Oloonkolin
First Aids Room

Oloonkolin
Medical equipment get installed
MEDICAL CARE
PROBLEM ANALYSIS

Good health care was an absolute necessity In Oloonkolin!
On January 2, 2018 our team in Oloonkolin started the construction of the health center. The project was very well received on the spot; both the team of local experts and the community were involved and expressed their support. Most building materials such as sand, helmet, concrete and water were available locally.

The center is built from sea containers. This material was not only advantageous because of the durability and firmness, but was also affordable and easy to work with. The building works on solar energy. There is a general post with room for the Clinical Officer and for a midwife. There is also a separate room for a lab technician and a trauma room. Seriously ill patients can be temporarily admitted to the nursing room in anticipation of their transfer to the Kilgoris District Hospital. The reception is located between the containers. All medical records are stored here. There is also a pharmacy room, this room is made of bricks and cement. A waiting area has been created centrally between the containers.


Mara Stitch Hospitaal strives to provide sustainable, accessible and affordable care for every inhabitant from Oloonkolin and surroundings. The focus is on continuously improving the quality of care to ensure clinical results, patient safety and patient satisfaction. Mara Medical Center has joined forces with the Ministry of Health and Sanitation in Narok County to ensure the sustainability and feasibility of these objectives.

Goals Mara Stitch Hospitaal

  • Providing first aid.
  • Providing (basic) medical care;
  • Providing pre- and postnatal care in the health center.
  • Providing information about the prevention of HIV; making condoms accessible; offering tests.
  • Provide information about and supervise family planning.
  • Provide information about and supervise people who are infected with HIV.
  • Improving medical capacity:
  • Vaccination.
  • Guiding and supporting girls with traumatic experiences through genital mutilation (circumcision).
  • Doing eye examinations, performing eye operations and providing eyeglasses, as well as providing information about hygiene and healthy nutrition to prevent these problems in the future.
  • The training in the field of hygiene and the identification and prevention of diseases. There will be hanged among other things posters.

Results

  • Improvement of overall health.
  • Reduction of mortality rate caused by poor hygiene, and the reduction of child and maternal mortality.
  • Reduction of unwanted pregnancies.
  • Reduction of HIV infections by educating people and promotion of tests.
  • A village free of tuberculosis.
  • Reduction of sight problems such as cataract and serious eye infections (Chlamydia trachomatis).
  • Reduction of population growth.
  • Helping children and people with visual impairments out of their isolation.
  • Reduction of absenteeism from school and work because of illness.
  • Saving of time, energy, and means for the care of sick family members.
  • Provision of employment.
  • Improvement of the economic growth in Oloonkolin.
Oloonkolin
March 2016 150 cataract surgery
Videoreport from the action 2016

olonkoolin
Eye examination in action

Olonkoolin
Cataract surgery

Results thus far:

Eye examinations

Implementation

On 4 March 2016, a medical team, including two ophthalmologists from Stichting SLAH (Dr. Ton Smit and Dr. Alex Rulo, both from Oogziekenhuis Zonnestraal), travelled to Oloonkolin. They provided ophthalmic treatment in collaboration with local specialists from the Kenyan Ministry of Health Trans Mara West Hospital.

The result of this project: 400 patients were screened, 140 were admitted and treated, and 78 cataract operations were performed. Post-operative results: 99% of patients experienced improved vision and there was a considerable improvement in the quality of the local team. A result of which we are incredibly proud.

It was touching to see how grateful people were. Some came from very far, sometimes over four hours' drive from the hospital. They were transported in minibuses and taken home again after a two-day admission for treatment. In addition, over 1,500 people were given hygiene advice under the leadership of Chantal Westerhoff-De Ruiter. Local advisors were trained to provide instruction to other residents..

Cataract surgery

Improved access to clean drinking water and sanitation facilities, and advice on good hygiene and healthy eating will prevent many of the existing eye problems in future. A medical team from Stichting SLAH visited Oloonkolin in March 2016 to deal with existing problems that could not be dealt with following examination in February 2015. Cataract surgery was performed on 78 people in partnership with the local committee and a team from Trans Mara West Hospital, 60 km from Oloonkolin. At the same time, under the leadership of Chantal Westerhoff-De Ruiter, there was a strong focus on hygiene advice to prevent infections.

2015 Eye examination programme

In February 2015, a team from Stichting Zienderogen visited Oloonkolin. An extensive eye examination programme was carried out on the population in collaboration with the local committee, the Kenyan Ministry of Health and a team from World Vision Kenya. It was anticipated that around 800 people would be examined. We were eventually able to assist no fewer than 1,878 people.

The examination exercise showed that 50% of residents examined had an eye infection (trachoma). This was a consequence of their unhygienic lifestyle, a lack of clean water, the absence of sanitary facilities and a lack of knowledge about hygiene and healthy eating. Such infections are usually not treated due to a lack of medical care, as a result of which they can cause blindness. If untreated, cataracts also cause blindness

Many people could be assisted straight away with reading glasses or sunglasses. Others required prescription glasses. Their details were recorded and prescription glasses were later sent to them from the Netherlands. As a result, hundreds of people can now participate fully in all the social, economic, political and cultural aspects of life and children can do well at school again. The lives of people who fall prey to wild animals in the Mara River due to poor eyesight will be saved. Not only does this have a great social impact, it also has a direct effect on the economic development of the Trans Mara area.

olonkoolin
Leina on her school
Midwifery Department

Leina is a resident of Oloonkolin. In collaboration with Stichting Help Verloskundigen in Kenia and Wilde Ganzen, Leina has been studying to be a midwife since October 2015. During her first three months at the health centre, Leina will be supervised by her trainer Saskia Tieken. Leina will be responsible for safeguarding and improving the quality of care provided by the Midwifery Department of the health centre. Leina will provide counselling and training courses to ten potential Traditional Birth Attendants (TBA). They will assist her in caring for women in childbed in Oloonkolin. More midwives and TBAs will be trained in future to reduce mortality amongst mothers and newborns in Oloonkolin and surrounding areas.