Free Medical Camp in Meru on 25-26 May, 2012

The constituency of Tigania West covers an area of 386 km2 and boasts an approximate population of 160,000. The constituency  has eight government health centers, namely Miathene, Mbeu, Kunene, Kimachia, Mituntu, Mutonjuri, Uringu and Mweronkanga. Facilities in these health centers are poor and their distribution uneven, subjecting patients to travel for long distances to reach the nearest health centre.

Staff shortage is also a serious problem in the health centers, while drugs and medical equipment are inadequate. Transport and communication is a problem as all these health centers become inaccessible during the rainy season, especially by the elderly. These factors contribute to a high incidence of sickness in the constituency and consequently, a decline in labour productivity, resulting in increased poverty levels.

According to the current District Health Management Team (DHMT) Health report,  Malaria remains the leading cause of out patient morbidity. This could be attributed to the hot climatic conditions which favour mosquito multiplication. There is inadequate supply of Insecticide Treated Mosquito Nets especially for pregnant mothers and under fives according to the same report. With the current recommended malaria treatment being too expensive for the community and unavailability of the drugs in most Health facilities make the treatment inaccessible by the community members. This has increased the morbidity and mortality of the community. Cases of diabetics and cancer have been on the increase, while ways of early detection and control/cure are limited. Maternal and child health services are not accessible and affordable for many leading to high incidences of home deliveries and poor immunization coverage

The community also has aging members who apart from not being able to purchase health care are not able to access the facilities due to the long distance and arthritic joint problems that have disabled them. Compounding what has been highlighted above; is lack of   framework that provides an interface with the communities. Though the District Health Management team produces very useful District Health Plan but due to lack of resources in the  entire country , it is always difficult to implement all the strategies. There is, therefore, the need to institute temporary short term interventions while planning for a more lasting solution to these challenges.  The Village Trust  Fund (TVT)  in partnership with the Tigania West Development Office have been organizing series of free medical camps in the region, since 2008, which have gone along  way in complementing the efforts of the  DHMT.  Reports  on the achievements and lessons learnt are prepared immediately after the  conclusion of the  medial camp and this  particular report is for the  medical camp organized in Mbeu Ward, on 28 May, 2011.

II.      Objectives of the Free Medical Camp

The main objective of all medical camps organized  by TVT, has been to bring affordable healthcare and free health information to the community and identify the common healthy problems of the community in order to devise ways of addressing them, in partnership with District Medical Authorities. Specifically, the  medical camps seek to : Provide VCT services to the community; provide both preventive and curative treatment for common conditions in the community; refer those who require specialized treatment  to the  relevant centers; create awareness and provide counseling  on HIV/AIDS, Diabetes, breast  cancer and other ailments; create awareness on the need for personal hygiene in prevention of serious disabling diseases  such as eye and dental, which are prevalent in the  area  due to  dust and lack of adequate water. The free medical camp also aimed at encouraging use of available nutritious food products in the area;   and discouraging drug/substance abuse among the community members.

A list of the requirements, which  is not  exhaustive is  as presented below. In additional financial resources will be required  for transportation of both supplies and personnel and  accommodation of the volunteers from outside Meru region. Heavy security is required and adequate none medical personnel to assist with registration and the management of the  crowds and  this also require donation in form of money and  in kind.

REQUIREMENTS FOR THE 2012 FREE MEDICAL CAMP  IN MERU, 25-26 MAY, 2012

5.1 Drugs

5.2 Surgical supplies

5.3 Other supplies/materials

De worming agents

Anti malaria

Antibiotics

Cough syrups

Anti histamines

Analgesics

Antiepileptic treatment

VCT kits

Local applications

Eye ointments

Rubber gloves- sterile and non-sterile

Wound dressing gauze

Cotton wool

Antiseptic

Sterile surgical packs

Syringes, 20 cc, 10 cc, 5 cc, 2 cc

Needles G 18, 21, 22, 24

Disposable dressing packs

Tents and chairs, Stationary for clinical recording, Vital signs monitoring equipment, Medical equipment, stethoscope, torches ophthalmoscope etc.

