We are lucky to be joined by City and Hackney Healthier Fund, East End Community Foundation, Lloyds Foundation and Social Investment Business for an interactive session on their funding priorities and support available for voluntary and community groups.
Healthier Hackney Fund - In October 2017, the Council and City and Hackney Clinical Commissioning Group (CCG) launched the healthier City and Hackney grant fund for 2018/19.
This new fund brought together two former grant funds, the CCG innovation fund and Hackney Council's healthier Hackney fund, to provide a scheme to make grants to help us achieve our joint health and wellbeing aims for communities in the City of London and Hackney.
East End Community Foundation connects business and individuals with the grassroots organisations that are making a difference to lives here in our neighbourhood: London's East End. Last year we awarded grants of £1million!
Lloyds Foundation make grants every year to hundreds of small and local charities, investing in their work helping people overcome complex social issues across England and Wales. Lloyds Foundation provide long-term funding for charities with a proven track record of helping people achieve positive change through deep, person centred and holistic support. We understand that sometimes the most life-changing charities may not always look perfect on paper, and we’re not afraid to take risks where we see great potential.
Social Investment Business: call for proposals
Social Investment Business (SIB) announces a fund co-design opportunity for charities and social enterprises in the East London area interested in receiving finance and business support. This is an opportunity for you to input into the design of a new initiative - the East London Impact Fund (ELIF).
Initially SIB are looking to champion five causes which will provide successful CSEs with the first opportunity to pitch for support/investment, whilst allowing SIB to learn first hand from working with you. Following on from this, SIB aim to then revise and adapt its thinking to develop a new Fund based on the needs and solutions identified by you, allowing social investment to be better used to unlock economic and social inclusion for disadvantaged communities. The Fund will ensure it commits resources to supporting organisations that serve the social needs of these communities. For information on how to apply please visit - https://www.sibgroup.org.uk/news/east-london-impact-fund
MRC/info4africa KZN Community Forum | July 2012info4africa
Zukiswa Fipaza of the International Centre for AIDS Care and Treatment Programmes (ICAP) highlighted the activities of the Centre's MOSAIC Men’s Health Initiative and its role in supporting the Implementation of the National Strategic Plan for HIV and AIDS, STIs and TB (NSP). MOSAIC utilises an integrated and co-ordinated approach that aims to provide a tailored package of prevention, treatment, care and support services for men who have sex with men (MSM). By scaling up HIV-related services and support mechanisms for the MSM community, MOSAIC contributes towers South Africa’s national goal of reducing new HIV infections and strengthens health, whilst providing a model for expansion to other districts and service areas.
Transforming Care: Share and Learn Webinar – 29 March 2018NHS England
Topic One: "The ERIN Initiative"
Guest speakers: Susan Holloway, NHS Chorley & South Ribble CCG and NHS Greater Preston CCG and Sheila Roberts, Lancashire Care NHS Foundation Trust
The aim of "The ERIN (Education, Resources, Interventions and Networking) Initiative" is to provide a local, accessible, responsive, early assessment and intervention service for children aged 0-5 years who may be placed on the pre-school Autism Spectrum Disorder (ASD) pathway.
This webinar reports on the progress made during a pilot which commenced on 1st October 2017 to implement a service which deals with complex/challenging behaviors of children who may or may not go on to have a diagnosis with autism.
Topic Two: An introduction and brief overview of the Source4Networks platform
Session led by Rob Cockburn, Sustainable Improvement Team, NHS England
This topic provides an introduction and brief overview of the Source4Networks platform and its potential to support the Transforming Care Programme.
We are lucky to be joined by City and Hackney Healthier Fund, East End Community Foundation, Lloyds Foundation and Social Investment Business for an interactive session on their funding priorities and support available for voluntary and community groups.
Healthier Hackney Fund - In October 2017, the Council and City and Hackney Clinical Commissioning Group (CCG) launched the healthier City and Hackney grant fund for 2018/19.
