Health and Family Health International we provide treatment for TB, Malaria, and HIV. The major donors are AMURT Italy, Palm, Chandi Parivar and local donors. The training program for the community health workers was provided by Pathfinder International.

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AMURT GF PROJECT

 

GOAL

 

To contribute towards the reduction of new HIV infections and AIDS related morbidity and mortality for an HIV free society.

 

OBJECTIVES

 
•    Expand care and treatment services to reach universal access by 2013 and maintain the cohort through 2016 (1874 PLHIVs to be reached by end of year 3 i.e by June 2015)


•    By 2016, increase the coverage of PMTCT, MARPs, and HTC interventions by at least 25% each.
           PMTCT – Prevention of mother to child transmission (1584 pregnant women to be referred for ANC uptake and delivery in health facilities)
           MARPs – Most at Risk Populations (776 MSMs and 1400 SWs to be reached by end of year 3)
           HTC – HIV testing and counselling


•    Strengthen management and administration of GF grants ( Leadership and Governance)

 

SERVICE DELIVERY AREAS (SDAs) IN THE PROJECT

 

SDA 1: HCBC

 

Under this SDA, AMURT is to identify 1874 defaulters who are to be enrolled back to treatment.

These clients are identified by the Comprehensive Care Centre in-charge (CCC) in the facilities we are working with. These clients are then linked to Community Health Volunteers (CHVs) within their communities for close follow-up. These 90 CHVs who were trained by AMURT, are mandated with giving services to these clients which include;

 

ü         •   Psychosocial support

ü         •   Adherence counselling

ü         •   Education on treatment and nutrition

ü         •   Mobilize targeted clients in the community for sensitization sessions

 

SDA 2: PMTCT

 

Under this SDA, AMURT is to identify 1584 pregnant women and refer them to health facilities for safe and safe skilled delivery by end of June 2015. These women are to attend all 4 ANC visits and deliver in health facilities. CHVs do conduct follow-up visits to these women to ensure adherence of the visits and deliveries in health facilities.

Health talks that are facilitated by AMURT are conducted to pregnant women in health facilities that we work with to sensitize these pregnant women.

 

SDA 3: MARPs

 

Under this SDA, 776 MSMs and 1400 SWs are to be reached with a minimum package which includes;
•    HIV testing and counselling
•    Risk reduction counselling
•    Provision of condoms, lubricants and IEC materials

 

These clients are reached;
•    Through 32 Peer educators who were trained by AMURT in the peer led intervention
•    At the wellness centre where they are given comprehensive services
•    Through sensitization sessions conducted in their hot spots

 

AMURT WELLNESS CENTRE

 

This is a safe place for the MARPs group who include MSMs and SWs.

Services offered at the centre include;


                  1. STI screening and treatment
                  2. TB screening
                  3. Cervical cancer screening
                  4. HIV testing and counselling
                  5. Risk reduction counselling
                  6. Distribution of IEC materials, condoms and lubricants
                  7. Recreational activities
                  8. Resource centre
                  9. Clinical observation and treatment of minor ailments
                  10. Family planning
                  11. Refferrals

Clients are reached by peer educators and referred to the wellness centre for different services.
The centre has a clinical officer and nurse who attend to clients who drop in the centre and even do follow-up calls to the clients.


1.1. STREET AND VULNERABLE CHILDREN NUTRITION FEEDING PROGRAM (2001 to date)
This is an initial relief program of AMURT providing food support to street children on a need basis depending on availability of funds supported by Asian community. It was initiated in 2001 with a number of 50 children; in 2005 it expanded the services to 600 children led by Nitin Shah and well-wishers. The children receive one highly a nutritious meal every Sunday.

 

1.2. WIDOWS, SINGLE MOTHER AND DISABLED PROGRAM (2002 to date)
This program was started with 11 HIV- infected women in 2002 and expanded in 2004 with support from Victoria furniture; currently it is serving 2000 women, getting one dry -food basket every Sunday.

 

1.3. AMURT DAY-CARE AND VOCATIONAL CENTER-(2003 up to date)
Started in 2003 with 14 HIV infected children, currently 115 of them are in the program. With support from Pfizer Austria, we managed to open vocational training centre for older vulnerable children. The center has six departments; Nursery, computer, tailoring, beads making and hairdressing training. So far 477 youth have received trainings and over 327 have found meaningful employment as a result. Also the centre provides food, clothes, school fees, treatment, psychological counseling, transport and guardian support.

 

1.4. WCRP-WOMEN GROUPS TRAINING-2004
With support from World conference on Religion and Peace (WCRP) we have trained 57 HIV infected women in tie-n-dye fabrication training. They formed 12 different IGA groups and utilizing the training skills for improved livelihoods.

 

1.5. COMMUNITY BASED POPULATION & HEALTH INTEGRATED ACTION (COPHIA MOMBASA)-2005
In collaboration with by Pathfinder International in Mombasa through this project AMURT staff received training to work in the community to reduce HIV burden as home based care providers. Also trained 72 groups of PLHIV and over 200 patients were served through home based care services.

 

1.6. GLOBAL FUND ROUND II-2005
This proposal was written in 2002 and funded in 2005 with a consortium of NGOs led by KANCO AMURT trained 100 health care professions in HIV AIDS management, Ten thousand IEC materials developed and distributed, 200 home based care kits supplied to PLHIV.

 

1.7. PATHFINDER-APHIA II NAIROBI (CCC)-2006-TODATE
Through APHIA II Program Pathfinder/USAID took over the support of AMURT CCC from 2006 to 2010 .This partnership was renewed through APIA-PLUS program and continues to date .The program supports the center with ART commodities, support supervision ,training, laboratory supplies, and basic medical equipment .

 

1.8. IMPACT PROJECT (LOCAL IMPLEMENTING PARTNER)-2006-2007
Through support from FHI, AMURT conducted a massive HIV prevention and awareness campaign targeting different religious groups reaching religious leaders and groups perceived not to be at risk of HIV in Nairobi. Over five hundred thousand people received IEC materials on HIV prevention.

 

1.9. PRIMARY HEALTH CARE PROJECT (PHC)-2008-2009
This was the first public health outreach project at AMURT covering Nairobi, Coast and Nyanza province. ASL Mantova, a Government hospital in Italy, supported this project. The project reached 4800 families with health Education on basic hygiene, nutrition, family planning, water and sanitation as well as HIV Prevention. In addition, 1600 families received household Income generation training and financial support.

 

1.10. GOLD STAR NETWORK-2008-TODATE
Gold star network is a local affiliate of FAMILY Health international in Kenya. The program aims at scaling up ART services targeting private practitioners and their clients in Nairobi. Through this Public Private partnership AMURT CCC centrally procures ARVs on behalf of the program which is subsequently distributed to the practitioners by GSN. Over 800 HIV patients attending private clinics in Nairobi are reached with free ARVs though this partnership monthly.