Reading glasses, Refreshment for volunteers, Insecticide,  Treated Mosquito Nets and blankets, Wheel chairs for the physically challenged patients

Baby clothes from age zero to five years old, Condoms and sanitary pads and tampons

Required personnel to support the medical camp

Doctors, Clinical officers, Dentists, opticians, and nurses , Medical students, Clerical staff, Pharmacists, Counselors, Administrative and security personnel, and other support teams to support with registrations and general logistics

Details of the Essential medicines required for the medical camp

 

DRUG

PACK SIZE

Quantity

1) Essential Medicines: Tablets and Capsules

 

 

Albendazole Tablets 400mg

1000

4

 

Amitriptylline Tablets 25mg

1000

4

 

Amoxicillin/Clavulanic Acid Tablets 500/125mg

20'S

100

 

Amoxycillin Capsulesules 250mg

1000

20

 

Amoxycillin Capsulesules 500mg

500'S

20

 

Benzhexol Tablets 5mg

1000

4

 

Carbamazepine Tablets200mg

1000

4

 

Chlorpheniramine Tablets 4mg

1000'S

10

 

Chlorpromazine Tablets 100mg

1000

4

 

Chlorpromazine Tablets 25mg

100'S

4

 

Ciprofloxacin Tablets 500mg

10'S

200

 

Cotrimoxazole Tablets 480mg

1000

20

 

Diazepam Tablets 5mg

1000

4

 

Diclofenac Sodium  Tablets 50mg

1000'S

10

 

Doxycycline Capsules 100mg

1000

4

 

Erythromycin Tablets 250mg

1000

10

 

Ferrous Sulphate Tablets F/C 200mg

1000

4

 

Flucloxacillin Capsules 250mg

1000

4

 

Folic Acid Tablets 5mg

1000

4

 

Furosemide Tablets 40mg

1000'S

4

 

Glibenclamide Tablets 5mg

1000

2

 

Hydrochlorothiazide Tablets 50mg

1000

2

 

Hyoscine Butylbromide Tablets 10mg

1000

4

 

Ibuprofen Tablets F/C 200mg (Scored)

1000

10

 

Ketoconazole Tablets 200mg

30

20

 

Loperamide Capsules 2mg

1000

2

 

Magnesium Trisilicate Co Tablets

1000

6

 

Metformin Tablets 500mg

1000

4

 

Methyldopa Tablets F/C 250mg

1000

4

 

Metoclopramide Tablets 10mg

1000'S

2

 

Metronidazole Tablets 200mg

1000

10

 

Multivitamin Tablets

1000

4

 

Nifedipine Tablets S/R 20mg

1000

2

 

Omeprazole Capsules 20mg

20'S

100

 

Paracetamol Tablets 500mg

1000

10

 

Phenobarbitone Tablets 30mg

1000

3

 

Phenytoin Tablets 50mg

1000

3

 

Prednisolone Tablets 5mg

1000

10

 

Quinine Sulphate Tablets 300mg

1000

10

 

Salbutamol Tablets 4mg

1000'S

4

 

Sulfadoxine/Pyrimethamine Tablets 500/25mg

1000

10

 

Tinidazole Tablets 500mg

1000

10

2) Essential Medicines: Oral liquids

   

 

Amoxicillin Syrup 125mg/5ml

100mL

600

 

Amoxicillin/Clavulanic Acid Oral Susp 228mg/5ml

70mL

600

 

Chloramphenicol Susp 125mg/5ml

100 ML

200

 

Chlorpheniramine 2mg/ml Syrup

5 LTR

12

 

Cotrimoxazole Suspension 240mg/5ml

50mL

400

 

Erythromycin Oral Susp 125mg/5ml

100mL

600

 

Metronidazole Oral Susp 200mg/5ml

100mL

600

 

Multivitamin Syrup

5 LTR

4

 

Nystatin Oral Susp 100,000 Iu/ml

30mL

100

 

Ors Sachet (Who Citrate Formula For 500ml)

1*

3000

 

Paracetamol Susp 120mg/5ml

5L

20

 

Salbutamol Oral Solution 2mg/5ml

100mL

600

3) Essential Medicines: Parenterals

   

 

Adrenaline (Epinephrine) Injection1mg/1ml Amp

1*

200

 

Aminophylline Injection25mg/ml, 10ml Amp

1*

200

 

