Perceptions of volunteers on the effectiveness of Kenya Medical Training College-run free medical camps in enhancing access to healthcare by vulnerable communities
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240636Keywords:
Volunteerism, Perceptions, Challenges and successesAbstract
In certain regions of Kenya, such as Nyahururu, Kabarnet, Kasikeu, and Mbooni, inadequate access to healthcare services contributes to avoidable deaths. Organizations like the Kenya Medical Training College (KMTC) address this challenge by organizing free medical camps, involving both local and international volunteer healthcare workers. This study explored the effectiveness of KMTC's free medical camps through interviews with 18 key informants, including faculty, non-faculty members, and community leaders from purposefully sampled hardship areas, namely, Nyahururu, Kabarnet, Kasikeu, and Mbooni. The study found that KMTC's free clinics offered crucial services like curative care, immunization, maternal and child health services, disease sensitization, reproductive health services, and substance abuse education. However, limitations were identified, including a shortage of medications, lack of specialized screening, follow-up care, and referral services. Resources available included community health volunteers, KMTC and hospital staff, socio-structural support, and physical infrastructure. Challenges faced by volunteers included motivation issues, inadequate facilitation, limited stakeholder involvement in planning, and perceived service comprehensiveness issues. Despite these challenges, the community acknowledged the vital role of medical camps in delivering essential services to marginalized groups. Addressing resource shortages, enhancing stakeholder engagement, improving service comprehensiveness, and boosting volunteer motivation were highlighted as crucial steps to maximize community benefits.
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References
Ngugi AK, Agoi F, Mahoney MR, Lakhani A, Mang’ong’o D, Nderitu E, et al. Utilization of health services in a resource-limited rural area in Kenya: Prevalence and associated household-level factors. PLoS One. 2017;12:e0172728.
Mwaura JW, Pongpanich S. Access to health care: the role of a community based health insurance in Kenya. Pan Afr Med J. 2012;12:35.
World Bank. Global Financing Facility in Support of Every Woman Every Child Launches Replenishment to Save Lives of up to 38 Million Women, Children and Adolescents by 2030. Available at: https://www.worldbank.org/en/news/press-release/ 2017/09/20/global-financing-facility-launches-replenishment-to-save-lives-of-up-to-38-million-women-children-and-adolescents-by-2030. Accessed on 12 January 2024.
Wanjau MN, Aminde LN, Veerman JL. The avoidable disease burden associated with overweight and obesity in Kenya: A modelling study. EClinicalMedicine. 2022;50:101522.
Onyango EM, Onyango BM. The Rise of Noncommunicable Diseases in Kenya: An Examination of the Time Trends and Contribution of the Changes in Diet and Physical Inactivity. J Epidemiol Glob Health. 2018;8(1-2):1-7.
Lusambili AM, Nyanja N, Chabeda SV, Temmerman M, Nyaga L, Obure J, et al. Community health volunteers challenges and preferred income generating activities for sustainability: a qualitative case study of rural Kilifi, Kenya. BMC Health Serv Res. 2021;21:642.
Ngugi AK, Nyaga LW, Lakhani A, Agoi F, Hanselman M, Lugogo G, et al. Prevalence, incidence and predictors of volunteer community health worker attrition in Kwale County, Kenya. BMJ Glob Health. 2018;3(4):e000750.
KMTC. Kenya Medical Training College. Available at: https://kmtc.ac.ke/?s=CSR. Accessed on 12 January 2024.
Ilinca S, Di Giorgio L, Salari P, Chuma J. Socio-economic inequality and inequity in use of health care services in Kenya: evidence from the fourth Kenya household health expenditure and utilization survey. Int J Equity Health. 2019;18(1):196.
Otieno PO, Wambiya EOA, Mohamed SM, Mutua MK, Kibe PM, Mwangi B, et al. Access to primary healthcare services and associated factors in urban slums in Nairobi-Kenya. BMC Public Health. 2020;20(1):981.
Joseph NK, Macharia PM, Ouma PO, Mumo J, Jalang'o R, Wagacha PW, et al. Spatial access inequities and childhood immunisation uptake in Kenya. BMC Public Health. 2020;20(1):1407.
Darnell JS. Free clinics in the United States: a nationwide survey. Arch Int Med. 2010;170:946-53.
Rogers SE, Rogers CM, Boyd KD. Challenges and opportunities in healthcare volunteer management: insights from volunteer administrators. Hosp Top. 2013;91(2):43-51.