Sexual minorities experience extreme homophobia in the Kenyan Health care delivery system. This has negative consequence on their health seeking behaviour which are characterised by delays in seeking medication, self-medication and only visiting the medics when it’s either too late or the pain unbearable.
GIZ then ordered a consultancy to explore the best-practice delivery model, one that not only delivered on actualizing health service delivery for this community. It also needed to be both sustainable hence not just reliant on donor funding or special government grant and scalable nationally.
During this consultancy we developed 7 health service delivery models that could be applied in Kenya. We then invited a team of experts drawn from government, LGBT community and clinicians to interrogate these models on the basis of their viability, sustainability and scalability. After the exercise we settled on a combination of Syndromic Reference Model and Institution Wide Training models. These two are now integrated into Syndromic Reference & Training Model that is due for rollout from the beginning of 2012.
From a consultant's point of view, I would recommend its application to a wide variety of populations experiencing difficulties in accessing health care, either because of social or systemic discriminatory attitudes. Syndromic reference seeks to create or increase capacity on unique health needs of the target population while participatory training challenges discriminatory attitudes.
From a consultant's point of view, I would recommend its application to a wide variety of populations experiencing difficulties in accessing health care, either because of social or systemic discriminatory attitudes. Syndromic reference seeks to create or increase capacity on unique health needs of the target population while participatory training challenges discriminatory attitudes.
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