2014 Annual Report

EXCECUTIVE SUMMARY

Dear colleagues and friends, It is my pleasure to share with you achievements and activities from NRHS’s work for the year 2014.
It was a year of tremendous growth and transformation for the organisation. NRHS continued with implementation of the Voluntary Male Medical Circumcision (VMMC) programs within Rachuonyo North and South Sub Counties in Homa-Bay County under a cooperative agre7ement with the Centres for Disease Control (CDC). Within the year, implementation of VMMC was expanded to Nyakach and Muhoroni Sub Counties in Kisumu County. A total of 16,413 circumcision procedures were performed during the calendar year of 2014.
During the year, NRHS worked closely with and greatly supported both the National and Inter County VMMC taskforces in implementation of the VMMC program. With funding from United States Agency for International Development (USAID), through John Snow Inc (JSI) Implementation of a Population, Health and Environmental (PHE) integration program was started in the last quarter of the year.
The program aims at offering technical assistance in integration of Family Planning (FP) services within existing environmental conservation programs by three local implementing partners.
In research, NRHS continued to be a trail blazer in early infant medical circumcision (EIMC) with the initiation of the evaluation of the AccuCirc device under a sub-contract with the Brigham and Women’s Hospital.
This study is being conducted within Kisumu County. The Mtoto Msafi Mbili (MM2) study, which is evaluating integration of EIMC services into routine community health services, entered its second year. The project is funded by a subcontract with the University of Illinois at Chicago (UIC).
Six hundred and thirty five (635) EIMC procedures have been conducted in healthcare facilities across Rachuonyo North and South since 2013. Approximately twenty (20) health care workers were trained on EIMC procedures during the same period. The Afya Jozi Afya Jamii (AJAJ) is a study funded through a sub-contract from UIC and is designed to assess factors in the penile micro biome that lead to Bacterial vaginosis (BV) in women and to genital ulcer disease (GUD) as well as genital epithelial disruptions in men and their female sex partners. The study began recruitment in early 2014.
I take this opportunity to thank the Ministry of Health (MoH) teams and leadership within Kisumu and Homa-Bay Counties, the leadership and team at National Aids and STI Control Program (NASCOP) as well as the leadership of Ministry of Health.
I also appreciate the cooperation and support from all our donors. Your support and cooperation was fundamental in achievement of our success. Much of the achievements in 2014 were due to the dedication and diligence of the NRHS staff.
I appreciate and commend all of you. The NRHS management and board of directors appreciate your dedication and diligence.

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