The Motorbike Outreach Model: A “Roaring” Success in Kenya’s North Eastern Province

Failed to parse expression null:javax.servlet.jsp.el.ELException: Encountered "}", expected one of [, , , "true", "false", "null", "(", "-", "not", "!", "empty", ]

In Hollywood films, the motorcycle is often synonymous with youth, rebellion, and leather-clad individuals cruising the streets in search of trouble. But deep in the hinterlands of Kenya, the motorcycle is fast becoming associated with a far more positive image—saving lives. Since 2007, the USAID-funded AIDS, Population, and Health Integrated Assistance II North Eastern Province (APHIA II NEP) Project has used several innovative strategies to deliver immunizations, medical supplies, and integrated HIV, tuberculosis, and family planning services to some of the hardest-to-reach populations in the world. In recent years, its motorbike outreach model has become one of its biggest success stories.

Kenya’s North Eastern Province (NEP) is one of the most sparsely populated regions in Africa, with an average of 10 inhabitants per square kilometer in a land mass of 126,902 km2 (22 percent of the country’s total surface area). The population mainly consists of nomadic pastoralists who continuously travel with livestock across the semi-arid terrain in search of water and fresh pasture. The migratory lifestyle is a major impediment to the standard model of healthcare delivery, a challenge exacerbated by NEP’s poor physical infrastructure. In the dry season most roads are bumpy and slow, while in the wet season they are virtually impassable; paved roads do not exist outside the capital of the province. Finally, the health facilities scattered across NEP suffer from chronic understaffing that often leaves outposts empty for months at a time.

Consequently, the health statistics in NEP are grim. Immunization coverage is 60 percent (compared to 64 percent nationally) and 33 percent of infants are underweight. Infant mortality (57/1,000 live births) and under-five mortality (80/100,000 live births) are among the highest in Kenya due to diarrheal diseases, anemia, and malnutrition. Family planning use is extremely low at 4 percent.

Although the image of healthcare providers using motorcycles to carry vaccines across rural Kenya might not appear on the silver screen any time soon, the public health impacts of this innovative model are more real and heartening than any Hollywood ending.APHIA II NEP supports a wide range of activities addressing HIV, AIDS, tuberculosis, reproductive health, and healthy timing and spacing of pregnancies in this remote stretch of Africa. The motorbike outreach model is one of the most innovative of these programs, in part because it overturns the traditional model of static healthcare delivery. Starting in June 2008 at five health facilities in Garissa, Lagdera, and Wajir districts, APHIA II NEP used motorcycles to bring health services to the people instead of waiting for people to come to clinics. The motorcycle is, in many respects, the ideal vehicle for traveling across the rough terrain of NEP, which is often inaccessible to cars and larger vehicles.

In this program, motorcycles are used for community mobilization, immunizations, and the transportation of staff and supplies to distant health outposts. As emergency transport, the motorcycles have already had a profound impact. In one instance, a pregnant woman in a distant village was having trouble giving birth. Several men ran to the local health dispensary for help. A nurse at a nearby facility was able to take a motorcycle to the village and assist in the delivery, thus saving the lives of both mother and child. In another example, the KEPI refrigerator in one facility malfunctioned and risked spoiling all the vaccines inside. Fortunately, the health facility had a motorcycle on the premises, and the vaccines were successfully transported 30 km away to a district hospital for cold storage.

The successes of APHIA II NEP’s motorbike outreach model are more than anecdotal, though. By visiting distant health outposts and villages on a regular basis, the motorbike program has had a positive effect on the health behaviors of entire communities. From 2008 to 2010, the uptake of antenatal care in Benane, Shanta Abaq, Korakora, Saka, and Modogashe has increased between 100 to 300 percent. By promoting integrated HIV, reproductive health, and immunization services in areas formerly lacking in healthcare delivery, the motorbike approach has become a rallying point for all priority intervention programs, especially maternal, neonatal and child health; family planning; HIV; and, tuberculosis.

The motorbike outreach model has the added benefit of being extremely cost-efficient. Compared to the 150,000 Kenyan shillings (approximately $150) per week it costs to operate a five-man vehicle outreach program, the 9,800 Kenyan shillings per month for motorbike outreach is a bargain. In addition, most NEP facilities already are equipped with motorcycles, further reducing the start-up fees for the program.

