Center for Health Market Innovations (CHMI)

Programs

Community Health Africa Trust (CHAT)

last updated Aug 14, 2012

Overview

Implementation Partner(s): 
Ministry of Health, Ministry of Public Health, Marie Stopes Kenya; Global Fund HIV/AID Rd 7 working with CARE; Global Fund TB Rd 9 working with AMREF; Community Health and Poverty Solutions (CHAPS) USA; Mission for Essential Drugs (MEDS) Kenya, Population and Sustainability Network (PSN) UK.; 23 Kenyan registered community based health support groups throughout Samburu and Laikipia, NACOHAG Kenya
Legal Status: 
Year Launched: 
1999
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Donor

Scale

Personnel Employed: 
<10
Number of Clients Served: 
Average 75,000 visitations per year (~ 6,300 visitations per month)
Number of Facilities Operated/Networked: 
1 static facility plus mobile services
Other Measures of Scale: 
Working alongside 11 community based health workers Between 1 – 3 volunteers at a time
Summary: 

Community Health Africa Trust (CHAT) is a community based organization that was developed to support remote, underserved poor communities of northern Kenya to have healthy empowered and self-sustainable lives. The organization works to mitigate suffering and poverty by providing integrated mobile health services to these often nomadic and marginalised communities.

Key program components: 

CHAT provides door-to-door service to those communities of the Laikipia, Samburu, Isiolo and family planning services in locations in Meru, Molo, Rongai and Naivasha that have been previously underserved. CHAT operates in the form of a mobile clinic. One of the sole health care providers in the Samburu, Laikipia and Isiolo regions, the mobile clinic uses an integrated system of vehicles, camels, bicycles and walking methods to visit approximately 36 different communities each month. Staffed with two nurses and a driver, a well-recognized yellow Land Rover travels over 15,000 km annually. CHAT's approach is holistic, providing services inclusive of:

  • Reproductive health including CHAT’s core service, family planning

  • Basic medical care, including treatment of malaria and TB

  • HIV/AIDS testing & counseling

  • Non antiretroviral & OI treatment to AIDS patients

  • Child immunizations

  • Health education

Clinic staff gives lectures, demonstrations and video screenings to raise awareness of reproductive health, HIV/AIDS, and the dangers of female genital mutilation, usually to gender and/or age specific groups.

CHAT works alongside 11 Community-Based Health Workers who mobilize individuals and raise awareness of the clinics schedule visits within their local community. As clinic staff are recruited locally they are familiar with, and sensitive to, the customs, traditions and languages of the many communities reached. Trained in HIV/AIDS counseling & testing and/or family planning, and TB defaulter tracing the Community-Based Health Workers provide a point of continuity for clinic door to door services throughout the month.

The clinic travels to the underserved communities using innovative mobiles, including camel caravans, adapted vehicles, bicycles, or by foot, depending on the terrain and infrastructure.

CHAT works with a range of partners in order to create a strong and sustainable means for these ‘forgotten’ communities to access health care and health education.

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