 

1.11. TOTAL WAR AGAINST AIDS (TOWA)-2011-2012
Total War against Aids was a project supported NATIONAL Aids control council (NACC) THROUGH Westlands Constituency AIDS Control committee (CACC).The project reached 2000 people with HIV testing and IEC

 

1.12. SAMBURU COMMUNITY ASSISTANCE PROJECT -2010-2012- (KNH –GERMANY)-
Based in Samburu East District -Supported 11000 people with Nutritional support, 26 primary schools provided with water harvesting and storage facilities, 56 women groups provided with support to initiate a ‘women’s cooperative’ for economic empowerment, 150 households reached with skills for alternative source of food (kitchen gardening), 26 of them have received farming tools, seeds, water storage tanks and fencing materials, 6000 people reached with Mobile Clinic Services. Women cooperative is still ongoing in Wamba, Samburu East District. AMURT youth vocational training center has trained 60 youths in computer literacy, and established 5 bakeries to improve youth livelihoods.

 

1.13. TUPANGE PROJECT (AMUA)-2012-TODATE
This project aims at improving quality, accessibility and utilization of family planning services in private clinics within Nairobi. Implemented in collaboration with JHPIEGO and a consortium of four other organizations .The project also works Increased and sustained demand for family planning through community mobilization, guaranteed availability of contraceptives, increased private sector engagement and private sector approaches for sustained impact, Strengthened policies that support increased utilization of family planning amongst the urban poor, and Capacity building for sustainability.

 

1.14. SAMBURU JAMII BORA MNCH PROJECT-2013-2016
The goal of this European Union funded project is to contribute to the reduction of maternal mortality by two thirds and child mortality by three quarters in Samburu County (Samburu East, Samburu North and Samburu Central Districts) by the end of three years. The Project objectives is to increase access and utilization of quality MNCH services to at least 20,000 target beneficiaries, Increase access to and uptake of SRH and FP services to at least 30,000, Reach at least 85,000 target beneficiaries with community MNCH promotive actions and improve household income to at least 2000 households in Samburu County by the end of 3years.

 

1.15. WASICHANA WOTE WASOME (WWW PROJECT )-2013-2016
This is a three year project within the Girl Education Challenge (GEC) initiative funded by DFID through ‘Centre for British Teachers’ (CFBT). The target is to support 5000 girls between 6-16 years with improved enrollment, retention and performance in 25 schools in Samburu East district and 35 schools in Mombasa. Working in partnership with ‘ CfBT’ Concern worldwide’ ‘Girl Child network’ the project employs community health strategy, community dialogue, Teacher coaching and gender sensitive pedagogy approaches to realize its objectives.

 

1.16. INUKA COMMUNITY BASED OVC PROJECT (ICOP)-2013-2018
This is the latest project at AMURT .The goal of this five year USAID Funded project is to expand service coverage and improve the overall wellbeing of Orphans and Vulnerable Children and their households in Bondo and Rarieda Districts. Its key objectives include, To enhance Access to age-appropriate essential services for the betterment of the health of 11,000 OVC and 3000 OVC care- givers through direct, home- based and referral services, Develop Capacity of local communities to deliver sustainable, quality, high impact range of critical services to OVC strengthen economic capabilities of 3,000 households looking after targeted OVCs, as well as Promote Quality improvement of OVC service delivery within the 2 Districts.

 

1.17 KENYA INTEGRATED HIV/AIDS PROJECT (KIHAP)-2009-2011

This was AMURT’S first USAID directly -funded project through AMURT USA chapter based in Washington DC.
The Goal of the project was to prevent the transmission of HIV, and bring sustainable services to those infected and affected by HIV in Nine locations within Nyanza, Central and Coast provinces.Project key achievements included,3,000 OVC reached with care and support services ,enabling them lead productive lives as accepted members of the society, 20 comuunity based organizations organizations strengthened to create sustainable support structure to oversee the development of the 3,000 OVC, 1,000 PLWA provided with home based care and referral services; Mass HIV Prevention conducted reaching 1,000,000 people that includes 100,000 out-of-school youth. 2,000 youth affected or infected by HIV provided with resource centre services and computer vocational training.T hrough support from Nupita,the technical assistance agency attached to the project, we were able to develop most organizational policies procedures and structures including Governance project and financial management systems.These changes have catapulted the organization to a whole new level of attracting new funding opportunities.

 

1.18 GLOBAL FUND ROUND-10-(2012-2014)
Through the Kenya red cross Amurt was awarded this sugrant as a local implementing partner in 2012The project objective is to reach HIV key populations with prevention services Care and Support For PLWHIV,Prevention of Mother to Child Transmission and HIV Testing and Counseling.The project activities are conducted mainly through outreaches targeting these groups and recently was able to set up a wellness centre for the provision of clinical services to these special Populations.

 

1.19 APHIA PLUS KAMILI (LOCAL IMPLEMENTING PARTNER)-2012-2015
In 2012 Amurt entered into partnership with JHPIEGO as local implementing partner to implement this USAID –Funded project in central province. The project targets to provide 6000 orphans and vulnerable children within Kiambu county (Thika West & East, Kikuyu, Kiambu, And Gatundu) with basic package of care and support services,(in the areas of education, health, shelter, food and nutrition, psychosocial support, protection). For sustainability the project also provides household economic strengthening for selected most in need OVC households..

 

1.20 APHIA PLUS WESTERN (LOCAL IMPLEMENTING PARTNER)-2012-2015
In partnership with Program for Appropriate Technology in Health (PATH),this project is part of the larger APHIA-PLUS western. The project objective is to support 1100 orphans and vulnerable children within Siaya & Homa Bay county with basic package of care and support services,(in the areas of education, health, shelter, food and nutrition, psychosocial support, protection) .It also provides Household economic strengthening for selected OVC households

 

1.21 APHIA PLUS NAIROBI-COAST (LOCAL IMPLEMENTING PARTNER)-2012-2013
This project was implemented in partnership with APHIA plus Nairobi – Coast, with Pathfinder as the lead organization. The goal of the subproject was to promote quality of life for 1000 Orphans and Vulnerable Children in 3 counties, namely Kilifi-(Malindi), Kwale (Ukunda) and Mombasa (Likoni). It was geared towards the fight against spread of HIV, care and support of infected and affected populations through quality-driven services and best practices. The project ended in September 2013 and in the Overall key objectives were met and sustainability mechanisms of the same put in place.