This new fund brought together two former grant funds, the CCG innovation fund and Hackney Council's healthier Hackney fund, to provide a scheme to make grants to help us achieve our joint health and wellbeing aims for communities in the City of London and Hackney.
East End Community Foundation connects business and individuals with the grassroots organisations that are making a difference to lives here in our neighbourhood: London's East End. Last year we awarded grants of £1million!
Lloyds Foundation make grants every year to hundreds of small and local charities, investing in their work helping people overcome complex social issues across England and Wales. Lloyds Foundation provide long-term funding for charities with a proven track record of helping people achieve positive change through deep, person centred and holistic support. We understand that sometimes the most life-changing charities may not always look perfect on paper, and we’re not afraid to take risks where we see great potential.
Social Investment Business: call for proposals
Social Investment Business (SIB) announces a fund co-design opportunity for charities and social enterprises in the East London area interested in receiving finance and business support. This is an opportunity for you to input into the design of a new initiative - the East London Impact Fund (ELIF).
Initially SIB are looking to champion five causes which will provide successful CSEs with the first opportunity to pitch for support/investment, whilst allowing SIB to learn first hand from working with you. Following on from this, SIB aim to then revise and adapt its thinking to develop a new Fund based on the needs and solutions identified by you, allowing social investment to be better used to unlock economic and social inclusion for disadvantaged communities. The Fund will ensure it commits resources to supporting organisations that serve the social needs of these communities. For information on how to apply please visit - https://www.sibgroup.org.uk/news/east-london-impact-fund
MRC/info4africa KZN Community Forum | July 2012info4africa
Zukiswa Fipaza of the International Centre for AIDS Care and Treatment Programmes (ICAP) highlighted the activities of the Centre's MOSAIC Men’s Health Initiative and its role in supporting the Implementation of the National Strategic Plan for HIV and AIDS, STIs and TB (NSP). MOSAIC utilises an integrated and co-ordinated approach that aims to provide a tailored package of prevention, treatment, care and support services for men who have sex with men (MSM). By scaling up HIV-related services and support mechanisms for the MSM community, MOSAIC contributes towers South Africa’s national goal of reducing new HIV infections and strengthens health, whilst providing a model for expansion to other districts and service areas.
Transforming Care: Share and Learn Webinar – 29 March 2018NHS England
Topic One: "The ERIN Initiative"
Guest speakers: Susan Holloway, NHS Chorley & South Ribble CCG and NHS Greater Preston CCG and Sheila Roberts, Lancashire Care NHS Foundation Trust
The aim of "The ERIN (Education, Resources, Interventions and Networking) Initiative" is to provide a local, accessible, responsive, early assessment and intervention service for children aged 0-5 years who may be placed on the pre-school Autism Spectrum Disorder (ASD) pathway.
This webinar reports on the progress made during a pilot which commenced on 1st October 2017 to implement a service which deals with complex/challenging behaviors of children who may or may not go on to have a diagnosis with autism.
Topic Two: An introduction and brief overview of the Source4Networks platform
Session led by Rob Cockburn, Sustainable Improvement Team, NHS England
This topic provides an introduction and brief overview of the Source4Networks platform and its potential to support the Transforming Care Programme.
This workshop brought together, for the first time, the pioneers and the partner organisations of the Integrated Care and Support programme. It focused on building a learning community that will help develop, share and spread knowledge and solutions at scale and pace across the country.
More information: http://www.nhsiq.nhs.uk/news-events/events/integrated-care-and-support-pioneers-inaugural-workshop.aspx
More about the integrated care and support pioneers programme: http://www.nhsiq.nhs.uk/7862.aspx
Building the right support for people with a learning disability and/or autis...NHS England
Presentations from NHS England's national event Building the right support for people with a learning disability and/or autism: one year on and two years ahead, 8 November 2016.
