Kenya: Family Planning Manager

****NGO Presentation****

******Women and Health Alliance International (WAHA) is an international non-profit, non-governmental organization headquartered in Paris with the over-arching goal of addressing women’s and children’s health in disadvantaged communities, currently working in 14 countries with funding from the U.S. State Department (BPRM), World Bank, UNFPA, EU and various private donors.

****Context****

WAHA International is operating in Kenya since 2009, and it developed maternal and pediatric health activities.

WAHA first worked in Kenya in 2009 in collaboration with the African Medical and Research Foundation (AMREF). Together in 2009 we operated on 100 women with obstetric fistula in different regions in the country. A situation analysis conducted in 4 districts in Kenya in 2005 showed that there were about 3000 cases of untreated fistula patients. Considering the stigma associated with this condition, this figure is likely to be only the tip of the iceberg.

In 2011, WAHA International with Médecins du Monde France (MdM) started a joint project aimed at improving the health services in Dadaab hospital and in primary health centres of Garissa district. The objective was to deliver good quality sexual, reproductive and child healthcare services for the refugee and host population. The programme built the capacity of health facilities through human and material resources and infrastructure refurbishment.

WAHA International has started to implement a new program since February 2015 to enhancing the quality and uptake of reproductive health (RH) and maternal and child health (MCH) services in the Machafuko settlement in Mombasa.

The action will be implemented in the informal settlement of Machafuko, located in Junda ward in the Kisauni constituency of Mombasa, which is characterised by limited access to basic health services, weak infrastructure including water and sanitation, insecurity, overcrowding, low levels of employment, and exposure to multiple, interacting risks including sexual exploitation and abuse, HIV/AIDS, and violence.

Maternal health indicators within Mombasa’s informal settlement are particularly dire compared to the national picture (Multiple Indicator Cluster Survey 2009 – Mombasa Informal Settlements). Indeed, within the informal settlements, only one in three births are delivered by a skilled attendant. In the Machafuko settlement, poor maternal health outcomes are further exacerbated by a lack of access to care in the event of an obstetric emergency, with no referral systems currently in place to provide transport to an adequately equipped health facility should complications occur either at home or at the health centre. Poor maternal health indicators mirror those observed among newborns and children under 5 years of age. In particular, there is an urgent need to address the nutritional situation of children in the settlements, where 14% of children under 5 years old are severely or moderately under-weight, and almost one in four are stunted.

Many of the poor maternal and child health indicators could be addressed by addressing unmet need for FP, including the reduction of unwanted pregnancies and better birth spacing. Mombasa’s informal settlements experience high levels of unmet FP needs, giving rise to a fertility rate of 3.4 children per woman compared to the national average of 2.9. Teenage pregnancy rates are high at 20%, and only 35% of married women use any modern contraceptive method, with almost one in four expressing an unmet need for contraception. Such indicators are of particular concern against the backdrop of an estimated HIV prevalence of 16% in Mombasa, which is likely to be higher among settlement residents.

****Activities in Kenya****

Duration of the programme: from 1^st of February 2015 to 31th of January 2019. Location Mombasa, informal settlement of Machafuko.

****Title: Enhancing the quality and uptake of reproductive health (RH) and maternal and child health (MCH) services in the Machafuko settlement in Mombasa.****

WAHA International in cooperation with the Midwives Society, a chapter of the National Nurses Association – Kenya (NNAK) and Coast Women In Development (CWID) as well as stakeholders from the country, are partnering to reduce maternal and child morbidity and mortality. The project places community engagement at the core of its activities and will focus on health structure strengthening, capacity building, and community outreach, to increase uptake of reproductive, maternal and child health services. An estimated total of 30,000 women, men and children under 5 will benefit from this project. The objectives of this initiative include:

• Renovate and provide basic MCH equipment for Junda and Mlaleo health facilities; establish a motorbike ambulance referral system including the provision of two motorbike ambulances for the health centres, conduct Information, Education, Communication (IEC) campaigns and community mobilization activities, and train Community Health Workers (CHWs), Community Health Extension Workers (CHEWs) and nurse-midwives in encouraging community uptake of MCH services;


• Train CHWs to identify/refer obstetric fistula and other postpartum cases; train health workers in catheterization, and conduct two 10-day fistula intervention and treatment;


• Establish youth-friendly family planning (FP) services; train FP providers; conduct IEC and community mobilization activities to promote FP use; integrate MCH and reproductive health services;

-Conduct IEC activities to promote good nutritive practices, household CHW distribution of MUACs; train CHEWs/CHWs in MUAC use and weigh-in-sessions; provide micronutrients for <5s, de-worming and refer cases of malnutrition;

• Develop and implement mobile-phone Health Information System for CHWs to record and transit MCH data to the health centres and subsequently to county level.

WAHA will oversee the project implement and management as well as the monitoring and evaluation of project activities. NNAK was chosen due to their proven strength in developing health curriculums and conducting medical training.

****Main Purpose****

*Based in Mombasa, Kenya,under the responsibility of the Project Coordinator.

• Under the supervision of the Project Coordinator, working closely with the County and Sub county Reproductive Health Coordinator, for effective planning, implementing and evaluating youth friendly services, support integration of reproductive health actions in maternal and child health as well as support generation of knowledge and documentation of best practices in the field of youth friendly reproductive health services.

****Key Responsibilities*****

Work closely with the, County Reproductive Health Coordinator, and Sub-County Reproductive Health Coordinator to ensure optimal provision and documentation of all family planning services in the two supported facilities for all women of reproductive age and all men.

• Work closely with County, Sub County Reproductive Health Coordinator, program staff and facility staffs to ensure accurate and timely reporting on Family Planning using appropriate tools.


• Support interventions and strategies that aim to improve the uptake of Family planning services among the youth.


• Proposing a strategy for implementation of a work package that addresses supply-side barriers to contraceptive which is adapted to the local context:


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  • In collaboration with other partners and facility staff, establish youth-friendly family planning (FP) services; train FP providers in youth friendly approaches; organize IEC and community mobilization activities to promote FP use; integrate MCH and reproductive health services.
  
  


• Timely and high quality implementation of planned activities within his/her program and alerting project coordinator to any delays or excessive or under-used of resources.


• Timely and high quality reporting both internal and external of the activities together with critical analysis.

-Identifying and proposing development of new programs

– Contributing to the design and implementation of sectoral advocacy activities.

• Work jointly with other project partners.


• Coordinate identification of training needs and support implementation of relevant training modules targeting health care workers, CHVs, and any other relevant persons.

****Requirements****

****Education**** · Diploma in Kenya Registered Community Health Nurse, Higher National Diploma or BSN in the related field.

****Experience**** · At least two years’ experience in Family Planning especially working as a TOT in Reproductive Health related issues.

· Essential experience with other NGOs

· Essential working experience in informal settlements.

****Languages**** · Fluent in English and Swahili both verbal and written

****Knowledge**** · Essential computer literacy (word, excel and internet)

****Competences**** · Strategic vision.

· Leadership.

· Networking.

· Integrity

· Cultural.