Integrate SRH in Safe Space

Young women have a right to enjoy their reproductive health, but due to insufficient knowledge and low quality of information regarding their health and limited empowerment from marginalization, low income, they die as a result of complications from pregnancy and child birth. The high level of stigma for young women accessing SRHR services  has not changed substantially in the past decades in Kenya and addressing choice is human rights imperative. Target population in Kayole area suffers the same fate especially delayed actions in mitigating the problem. Vision 2030 aims to provide equitable and affordable healthcare of highest affordable standard to all citizens with emphasis to preventive and promotive health care. Lespoir medical Centre seeks to fill the odds to access and utility of healthcare services in Kayole by providing individuals with quality, subsidized, culturally & demographically appropriate, and affordable health care, focusing on maternal health. In accordance with Article 25 of the Universal Declaration of Human Rights, Lespoir medical Centre strives to improve the health of girls in need.

• To offer reproductive health services to women with respect, dignity and confidentiality
• To improve access and integrating SRH services in our clinic.
• Offer quality safe space for young women to explore their potential

The Kenya National Reproductive Health Policy (NRHP) elaborates on Sexual and Reproductive Health Rights (SRHRs), as essential component of human rights that should be observed. It states that reproductive healthcare must be responsive to expressed needs of the clients/service seekers, and failure to prevent maternal and new-born deaths is a social injustice that violates human rights, in the context of Kenyan laws. Although Kenya has in place both the National Reproductive Health Policy and the National Adolescent Sexual Reproductive Health Policy, both which seek to increase equitable access to reproductive health services by improving responsiveness to clients through the provision of quality, efficient and effective services at all levels of healthcare, many women still face significant problems in accessing SRHS. The NRHP further calls for the elimination of factors that impede equitable access to reproductive health services and in particular, the reduction of financial, and social, political and cultural barriers to those seeking reproductive health services.

The clinic intends to align to the Fast-Track approach for quickening the pace of implementation, focus and change at the community level. It involves setting ambitious targets and accelerating the delivery of high-impact maternal healthcare and treatment services by using innovation to expand services, to better address people’s needs and perspectives and focus on the populations with the highest burden while at the same time addresses social and legal barriers and advances human rights and gender equality. This will encompass; focused, high-impact prevention of maternal mortality; accelerated treatment and retention in care; anti-discrimination Programmes; and an unwavering commitment to respect, protect and promote human rights and gender equality. Our solution will be guided by the principle of person centered, equitable, data driven and collaborative that will be accelerated by adoption of technology based approaches.

Lespoir launched its first family planning at inception after groundwork for family planning prioritization to guide resource mobilization efforts. The clinic was motivated by the experiences of women and young girls within the area which indicated unmet needs in service provision with the objective of fostering locally-driven advocacy and service provision for Family Planning.

The main goal was to increase the locality’s modern contraceptive prevalence rate from 60% to 80% and reduce the unmet need for family planning 10% by 2023. There is need for a more concerted strategy to improve family planning interventions, particularly in the informal settlements and a strong buy-in from the other stakeholders to shepherd the current effort. As a next step, Lespoir will continue to advocate for the creation and utilization of a dedicated family planning strategy and action plan leveraging on synergies with other stakeholders and sector partners to ensure women and young girls can access long acting permanent and reversible contraceptives and bring freedom and choice at their convenience and within reach. Our facility and outreach team each comprise of skilled nurses, a care professionals to offer permanent, quality and affordable family planning methods and services in Kayole area.

The clinic intends to align to the Fast-Track approach for quickening the pace of implementation, focus and change at the community level. It involves setting ambitious targets and accelerating the delivery of high-impact maternal healthcare and treatment services by using innovation to expand services, to better address people’s needs and perspectives and focus on the populations with the highest burden while at the same time addresses social and legal barriers and advances human rights and gender equality. This will encompass; focused, high-impact prevention of maternal mortality; accelerated treatment and retention in care; anti-discrimination Programmes; and an unwavering commitment to respect, protect and promote human rights and gender equality. Our solution will be guided by the principle of person centered, equitable, data driven and collaborative that will be accelerated by adoption of technology based approaches.

