The mobile clinics were identified as an instrument to strengthen existing health
infrastructure within the Kenya Health Sector Strategic Plan 2013- 2017. In line with
this, Beyond Zero adopted the mobile clinics as a One-Stop shop for delivering maternal
and child health services. The mobile clinics are an innovative approach responding to
inadequate access to primary healthcare services by bringing services closer to
populations. Mobile clinics respond to unmet health needs of hard-to-reach
communities. They link them -communities- to the wider health system by strengthening
outreach programs and the capacity of existing referral system.
Beyond Zero donated at least one mobile clinic to all the 47 counties in Kenya. The
mobile clinics routinely provide a myriad of free services and health education
messages. This has been scaled up through the Beyond Zero Medical Safaris as
instruments of delivering specialized healthcare services to communities.
Marsabit County Government has two Beyond Zero mobile clinics. The first mobile clinic (KBZ 545Y) on 3rd Nov 2014. Her Excellency Margaret Kenyatta acknowledged the nature of vastness of Marsabit county geographically and challenges faced by mothers and donated an extra Beyond Zero mobile vehicle (KCL 787E) to promote safe motherhood.
One of the mobile clinics serves Laisamis and North Horr sub counties while the other one serves Saku and Moyale sub counties. Outreach activities are done under the direct supervision of the sub county health management teams. They identify the critical sites that require outreaches and plan for outreaches depending on need, distance to the nearest health facilities or where the communities have settled and near water points.
We have 16 outreach sites, 4 in each sub-county. Health facilities are far and wide apart, the only solution to bring health services closer to the communities is through the outreaches. At one visit so many health activities go on and this include antenatal care, specialized care like having a mobile ultra sound where a risk pregnancy can be detected and referred early, they offer immunization, growth monitoring, health education, treatment of minor ailments such as diarrhoea, upper respiratory tract infection and dispense drugs.
It’s a comprehensive and multi-departmental approach, which ensure maximum use of outreaches. Marsabit County needs outreaches because it is vast, and the communities are predominantly pastoralists. They move and leave behind the static health facilities. The outreaches are the best way to go. Without that, we wouldn’t have achieved the indicators that we have now; reduced maternal mortality, improved immunization coverage, improved ANC visits. We are grateful to Her Excellency for donating two mobile clinics given the vastness of the county.
The county has one mobile clinic which serves the 6 sub-counties; at least one outreach is conducted in each sub county every month providing integrated primary healthcare services such as immunization, cervical cancer screening, ANC, PNC, family planning, growth monitoring among others. Further, the clinic is also used to provide eye care services in the rural areas. “We are privilleged and happy to have the mobile clinic that was donated to us by Her Excellency Margaret Kenyatta.
We have been using the clinic since it was donated in 2015. We have put in our work plan to have at least one outreach per subcounty monthly. We have 6 sub counties, in a month we conduct at least 6 outreaches. We use the mobile clinic to reach the unreached. Whereas the county government has built health facilities, we still have underserved populations and we want to reduce the distance that mothers and their babies travel to reach health facilities.
We have integrated services which include immunization, ANC, family planning, PNC, cervical cancer screening, curative services, growth monitoring, and Vitamin A supplementation. When the mobile clinic goes out it has a package; the primary healthcare package. We also went ahead to integrate eye clinics in the rural areas where over 200 people were screened and 100 cataract surgeries done.
We modified the mobile clinic to have a minor theatre where minor surgeries can be conducted from. The mobile clinic has an impact as we are able to offer primary healthcare services for all the populations, both men and women.”
Rose Micheni, County Nursing Officer
“We have two Beyond Zero mobile clinics in Trans Nzoia County. One mobile clinic serves 4 of the 5 sub counties in Trans Nzoia. The 2 nd mobile clinic operates in Endebess Sub County from Monday to Friday where it provides integrated services such as immunization, antenatal care to pregnant mothers, screening for cervical cancer, laboratory services and clinical services to communities within the sub county.”
Catherine Machimbo, County Nursing Officer,
“We have a schedule for the Beyond Zero clinic within Endebess Sub County which is developed at the beginning of the year. During outreaches, the team provides services such as treatment of minor ailments, ANC, PNC, HIV testing & counselling for pregnant mothers and general population, family planning, immunization, HPV vaccine for girls aged 10 years”.
Gladys Gathoni, SCPHN Endebess Sub County
“I’m pregnant and was expecting the Beyond Zero Clinic to come today so I can get ANC services. We happy because the services are free and are grateful to Her Excellency Margaret Kenyatta for the Beyond Zero mobile clinic, it has reduced the cost of having to travel far as it comes to the community.”
Josphine Nekesa, beneficiary Endebess Sub County.
“The mobile clinic has helped our community a lot. We used to walk for long distance to the nearest health facility but now the health services have been brought closer to us and we’re happy. “
Eunice Wairimu, Beyond Zero Mobile Clinic Beneficiary
“I’m very happy because the services offered during the mobile clinic outreaches are free of charge.”
Monica Wambui, Beyond Zero Mobile Clinic Beneficiary Nyandarua County
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