APHIA II NEP has since rolled out the motorbike outreach model to 48 health facilities across NEP, and it can serve as a template for any country with hard-to-reach nomadic populations. This program has shown that a low-cost, high-impact, sustainable intervention can successfully address the unmet needs of remote communities while quickly improving health indicators. Although the image of healthcare providers using motorcycles to carry vaccines across rural Kenya might not appear on the silver screen any time soon, the public health impacts of this innovative model are more real and heartening than any Hollywood ending.

Failed to parse expression null:javax.servlet.jsp.el.ELException: Encountered "}", expected one of [, , , "true", "false", "null", "(", "-", "not", "!", "empty", ]
Failed to parse expression null:javax.servlet.jsp.el.ELException: Encountered "}", expected one of [, , , "true", "false", "null", "(", "-", "not", "!", "empty", ]

Leave a Comment

* Change


Very energetic article, I loved that bit. Will there be a part 2? Brain Stimulator
Lanora November 24, 2014
Burberry Outlet,
The North Face Clearance,
Coach Outlet Online,
Barbour Jackets Outlet,
Abercrombie And Fitch Clothes,
Burberry Outlet Online,
Prada Outlet Online,
Burberry Clothes Outlet,
Cheap Gucci Clothes,
Marc Jacobs Outlet,
Cheap MCM Backpack,
Gucci Bags Outlet,
Kate Spade Outlet Online,
Louis Vuitton Outlet Online,
Louis Vuitton Outlet,
Michael Kors Outlet Online,
Michael Kors Outlet,
Michael Kors Black Friday,
Moncler Outlet,
North Face Outlet,
North Face Jackets Clearance,
Cheap Oakley Sunglaases,
Michael Kors Outlet Online,
Prada Outlet Online,
Polo Outlet Store Online,
Polo Outlet Online,
Ralph Lanren UK,
Longchamp Outlet Online,
Coach Outlet Online,
Barbour Jackets Black Friday,
Monster Beats Outlet,
Polo Outlet,
Uggs Boots Sale,
Woolrich Jackets Outlet,
Nike Air Max Shoes,
Monster Beats Outlet Online,
Cheap Canada Goose Jackets,
Coach Factory,
Coach Black Friday 2014,,
Coach Bags Store,
Coach Factory Outlet,
Coach Factory Store,
Coach Outlet,
Tommy Hilfiger Outlet Online,
Coach Outlet Online,
Cheap Coach Purses,
Hermes Bags Outlet,
Black Friday,
Coach Factory Outlet Online,
Moncler Jackets Outlet,
Coach Purses Store Online,
Ralph Lauren Polo,
Coach Outlet Online,

Michael Kors Factory,
MCM Outlet Online,
Beats by Dre Outlet,
North Jackets Outlet Online,
Michael Kors Outlet Online,
Coach Outlet Online,
Coach Factory Outlet,
Ugg Boots Sale,
Cheap Coach Purses,
Coach Outlet Online USA,
Coach Outlete,
Michael Kors Black Friday,
Michael Kors Outlet,
Nike Air Max,
Michael Kors Sale, bloomingdales coupons, Louis Vuitton Outlet Online Hermes Outlet Online Prada Outlet Chanel Outlet Online gucci backpack Burberry Outlet Celine Outlet Balenciaga Outlet Christian Dior Outlet Online Chloe Outlet Online Bvlgari Outlet Online Bally Outlet Michael Kors Outlet Online MCM Backpack Outlet Online Fendi Outlet Online mulberry Outlet Marc Jacobs Outlet Miu Miu Outlet Online Ysl Outlet Online Tory Burch Outlet Online Givenchy Outlet Online Ferragamo Outlet Online Lancel Outlet Online Loewe Bags Outlet Online Tods Outlet Online Paul Smith Outlet Online Dolce Gabbana Outlet Online Alexander Wang Outlet Online Bottega Veneta Outlet Online