Lespoir launched its first family planning at inception after groundwork for family planning prioritization to guide resource mobilization efforts. The clinic was motivated by the experiences of women and young girls within the area which indicated unmet needs in service provision with the objective of fostering locally-driven advocacy and service provision for Family Planning.

The main goal was to increase the locality’s modern contraceptive prevalence rate from 60% to 80% and reduce the unmet need for family planning 10% by 2023. There is need for a more concerted strategy to improve family planning interventions, particularly in the informal settlements and a strong buy-in from the other stakeholders to shepherd the current effort. As a next step, Lespoir will continue to advocate for the creation and utilization of a dedicated family planning strategy and action plan leveraging on synergies with other stakeholders and sector partners to ensure women and young girls can access long acting permanent and reversible contraceptives and bring freedom and choice at their convenience and within reach. Our facility and outreach team each comprise of skilled nurses, a care professionals to offer permanent, quality and affordable family planning methods and services in Kayole area.

In our clinic we have served more than 1000 individuals and specifically 800 girls have accessed Mental health services of which 600 were victims of Gender Based violence.

400 girls have accessed Prep and Pep services within 2 days hence averting HIV infections.

5 girls are accessing ART services and are Peer educators at our safe space.

oung women have a right to enjoy their reproductive health, but due to insufficient knowledge and low quality of information regarding their health and limited empowerment from marginalization, low income, they die as a result of complications from pregnancy and child birth. The high level of stigma for young women accessing SRHR services  has not changed substantially in the past decades in Kenya and addressing choice is human rights imperative. Target population in Kayole area suffers the same fate especially delayed actions in mitigating the problem. Vision 2030 aims to provide equitable and affordable healthcare of highest affordable standard to all citizens with emphasis to preventive and promotive health care. Lespoir medical Centre seeks to fill the odds to access and utility of healthcare services in Kayole by providing individuals with quality, subsidized, culturally & demographically appropriate, and affordable health care, focusing on maternal health. In accordance with Article 25 of the Universal Declaration of Human Rights, Lespoir medical Centre strives to improve the health of girls in need.

Developing long-acting prevention measures

At the centre, we shall develop and introduce sustainable approaches to protecting those at risk. These include potential long-acting prevention interventions like targeted education on behavior change and attitudes that can provide continuous protection over a period of time.

Outreach and linkage program

Maternal health issue in Nairobi County really underlines how important it is to educate not only the youth but also the community at large. A communal behavioral change cannot truly occur without the participation of the whole community. Friendly outreach programs that are participatory, feminist and gender sensitive and health promotions through social marketing for services like sensitization on FP will be put in place. In line with the Kenya Vision 2030 to addresses the county and sub-county drivers of the maternal mortality, we shall adopt a context-specific interventions that address barriers.

Solution having an impact

• Socio-demographic factors that affect access to AYSRH e.g., education level, age, marital status, occupation, religion, clan/sub-clan, as well as the women’s knowledge and attitude towards AYSRH
• Perception on barriers to AYSRH
• Women’s past experiences with the AYSRH provision system e.g. contraceptive use, place of delivery, and ANC follow ups;
• Perception on AYSRH provision systems
• Expectations towards AYSRH and AYSRH provision systems
• Cues to utilize AYSRH e.g., media information, community awareness on AYSRH

Plan for becoming sustainable

1. Social mapping around the locality
2. Revitalisation of community units.
3. Strengthening the relationship between supply end and demand side
4. Activities to promote uptake of services in Kayole by Lespoir.
5. Refurbish Lespoir  to provide CAS services
6. Increased male participation and support in promoting maternal and new born health.
7. Enhanced delivery of CAS and responsive MNH and child immunization services at Lespoir medical Centre.
8.  Increased community leadership support for Kayole community to utilize MNH services.
9. Strengthened linkages between community and health facility.
10.  Increased utilization of MNH services and child immunization services within Kayole

• Enhanced engagement of target population to improve awareness and uptake of MNH services and child immunization practices

we have 4 full time staff both are registered clinician. we also have 5 part time staff and 3 subordinate staff we have got security guards both working day and night to ensure security measures are in place. Among the for clinician the working in deferent time frame day and nigh. The part-time Are working as relivers. 

