THE SILENT KILLER

WELCOME TO KENYA

40.5 million people

(CIA, 2012)

2

THE SILENT KILLER

12% of Kenyans are hypertensive

Over 10% of Kenyan deaths are due to heart disease

Urbanization is causing a rise in non-communicable disease

Hypertension

(CDC, 2012)

(APHRC, 2010)

3

A COMPREHENSIVE APPROACH

Treatment• Mobile Clinic Expansion

Prevention• Awareness Campaign

4

MOBILE CLINIC EXPANSION• Add AMREF mobile clinics and

workers

• Outfit existing mobile clinics to combat CVD

• Ensure healthcare workers and traditional healers are aware of the risks of CVD

Awareness Campaign

Mobile Clinic Expansion 5

DATA COLLECTION• Provide tablets for data collection at

mobile clinics• Add CVD risk factor component to

USAID Health Management Information System

• Requires minimal training• Improves access to medical

knowledge• Collect phone numbers

Awareness Campaign

Mobile Clinic Expansion 6

SMS REMINDERS

Text message reminders when clinic is nearby

Awareness Campaign

Mobile Clinic Expansion

• Encouragement to return and lower blood pressure

• Include healthy lifestyle tips

7

Awareness Campaign

AWARENESS CAMPAIGN

Mobile Clinic Expansion 8

MOBILE GAME DEVELOPMENT

Take advantage of existing infrastructure• 40% of Kenyan cell phone users

make less than $1.25 a day (Afrinnovator, 2010)Engage children with technology• Afroes transformational games

Encourage healthy lifestyles• Build awareness of CVD /

hypertension

Awareness Campaign

Mobile Clinic Expansion 9

MOBILE CLASSROOM• Mission: Education in the Prevention

of CVD• Community Meal Preparation– Show examples of healthy meals– Partner with local food vendors

• Community Gardening– Garden-In-A-Bag– Encourage Patients to grow healthy food

Awareness Campaign

Mobile Clinic Expansion 10

CHALLENGES• Violence in the slums– Security personnel part of operating cost– Provides jobs for Kenyans

• Not sustainable– Prove sustainability with collected data– Partner with other non-profits

• Food and nutrition classes not culturally relevant– Partner with local people and entrepreneurs

to boost economy and ensure cultural sensitivity

11

PLAN OF ACTION

Project Implementation Year 1

Year 2

Year 3

Year 4

Data Collection (target area of highest need)

X X X X

Outfit existing AMREF mobile clinics for CVD

X

Deploy new mobile clinics X X

Release Leo the Lion game X

Educational Campaign X X X X

Monitoring attendance (measure impact)

X X X X

Maintenance of mobile clinics X X X

12

BUDGETGoal Item Cost

Clinic Expansion Upgrade existing mobile clinics $1,000,000

Establishment of 8 new clinics $2,000,000

Operational Costs $7,000,000

Mobile Data Collection $36,000

IT Infrastructure / Maintenance $400,000

Awareness Campaign

Leo Community Trucks $900,000

Leo Advertising Campaign $2,000,000

Food from community partners $430,000

Mobile Game Development / Deployment

$50,000

Other Network with existing partners $500,000

Total $14.37 Million

13

EXPENDITURE, BY YEAR

Year 1 Year 2 Year 3 Year 4

Expendi-ture

4153000 4733000 2855000 2625000

$250,000

$750,000

$1,250,000

$1,750,000

$2,250,000

$2,750,000

$3,250,000

$3,750,000

$4,250,000

$4,750,000

14

OUR VISIONExpand existing mobile clinics to include

treatment for CVD

Increase awareness of CVD among healthcare workers, traditional healers,

and the general public

Improve data collection system to evaluate the success of the program

Work with existing organizations such as USAID to guarantee success in Kenya

Defeat the Silent Killer

15

REFERENCES• United States Agency of International Development. (2011). Kenya Health System

Assessment 2010 [Data file]. Retrieved from: http://www.healthsystems2020.org/content/resource/detail/2760/. 

• Muriuki, Betty. (14 Feb 2008). AMREF Mobile Clinics bring hope to Kibera. Retrieved from http://www.amref.org/news/amref-mobile-clinics-bring-hope-to-kibera--/ 

• Osumba, Dr. Bill Martin. (Feb 2012). Kenya National HMIS Program (Afyalnfo). Retrieved from http://kenya.usaid.gov/programs/health/1213.

• World Health Organization. (2009). Kenya Demographic Health Survey [Data file]. Retrieved from:

• http://apps.who.int/medicinedocs/documents/s17116e/s17116e.pdf• African Population and Health Research Center. Cardiovascular diseases: risk factors

among the urban poor [Data file]. Retrieved from http://www.aphrc.org/insidepage/page.php?app=publications_fact

• Mutua, Will. Afrinnovator. (29 Sept 2010). What does the Kenyan mobile phone user look like? Retrieved from http://afrinnovator.com/blog/2010/09/29/what-does-the-kenyan-mobile-phone-user-look-like-stats-from-buzzcity/

• Central Intelligence Agency. (23 Mar 2012). The World Factbook – Kenya. Retrieved from https://www.cia.gov/library/publications/the-world-factbook/geos/ke.html

• Centeres for Disease Control and Prevention. (11 Aug 2011). CDC in Kenya: Why We’re Here. Retrieved from http://www.cdc.gov/globalhealth/countries/kenya/why/

• Afroes. (2012). Afroes Transformational Games: Transforming Africa through digital media. Retrieved from http://www.afroes.com

16

PARTICIPATION• Forrest Brown: Clinic expansion,

education component• William Coe: Leo awareness

campaign• Wade Colburn: Leo awareness

campaign• Daniel Salo: Clinic expansion, data

collection• Eric Whitmire: Data collection,

graphics

17