AMURT Health Care Centre, Likoni, Mombasa

In 2005 AMURT built this health facility in the Likoni slum near Mombasa. The clinic has 9 medical staff, and serves as the base for 15 community based health workers who provide home based care services to over 1000 HIV patients, PMTCT, SRH, STI services. In partnership with the Ministry of Health and Family Health International we provide treatment for TB, Malaria, and HIV. The major donors are AMURT Italy, Palm, Chandi Parivar and local donors. The training program for the community health workers was provided by Pathfinder International

AMURT Mahaya Hospital, Mahaya, Kisumu

In 2006, and in conjunction with the Ministry of Health, AMURT completed construction of this hospital in the village of Mahaya, 72 kilometers from Kisumu in the Lake Victoria region. The main function of this hospital is to support pregnant mothers and reduce the risk of child mortality. According to our survey, 95 % of pregnant mothers deliver their babies at home, often in unsafe conditions. Our maternity ward provides mothers with a safe place to give birth. The hospital has 23 beds as well as a pharmacy, laboratory, pediatric section, and small operating theatre where we also provide voluntary medical male circumcision (VMMC) PMTCT, SRH, STI services . An average of 50 patients gets treatment daily. The major donors for this project are the Embassy of Japan, Embassy of Egypt, Hyarbisan Construction Company, CDF, Kenya Concrete, and Skylark.

HIV/AIDS Orphans and Vulnerable Children's care Program, Nairobi

An estimate 1.2 million children in Kenya are orphan by HIV pandemic in 2008. Either they are born with the virus, or they acquire it through breast feeding, or they are orphaned due to the death of their parents to the disease. AMURT provides a daycare program for children infected or affected by HIV/AIDS in its community center near the Kangemi slum area of Nairobi. It has been serving 116 children since 2003. This program is supported by AMURT Italy, AMURT USA, Lions Greater Nairobi, and individual donors.

Support nutrition supplement for Prevention of Mother-to-Child Transmission of HIV, Nairobi

AMURT is currently supporting nutrition food supplement and pasteurized milk for women in Kangemi slum. They come to the AMURT community center every day to receive one liter of treated milk. They receive this allocation of milk for the first 12 months of their child's life. After 12 months the baby is given unimix, a nutritious mixture of food supplements. We have over 50 children in this program. The women are referred to this program from the AMURT Health Care Centre, where they receive counseling in ante-natal care.

Support nutrition supplement for Prevention of Mother-to-Child Transmission of HIV, Nairobi

AMURT is currently supporting nutrition food supplement and pasteurized milk for women in Kangemi slum. They come to the AMURT community center every day to receive one liter of treated milk. They receive this allocation of milk for the first 12 months of their child's life. After 12 months the baby is given unimix, a nutritious mixture of food supplements. We have over 50 children in this program. The women are referred to this program from the AMURT Health Care Centre, where they receive counseling in ante-natal care.

Vocational Training Center for HIV/AIDS Infected and Affected Vulnerable Children, Nairobi.

Our vocational training center supports HIV I AIDS infected and affected children aged 13 to 18, by training them in tailoring, hairdressing, computer skills, and handicraft making. Since 2006, we have trained over 250 young boys and girls who are earning their own livelihood. This program was supported by Pfizer Austria.

Micro-Credit, Capacity Building and Skills Training, Nairobi

The Ten Sister's Self Help Group started with 12 HIV infected mothers in July 2003. The objective of the project is to help the women with HIV/AIDS, who are desperately poor, find the means to better provide for their families. AMURT organized training program for 48 HIV -infected women to make tie-dye fabric, shirts and children's clothes. In January 2004, AMURT provided the group with 4 sewing machines so they could decorate their items with lace. Many of the women suffered from discrimination, even from their own families, due to HIV. In the self-help group they find a supportive community, a means to earn an income, and hope for the future. Currently we have 5 such groups in action and doing well. This program was initiated by World Conference on Religion and Peace (WCRP).

Widow's and Disabled People's Support Program, Nairobi

This program started with 21 widows in 2001 under the sponsorship of Victoria Furniture. Now we provide 1700 widows and disabled people with a weekly food basket of maize flour, beans, bread, biscuits and milk for their children. Occasionally we distribute blankets and other useful items depending on the needs.

AMURT Educational Support Program, Likoni, Mombasa

In 2007, AMURT opened a nursery school in our Likoni center. We started with 55 poor children with basic education, food, and healthcare. Currently we have expanded the school building and serving 300 children with help from AMUR T Italy and other supporters in the community.

Training Program for Healthcare Professionals, Nairobi

AMURT organizes training programs for health care professionals in various Nairobi clinics. Since 2006, with the support of the Global Fund, we trained 350 health care professionals, including nurses, laboratory technicians, pharmacists, VCT counselors, and HIV/AIDS managers.

AMURT community development project at -Karai Central province

In 2007 we purchased land to open a multi-purpose development project for the community that will include a health care center, nursery school, orphanage, dairy farm, community water tank, and vocational training center. The project will employ over 100 people and benefit 7,000- 10,000. This project is under construction, part of the land have been used for cultivation.

Primary health care and nutrition project

This project started in January 2009 and is based at our own health care centers at Mombasa, Mahaya and Nairobi. It provides training in health management, personal hygiene, sanitation, nutrition, safe water, family planning, first aid, traditional birth attendance, mother and child care and immunization HIV/AIDS, TB, Malaria prevention, environmental cleanliness to 4,800 families (16,000 people). Trained groups were supported to start Income Generation Activities as a response to health/food insecurity. The Funds for this project were provided by Regione Lombardia, DG Health. Project management was performed by Amurt Italy and ASL Mantova

Income Generation Activity (IGA) and skill building for Individuals

In partnership with the Patanjali Yoga Society of Kenya, this program has provided skill training and financial support to 2500 poor people with the means to start, or expand, their own businesses.

Micro credit and group finance

As a response to poverty and food insecurity, AMURT has supported skill building training to 120 groups (a group of 40 members) country wide to build their entrepreneurship skills and with a startup capital. An impact assessment of the program has showed tremendous success with 90 groups achieving set targets. The project management was performed in partnership with Amurt Italy. Another 200 groups are under training of skill building and entrepreneurship development with Equity bank of Kenya to receive financial support for IGA activities. The project management was performed in partnership with Amurt Italy.

Games and sports

AMURT has managed to form 36 football teams countrywide who are active in spreading HIV prevention messages throughout the country through organizing tournaments. They also conduct peer education and counseling and condom distributions.

Music and drama groups

AMURT has trained 9 teams in music and drama countrywide. They are encouraging community members; youths to create awareness on social education, stigma, and superstitious beliefs and bringing positive changes in socio cultural development.

Child rights and advocacy

AMURT have established 9 pilot child rights clubs countrywide who are educated on their rights. AMURT provides them with legal protection supports upon violation of their rights.

