The document presents the 'Total Health Village' (THV) model in Kenya, emphasizing community participation in health development through local resource utilization and external facilitation. It discusses the country's health sector statistics, highlighting challenges like low health financing and preventable diseases. The THV model aims to empower communities by enhancing health access, sanitation, and livelihood, while promoting sustainability and local leadership.

1. ENGAGING COMMUNITIES IN WHOLISTIC HEALTH DEVELOPMENT: THE ‘THV MODEL’

2. WARNING: This is a presentation made to medical students and includes two graphic slides of human anatomy that is not suitable for children or sensitive audiences.

3. SOME FEW HEALTH SECTOR INDICES FROM KENYA 5000 health facilities in Kenya 4500 doctors; 1000 in public service. 50% concentrated in Nairobi: Ratio 1 physician to 10,000 citizens (compared to 26:10,000 in US) 47,000 Nurses & other cadres of medical personnel (10:10,000) 4.6% GDP towards health financing ($29 USD per capita) far below the minimum $34 recommended for Africa by WHO. 40% of financing comes from Kenyan Government; 15% donors, rest by private sector

4. SOME FEW HEALTH SECTOR INDICES FROM KENYA 58% of health services run by private sector which caters to high income clientele 90% resources devoted to curative a service that only 10% of the population accesses. 90% of morbidity (and mortality) is caused by preventable infective diseases (and poverty)

5. Kenya HDI (Human Development Index) #147 (0.541) ( ranked out of 182 countries) Literacy Rate (age 15 and over that can read and write) #107 73.6% Infant Mortality Rate (per 1,000 live births) 54.7 deaths/M (2009 est.) Life expectancy at birth #152 53.6 years Combined primary, secondary and tertiary gross enrollment ratio #138 59.6% GDP per capita #149 $1,542 USD Per Capita (2009 est.)

6. THE BURANGI PROJECT is a total health village (THV) program

7. It is a completely participatory strategy where communities analyze their situation, and plan a response strategy, and implement it using Community’s Own Resources/Persons and engaging External partners only in a facilitative role where they have no capacity in solving their own problems. WHAT IS A THV?

8. POINT OF ENTRY THEMATIC AREAS FOR BURANGI THV HEALTH Access to quality medical care through mobile and static health clinics Access to quality drinking water Improved community, domestic and personal sanitation SUSTAINABLE DAILY LIVELIHOOD Improved food security Improved income generation Environmental preservation Through tree planting and use of alternative renewable sources of energy and others

9. RESOURCES ALLOCATION THE 50 | 40 | 10® PRINCIPLE 50% TOWARDS PROMOTION. INVEST IN PEOPLE 40% TOWARDS PREVENTION. INVEST IN SYSTEMS/STRATEGIES 10% TOWARDS PROVISION: INVEST IN CONSUMABLES

10. WHAT ABOUT SUSTAINABILITY? Involve the people right from the beginning Teach them to ‘learn how to learn“ To ‘learn how to dream constructively” Elevation of self esteem and self confidence “ Doing with” rather than “doing for” Weigh when to give what…don’t interfere with their strength. Support their vulnerabilities and their weakness. Don’t do what they do well. Emphasize transferable skills and locally sustainable technology

11. WHAT ABOUT SUSTAINABILITY? Involve local leadership from the start Involve women and school children who provide great potential as change agents Understand and respect their culture and social values; handle what you might think is retrogressive culture with tact. Don’t aim to make them a mirror image of your self. Let them discover their inherent ability. Enthusiasm is the driver of sustainability.

12. WHAT ABOUT SUSTAINABILITY? Think “small,” think real, build on what they know/have. Avoid ‘elephants with strange colors’ Personal Example

13. Essence of THV: Breaking the vicious cycle that binds poverty, ill-health and development through empowerment of community members

14. The Principles of THV In Action Construction of an access road though high level advocacy and community involvement Assisting in the medical camps

15. Conducted Medical camps (April/August ’10/Feb ‘11) 3800 people served with combination of US & Kenyan medical professionals and community members

17. Conducted a surgical camp in which 2 individuals with severe filarial morbidity

21. OPEN INVITATION Health care professionals Students

22. ABUNDANT BLESSINGS THANK YOU