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

Médecins Sans Frontières (MSF) began working in Homa Bay in 1997 in response to the high HIV burden in Kenya’s Nyanza region. The team offered free HIV testing, counseling, and treatment for opportunistic infections, and in 2001, partnered with the Ministry of Health to launch Kenya’s first free Antiretroviral Therapy (ART) program at Homa Bay District Hospital.

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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Medical Care

 

MSF supports the adult and TB wards of Homa Bay County Teaching and Referral Hospital with human resources, training, mentorship, SOPs, medication buffering, laboratory support, blood donation campaigns, Kaposi Sarcoma care, chemotherapy, and palliative services.

Close up of patient advocate Pamela Anyango undergoing a diabetes test

3,648

3,648

patients admitted in medical wards

1,234

1,234

HIV-positive patients (inpatient)

485

485

TB patients treated

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

9,968

9,968

chronic disease consultations

1,956

1,956

patients on care

932

932

patients enrolled overall
MSF in Homa Bay pdf — 48.16 MB

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