Youth resource centers

AMURT has established 12 youth resource centers countrywide whereby the youth are getting together during their free time and reading useful material, watch TV programs, sports etc. It provides a meeting place for the youth where they can discuss their issues and engage in sports and other entertainment. We have acknowledged that it has significantly brought the feeling of collectiveness and reduced crime levels and the youths are gaining advanced knowledge too. These resource centers are equipped with library, TV sets, leaflets, brochures, posters, magazines, news papers and condoms. A youth peer educator manages each of these centers.

Community capacity building training

We have trained 120 OVC care counselors, 120 HBC providers, 135 youth peer educators, 90 community resources person, 18 chiefs, children officers and paralegal personnel in the community to strengthen the community structure to sustain the program.

Youth vocational training centers

AMURT is running 10 vocational training centers and have trained 2000 youths in computer skills and software maintenance packages countrywide in the last 2 years. Over 260 youths have secured meaningful employment as result of these skills.

SAMBURU COMMUNITY ASSISTANCE PROJECT (SCAP)

The project started as an emergency food relief intervention in September 2011 to December 2011 in Samburu County. Key achievements in the first phase includes 1500 households supported with dry food rations for three months, 18 mobile clinics out reaches conducted reaching to 1400 people with comprehensive medical services. And 30 community drinking water points supported with water purification commodity. 
Phase two of this project commenced in January 2012 with a goal of ensuring long-term sustainability on environmental protection, economic productivity and alternative livelihood. The key activities includes formation, training and grant provision to 92 women groups comprising consumer’s cooperative benefiting 2000 women and their families in alternative source of income, and training of 10 women groups on crop production and agribusiness. Installation of 20 water harvesting system and storage tanks in public schools, health education on safe water management, use and storage and cleaning process. AMURT has acquired 5 acres land from the local community to build a multi purpose community resource center providing training and learning facility for youth, women and girls empowerment, farmers, businessmen and pastoralist.

The school is situated at Rarieda in Bondo County, Kenya and was officially opened on 13 of January 2015 with 10 children and two teachers, bFebruary the number of children increased to 34 and in April 2015 we are serving 43 pupils. Due to our continous growth another  teacher has joined us to take care of baby class.


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Over the last ten years, AMURT Health Care Centre with support from development partners and the Government of Kenya has realized  tremendous growth and currently runs 15 clinical and diagnostic  departments that serves up to 24,000 outpatient cases annualy.

 

These include;

 

GENERAL OUTPATIENT CONSULTATION

This forms the Primary entry point to the facility. A team of three registered clinical officers provides these services. They attend to an average of 80-100 patients daily. An estimated 240,000 consultations have been made to date. Currently the service is provided at Ksh 100 for the first visit and 50 shillings per review visit.

 

DIAGNOSTIC LABORATORY SERVICE

Our Diagnostic medical laboratory is equipped to provide most basic routine, hematology, TB, HIV and Biochemistry tests. It is also equipped with a modern CD4 machine for monitoring immunological progression of HIV patients and acts as a regional referral centre for Westlands District. The Services are provided by two-registered laboratory Technologists. The laboratory also works in collaboration with other Public and private laboratories in Nairobi such as KEMRI, Medanta Africare and University of Nairobi for more advanced tests.

 

PHARMACY SERVICES

This in-house medical dispensing service is mainly supported by Cosmos pharmaceuticals. The company supplies essential medicines at highly subsidized prices. This benefit is extended to our clients who access prescribed medicine at half market- price. Other key suppliers include Mission for Essential Drugs Supplies (MEDS), amongst others. The services are provided by two registered pharmaceutical technologists.

 

NURSING CARE

This broad range of services that includes, injections, I.V. fluids administration, Mother &Child Clinics, dressing and patient observation is provided by a team of three registered nurses. They also provide patient monitoring in our day-care observation room for critical patients before transfer to referral hospitals.

 

RADIOLOGY SERVICES

This service was commenced in 2005.Though old and rapidly becoming outdated the mobile unit is able to take commonly requested films including chest and most peripheral films. The department employs two radiographers on locum basis. Advanced imaging is referred to the nearby Medanta Africare Diagnostic center.

 

ULTRASOUND SERVICES

This service was commenced in 2005. The service is provided twice a week by a visiting sonographer from Kenyatta hospital. Most commonly taken scans include, abdominal and obstetric scan for antenatal mothers.

 

DENTAL SERVICES

Our Dental unit was established in 2007, as a donation by Mrs. Illa Patel (board member). It consists of a modern Dental chair, compressor and all essential equipment and accessories. The unit can conduct extractions, fillings and procedures such as root canal. The services are provided by one Dental technician.

 

OPTICAL SERVICES

This is one of our newest departments, having commenced in 2012. It is a partnership with a private optical company, Vision Eye Care, provides basic ophthalmic treatment and optical services such as refractive error corrections. Spectacles are provided at half market prices. Services are provided by two trained opticians.

 

PHYSIOTHERAPY CLINIC

This department was established in 2012 in response to rising cases of physical deformities such as those due to strokes as a result of hypertension and other non-communicable diseases. Services provided are mainly rehabilitative in nature and chronic pain management. Plans are underway to expand due to growing service demand .The services are provided by one locum Physiotherapist at reasonably affordable costs.

 

ORTHOPEDIC SERVICES

This service mainly entails reduction of fractures and other bone deformities, which are quite common in this region. Services provided include application of different types of plaster of Paris (POP) casts. A visiting orthopaedic surgeon and one plaster technician provides these treatment services at on- call basis.

 

PRIVATE CONSULTING CLINICS

These clinic located on the second floor was established in December 2011 in response to demand for specialized consultations by our clientele that includes corporate insurance clients.  The clinics include dermatology, general physician services. Plans are underway to add Pediatric, ENT, and Gynecology clinic days. Currently the consultation fee is Ksh. 500. Corporate clients served include, CIC,   BRITAM, NHIF, ECLOF, among others.

 

HIV COMPREHENSIVE CARE SERVICES

AMURT Health Care Center was able to establish a HIV Comprehensive Care Centre in the year 2004, which brought to realization the primary intention of the facility, which was its primary goal. This service was supported by FHI /NASCOP and Nairobi Health management Board under the IMPACT Program. It is one of the earliest HIV comprehensive treatment centres to be established in Nairobi after KNH and Mbagathi Hospitals. The clinic provides ARVs, ARV's adherence counseling, as well as HIV testing and counseling. From an initial ten patients in 2004 the clinic now serves more than 2000 Patients on a monthly basis. It is supported by the MOH through the USAID- Funded Aphia plus program. The centre also supports the 'Goldstar program’, a local FHI affiliate, reaching about 300 private medical practitioners with ARVs in Nairobi. The  CCC as is commonly referred to, has gone ahead to integrate TB ,Sexual Reproductive Health and Family Planning services to its core services in line with MOH guidelines.