Learning Disabilities: Share and Learn Webinar – 29 June 2017NHS England
Topic One : Violence or behaviour that challenges in children with learning disabilities and autism – how you can help to make a difference
Guest speaker: Yvonne Newbold, World Health Innovation Summit Ambassador - Learning Disabilities, Autism and their Families
Around 25% of children who are diagnosed with a learning disability or autism will develop violent and challenging behaviour yet there is very little understanding or awareness of this issue. This means that affected families, who are already coping with frightening and dangerous situations every day at home, are often met with disbelief, judgement and blame from the people they turn to for help. Yvonne Newbold talks through some simple strategies that could make all the difference.
Topic Two : Positive Behaviour Support – Supporting people with behaviours of concern in their communities
Guest speaker: Tom Evans, PBS Development Lead, British Institute of Learning Disabilities
This webinar focuses on Positive Behaviour Support and how it can support children and adults who are at risk of being excluded or experiencing restrictive practices because they have behaviours that are considered to be challenging or concerning.
“I want to do a water project but I don’t know where to start!” This is a common challenge. Doing a community needs assessment is a crucial piece to planning successful projects but can often seem like a daunting task. Join us for a great conversation and fun exercise in doing a community assessment in water and sanitation, and go back to your district with a better understanding of community assessment and planning tools.
Moderator: F. Ronald Denham, RI/USAID Steering Committee Member
Rotary Club of Toronto Eglinton, Ontario, Canada
Reaching Every Single Soul: Transforming Health Care with Cell PhonesRotary International
The technological advances of the last 10 years have
made it possible to reach any human being. Cell phones
have opened doors to new ways of delivering health care
around the world. Learn how Kilifi Kids, a nonprofit started
by Rotarians in Atlanta and Kenya, has led a series of
interventions over the past six years, using cellular phones
to track, monitor, and provide care to pregnant women and
kids under five — and transform entire communities.
This workshop brought together, for the first time, the pioneers and the partner organisations of the Integrated Care and Support programme. It focused on building a learning community that will help develop, share and spread knowledge and solutions at scale and pace across the country.
More information: http://www.nhsiq.nhs.uk/news-events/events/integrated-care-and-support-pioneers-inaugural-workshop.aspx
More about the integrated care and support pioneers programme: http://www.nhsiq.nhs.uk/7862.aspx
Building the right support for people with a learning disability and/or autis...NHS England
Presentations from NHS England's national event Building the right support for people with a learning disability and/or autism: one year on and two years ahead, 8 November 2016.
Learning Disabilities: Share and Learn Webinar – 29 June 2017NHS England
Topic One : Violence or behaviour that challenges in children with learning disabilities and autism – how you can help to make a difference
Guest speaker: Yvonne Newbold, World Health Innovation Summit Ambassador - Learning Disabilities, Autism and their Families
Around 25% of children who are diagnosed with a learning disability or autism will develop violent and challenging behaviour yet there is very little understanding or awareness of this issue. This means that affected families, who are already coping with frightening and dangerous situations every day at home, are often met with disbelief, judgement and blame from the people they turn to for help. Yvonne Newbold talks through some simple strategies that could make all the difference.
Topic Two : Positive Behaviour Support – Supporting people with behaviours of concern in their communities
Guest speaker: Tom Evans, PBS Development Lead, British Institute of Learning Disabilities
This webinar focuses on Positive Behaviour Support and how it can support children and adults who are at risk of being excluded or experiencing restrictive practices because they have behaviours that are considered to be challenging or concerning.
“I want to do a water project but I don’t know where to start!” This is a common challenge. Doing a community needs assessment is a crucial piece to planning successful projects but can often seem like a daunting task. Join us for a great conversation and fun exercise in doing a community assessment in water and sanitation, and go back to your district with a better understanding of community assessment and planning tools.