Kailey November 20, 2014
I'm happy to be familiar beside your judgment so I normally instruction papers at i need help essay online furthermore sum my consumers are happy. Definitely, I won't restrain doing this after I favor litter persons to conserve their cycle. Consequently they are satisfied by their scholars' soul.
Jason November 16, 2014
Really great post, Thank you for sharing This knowledge.Excellently written article, if only all bloggers offered the same level of content as you, the internet would be a much better place. Please keep it up!
stuart November 15, 2014
Thanks for writing such a good article, I stumbled onto your blog and read a few post. I like your style of writing... freze tabla motor tamiri
stuart November 15, 2014
jual vcc paypal untuk tutorial verifikasi paypal dan vcc playstore store untuk beli aplikasi/gems di adroid market.
vcc November 13, 2014
The benefits of education for the students of modern era have increased. The financial insecurity motivates students to study more so that they can get good jobs after studies. The students have to work really hard with financial problems.
Mite November 10, 2014
I just thought it may be an idea to post incase anyone else was having problems researching but I am a little unsure if I am allowed to put names and addresses on here.
jackson November 9, 2014
My rather long internet look up has at the Home Automation North Palm Beach end of the day been compensated with pleasant insight to talk about with my family and friends
ali November 9, 2014
perspective increased director spending parties check credit score for free secure divergent parties
Name October 31, 2014
Purnima Mane is Pathfinder's President and Chief Executive Officer. She oversees more than 1,000 staff around the world, an annual budget exceeding $100 million, and sexual and reproductive health programs in more than 20 developing countries. Saran Wrap Weight Loss
Every time he October 3, 2014
I want you to thank for your time of this wonderful read!!! I definately enjoy every little bit of it and I have you bookmarked to check out new stuff of your blog a must read blog!!!! venus factor
factor September 27, 2014
Thank you for presenting your points and providing this information. I have learned something about this topic. Facebook
SERENA September 24, 2014
There is a tendency toward sprawling in the developments of Indonesian cities. A geographical gap exists between the locations of the place of residence and the place of work. Crystal X Asli jual crystal x jogja menjual crystal x asli jual crystal x asli ciri ciri crystal x asli crystal x asli pt.nasa
assyafa September 10, 2014
The motorbike outreach model has the added benefit of being extremely cost-efficient. Compared to the 150,000 Kenyan shillings. why not try here
khanmkil September 4, 2014
or on the surface of the ovaries, and most of the time, they are harmless. They are commonly observed during
million records. Nirvana's compositions took the world by storm Louis Vuitton Bags because of their unconventional style of
all have their individual strengths and make amazing carpets. Christian Louboutin Shoes So, do you want the soft, plushy feeling
food chain, humans tend to think of themselves High Heels as a refined lot. Refined enough to think of themselves as
and watch if the symptoms Moncler Outlet Online are not so serious. Depending on the severity of the situation, the doctor may
nature, has nba jerseys online sale made it quite difficult to study them in detail. Add to that the fact that their camouflaging cheap nike shoes fur
changed numerous times, and the last one, David Grohl, was on the throne for the true religion brand jeans longest duration (about 4
should keep in mind and then go on to incorporate these foods ray ban outlet in your diet. Microsoft Outlook is not just
they do not even promote shrinking of those christian louboutin shoes cysts. Moreover, the health of the woman can get affected in
marine creatures, and hence, is new balance easily confused for bioluminescence.hocolate city' Hershey. As you know,
that long sought promotion, whatever the scenario, Authentic Louis Vuitton a career mentor can pull you out or guide you through any
firefly cannot achieve. Fluorescence Cheap Moncler Jackets is where light is first absorbed and then released simultaneously.
for a short while. Now, there true religion jeans are different types of certificates of deposit, and the 4 main ones are
Russian names given new balance outlet below, which are a mixture of traditional and contemporary ones. Some are cute, while
asked to Michael Kors Outlet Store learn things from other people, we tend to think that we are way too evolved than the [chenhuangjin] rest of the
who has been in your field for a long time, helps us to Christian Louboutin shoes louboutin outlet learn from his mistakes and avoid repeating those in
lead guitar while Krist played bass guitar. A striking fact of this band is that the drummer's position was
but wasn't very successful, despite being official true religion critically acclaimed. The third album 'In Utero' braced the music
inadvertent sense of establishing one's superiority Nike Outlet Online that accompanies every human relationship. From this
makes them look like a random lump on a Michael Kors Outlet Handbags tree. Talk about playing hard to get! They can fly like Superman, and
charts in 1993, michael kors outlet and was fairly successful in dominating the music industry for a while. It sold about 15
nike free run />popular in the pet trade. The following paragraphs provide some interesting facts about the adorable Japanese
Louis Vuitton Outlet September 3, 2014
Failed to parse expression null:javax.servlet.jsp.el.ELException: Encountered "}", expected one of [, , , "true", "false", "null", "(", "-", "not", "!", "empty", ]
Scroll to top