Center for Health Market Innovations (CHMI)

Programs

Overview

Implementing organization: 
International Organization for Migration (IOM)
Implementation Partner(s): 
Government of Kenya-Ministry of Public Health and Sanitation
Legal Status: 
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Government
Summary: 

Busia Trailer Park Wellness Centre and Clinic is a free healthcare clinic targeting hard-to-reach populations on the Kenyan/Ugandan border.

Program goals/rationale: 

Migrants and mobile populations face many obstacles in accessing essential health care services due to a number of factors including irregular immigration status, language barriers, a lack of migrant-inclusive health policies, and inaccessibility of services due to inopportune opening times. Such disparities are impacting upon the well-being of migrants, mobile populations, and Kenya as a whole. The trailer park centre will draw a common action plan for providing accessible, affordable, and non-discriminatory health care.

Key program components: 

The health centre, located in the heart of a trailer park in the border town of Busia, in Kenya’s Western province, aims to address the health needs of mobile populations by providing free tuberculosis, malaria and HIV treatment. Working with IOM and the Kenya National AIDS/STD Control Programme, it aims to cover the entire transport corridor with free health care clinics specifically designed for hard-to-reach populations; these include truck drivers, civil servants and female sex workers who, due to their deprived social and economic environment, are particularly prone to engaging in risky sex and, therefore, vulnerable to HIV.

Busia Trailer Park Wellness Centre and Clinic has provided a platform for cross border health discussions between Kenyan and Ugandan Government officials who have now met to discuss ways to offer a common health care package for mobile populations on both sides of the border.

There is a need to focus more on prevention; behavioural and clinical services are to be put in place and scaled up to secure meaningful impact for migrants and mobile populations who are currently not being catered for by health services. This involves strengthening partnerships, capacity building, accountability, coordination and financial commitment which will ultimately prevent new HIV infections.

The project recommends mainstreaming migration and health into all legislation, policies and programmes that are related to health and development, as well as into the National Strategic Plan for the health sector in Kenya, advocating for increased resource allocation in order to implement effective migration and health initiatives and developing effective mechanisms to measure and evaluate migration and health initiatives.

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