In a busy isolation facility in Murang’a County, central Kenya, nurse Rose Nyawira scrambles between COVID-19 patients to give them the right amount of oxygen. There is only one oxygen cylinder available between them. Rose recognized the need for a more efficient means of distributing oxygen. She conducted research and discovered a device that allows multiple patients to access oxygen from the same cylinder. Her efforts earned her recognition as Murang’a County’s Nurse Practitioner of the Year at the Beyond Zero Awards in 2022.

Like Rose, a group of nurses from rural Kenya is being trained through a partnership between the Beyond Zero Program, Kenya Medical Training College and Roche, a Swiss-based research-focused health care company. Nurses return to their home counties to work in mobile maternal and child health clinics. These clinics provide families, particularly women and children in remote areas, with access to health care.

“I realized very early on in life that I have a gift of caring for other people. After interacting with nurses from rural Kenya, I knew that this was the profession that would help me exercise my gift,” Rose said.

Beyond Zero: The Initiative

Kenya’s first lady, Margaret Kenyatta, launched the Beyond Zero Program in 2014 with the goal of providing maternal and child health care to underserved rural counties. This medical care includes antenatal care, immunizations, family planning, screening and health education. Since 2014, it has provided primary health care to roughly 1.2 million people and reached approximately 45,000 households through mobile medical clinics known as Medical Safaris staffed by nurses from rural Kenya. In 2019, the program donated 52 fully equipped mobile clinics to all 47 counties in Kenya.

Partnership and Training

With support from ROCHE, Beyond Zero has strengthened primary health care by training more health care workers in rural areas. The program offers community health training scholarships through Kenya Medical Training College to train young people from arid and semi-arid regions. Scholarships for student nurses from rural Kenya cover tuition, uniforms, meals and essential supplies, reducing financial barriers for students from underprivileged regions.

The CEO of Kenya Medical Training College, Dr. Kelly Oluoch, emphasized the impact of training Enrolled Community Health Nurses for marginalized communities. “When ECHNs are trained and deployed to their home regions, we see higher retention rates due to their local ties and understanding of cultural and linguistic barriers to health care access,” he said.

Farah’s Story

Beyond Zero’s mobile clinics are staffed with nurses and equipped with vaccines, medical supplies, food and antimalarial drugs, providing rural communities with access to essential medical care.

Farah Kalmoy is one of the beneficiaries. He brought his 9-month-old son to a mobile medical clinic for his measles vaccine. “My home is six kilometers away from Wajir County Referral Hospital, which is the nearest health centre where I can access the medical services,” he said. Without access to the mobile clinic, Kalmoy said he would not have been able to bring his son for vaccination.

Beyond Zero’s nurses serve as a connection between rural communities and Kenya’s health care system. Because many are from the local communities, cultural familiarity can help build trust. The mobility of the clinics allows services to reach remote areas where fixed facilities may be limited.

Looking Ahead

Support continues for nurses in training and for the Beyond Zero Program. The Kenyan government, in partnership with organizations such as the United Nations Population Fund (UNFPA) and Roche, plans to expand training and strengthen retention to improve access to maternal and child health services in remote areas. These efforts highlight the role of nurse training in strengthening health care access in Kenya.

– Caleb Dueck

Caleb is based in Winnipeg, Manitoba Canada and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr