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Chanjo Mtaani using mHealth.

The innovation supports engagement and retention of Immunization Services through alert reminders and facility e-dashboard on performance.

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Describe what you intend to do and how you'll do it in one to two sentences (required 350 Characters)

Foundation for Community Health And Nutrition (CHAN-F) aims to implement Chanjo Mtaani using mHealth .The innovation supports engagement and retention of Immunization Services through alert reminders and facility e-dashboard on performance. In Kajiado East Sub-county in Kenya. In partnership with University of Nairobi School of Nursing and county.

Explain the innovation (2,500 characters)

Kajiado County immunization rate is 67.2% while target is 90%. It is worse in the rural areas. Design and test Immunization tracking system is an innovative intervention that maximizes the use of current technology that is accessible and feasible in Kenya and many other low-resource countries . It is an online automated alerts designed to overcome current immunization barriers by prospectively tracking infant’s immunization schedule, improving documentation of service given and communication to the mother or care givers on their next appointment dates. Furthermore, a built-in text messaging system sends automated text messages to mothers’ cell phones three days to next appointment or follow up visits are needed. The robust intervention will allow clinicians, maternal child health nurse specialist, community health worker and program managers to track the time sensitive interventions of under-five childhood clinic services and programs in “real-time” through facility dashboard or online entries which trigger action ‘alerts’ when time sensitive interventions are overdue for specific infants. Every step of the immunization cascade will be monitored by the immunization system to ensure that appropriate services are delivered at the right infant age to maximize engagement and utilization of Services. The intervention will be conducted in the following phases.Digital GIS (Geographical Information System) Mapping of health centers and facilities in Kajiado offering immunization services to children. This mapping involves both qualitative and quantitative analytical techniques that establishes the authenticity of a health Centre or facility to offer such services and the location distribution. This is also aimed at improving access to health care/facilities and ensuring equitable distribution of immunization services. The GIS maps will also be planted on a web based platform synchronized with a mobile data application that will enable effective back to back communication as this also promotes digital data literacy on mothers and caregivers. GIS maps can also be used to monitor trends in immunization services uptake and statistically come up with possible measures when and where necessary. Maps are also good communication tools and therefore supports or improves advocacy approaches towards promoting the attainability of universal health coverage agenda by engaging with the stakeholders and duty bearers with aim of improving immunization services.

Which part(s) of the world does this innovation target?

  • Eastern Africa

Geographic Focus

Kajiado County is a county in the former Rift Valley Province of Kenya. It has a population of 687,312 and an area of 21,292.7 km² The county borders Nairobi and extends to the Tanzania border further south. The county capital is Kajiado but the largest town is Ngong. Its main tourist attraction

Stage of Innovation

  • Blueprint

Who will work alongside your organization in the project idea? (1,000 characters)

The immunization system in Kajiado is functional; vaccine infrastructure and supplies are considered adequate. Available health facilities and human resources that however require some further training on immunization. The Kajiado county government is supportive. There are huge highly populated urban settlements of Kiserian, Kitengela, Rongai and Ngong suitable for this proposed innovation. The innovation will also cover rural settlements for comparison and learning. 9. Implementing partners 1. CHAN-F: Project management, monitoring and capacity building 2. County Government of Kajiado: Human resources (MOH Facilitators, supportive supervision, provision of vaccines and other supplies) 3. University of Nairobi, school of nursing sciences: provide experienced faculty in research and innovations,pendagogy and andragogy experts.

How is your idea unique? (750 characters)

Engaging communities through Evidence-based social and behavioral change activities focus on improving community awareness and knowledge, creating and continually reinforcing positive social norms towards immunization, as well as providing individualized reminders on where/when to go for services and timely motivational ‘nudges.' This helps to bridge the ‘intention to action’ gap. Ideas in this category may touch on norm setting, behavior nudging, and social/behavioral adjustments via technology or community programming.: Group Immunization education plus male spouse dialogue (GIE-plus) to empower caregivers to seek and fully utilize immunization services in their communities.

What is the name of your organization

Foundation for Community Health and Nutrition (CHAN-F) is a not for profit Organization registered in Kenya.

Explain your organization (250 characters)

CHAN-F fosters innovative gender responsive health and nutrition programming. It has strategic focus areas namely creation of enabling environment; capacity development; health services improvement and demand creation for effective community health.

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Female-led organization
  • Women’s health/rights focused organization
  • Indigenous-led organization
  • Disabled Persons Organization (DPO)
  • Displaced person / refugee-led organization
  • Community-led organization (CBO)
  • Youth-led organization

Gender and Diversity (500 characters)

Foundation for Community Health and Nutrition(CHAN-F) embraces Gender as a cross cutting theme in all its programs. CHAN-F has two women in leadership and one man,its board has 7 women against 4 men making it 11 board members. In hiring preference is given to qualified women and persons with disability in hiring and men take a third. We have breastfeeding spaces for lactating mothers,maternity and paternity leaves. Our reports are gender and age dis-aggregated including LGBT inclusion in care.

Organization Location (less than 250 Characters)

Foundation for Community Health and Nutrition (CHAN-F) is a not for profit Organization registered in Kenya under Section 10 of the Societies Act. We are in Kajiado County In Kenya. We are allowed to work all over Kenya. Headquarter is Kajiado.

Size of organization (number of employees):

  • 6-20 people

Website URL

https://chanf.or.ke https://chanf.or.ke/ chanf.or.ke

Scale of organizational work

  • National (expansive reach within one country)

Tell us more about you

1.Janet Mukoshi Shibonje-Technical lead and Operations Director,PhD Public Health,MSc. Health Systms,BSc. Nursing,SRHR Specialist, 2.Maureen Achieng' Omino. Geo Spatial Engineer.GIS Specialist. MapAction Tech4D www.mapactiontech.co.ke twitter.com@MTech4D Facebook @MTech4D. 3. NDEDDA OUMA CRISPIN:(HND CLINICAL MEDICINE, MPH-Clinical Epidemiology; PHD in Public Health. 4.Dr.Miriam C.A Wagoro Director University of Nairobi School of Nursing carole@uonbi.ac.ke atienomo@yahoo.co.uk 5.) May Maloba : Country Director Global Health Innovations – Kenya and Technical adviser Maternal Newborn and Child Health, HITSystem Project.

Applying to Gavi INFUSE

  • Gavi Website
  • OpenIDEO Website
  • Referred by a friend / colleague

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