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A FACES Initiative To Prevent Cardiovascular Diseases In Nyanza Province, Kenya Heri kuzuia kuliko kuuguza.

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Presentation on theme: "A FACES Initiative To Prevent Cardiovascular Diseases In Nyanza Province, Kenya Heri kuzuia kuliko kuuguza."— Presentation transcript:

1 A FACES Initiative To Prevent Cardiovascular Diseases In Nyanza Province, Kenya Heri kuzuia kuliko kuuguza

2 Overview of the presentation Cardiovascular Disease (CVD) in Kenya Geography and Demography of Target Groups CardioCulture Program Outreach Plan Budget Monitoring and Evaluation 2 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

3 CHRONIC HEALTH CONNECTION CVD Obesity HIV Three prevalent chronic diseases in Kenya are inter-related 3 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

4 HEALTH INDICATORS FOR WOMEN IN KENYA Source: World Health Organization - NCD Country Profiles, Kenya. 4 Overweight/Obese women are prevalent in all three groups mentioned above CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

5 Kenyan women believe that physical capability is in proportion with body size 5 CVD in KenyaCardioCultureTarget groupOutreach planBudget Monitor & Evaluation

6 Nyanza Province, Kenya has: High HIV Prevalence High Population Density Sedentary Lifestyle Nyanza 6 Our project chooses Nyanza province for its distinct characteristics CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

7 Working with year old HIV+ women gives us many benefits to make the greatest long term impact Benefit of working with year old HIV+ women groups: High Obesity And CVD Incidence Power To Change Cultural Change Long Manifestation Period: 15 years Existing Contact With Health System 7 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

8 GOAL: REDUCE AND PREVENT THE RISK OF CVD IN YEAR OLD HIV+ WOMEN IN NYANZA PROVINCE 8 As a part of Family AIDS Care and Education Services (FACES), CardioCulture will help the target group CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

9 CardioCulture prevents CVD by changing both diet and exercise patterns of the target groups Ischaemic Heart Disease Hypertensive Diseases Cerebrovascular Disease Overweight/ Obese HIV+ DietExercise Community Garden Football Change Perception of weight Nutrition Education Cardiovascular Disease Risk Factor Approach Intervention Components Peer circles 9 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

10 CardioCulture aims at developing women to be role models in their communities Participants will…  Develop Healthy Lifestyles  Communicate Health Information  Practice Regular Exercise And Better Nutrition  Learn Leadership Skills  Exemplify Healthy Body Image  Support Others With HIV And CVD 10 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

11 CardioCulture will impact about 10,000 women at the end of year four Estimated Impact: 10,000 women 11 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

12 Different networking channels are necessary to reach out to target groups and partners Media Campaign: TV and Radio NGO partnershipsPolicy Advocacy 12 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

13 A detailed budget plan is ready to implement the project 100% = $15 million over four years 13 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

14 CardioCulture will use questionnaire to evaluate the outcome of the initiative Individual Needs Evaluation Monthly Health Evaluation Quarterly Image Assessment and Program Evaluation 14 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

15 “Project Management” application can also help evaluate CardioCulture’s internal operation Measured criteria:  Progress  Participation  Retention  Text Tracking  Administration 15 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

16 WHY CARDIOCULTURE… 16 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation Targeted Innovative Multi-dimensional Measurable Practical Sustainable

17 THANK YOU! 17 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

18 GROUP CONTRIBUTIONS Elizabeth Cahill: Research “Project Management” Application, Assessment and Technology Taryn Ellis: Research CVD in Kenya Anna Gage: Create Budget, Research Partners, and Draft Outreach Plan Crystal Ki: Research Demographics and Geography Kelli Paice: Design Specific Programs Minh Tang: Create Business and Expansion Plans 18 CVD in KenyaTarget groupCardioCultureOutreach planBudget Monitor & Evaluation

19 REFERENCES Kimaiyou, S. (2012). Academic Model for Prevention and Treatment of HIV/AIDS.” AMPATH Kenya. Web. Bloomfield, G.S. et al. (2011). “Chronic noncommunicable cardiovascular and pulmonary disease in sub-Saharan Africa: An academic model for countering the epidemic”. American Heart Journal. 161:5. Bloomfield, G.S et. Al. (2011). “Hypertension and Obesity as Cardiovascular Risk Factors among HIV Seropositive Patients in Western Kenya.” Public Library of Sicence Kenya National Bureau of Statistics (KNBS) and ICF Macro Kenya Demographic and Health Survey Calverton, Maryland: KNBS and ICF Macro. Martha Youth Sports Association. (2010). “Strategic Plan ” MYSA. Web. Ministry of Medical Services Reversing the trends: the second national health sector. Strategic plan of Kenya. July Oparanya, W.A Population and housing census results. 31 August United States Agency International Development. (2012). AMPATH. Web World Health Organization NCD Country Profiles: Kenya. Web. 19

20 APPENDICIES 20

21 APPENDIX A AMPATH PARTNERSHIP CardioCultureAMPATH Need: a large client base Have: currently reaching 550,000 ppl in 60 clinical sites Need: land for gardening Have: experience in purchasing land, currently have 11 farms, each 3.5 acres Have: a plan to tackle chronic diseaseNeed: address chronic disease Have: a plan to work with overnutrition Need: include overnutrition into their malnournishment program Have: a plan for community gardenNeed: better plan for gardening practice 21

22 APPENDIX B MYSA PARTNERSHIP CardioCultureMYSA Need: experience in maintaining large group of soccer girls Have: 5700 girls in 16 zones Need: incentive to attract girls into the program Have: scholarship opportunities for girls participating most often Have: unexplored communities Need: fill up ambitious plan to increase # of girls Have: a partnerNeed: expand partnership with NGO Have: skilled workers???Need: skilled/ trained staff 22

23 TIMELINE Develop SMS platform Conduct formative assessment Recruit and train peer leaders Recruit and enroll women Football and gardening Media Campaign Evaluation & Survey Conduct Final Evaluation Repeated in each year of expansion Year One: Kisumu Town Year Two: Kisumu District & Masena, Muhoroni Year Three: Other Nyanza urban areas Year Four: Expand to other provinces 23

24 24 The Baldrige Model

25 Source: Kenya Demographic And Health Survey Comparison of HIV prevalence across Kenyan provinces


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