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Quick Read Nguva Yekuverenga: 3 maminitsi

Kubatanidza Kuronga Mhuri uye Zvirongwa zvehutano hwekubereka:

Zvidzidzo kubva kuKenya

Ichi chinyorwa chinopfupikisa chiitiko chekubatanidza kuronga mhuri uye hutano hwekubereka (FP/RH) muUSAID Kenya-inotsigirwa neAFYA TIMIZA chirongwa, kuitwa na Amref Health Africa muKenya. Inopa ruzivo kune vadzidzisi vehunyanzvi uye maneja ehurongwa kuti hapana imwe-saizi-inokodzera-ese nzira muFP/RH sevhisi kupihwa., access, uye kushandiswa: mamiriro ezvinhu chinhu chakakosha pakugadzira nekuita. Zvinotaridza kukosha kwekuramba uchichinjika kumagariro enharaunda kuona kuti aya masevhisi akakosha anosvika munharaunda dzingadai dzakarambwa.. Izvi zvinoitwa kuburikidza nemhando itsva dzinotora mukana wemararamiro ekutama-tama enharaunda idzi.

Iyo AFYA TIMIZA Project

Kuwana rubatsiro rwehutano hwemhando yepamusoro kunoramba kuchinetsa kunharaunda dzakadzikira. Izvi zvakatonyanya kuipa kune vafundisi vanotama-tama munzvimbo dzinonetsa kusvika munzvimbo dzakaoma uye dzisinganayi mvura.. Mamiriro ekunze akaoma anoita kuti zviome kukwezva nekuchengetedza vashandi vehutano, uye nharaunda dzinonetseka kusvika kunzvimbo dzehutano nekuda kwekukura kwenyika. Izvi zvinowedzerwa nekusagona kuverenga kwakanyanya, tsika dzemagariro dzinokuvadza, uye tsika dzechikadzi dzisingatsigire sarudzo dzakazvimirira dzevakadzi.

The UTANO HWAKAZARA chirongwa chine donzvo rekusimudzira zvine chekuita nehutano hwevanhu munharaunda dziri munjodzi nekuwedzera kuwanikwa kwezvinhu zvinokwanisika, Kuronga mhuri kwemhando yepamusoro; kubereka, maternal, achangozvarwa, mwana, uye utano hwevachiri kuyaruka (FP/RMNCAH) masevhisi; chikafu; uye nemvura, utsanana, uye hutsanana (WASH) masevhisi.

A community health volunteer offers family planning information during a home visit. Photo: Edna Mosiara, AFYA TIMIZA.
Anozvipira kuhutano munharaunda anopa ruzivo rwekuronga mhuri panguva yekushanya kumba. Mufananidzo: Edna Mosiara, UTANO HWAKAZARA.

Masanganisiro atakaita FP/RH muProjekti Mabasa

UTANO HWAKAZARA, kuburikidza nemari kubva kuUSAID Kenya, yakabatanidza FP/RH padanho rezvivakwa nekutora mukana wenzvimbo dzakakosha dzekupa masevhisi kuderedza mikana yakarasika uye kusvika kuvakadzi vezera rekubereka.. Izvi zvinosanganisira kuongororwa uye kutarisirwa kweHIV, antiretroviral therapy, mawadhi evarwere vechikadzi, kuchengetedza maternity, kutarisirwa kwepamuviri, postnatal care, post-abortion care, uye makiriniki anobatsira amai nevana. Panguva yebasa rekuparidzira, ruzivo uye masevhisi paFP/RH anopihwa sechikamu cheiyo yakabatanidzwa pasuru yekutarisira. Uyezve, vashandi vezvehutano vari pachipatara uye munharaunda vanodzidziswa nekunzwisiswa nezveFP counselling, ruzivo, nzira yekugadzirisa, uye kutumira.

AFYA TIMIZA's successful integration of FP/RH depends on making community connections and referrals.
Kubatanidzwa kwakabudirira kweAFYA TIMIZA kweFP/RH kunoenderana nekuita hukama hwenharaunda uye kutumira.

