- Médecins Sans Frontières continues to respond to the medical needs of some of Kenya’s most vulnerable people: inhabitants of slum settlements and refugee camps, patients with HIV/AIDS and tuberculosis (TB), and victims of sexual violence.
- Over 350,000 people, mostly Somalis, live in precarious conditions in Dadaab, the world’s largest long-term refugee settlement.
- Médecins Sans Frontières has not had a permanent international staff presence in Dagahaley camp, 80 kilometres from the border with Somalia, since 2011 due to increased insecurity, but continues to manage a 100-bed hospital and an inpatient feeding centre through the work of national staff and remote management.
- Outpatient and inpatient services for children and adults are provided, including maternity care, emergency surgery and treatment for HIV/AIDS and TB.
- Four health posts in Dagahaley offer basic healthcare consultations and outreach activities including mental health support.
- Médecins Sans Frontières issued a briefing paper in March 2014, drawing attention to the inadequate and insecure conditions in Dagahaley and calling for more government and donor support for the Dadaab camps.
- Médecins Sans Frontières' programme in Homa Bay has provided antiretroviral (ARV) treatment to people living with HIV since 2001. The programme is in the process of being handed over to the health ministry.
- A new programme was started in Ndhiwa, where Médecins Sans Frontières has found adult HIV prevalence as high as 24 per cent and a worrying rate of new infections at two per cent per year.
- In order to reduce this, an integrated and simplified model of care will be introduced in health ministry facilities and in the communities in order to diagnose and care for most people living with HIV and decrease their viral load.
Healthcare in Nairobi slum settlements
- In the Eastlands slums, poverty, drug use, crime and impunity contribute to high levels of violence, including sexual assaults.
- Médecins Sans Frontières' programme at the Lavender House clinic in Mathare, offers comprehensive care to victims of sexual and gender-based violence, including access to a 24-hour hotline and pick-up by ambulance.
- Patients receive medical consultations, treatment to prevent transmission of HIV and sexually transmitted infections, a pregnancy test when relevant, swabs for legal purposes, psychological counselling, and referrals for social and legal support.
- A trauma room at Lavender House was also established to manage ambulant medical emergencies, and stabilise and refer patients to other facilities when needed.
- After evaluating the health needs in the area, Médecins Sans Frontières decided to address the population’s lack of access to hospitals and specialist healthcare. A dispatch centre was set up and two ambulances were made available to the residents of Mathare and Eastleigh.
- Médecins Sans Frontières also started supporting the accident and emergency department of Mama Lucy Kibaki hospital – the only hospital accessible for Eastlands’s two million residents – with additional staff, equipment, training and supervision.
- A programme focusing on detection and treatment of people with drug-resistant TB continued at Green House, Mathare, and Médecins Sans Frontières started the first patient diagnosed with extremely drug-resistant TB on a regimen that includes the new anti-TB drug bedaquiline.
- The only free basic healthcare for people in the Kibera slum is provided through two Médecins Sans Frontières clinics. Treatment for HIV/AIDS, TB and chronic diseases is available, and the team runs a comprehensive aftercare programme for victims of sexual violence.
- Médecins Sans Frontières opened a new clinic in Kibera South, offering basic healthcare and maternity services. There is an inpatient maternity ward and an ambulance service for obstetric and other emergencies.
- Integrated management for diseases such as HIV, diabetes and asthma make it a one-stop service, improving patient access to medical care and facilitating early diagnosis, treatment and follow-up.
For the latest news on where we work visit: http://activityreport.msf.org/
Médecins Sans Frontières has worked in the country since 1987 and at the end of 2014, Médecins Sans Frontières had 603 staff in Kenya.