 

AMBULANCE/FIRST AID TRAINING 

This service commenced in October 2013. A Toyota Hiace van has already been converted into an ambulance capable of providing basic life support services .Services provided by a trained nurse and driver on call.

 

MNCH/FP CLINIC

AMURT HealthCare Center provides antenatal, postnatal, family Planning and PMTCT, services for mothers. In addition immunizations and well baby clinics for children under five's. Most types of Family planning methods are available including injectable, oral contraceptives, implants and IUCDs. The MOH and 'TUPANGE' programs support these services. A team of three Well-trained Nurses provide the services.

 

TB CLINIC

This clinic currently located at the comprehensive care center is supported by the MOH through 'Kenya Leprosy and TB program'. Since its inception in 2004, numerous cases have been diagnosed through our laboratory and treated at the clinic. Patients diagnosed elsewhere are also referred for monitoring by our TB clinician. Regular supervision is done by the District TB coordinator from the Ministry of health.

 

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FUTURE PLANS 

Radiology Department-There is an urgent need to upgrade the current X-ray machine to a modern digital model. Introduce advanced imaging including, CT scan.

Estimated cost Kshs.15 million.

Laboratory-upgrade the current Blood analyzer to advanced modern models, PCR machine, expands current scope of Biochemistry tests to modern ones offering variety of services.

Estimated cost Kshs.5 million.

Kidney analysis-Establish a dialysis unit with at least five machines targeting 50 chronic and 30 acute renal failure patients  on a monthly basis within  our catchment area.

Estimated costs Kshs.10 million.

Phsiotherapy-Expand the current room to a modern rehabilitation and physical exercise unit.

Estimated costs Ksh 5 Million

Installation of electric lift-that will facilitate patient movement to other services from Ground Floor to Third floor.

Estimated cost Kshs.6 million.

Satellite ClinicTargets opening at least Eight Satellite Clinics in five county headquarters including Kiambu, Machakos ,Kajiado, Eldoret, Kisii, Kakamega, Ugunja,  Nakuru.

Estimated costs Kshs. 20 Million each.

In-patientDeveloping partnership with a leading hospital in India to establish an estimated 400- bed hospital at AMURT farm in Kikuyu sub-county, which will provide amongst other services, Cancer treatment with facilities capable of diagnosing and treating commonly encountered malignancies in Kenya. This will go a long way in serving our clientele who currently can only be referred to already overburdened District and Referral Hospitals.

 

 

 

 

          

HIV/AIDS Orphans and Vulnerable Children’s Program, Nairobi Kenya

Many children in Kenya are affected by the HIV pandemic. Either they are born with the virus, or they acquire it through their mother’s milk, or they are orphaned due to the death of their parents to the disease. According to the National Aids Control Council (NACC) 2005 report, 1.9 Million Kenyan children are AIDS orphans. 

AMURT provides a daycare program for children infected or affected by HIV/AIDS in its community center near the Kangemi slum area of Nairobi. Kangemi has a high incidence of HIV, with one in seven people infected.

Street Children’s Nutrition Program, Nairobi Kenya
Under this program 600 children are given a healthy meal and a glass of milk every Sunday. The children are also taught environmental cleanliness and the safe use of water. Occasionally we provide counseling for the children. Watch video on drug abuse by one of our supporting projects.
 
School and Children´s Home - Wasswa village, Mukona District, Uganda Uganda
The AMURT-sponsored school is located in a picturesque setting in Wasswa village in the rolling hills of Mukona District, about 60 miles from Kampala. The school draws from a population of 30,000 people living in seven villages within a ten mile radius.
 
The school was first started in 1988 on twenty acres of land donated to AMURT. It was a simple project in the beginning, with twenty village children being taught under a tree! The first building was constructed in 1991, and now the school has 333 children from Nursery to Primary 7. Twenty-one children are boarders and eight children are orphans in our care.
 
The school is popular as it achieves a high academic standard. In 2003 the school stood second in academic performance out of thirty-eight primary schools in Nagajji County. This was a surprisingly good result for a rural school. The reason for the school´s success is discipline (the teachers come to work every day!) and the extra classes that are taught in the afternoon.
 
The school follows the government syllabus, teaching Luganda, English, Math, Science, Geography and Agriculture. In addition we offer classes in Story-telling, Art and Physical Exercise.
We are caring for eight orphans, who were screened for eligibility by the local council before we received them. Five live with us, and three are accommodated in the nearby village.
 

 

 

AMURT Health Care Centre, Likoni, Mombasa
In 2005 AMURT built this health facility in the Likoni slum near Mombasa. The clinic has 9 medical staff, and serves as the base for 15 community based health workers who provide home based care services to over 1000 HIV patients, PMTCT, SRH, STI services. In partnership with the Ministry of Health and Family Health International we provide treatment for TB, Malaria, and HIV. The major donors are AMURT Italy, Palm, Chandi Parivar and local donors. The training program for the community health workers was provided by Pathfinder International.

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AMURT GF PROJECT

 

GOAL

 

To contribute towards the reduction of new HIV infections and AIDS related morbidity and mortality for an HIV free society.

 

OBJECTIVES

 
•    Expand care and treatment services to reach universal access by 2013 and maintain the cohort through 2016 (1874 PLHIVs to be reached by end of year 3 i.e by June 2015)


•    By 2016, increase the coverage of PMTCT, MARPs, and HTC interventions by at least 25% each.
           PMTCT – Prevention of mother to child transmission (1584 pregnant women to be referred for ANC uptake and delivery in health facilities)
           MARPs – Most at Risk Populations (776 MSMs and 1400 SWs to be reached by end of year 3)
           HTC – HIV testing and counselling


•    Strengthen management and administration of GF grants ( Leadership and Governance)

 

SERVICE DELIVERY AREAS (SDAs) IN THE PROJECT

 

SDA 1: HCBC

 

Under this SDA, AMURT is to identify 1874 defaulters who are to be enrolled back to treatment.

These clients are identified by the Comprehensive Care Centre in-charge (CCC) in the facilities we are working with. These clients are then linked to Community Health Volunteers (CHVs) within their communities for close follow-up. These 90 CHVs who were trained by AMURT, are mandated with giving services to these clients which include;

 

ü         •   Psychosocial support

ü         •   Adherence counselling

ü         •   Education on treatment and nutrition

ü         •   Mobilize targeted clients in the community for sensitization sessions

 

SDA 2: PMTCT

 

Under this SDA, AMURT is to identify 1584 pregnant women and refer them to health facilities for safe and safe skilled delivery by end of June 2015. These women are to attend all 4 ANC visits and deliver in health facilities. CHVs do conduct follow-up visits to these women to ensure adherence of the visits and deliveries in health facilities.

