MSF Homa Bay Project

Decentralised Services: Non-communicable disease 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

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.

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.