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Kenyan Partnership for Health: Project-linked Innovative Management by Integrative-participatory Research Approach (KPH-PIMIRA)/Project-linked research model Name organisation Moi University, Faculty of Health Sciences City Eldoret Country KENYA Programme, project, innovation outcomes Community-based toolkit A community-based toolkit is being developed together with the community that will be used to implement an action-linked research within the health intervention project (Water and Sanitation). Information developed on community health profile will be disseminated to the different partners (who will be involved right from the beginning) for timely, informed and rational decision-making regarding health improvement and sustenance. The project will ultimately culminate in the establishment of a Community-based Information Centre for Epidemiological Training and Surveillance (CICETS). CICETS will provide ready data and information regarding the social, cultural and economic scales of the beneficiary community to the Health care planners and other allied researchers upon subscription and hence form a base for informed and rational decision-making on health. Similarly, the community will been trained on managerial skills necessary for informed decision-making on issues affecting their health through the Community-based Information Centre for Epidemiological Training and Surveillance (CICETS) component of the project. Project Awareness Questionnaire Analysis Project awareness questionnaire was administered to the District health administration personnel. Broad areas covered included demographic Information, overall achievement on the 3 pillar stones of PHC and knowledge and Support of TUFH. Using Epi Info statistical package, the data was analyzed leading to the following extract report annexed in appendix 6 Conclusion on the awareness questionnaire From the awareness questionnaire, the weak areas identified in the PHC delivery that KPH-PIMIRA sets out to address at the district level and in specific at the project area includes mobilization of political support, safe water supply, community involvement and participation and use of appropriate technology by promoting collaboration of medical and public Health staff in integration of clinical and public Health services through partnership models aimed creating positive synergistic effects in relevance, cost-effectiveness, equity and quality of services to the beneficiary community. EXTRACT REPORT ON AWARENESS QUESTIONNAIRE FIG. 1: Percentage of professions served with awareness questionnaires From the stratified sample by department, nursing, records and occupational therapists comprised the highest percentage due to their relatively high number. FIG. 2: Percentage score on extent of HFA achievement A mean score of 53.3% on HFA achievement in Trans-Nzoia District was scored with majority (40%) respondents scoring 60% and minority 96.7% scoring 100%. This shows that either the implementation strategies of PHC or the performance of its pillars needed to be re-checked or strengthened. FIG. 3: Score on PHC strategies achievement by respondent count. On average, re-orientation of the Health system scored the highest mark followed by emphasis on disease prevention and health promotion, focus on priority areas, mobilization of political support and lastly decentralization of Health services. FIG. 4: Score on the extent of success of PHC elements On average, all the PHC elements scored 2.5 out of 5 marks (50%) with EPI scoring the highest average followed MCH/FP, Health education, HIV/AIDS, community based re-habilitation, nutrition while food supply and safe water supply scored the least. FIG. 5: Score on the achievement of PHC Pillars On the achievement of PHC Pillars, inter-sectoral collaboration scored the highest average followed by community involvement and participation while use of appropriate technology scored the lowest average. FIG. 6: Integration of Clinical & Public Health Services FIG. 7: Collaboration B/N Clinical & Public Health staff On level of clinical and public Health services integration, 53.3% of the respondents scored it as 60% while 46.7% scored the collaboration of medical and public Health staff as 60%. FIG. 8: Extent of Support of a project aimed at promoting Unity FIG. 9: Awareness of WHO’s TUFH initiative Above figures demonstrates that majority (57.1%) of the respondents will be willing to support a unity project maximally possible (100%) while 14.3% reported a 70% support. On the other hand, 57.1% said that they were not aware of the TUFH initiative its field projects. Programme, project, innovation start date July 5, 2002 Programme, project, innovation end date July 5, 2002 Contact information E-mail address nzioka_sm@yahoo.com; dphotnz@nel.org Country KENYA