Moderator: F. Ronald Denham, RI/USAID Steering Committee Member
Rotary Club of Toronto Eglinton, Ontario, Canada
Reaching Every Single Soul: Transforming Health Care with Cell PhonesRotary International
The technological advances of the last 10 years have
made it possible to reach any human being. Cell phones
have opened doors to new ways of delivering health care
around the world. Learn how Kilifi Kids, a nonprofit started
by Rotarians in Atlanta and Kenya, has led a series of
interventions over the past six years, using cellular phones
to track, monitor, and provide care to pregnant women and
kids under five — and transform entire communities.
Bring your phones, tablets, or laptops and follow along
as we explore crowdsourcing on My Rotary. In this
interactive session, we will share examples of how
clubs are using Rotary Ideas to request partners, funds,
volunteers, and materials and maximize exposure for
service projects. We will focus on how you can draw
support from both the Rotary family and the general
public by utilizing both Rotary social tools and social
media.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Better Care
Germain Bukassa Kazadi
Realizing article 19 and 23 of the CRPD - What types of- and considerations for social services at local level for children with disabilities?
From 4th Child Protection Forum in Tajikistan, 2013.
Pius Tih Muffih, PhD, MPH, Director of the Cameroon Baptist Convention Health Services (CBCHS) presents how CBCHS partners with other local groups to bring services to prevent mother-to-child prevention of HIV in Cameroon at the CCIH 2018 Annual Conference.
We are Worth the Investment. NSW Council for Intellectual Disability Conference 16-17 July 2015. Children, Young People and the NDIS Mary Hawkins, Branch Manager Nepean Blue Mountains Early Transition Site NDIA
HOPE program, implemented by Global Communities in partnership with USAID and Ministry of Education Science and Technology
Program seeks to improve HIV and AIDS knowledge, attitudes and practices among primary and secondary-aged students through peer, school, and community-based interventions.
To ensure prevention the program supports referral for in school youth by linking them to comprehensive youth friendly services within the school environs
Presented by Dr. Nelson Gitonga, Insight Health Advisor, Kenya during Regional AIDS Training Network (RATN) 12th General Council Meeting held in Mombasa, Kenya from 24th - 29th June 2013
Presented by Jonathan Gunthorp of SAT Regional, South Africa, during Regional AIDS Training Network (RATN) 12th General Council Meeting held in Mombasa, Kenya from 24th - 29th June 2013
Presented by Dr. Mungule Chikoye, during Regional AIDS Training Network, RATN 12th General Council Meeting held in Mombasa, Kenya from 24th - 29th June 2013
Organizational development and systems strengthening of community based organizations through targeted capacity building to enhance the HIV and AIDS response in Eastern Kenya
Engaging the Wives of State Governors in supporting the response to the needs of women living with HIV within the framework of Positive Health, Dignity & Prevention
Strengthening the monitoring and evaluation capacity of civil society organization to improve the reach and quality of OVC care and support services: Experiences from Lesotho
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
1. The 2nd HIV Capacity Building Partners’ Summit
Increasing Access to HIV/AIDS
To: 'abstracts@hivcapacityforum.org
Prevention, Treatment and Support
for PWDs in Kenya
RATN FUNDED INSTANT PROJECTS
19th -21st March 2013
Johannesburg, South Africa
Presenter – Cecilia Rachier - KAPC
2. Abbreviations
• KAPC – Kenya Association of Professional Counsellors
• PWHI – Persons with Hearing Impairment (including
Deaf)
• PWVI – Persons with Visual Impairment (including Blind)
• HCWs – Health Care Workers
• BSL – Basic Sign Language, SL – Sign Language
• SLI – Sign Language Interpreting