Health talks that are facilitated by AMURT are conducted to pregnant women in health facilities that we work with to sensitize these pregnant women.

 

SDA 3: MARPs

 

Under this SDA, 776 MSMs and 1400 SWs are to be reached with a minimum package which includes;
•    HIV testing and counselling
•    Risk reduction counselling
•    Provision of condoms, lubricants and IEC materials

 

These clients are reached;
•    Through 32 Peer educators who were trained by AMURT in the peer led intervention
•    At the wellness centre where they are given comprehensive services
•    Through sensitization sessions conducted in their hot spots

 

AMURT WELLNESS CENTRE

 

This is a safe place for the MARPs group who include MSMs and SWs.

Services offered at the centre include;


                  1. STI screening and treatment
                  2. TB screening
                  3. Cervical cancer screening
                  4. HIV testing and counselling
                  5. Risk reduction counselling
                  6. Distribution of IEC materials, condoms and lubricants
                  7. Recreational activities
                  8. Resource centre
                  9. Clinical observation and treatment of minor ailments
                  10. Family planning
                  11. Refferrals

Clients are reached by peer educators and referred to the wellness centre for different services.
The centre has a clinical officer and nurse who attend to clients who drop in the centre and even do follow-up calls to the clients.


1.1. STREET AND VULNERABLE CHILDREN NUTRITION FEEDING PROGRAM (2001 to date)
This is an initial relief program of AMURT providing food support to street children on a need basis depending on availability of funds supported by Asian community. It was initiated in 2001 with a number of 50 children; in 2005 it expanded the services to 600 children led by Nitin Shah and well-wishers. The children receive one highly a nutritious meal every Sunday.

 

1.2. WIDOWS, SINGLE MOTHER AND DISABLED PROGRAM (2002 to date)
This program was started with 11 HIV- infected women in 2002 and expanded in 2004 with support from Victoria furniture; currently it is serving 2000 women, getting one dry -food basket every Sunday.

 

1.3. AMURT DAY-CARE AND VOCATIONAL CENTER-(2003 up to date)
Started in 2003 with 14 HIV infected children, currently 115 of them are in the program. With support from Pfizer Austria, we managed to open vocational training centre for older vulnerable children. The center has six departments; Nursery, computer, tailoring, beads making and hairdressing training. So far 477 youth have received trainings and over 327 have found meaningful employment as a result. Also the centre provides food, clothes, school fees, treatment, psychological counseling, transport and guardian support.

 

1.4. WCRP-WOMEN GROUPS TRAINING-2004
With support from World conference on Religion and Peace (WCRP) we have trained 57 HIV infected women in tie-n-dye fabrication training. They formed 12 different IGA groups and utilizing the training skills for improved livelihoods.

 

1.5. COMMUNITY BASED POPULATION & HEALTH INTEGRATED ACTION (COPHIA MOMBASA)-2005
In collaboration with by Pathfinder International in Mombasa through this project AMURT staff received training to work in the community to reduce HIV burden as home based care providers. Also trained 72 groups of PLHIV and over 200 patients were served through home based care services.

 

1.6. GLOBAL FUND ROUND II-2005
This proposal was written in 2002 and funded in 2005 with a consortium of NGOs led by KANCO AMURT trained 100 health care professions in HIV AIDS management, Ten thousand IEC materials developed and distributed, 200 home based care kits supplied to PLHIV.

 

1.7. PATHFINDER-APHIA II NAIROBI (CCC)-2006-TODATE
Through APHIA II Program Pathfinder/USAID took over the support of AMURT CCC from 2006 to 2010 .This partnership was renewed through APIA-PLUS program and continues to date .The program supports the center with ART commodities, support supervision ,training, laboratory supplies, and basic medical equipment .

 

1.8. IMPACT PROJECT (LOCAL IMPLEMENTING PARTNER)-2006-2007
Through support from FHI, AMURT conducted a massive HIV prevention and awareness campaign targeting different religious groups reaching religious leaders and groups perceived not to be at risk of HIV in Nairobi. Over five hundred thousand people received IEC materials on HIV prevention.

 

1.9. PRIMARY HEALTH CARE PROJECT (PHC)-2008-2009
This was the first public health outreach project at AMURT covering Nairobi, Coast and Nyanza province. ASL Mantova, a Government hospital in Italy, supported this project. The project reached 4800 families with health Education on basic hygiene, nutrition, family planning, water and sanitation as well as HIV Prevention. In addition, 1600 families received household Income generation training and financial support.

 

1.10. GOLD STAR NETWORK-2008-TODATE
Gold star network is a local affiliate of FAMILY Health international in Kenya. The program aims at scaling up ART services targeting private practitioners and their clients in Nairobi. Through this Public Private partnership AMURT CCC centrally procures ARVs on behalf of the program which is subsequently distributed to the practitioners by GSN. Over 800 HIV patients attending private clinics in Nairobi are reached with free ARVs though this partnership monthly.

 

1.11. TOTAL WAR AGAINST AIDS (TOWA)-2011-2012
Total War against Aids was a project supported NATIONAL Aids control council (NACC) THROUGH Westlands Constituency AIDS Control committee (CACC).The project reached 2000 people with HIV testing and IEC

 

1.12. SAMBURU COMMUNITY ASSISTANCE PROJECT -2010-2012- (KNH –GERMANY)-
Based in Samburu East District -Supported 11000 people with Nutritional support, 26 primary schools provided with water harvesting and storage facilities, 56 women groups provided with support to initiate a ‘women’s cooperative’ for economic empowerment, 150 households reached with skills for alternative source of food (kitchen gardening), 26 of them have received farming tools, seeds, water storage tanks and fencing materials, 6000 people reached with Mobile Clinic Services. Women cooperative is still ongoing in Wamba, Samburu East District. AMURT youth vocational training center has trained 60 youths in computer literacy, and established 5 bakeries to improve youth livelihoods.

 

1.13. TUPANGE PROJECT (AMUA)-2012-TODATE
This project aims at improving quality, accessibility and utilization of family planning services in private clinics within Nairobi. Implemented in collaboration with JHPIEGO and a consortium of four other organizations .The project also works Increased and sustained demand for family planning through community mobilization, guaranteed availability of contraceptives, increased private sector engagement and private sector approaches for sustained impact, Strengthened policies that support increased utilization of family planning amongst the urban poor, and Capacity building for sustainability.

