Meshak Aoko, a community health promoter takes patients through a health education session in Nyalkinyi Health Center under the differentiated service delivery model

MSF Homa Bay Project

Who are we

MSF started its activities in Homa Bay in 1997 in response to the high HIV burden in Nyanza province, Kenya and in 2001, MSF provided the first free Antiretroviral Therapy (ART) at the Homa Bay District Referral Hospital. In 2021, MSF shifted focus to a wider scope of chronic diseases, to address the increasing burden of non communicable diseases in Homa Bay Sub County.

Patients form a group under the differentiated service delivery model in Homabay county

Our Programs in Homa Bay

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Medical Care

 

  • Support for three adult medical wards, including TB wards, at Homa Bay County Teaching and Referral Hospital (HBCTRH).

  • Point-of-care laboratory for supported wards, MoH blood bank, and blood donation campaigns.

  • Decentralized, simplified chronic disease care at Nyalkinyi and Marindi PHC facilities since 2021.

  • Established referral framework, differentiated models of care, community screening, and awareness.

  • Diagnostic, treatment, and follow-up care for Kaposi Sarcoma (KS) patients.

  • Post-Discharge Clinic (PDC): follow-up on unstable patients for 8 weeks after discharge.

  • Chemotherapy treatment for KS patients.

  • End-of-life and palliative care in hospital and home-based settings.

Decentralised Services: NCD Care

 

  • Post-Discharge Clinic: treatment of critically ill patients with advanced HIV and complications of NCDs.

  • Two integrated chronic disease care clinics at Nyalkinyi and Marindi for:

    1. Diabetes

    2. Hypertension

    3. Asthma

    4. Epilepsy

    5. Chronic Obstructive Pulmonary Disease (COPD)

    6. Sickle Cell Disease

  • Pioneered differentiated service delivery model for Diabetes and Hypertension:

    1. Facility-based care

    2. Community-based care

    3. Standard care

    4. Fast-track care

  • Strengthened referral networks across Homa Bay

Our Impact

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Post discharge clinic

 

MSF also provides post-discharge treatment for patients in need of special follow-up from the inpatient wards with chronic diseases for 8 weeks including HIV, and non-communicable diseases at the post discharge clinic, while providing linkages for continuity of care through linkages..

Close up of patient advocate Pamela Anyango undergoing a diabetes test

2,612

2,612

consultations

1,562

1,562

patients enrolled

80

8

Chemotherapy treatment for Kaposi Sarcoma patients

Decentralised Services: NCD Care

 

Since 2021, MSF has implemented a decentralised, simplified model of chronic disease care in Nyalkinyi and Marindi, integrating services for diabetes, hypertension, asthma, epilepsy, COPD, and sickle cell, with differentiated care and strengthened referrals.

Close up of patient advocate Pamela Anyango undergoing a blood sugar test

17,249

17,249

consultations ncds

2,805

2,805

patients on care

1,200

1,2

new patients enrolled
MSF in Homa Bay pdf — 45.54 MB

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