Comprehensive Service Delivery Points

Zvichienderana nesarudzo yekuzvidira yemutengi, kudzidziswa kwevanopa, uye zvivakwa zviripo, iyo purogiramu/nzvimbo/nzvimbo yekuparidzira inopa ingave yakanyatsobatanidzwa modhi (umo vatengi vanowana rubatsiro rweFP mukati mekiriniki yeHIV nemupi mumwe chete kana akasiyana), kana kuti zvakabatanidzwa zvishoma (uko varwere vanopihwa mazano uye voendeswa kukiriniki yekuronga mhuri kuti vapihwe nzira).

Isu takabudirira kubatanidza FP/RH pa 154 zvivako zvehutano. Panzvimbo idzi dzekupa rubatsiro, vapepi vane makadhi ekuraira, rubatsiro rwebasa, marejista evatengi, uye magwaro ekugadzwa (kusanganisira masevhisi/nzira dzakapihwa). Kupangana mazano neFP uye nzira yekupihwa zvinosanganisirwawo sechikamu chekugovera kwakavakirwa munharaunda (CBD) zvirongwa zvakabatana nekuedza kwekuparidzira uye rimwe basa reCBD.

A couple learns about their family planning options while also receiving HIV testing. Photo: Edna Mosiara, AFYA TIMIZA.
Vaviri vakaroorana vanodzidza nezvenzira dzavo dzekuronga mhuri ivo vachinoongororwa HIV. Mufananidzo: Edna Mosiara, UTANO HWAKAZARA.

Kutorwa Kwezvekuronga Mhuri Pakati peMadzimai Ezera Rekubereka (Gumiguru - Zvita 2019)1

Matambudziko uye Zvidzidzo Zvakadzidzwa

Kubatanidzwa kweFP/RH kunobatsira kuderedza mikana yakarasika, nekuti vakadzi vanogona kutsvaga mamwe masevhisi panguva imwe chete yavanenge vasina kuzadzisa zvinodiwa zveFP/RH.

  • Mienzaniso yekubatanidza itsva: Chinhu chedu chikuru chekutora kubva muchirongwa ichi ndechekuti zvinokurudzirwa kubatanidza zviitiko zveFP/RH mumasevhisi ekufambisa mabasa.. Nekuda kwehunhu hwehuwandu hwatinoshandira, AFYA TIMIZA yakabatanidzwa FP/RH masevhisi mune inovandudza yekufambisa modhi senge ambuya vakuru2 uye kuparidzira ngamera3. Iyi ndiyo yakanakisa tsika yatinoronga kudzokorora mune mamwe mapurojekiti.
  • Kureruka kwekubatanidza: Muenzaniso wakanyatsobatanidzwa uri nyore kushandisa munzvimbo dzakaderera nevashandi vehutano vakazvipira, zvichienzaniswa nezvipatara zvemuruwa nedikidiki. Izvi zvinodaro nekuti pamatanho epasi aya, kune basa rakareruka uye vatengi vashoma, kusiyana nezvipatara zvedunhu izvo basa rakawanda. MuHIV nzvimbo dzekupa rubatsiro, iyi modhi inobatsira kuvandudza mhedzisiro yevarwere, kunyanya maererano EMTCT.
  • Kugutsikana kwevatengi: AFYA TIMIZA vatengi vanofara uye vanogutsikana, izvo zvatakasarudza kubva pakuongorora kwedu kubvunzurudza. Izvi zvinokonzerwa nekuti nzvimbo dzehutano dzinopa imwe-stop shopu, kuchengetedza nguva uye nekuwedzera mikana yekupa FP/RH masevhisi. Vatengi vanonzwawo kutariswa nevashandi vehutano; kana vangobva panzvimbo, vanoshuma kuti vanonzwa kuti zvose zvavanoda zvaitwa.
  • Yakaderedzwa nguva yekumirira: Kubatanidzwa kweFP/RH muzviitwa zvechirongwa kwakabatsira kuderedza nguva yekumirira yevatengi, iyo inosungirirwawo kune kugutsikana kwevatengi. Kubatanidzwa kwakaderedza kudiwa kwevatengi kuita nguva yebasa rimwe chete, tevere mumwe webasa rakaparadzana. Kuve nechokwadi chekuti masevhisi apihwa zvakakwana munzvimbo imwechete kunoderedza nguva yese inopedzwa kunzvimbo yehutano.