 

1.14. SAMBURU JAMII BORA MNCH PROJECT-2013-2016
The goal of this European Union funded project is to contribute to the reduction of maternal mortality by two thirds and child mortality by three quarters in Samburu County (Samburu East, Samburu North and Samburu Central Districts) by the end of three years. The Project objectives is to increase access and utilization of quality MNCH services to at least 20,000 target beneficiaries, Increase access to and uptake of SRH and FP services to at least 30,000, Reach at least 85,000 target beneficiaries with community MNCH promotive actions and improve household income to at least 2000 households in Samburu County by the end of 3years.

 

1.15. WASICHANA WOTE WASOME (WWW PROJECT )-2013-2016
This is a three year project within the Girl Education Challenge (GEC) initiative funded by DFID through ‘Centre for British Teachers’ (CFBT). The target is to support 5000 girls between 6-16 years with improved enrollment, retention and performance in 25 schools in Samburu East district and 35 schools in Mombasa. Working in partnership with ‘ CfBT’ Concern worldwide’ ‘Girl Child network’ the project employs community health strategy, community dialogue, Teacher coaching and gender sensitive pedagogy approaches to realize its objectives.

 

1.16. INUKA COMMUNITY BASED OVC PROJECT (ICOP)-2013-2018
This is the latest project at AMURT .The goal of this five year USAID Funded project is to expand service coverage and improve the overall wellbeing of Orphans and Vulnerable Children and their households in Bondo and Rarieda Districts. Its key objectives include, To enhance Access to age-appropriate essential services for the betterment of the health of 11,000 OVC and 3000 OVC care- givers through direct, home- based and referral services, Develop Capacity of local communities to deliver sustainable, quality, high impact range of critical services to OVC strengthen economic capabilities of 3,000 households looking after targeted OVCs, as well as Promote Quality improvement of OVC service delivery within the 2 Districts.

 

1.17 KENYA INTEGRATED HIV/AIDS PROJECT (KIHAP)-2009-2011

This was AMURT’S first USAID directly -funded project through AMURT USA chapter based in Washington DC.
The Goal of the project was to prevent the transmission of HIV, and bring sustainable services to those infected and affected by HIV in Nine locations within Nyanza, Central and Coast provinces.Project key achievements included,3,000 OVC reached with care and support services ,enabling them lead productive lives as accepted members of the society, 20 comuunity based organizations organizations strengthened to create sustainable support structure to oversee the development of the 3,000 OVC, 1,000 PLWA provided with home based care and referral services; Mass HIV Prevention conducted reaching 1,000,000 people that includes 100,000 out-of-school youth. 2,000 youth affected or infected by HIV provided with resource centre services and computer vocational training.T hrough support from Nupita,the technical assistance agency attached to the project, we were able to develop most organizational policies procedures and structures including Governance project and financial management systems.These changes have catapulted the organization to a whole new level of attracting new funding opportunities.

 

1.18 GLOBAL FUND ROUND-10-(2012-2014)
Through the Kenya red cross Amurt was awarded this sugrant as a local implementing partner in 2012The project objective is to reach HIV key populations with prevention services Care and Support For PLWHIV,Prevention of Mother to Child Transmission and HIV Testing and Counseling.The project activities are conducted mainly through outreaches targeting these groups and recently was able to set up a wellness centre for the provision of clinical services to these special Populations.

 

1.19 APHIA PLUS KAMILI (LOCAL IMPLEMENTING PARTNER)-2012-2015
In 2012 Amurt entered into partnership with JHPIEGO as local implementing partner to implement this USAID –Funded project in central province. The project targets to provide 6000 orphans and vulnerable children within Kiambu county (Thika West & East, Kikuyu, Kiambu, And Gatundu) with basic package of care and support services,(in the areas of education, health, shelter, food and nutrition, psychosocial support, protection). For sustainability the project also provides household economic strengthening for selected most in need OVC households..

 

1.20 APHIA PLUS WESTERN (LOCAL IMPLEMENTING PARTNER)-2012-2015
In partnership with Program for Appropriate Technology in Health (PATH),this project is part of the larger APHIA-PLUS western. The project objective is to support 1100 orphans and vulnerable children within Siaya & Homa Bay county with basic package of care and support services,(in the areas of education, health, shelter, food and nutrition, psychosocial support, protection) .It also provides Household economic strengthening for selected OVC households

 

1.21 APHIA PLUS NAIROBI-COAST (LOCAL IMPLEMENTING PARTNER)-2012-2013
This project was implemented in partnership with APHIA plus Nairobi – Coast, with Pathfinder as the lead organization. The goal of the subproject was to promote quality of life for 1000 Orphans and Vulnerable Children in 3 counties, namely Kilifi-(Malindi), Kwale (Ukunda) and Mombasa (Likoni). It was geared towards the fight against spread of HIV, care and support of infected and affected populations through quality-driven services and best practices. The project ended in September 2013 and in the Overall key objectives were met and sustainability mechanisms of the same put in place.

AMURT Health Care Centre, Likoni, Mombasa

In 2005 AMURT built this health facility in the Likoni slum near Mombasa. The clinic has 9 medical staff, and serves as the base for 15 community based health workers who provide home based care services to over 1000 HIV patients, PMTCT, SRH, STI services. In partnership with the Ministry of Health and Family Health International we provide treatment for TB, Malaria, and HIV. The major donors are AMURT Italy, Palm, Chandi Parivar and local donors. The training program for the community health workers was provided by Pathfinder International

AMURT Mahaya Hospital, Mahaya, Kisumu

In 2006, and in conjunction with the Ministry of Health, AMURT completed construction of this hospital in the village of Mahaya, 72 kilometers from Kisumu in the Lake Victoria region. The main function of this hospital is to support pregnant mothers and reduce the risk of child mortality. According to our survey, 95 % of pregnant mothers deliver their babies at home, often in unsafe conditions. Our maternity ward provides mothers with a safe place to give birth. The hospital has 23 beds as well as a pharmacy, laboratory, pediatric section, and small operating theatre where we also provide voluntary medical male circumcision (VMMC) PMTCT, SRH, STI services . An average of 50 patients gets treatment daily. The major donors for this project are the Embassy of Japan, Embassy of Egypt, Hyarbisan Construction Company, CDF, Kenya Concrete, and Skylark.

HIV/AIDS Orphans and Vulnerable Children's care Program, Nairobi

An estimate 1.2 million children in Kenya are orphan by HIV pandemic in 2008. Either they are born with the virus, or they acquire it through breast feeding, or they are orphaned due to the death of their parents to the disease. AMURT provides a daycare program for children infected or affected by HIV/AIDS in its community center near the Kangemi slum area of Nairobi. It has been serving 116 children since 2003. This program is supported by AMURT Italy, AMURT USA, Lions Greater Nairobi, and individual donors.