• PE – Peer Educators , PEL – Peer Educator Leaders
• DEK – Deaf Empowerment Kenya
• KSB – Kenya Society for the Blind
3. KAPC
A registered NGO since 1991. Programs include:
• Professional counselling and supervision
training, services and consultancies
• Membership Association and conferences
• Employee Assistance Programs (EAP)
• HIV/AIDS prevention work – through
counselling services, training, consultancies,
research, projects and contribution to policies
in Kenya and ESA region. RATN MI since 1995
• PWDs counselling services, training, projects
4. PWDs in Kenya:
Statistics for the 3 highest disabilities
Total Male Female
1 Physical 337,212 169,217 167,995
2 PWVI 331,593 153,781 177,812
3 PWHI 187,816 89,842 97,974
KAPC has worked with all the above 3 disabilities
5. PWDs Increased Vulnerability to
HIV/AIDS because of:
• Barriers to health information and services
due to restrictive cultural norms, stigma and
prejudice. Also mobility problems and
difficulty following audio/visual messages
• High poverty levels, low education,
unemployment, low self esteem, negative
attitudes by employers and the society,
discrimination, risk of sexual and other abuse
• Invisibility of PWDs in many programs
• Most interventions not disability friendly
6. UN Convention on Rights of PWDs
• Discourages viewing PWDs as ‘objects’ of
charity, medical treatment and social
protection and encourages viewing them as
‘subjects’ with rights, who are capable of
claiming those rights and making decisions for
their lives based on their free and informed
consent as well as being active members of
society. It reaffirms that all PWDs must enjoy
all human rights and fundamental freedoms.
7. KAPC PWDs Projects for PWHI&VI:
Objectives
• Improve/ increase HIV/AIDS awareness, HTC
and other health care services access and
uptake for PWD’s - specifically PWHI and VI
• Empower PWDs to protect themselves
• Greater involvement of PWDs
• Advocate for PWD enjoyment of health rights
• Obtain statistics regarding the number of
PWHI and VI seeking HIV/AIDS services.
• Create awareness of PWDs’ needs and plight
• Network with partners – All signed MOUs
8. Project 1: Increasing access and uptake of HTC and
other health care services for PWHI by integrating HTC
for PWHI in Government Health Centres
• 1 year project done in 2 phases in 2011/12 in
4 H/centres in 3 Nairobi districts
• 10 HCWs from 4 H/Centres trained in BSL&SLI
• 10 HIV/AIDS counsellors with HI from around
the 4 H/Centres trained in HTC & health topics
• Then deployed in the 4 H/centres to provide
HTC services to PWHI
• HTC counsellors supervised monthly by KAPC
• DEK assisted in mobilising PWHI community
9. Project 2: Increasing HIV/AIDS awareness
among PWVI through Peer Education by PWVI.
• The 6 months project began in Nov 2012
targeting PWVI around Nbi, Eld, Ksm and Msa
• 24 participants (20 PWVI PEs and 4 sighted
PELs) from the 4 towns trained in Nairobi on
HIV/AIDS Peer Education for PWVI using
Braille
• The 24 trained PEs and PELs returned to the 4
towns to provide HIV/AIDS peer education to
PWVI with support from KAPC branch offices
• KSB assisted in mobilising PWVI community
10. Successes: General
Project 1 and 2
• Improved HIV/AIDS awareness and increased
access and uptake of HTC and other health
services by PWDs
• Improved communication and acceptance
between persons with and without disabilities
• PWDs confidence, self esteem and CV boosted
• HIV AIDS statistics for PWDs obtained
• Disability-friendly services acknowledged
• Networks established and partners benefited
11. Successes: Specific
Project 1
• Increased access and uptake of HTC and other
Health services by the PWHI.
• Client confidentiality enhanced
• 737 persons accessed HTC services (432 in
phase 1 and 305 in phase 2)
• 25 tested HIV positive (12 in ph 1, 13 in ph 2)
• Counsellors/clients follow up at their homes
• Intervened and referred clients for better care
12. Successes: Specific
Project 1 cont.