Rimwe dambudziko ratakasangana naro rakanga riri basa guru muchikamu chekutanga chepurojekiti, kunyanya kune vatengi vanotsvaga nzira dzenguva pfupi. Rimwe dambudziko rave rakatenderedza zvivakwa nemidziyo yekuvanzika uye kuvanzika. Iri idambudziko mumapoinzi ekupa masevhisi aive asina kugadzirirwa FP/RH yekuendesa sevhisi, sekuvhenekwa HIV uye makiriniki anochengeta.

A couple receives information on healthy timing and spacing of pregnancy while their baby receives an immunization. Photo: Edna Mosiara, AFYA TIMIZA.
Vaviri vanowana ruzivo rwekugara kwakanaka uye kuparadzaniswa kwepamuviri apo mwana wavo anobaiwa. Mufananidzo: Edna Mosiara, UTANO HWAKAZARA.

Pfungwa dzekupedzisira

Kubatanidzwa kunobudirira kweFP/RH kupindira kunoda kutora mukana wezvirongwa zviripo zvinobudirira zvinogona kubatsira kugadzirisa zvisingaite zvinodiwa neFP mune yakanangwa mamiriro.. Amref Health Africa yakagadzira uye yakayedza mamodheru emhando seKimormor - chitoro chakasanganiswa-chinomira chekuendesa masevhisi-uye ngamera inosvika kuendesa masevhisi padyo nevanhu.. Aya mamodheru uye maturusi akabudirira mukubatanidzwa kweFP/RH nekuda kwekusimudzira mapurojekiti aripo uye nekupa masevhisi eFP/RH seyakawedzera kukosha kune yedu iripo hutano masevhisi portfolio.. Tinovimba kuti mamwe masangano nemapurogiramu anogona kudzidza kubva pane zvakaitika kwatiri kana zvasvika pakubatanidza FP/RH muzvirongwa zvavo, kunyanya zvine chekuita nekushanda nenharaunda dzakaoma uye dzinotambura dzinotama.

1. UTANO HUNOZADZISA Gore 4 Quarter 1 mushumo wekufambira mberi.

2. Kimormor inoshandira nharaunda yeTurkana uye yakabatanidzwa, one-stop service service yakanangana nevanhu nemhuka. Mhuka chikamu chakakosha munharaunda yeTurkana.

3. Apa ndipo panoita ngamera semakiriniki anotakurwa uye kutakura mishonga kunzvimbo dzisina imwe nzira inogona kusvika.

Nyorera kune Trending News!
Anozvipira kuhutano munharaunda anopa ruzivo rwekuronga mhuri panguva yekushanya kumba. Mufananidzo: Edna Mosiara, UTANO HWAKAZARA.
Dr. Dickson M. Mwakangalu

Dr. Dickson Mtungu Mwakangalu, kuManchester Metropolitan University MPH, uye Moi University MD akapedza kudzidza, inyanzvi yezvehutano hweveruzhinji ine ruzivo rwekugona kubata nekuita zvirongwa zvevanaamai, achangoberekwa uye utano hwemwana, kuronga mhuri, hutano hwekubereka, hutano hwevechiri kuyaruka, chikafu, HIV/AIDS, nezvimwe zvirwere zvinotapukira. Parizvino ari kushanda seMutevedzeri Mukuru weBato reAFYA TIMIZA, a USAID-inotsigirwa neFP/RMNCAH, chikafu, uye WASH chirongwa uye chakashanda mune mamwe mabasa akasiyana anosanganisira Public Health Nyanzvi kuUS Centers yeChirwere Kudzora nekudzivirira., Chikamu cheGlobal HIV neTB muKenya, uye Director weTechnical Services kuPathfinder International, Kenya pakati pevamwe. Ane ruzivo rwakadzama pamusoro pekudzivirira zvirwere, Clinical management, kuitwa kweprojekiti, kutarisa uye kuongorora, kunyanya mune zvigadziriso zvisina kunaka. Ane shungu nekuchengetedza hupenyu nekuvaka masisitimu kuti ave nechokwadi chekuwana mukana wehutano. Kupererwa nebasa, anoda kupedza nguva nemhuri, kurima, kushambira nekufamba.