Support nutrition supplement for Prevention of Mother-to-Child Transmission of HIV, Nairobi

AMURT is currently supporting nutrition food supplement and pasteurized milk for women in Kangemi slum. They come to the AMURT community center every day to receive one liter of treated milk. They receive this allocation of milk for the first 12 months of their child's life. After 12 months the baby is given unimix, a nutritious mixture of food supplements. We have over 50 children in this program. The women are referred to this program from the AMURT Health Care Centre, where they receive counseling in ante-natal care.

Support nutrition supplement for Prevention of Mother-to-Child Transmission of HIV, Nairobi

AMURT is currently supporting nutrition food supplement and pasteurized milk for women in Kangemi slum. They come to the AMURT community center every day to receive one liter of treated milk. They receive this allocation of milk for the first 12 months of their child's life. After 12 months the baby is given unimix, a nutritious mixture of food supplements. We have over 50 children in this program. The women are referred to this program from the AMURT Health Care Centre, where they receive counseling in ante-natal care.

Vocational Training Center for HIV/AIDS Infected and Affected Vulnerable Children, Nairobi.

Our vocational training center supports HIV I AIDS infected and affected children aged 13 to 18, by training them in tailoring, hairdressing, computer skills, and handicraft making. Since 2006, we have trained over 250 young boys and girls who are earning their own livelihood. This program was supported by Pfizer Austria.

Micro-Credit, Capacity Building and Skills Training, Nairobi

The Ten Sister's Self Help Group started with 12 HIV infected mothers in July 2003. The objective of the project is to help the women with HIV/AIDS, who are desperately poor, find the means to better provide for their families. AMURT organized training program for 48 HIV -infected women to make tie-dye fabric, shirts and children's clothes. In January 2004, AMURT provided the group with 4 sewing machines so they could decorate their items with lace. Many of the women suffered from discrimination, even from their own families, due to HIV. In the self-help group they find a supportive community, a means to earn an income, and hope for the future. Currently we have 5 such groups in action and doing well. This program was initiated by World Conference on Religion and Peace (WCRP).

Widow's and Disabled People's Support Program, Nairobi

This program started with 21 widows in 2001 under the sponsorship of Victoria Furniture. Now we provide 1700 widows and disabled people with a weekly food basket of maize flour, beans, bread, biscuits and milk for their children. Occasionally we distribute blankets and other useful items depending on the needs.

AMURT Educational Support Program, Likoni, Mombasa

In 2007, AMURT opened a nursery school in our Likoni center. We started with 55 poor children with basic education, food, and healthcare. Currently we have expanded the school building and serving 300 children with help from AMUR T Italy and other supporters in the community.

Training Program for Healthcare Professionals, Nairobi

AMURT organizes training programs for health care professionals in various Nairobi clinics. Since 2006, with the support of the Global Fund, we trained 350 health care professionals, including nurses, laboratory technicians, pharmacists, VCT counselors, and HIV/AIDS managers.

AMURT community development project at -Karai Central province

In 2007 we purchased land to open a multi-purpose development project for the community that will include a health care center, nursery school, orphanage, dairy farm, community water tank, and vocational training center. The project will employ over 100 people and benefit 7,000- 10,000. This project is under construction, part of the land have been used for cultivation.

Primary health care and nutrition project

This project started in January 2009 and is based at our own health care centers at Mombasa, Mahaya and Nairobi. It provides training in health management, personal hygiene, sanitation, nutrition, safe water, family planning, first aid, traditional birth attendance, mother and child care and immunization HIV/AIDS, TB, Malaria prevention, environmental cleanliness to 4,800 families (16,000 people). Trained groups were supported to start Income Generation Activities as a response to health/food insecurity. The Funds for this project were provided by Regione Lombardia, DG Health. Project management was performed by Amurt Italy and ASL Mantova

Income Generation Activity (IGA) and skill building for Individuals

In partnership with the Patanjali Yoga Society of Kenya, this program has provided skill training and financial support to 2500 poor people with the means to start, or expand, their own businesses.

Micro credit and group finance

As a response to poverty and food insecurity, AMURT has supported skill building training to 120 groups (a group of 40 members) country wide to build their entrepreneurship skills and with a startup capital. An impact assessment of the program has showed tremendous success with 90 groups achieving set targets. The project management was performed in partnership with Amurt Italy. Another 200 groups are under training of skill building and entrepreneurship development with Equity bank of Kenya to receive financial support for IGA activities. The project management was performed in partnership with Amurt Italy.

Games and sports

AMURT has managed to form 36 football teams countrywide who are active in spreading HIV prevention messages throughout the country through organizing tournaments. They also conduct peer education and counseling and condom distributions.

Music and drama groups

AMURT has trained 9 teams in music and drama countrywide. They are encouraging community members; youths to create awareness on social education, stigma, and superstitious beliefs and bringing positive changes in socio cultural development.

Child rights and advocacy

AMURT have established 9 pilot child rights clubs countrywide who are educated on their rights. AMURT provides them with legal protection supports upon violation of their rights.

Youth resource centers

AMURT has established 12 youth resource centers countrywide whereby the youth are getting together during their free time and reading useful material, watch TV programs, sports etc. It provides a meeting place for the youth where they can discuss their issues and engage in sports and other entertainment. We have acknowledged that it has significantly brought the feeling of collectiveness and reduced crime levels and the youths are gaining advanced knowledge too. These resource centers are equipped with library, TV sets, leaflets, brochures, posters, magazines, news papers and condoms. A youth peer educator manages each of these centers.

Community capacity building training

We have trained 120 OVC care counselors, 120 HBC providers, 135 youth peer educators, 90 community resources person, 18 chiefs, children officers and paralegal personnel in the community to strengthen the community structure to sustain the program.

Youth vocational training centers

AMURT is running 10 vocational training centers and have trained 2000 youths in computer skills and software maintenance packages countrywide in the last 2 years. Over 260 youths have secured meaningful employment as result of these skills.

SAMBURU COMMUNITY ASSISTANCE PROJECT (SCAP)

The project started as an emergency food relief intervention in September 2011 to December 2011 in Samburu County. Key achievements in the first phase includes 1500 households supported with dry food rations for three months, 18 mobile clinics out reaches conducted reaching to 1400 people with comprehensive medical services. And 30 community drinking water points supported with water purification commodity. 
Phase two of this project commenced in January 2012 with a goal of ensuring long-term sustainability on environmental protection, economic productivity and alternative livelihood. The key activities includes formation, training and grant provision to 92 women groups comprising consumer’s cooperative benefiting 2000 women and their families in alternative source of income, and training of 10 women groups on crop production and agribusiness. Installation of 20 water harvesting system and storage tanks in public schools, health education on safe water management, use and storage and cleaning process. AMURT has acquired 5 acres land from the local community to build a multi purpose community resource center providing training and learning facility for youth, women and girls empowerment, farmers, businessmen and pastoralist.

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