Case Studies

Efforts To Improve MNCH in Kiambu County


CHS MNCH Activities in Kiambu County

CHS works in 29 health facilities in Kiambu County, contributing to reducing illness and death associated with pregnancy and child birth through scaling up Prevention of Mother to Child Transmission (PMTCT) services, supporting human resources for service delivery in facilities, training health care workers, strengthening community linkages and psychosocial support aimed at eliminating mother to child transmission of HIV.

This has been achieved through integration of ART services into the mother and child health clinics (MCH), employing clinical officers and nurses to support PMTCT service delivery, synchronization of HIV Exposed Infants (HEI) care with immunisation, peer education and psychosocial support by mentor mothers and defaulter identification and tracking mechanisms.

In the period January to September 2014, a total of 12,412 women were counselled and tested for HIV, 417 were identified HIV positive, 377 HIV infected women were provided ARVS to prevent MTCT and 400 infants were provided with Nevirapine prophylaxis.

Download the full brief on CHS MNCH Efforts in Kiambu County

Approach to HIV Testing and Counselling: Nyeri Provincial General Hospital


In September 2012, CHS began a system strengthening journey at Nyeri Provincial General Hospital (PGH), to improve the hospital’s comprehensive care centre (CCC). Challenges ranging from low staffing, poor facilities, overcrowding and client privacy concerns curtailed care and treatment efforts at the hospital.

CHS provided screens and furniture to create extra room thus enhancing privacy and reducing congestion. More counsellors were hired and through the establishment of a duty rota, their distribution to cover all out-patient clinics at the facility was made possible.

Continuous mentorship and regular supervision of counsellors and other health care staff has since played a great role in promoting HIV Testing and Counselling (HTC) uptake at the hospital from 12,347 individuals in October 2012 to 21,170 in September 2013 (71% increase). CHS has completed repairs of HTC rooms which will promote counselling and testing (C&T) operations.