we have been working on our solution for 2 years

We have establish a research and development department which will be followed by the identification and assignment of roles to its staff. They will be tasked to carry out operations research as well as utilize the knowledge management system in coming up with new products and services as well as strengthening and rebranding the existing products. This department will also be tasked to carrying out monitoring and evaluation within the different departments of the company

Diversity, equity and inclusion are now guiding principles of the modern norms. However, in some regions of the world,  discrimination is still an unfortunate reality. When organisations embrace diversity and inclusion (D&I), they offer unbiased services, safe spaces and retain the best talent, boost employee engagement, and even see better  figures due to heightened public perception. A diverse culture is in a better position to innovate for a range of communities too. Diversity in an organization without inclusion can lead to toxic work culture. And inclusion without diversity is a tell-tale sign of impending stagnation, be it from the creative or the innovative outlook

1.1   Resource raising and staff capacity building

To meet the five goals, the organization will have to grow its resource-base more than five-fold and the capacity of its staff to deliver on the promise of better health services. Several low-level strategies are proposed I the plan to culminate increased resources and manpower.

1.2 Strategic partnership

We will develop a partnership policy that will be a guideline during seeking and been approached by different partners. We will also Identify and maintain relationships with already existing and newly approached partners. Staff will be supported to participate and place our corporate image strategically during networking forums and events.

1.3 Evaluation and redesign of management systems

We will reassign roles and responsibilities to existing staff so as to meet the key performance indicators of each staff, secondly the board will be oriented on the proposed company structure. LESPOIR will also face a rebranding process. To see the success of this there will be internal annual analysis of the strategic plan once institutionalized and the implementation plan started.

1.4: Align the medical ceter operations tocomplete formal structure

The organization will roll out the revised company structure as guided with the strategic plan to all staff then develop and institute KPI’s and Job Descriptios for tnhe staff too. We will develop a capacity building plan for existing and newly hired staff.

We will also develop and adapt new processes and products and services as to changing market and customer needs. For the retention of our visibility, we will establish a quality assurance standards policy for the products and services. This will be also facilitated with frequent quality assurance and improvement processes.

2.2: Utilization of technology

We will use different forms of technology as from social media, website smart phones and technological tools to promote wellness and also achieve most of the strategies such as the visibility.

2.3: Establishing and strengthening of client service and relations department/ R& D department

We will establish and support a client service and relations department that will be tasked to grow client relations and also retain already existing clients. The department will also be continuously conduct market surveys to inform existing and new products and services for repackaging or sales approach. The department will also be conducting client satisfactory surveys and align products and services to international audit processes. This department will also be responsible of establishing subscription tiers for products and services, as well as establish quality standards for the subscriptions.

3.2: Institutionalization of standard operational procedures and policies

We will establish first procedures for orientation, induction and emersion of newly hired staff. Secondly, we will review the human resource, administration and finance policies.

3.3: Aligning Operations to International standards

We will aim and work towards attaining certification by both national and international bodies.

Strengthen LESPOIR sales and marketing strategy

4.1 Institutionalization of sales and marketing strategy

We will develop the sales and marketing which will be implemented over the overall 5years strategic plan. We will also align our marketing programs in lieu of single events and issues occurring in the market.

4.2: Establishment of a sales and marketing department

We will establish a sales and marketing department which will be responsible in defining and assigning sales and marketing roles.

4.3: Utilization of sales and marketing opportunities

The department also will be tasked in conducting corporate social responsibilities as well as identifying networking forums with clients.

Strengthen the R&D functions.

5.1 Institutionalization of a Research  & Development  strategy

We will develop a research and development strategy that will implemented with the overall Company strategy.

5.2 Establishment of R&D department

We will establish a research and development department which will be followed by the identification and assignment of roles to its staff. They will be tasked to carry out operations research as well as utilize the knowledge management system in coming up with new products and services as well as strengthening and rebranding the existing products. This department will also be tasked to carrying out monitoring and evaluation within the different departments of the company.

5.4 Alignment of products and services to client needs

This will be achieved through continuous market surveys, review of existing products and participate in information gathering opportunities   that will lead to pretesting services and piloting of new produce and rebranded or repackaged products and services.