• PWHI empowered to seek additional services
e.g. Assessments, NCPWD registration
• Capacity of PWHI in HTC/health provision built
• HCWs capacity to work with PWHI built
• Review of KAPC curriculum for PWHI HIV/AIDS
certificate and HTC courses
• KAPC trainers and staff trained in SL
• Adoption of the PWHI services by others
• DEK got Global funds to train HCW in SL
• Phase 2 funded after end of phase 1
13. Successes: Specific
Project 2
• Increased access to HIV/AIDS information
among PWVI in Nbi, Ksm, Msa and Eld
• Many embraced condoms and HTC services
• 577 PWVI seen in the four sites by Feb 2013
• 7 HIV turned positive and referred for care
• PWVI PE more knowledgeable in HIV/AIDS
• PWVI PEs self esteem, CV, confidence to leave
their houses and to speak in public boosted
• HIV/AIDS information gap in PWVI bridged
• KAPC got braille HIV/AIDS manuals from KSB
14. Successes: specific
Project 2 cont.
• Many PWVI empowered to seek more services
e.g. Braille, white cane orientation and
mobility classes, scholarships and business
• Some requested Brailed bibles -KUB to
provide
• Some needy PWVI children referred to EARC
(Educational Assessment and Resource
Centre) and school placement.
• One joined form 1 at St. Francis school,
another joined Mitoto integrated primary.
15. Challenges: General
Project 1 and 2
• Inadequate referral points for HIV positive
PWHI and VI
• Access to support difficult – cost implications
• Communication and language barrier with
PWHI and PWVI due to illiteracy, no
knowledge of Braille, SL, SLI, English, Kiswahili,
• Inadequate HIV/AIDS brailed resources for
PWVI and inability to afford SLI for PWHI
• Mobility issues due to difficulty to access/ use
white canes, paying guides, distance, weather
16. Challenges: General
Project 1 and 2 cont.
• Delay in getting phase 2 funds and closure of
one centre disrupted & reduced PWHI intake
• Closure of one H/Centre in Ph 2 affected PWHI
clients from 4 surrounding estates
• PWVI PEs felt they need more HIV/AIDS
knowledge for competence in the field
• PWVI dealing with others’ negative attitude
• Dependency –having others write their report
• High cost of doing PWDs training and projects
• Difficulty in accessing more funds for projects
17. Lessons learnt: General
• Involving the PWDs in providing services for
other PWDs, reduces stigma, increases
acceptance and understanding – PWDs also
worked with non PWDs clients.
• Integrating HTC services for PWHI in Health
centres using PWHI HTC counsellors increases
uptake by PWHI client and withdrawing them
reduced their uptake of the health services
• PWVI able to reach other PWVI with HIV/AIDS
information through Peer education
• Mobility problems hinder PWVI access/uptake
18. Lessons Learnt: General
• Sign language and Braille are essential for
communicating with PWHI and PWVI
• Training HCWs in BSL and SLI and PWHI
counsellors in HTC reduces communication
barriers and improves confidentiality and
privacy for PWHI patients and clients.
• Poor follow up of HIV+ PWHI–language barrier
• Statistics show more females PWDs than
male
• PWDs have special needs not addressed by
projects and which need budgets and funding
19. Recommendations
• Scale up and continuity of the projects
• Accessible support groups for HIV+ PWDs
• Train HCWs, other professionals, affected
parents, community members and school
children in BSL and SLI and Braille
• Train and involve PWDs in HIV/AIDS work
• Academic and professional training for PWDs
• Disability-friendly services and opportunities
• Fund disability friendly HIV/AIDS programs
• Address gender issues in PWDs
20. Conclusion and Way Forward
• The PWHI and VI projects includes, involves
and empowers PWDs to protect themselves
and others from getting and suffering from
HIV/AIDS and should be replicated in other
countries and organisations.
• Hopefully this project will help people gain
insights into and start to address the area of
disabilities and HIV/AIDS in their respective
countries.
• KAPC continues disseminating project findings
• KAPC continues search for partners/funds
21. A Deaf HTC Counsellor testing a client
at one of the Health Centres.