A FACES Initiative To Prevent

Cardiovascular Diseases

In Nyanza Province, Kenya

Heri kuzuia kuliko kuuguza

Overview of the presentation

• Cardiovascular Disease (CVD) in Kenya

• Geography and Demography of Target Groups

• CardioCulture Program• Outreach Plan• Budget• Monitoring and Evaluation

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

CHRONIC HEALTH CONNECTION

CVD

ObesityHIV

Three prevalent chronic diseases in Kenya are inter-related

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

HEALTH INDICATORS FOR WOMEN IN KENYA

Source: World Health Organization - NCD Country Profiles, 2011. Kenya.

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Major Risk factors for CVD Prevalence

Elevated Blood Pressure 35.1 %

Overweight/ Obesity 30.2 %

Physical Inactivity 17.0 %

Daily Tobacco Usage 0.7 %

Overweight/Obese women are prevalent in all three groups mentioned above

CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

Kenyan women believe that physical capability is in proportion with body size

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CVD in Kenya CardioCulture Target group Outreach plan Budget Monitor &

Evaluation

Nyanza Province, Kenya has:

High HIV Prevalence

High Population Density

Sedentary Lifestyle

Nyanza

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Our project chooses Nyanza province for its distinct characteristics

CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

Working with 15-30 year old HIV+ women gives us many benefits to make the greatest long term impact

Benefit of working with 15-30 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

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

GOAL:REDUCE AND PREVENT THE RISK OF CVD IN 15-30 YEAR OLD HIV+ WOMEN IN NYANZA PROVINCE

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As a part of Family AIDS Care and Education Services (FACES), CardioCulture will help the target group

CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

CardioCulture prevents CVD by changing both diet and exercise patterns of the target groups

Ischaemic Heart

Disease

Hypertensive Diseases

Cerebrovascular Disease

Overweight/Obese HIV

+

Diet Exercise 

Community Garden Football

Change Perception of

weight

Nutrition Educatio

n

Cardiovascular Disease

Risk Factor

Approach

Intervention Components

Peer circle

s

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

CardioCulture aims at developing women to be role models in their communities

Participants will…Develop Healthy LifestylesCommunicate Health Information Practice Regular Exercise And Better NutritionLearn Leadership SkillsExemplify Healthy Body ImageSupport Others With HIV And CVD

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

CardioCulture will impact about 10,000 women at the end of year four

Year One Year Two Year Three Year Four0

100200300400500600

Expansion of Circles Within Nyanza ProvinceYears 1-4

# o

f New

Par

ticip

ants

Pe

r G

roup

Estimated Impact: 10,000 women

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

Different networking channels are necessary to reach out to target groups and partners

Media Campaign: TV and Radio

NGO partnerships Policy Advocacy

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

A detailed budget plan is ready to implement the project

10%

54%

27%

4% 3% 2%

AdministrationSalariesLand and SuppliesTechnologyTransportation and CommunicationOutreach

100% = $15 million over four years

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

CardioCulture will use questionnaire to evaluate the outcome of the initiative

• Individual Needs Evaluation

• Monthly Health Evaluation

• Quarterly Image Assessment and Program Evaluation

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

“Project Management” application can also help evaluate CardioCulture’s internal operation

Measured criteria:ProgressParticipationRetentionText TrackingAdministration

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

WHY CARDIOCULTURE…

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

• Targeted• Innovative• Multi-

dimensional

• Measurable• Practical• Sustainable

THANK YOU!

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

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

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CVD in Kenya Target group CardioCulture Outreach plan Budget Monitor &

Evaluation

REFERENCES

• Kimaiyou, S. (2012). Academic Model for Prevention and Treatment of HIV/AIDS.” AMPATH Kenya. Web. http://www.ampathkenya.org/our-programs/communicable-diseases/

• 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. 2011.6.7

• Kenya National Bureau of Statistics (KNBS) and ICF Macro. 2010. Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro.

• Martha Youth Sports Association. (2010). “Strategic Plan 2010-2019.” MYSA. Web. http://www.mysakenya.org/resources.html

• Ministry of Medical Services. 2008. Reversing the trends: the second national health sector. Strategic plan of Kenya. July 2008.

• Oparanya, W.A. 2010. 2009 Population and housing census results. 31 August 2010.

• United States Agency International Development. (2012). AMPATH. Web http://kenya.usaid.gov/programs/health/83

• World Health Organization. 2011. NCD Country Profiles: Kenya. Web. http://www.who.int/nmh/countries/ken_en.pdf

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APPENDICIES

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APPENDIX AAMPATH PARTNERSHIP

CardioCulture AMPATH

Need: a large client base Have: currently reaching 550,000 ppl in 60 clinical sites

Need: land for gardeningHave: experience in purchasing land, currently have 11 farms,

each 3.5 acresHave: a plan to tackle chronic

disease Need: address chronic disease

Have: a plan to work with overnutrition

Need: include overnutrition into their malnournishment program

Have: a plan for community garden

Need: better plan for gardening practice

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APPENDIX BMYSA PARTNERSHIP

CardioCulture MYSA

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 partner Need: expand partnership with NGO

Have: skilled workers??? Need: skilled/ trained staff

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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 expansionYear One: Kisumu Town

Year Two: Kisumu District & Masena, Muhoroni

Year Three: Other Nyanza urban areasYear Four: Expand to other provinces

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The Baldrige Model

Source: Kenya Demographic And Health Survey 2008-09

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Prevalence of HIV among men and women

WomenMen

Prev

alen

ce (

Perc

ent)

Comparison of HIV prevalence across Kenyan provinces