Diana Mukami

Diana ndiye Digital Learning Director uye Musoro wezvirongwa paAmref Health Africa's Institute of Capacity Development.. Ane ruzivo mukuronga chirongwa, design, development, kuita, management, uye kuongorora. Kubva 2005, Diana akabatanidzwa muzvirongwa zvekudzidzisa kure mumatunhu ehutano neakazvimirira. Izvi zvinosanganisira kuzadzikiswa kwezvirongwa zvekudzidzisa vashandi vezvehutano vasati vashanda uye vasati vatanga basa munyika dzakaita seKenya, Uganda, Tanzania, Zambia, Marawi, Senegaro, uye Lesotho, vachidyidzana neMinistries of Health, masangano anodzora, masangano ekudzidzisa vashandi vehutano, uye masangano anopa mari. Diana anotenda kuti tekinoroji, kushandiswa nenzira kwayo, inobatsira zvakanyanya mukusimudzirwa kwevanhu vanoteerera kune hutano muAfrica. Diana ane dhigirii resocial science, dhigirii repashure muhukama hwenyika, uye post-baccalaureate setifiketi mukuraira dhizaini kubva kuAthabasca University. Kunze kwebasa, Diana muverengi anofarira uye akararama hupenyu hwakawanda kuburikidza nemabhuku. Anofarirawo kuenda kunzvimbo itsva.

Sarah Kosgei

Sarah ndiye Networks and Partnerships Manager kuInstitute of Capacity Development. Apedza 10 ruzivo rwemakore ekupa hutungamiriri kune dzakawanda-nyika zvirongwa zvakagadzirirwa kusimbisa kugona kwehutano hwehutano hwehutano hwakasimba muEastern., Central uye Southern Africa. Iye zvakare chikamu cheWomen in Global Health - Africa Hub secretariat inotungamirwa kuAmref Health Africa, Chitsauko cheDunhu chinopa hwaro hwenhaurirano uye nzvimbo yekudyidzana yehutungamiriri hwekuchinja kwevakadzi mukati meAfrica. Sarah inhengo zvakare yeUniversal Health Coverage (UHC) Human Resources for Health (HRH) komiti diki muKenya. Ane madhigirii muPublic Health uye Executive Masters muBusiness Administration – Global Health, Hutungamiri uye Kutungamira. Sarah mumiriri ane shungu dzehutano hwekutanga uye kuenzana kwevakadzi musub-Saharan Africa.

Alex Omari

Alex ndiye Technical Family Planning/Reproductive Health Officer paAmref Health Africa's Institute of Capacity Development.. Anoshanda seRegional Knowledge Management Officer (East Africa) yeRuzivo SUCCESS chirongwa. Alex apedza 8 ruzivo rwemakore ekuyaruka uye vechidiki hutano hwepabonde uye hwekubereka (AYSRH) chirongwa chekugadzira, kuita, tsvakurudzo uye kutsigira. Akamboshanda mumabasa akasiyana kuMarie Stopes International, International Center for Reproductive Health (ICRH), Center for Reproductive Rights uye Kenya Medical Association. Alex parizvino anogara senhengo yeTechnical Working Group yechirongwa cheAYSRH kubazi rezvehutano muKenya. Iye mubatsiri webhusaiti / munyori weYouth for Change uye ari kubuda anozvipira Kenya Country Coordinator weInternational Youth Alliance for Family Planning. (IYAFP). Ane Bachelor of Science (Utano Hwevanhu) uye parizvino ari kutevera Tenzi wake wePublic Health (Utano Hwokubereka).

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