Benzylpenicillin Injection3G (5Mu) Vial (Pfr)

1*

200

 

Benzylpenicillin Injection600mg (1Mu) Vial (Pfr)

1*

200

 

Ceftriaxone Injection1G (Pfr)

1*

200

 

Chloramphenicol Injection1G (Pfr)

VIAL

200

 

Chlorphenamine Injection10mg/ml, 1ml Amp

1*

200

 

Chlorpromazine Injection25mg/ml, 2ml Amp

1*

200

 

Diazepam Injection5mg/ml, 2ml Amp

1*

200

 

Diclofenac Injection25mg/ml, 3ml Amp

1*

400

 

Flucloxacillin Injection250mg

1*

200

 

Gentamicin Injection40mg/ml, 2ml Amp

1*

200

 

Hydrocortisone Injection100mg Vial

1*

200

 

Hyoscine Butylbromide Injection20mg/ml, 1ml Amp

1*

200

 

Lidocaine Injection2% 30ml Amp

1*

200

 

Lignocaine/Adrenaline 2%/1:80K Dental Cartridge 100'S

100

200

 

Quinine Dihydrochloride Injection300mg/ml 2ml Amp

1*

400

 

Water For Injection 10ml Amp

1*

2000

4) Essential Medicines: External Medicines/Other Items

 

 

Alcohol Pre-Injection Swabs

200

2

 

Beclomethasone Inhal.100Mcg/Dose (200 Doses)

1

20

 

Benzylbenzoate 25% Application

100 ML

3

 

Clotrimazole Cream 1%

20g

200

 

Clotrimazole Pessaries 100mg (+ Applicator)

6

100

 

Dexameth. Neom. Eye Drops 0.1%

5ML BOTTLE

60

 

Dispensing Envelopes Plastic Resealable

10x1000

4

 

Gentamicin  0.3% Eye  Drops

5ML

60

 

Hydrocortisone Eye Drops 1%

5ML

60

 

Hydrocortisone Ointment 1%

15g

100

 

Hydrogen Peroxide Soln 6% (for wounds)

5L

2

 

Salbutamol Inhaler 100mcg/Dose (200 Doses)

1

60

 

Silver Sulphadiazine 1% Cream

250GM

2

 

Tetracycline Eye Ointment 1% 5G Tube

1*

200

 

Timolol Eye Drops 0.25%

5ML

20

 

Dispensing Bottles (with lids)

1

2000

 

Dispensing labels

1

2000

 

Writing materials- Prescription

100pkt

200

 

Gauze

 

 

 

Mosquito nets for  pregnant mothers and children under 5

1

2000

 

New born baby cloth/blankets  for approximately 200 babies under 1 year old

 

 

 

Gloves

 

 

 

Motor operated wheelchairs

1 piece

10 pieces

 

Food stuff such rice, flour, sugar and cereals to cater for approximately  2000 mothers with children under 2 years old

 

 

 

Bandages, condoms, sanitary pads,

 

 

 

Scalpels

 

 

           

 

III.    Report on achievements of the  last TVT Medical  Camp

The Village Trust Fund (TVT), a non-profit organization, with operations in Meru, Nakuru and Kitale  focusing on community empowerment. Among the many other projects TVT is involved in the promotion of health and organization of free medical camps is one  way of getting those who are able to serve the less fortunate. TVT held its 5th free medical camp at Kibuline secondary school in Tigania West district, Kenya on Saturday 28th May 2011. TVT, through the  support of various partners, acknowledged herein, over saw the provision of various medical related services to  approximately  7, 000 people. The  figure of the  persons who turned up overshot the  planning figure which had had been  estimated to be  about the  5,000. This  could have been attributed to the  success stories coming from the  previous medical camps,  high quality of services and medicines provided combined with   collaboration of the  local authorities and  communities at large in advertising the  camp all communities in and around Mbeu ward of Tigania West District.  Mugambo FM , a community radio with  its offices in Tigania west also contributed to the  high turn up through  it daily announcement  just days  before the  event. For the  first time, there were facilities provided by the  Nairobi Women Hospital, to  screen and  test for breast cancer.   TVT had made announcement for women to turn out in big numbers in order to benefit from this  free service.   Mbeu, the location of the  medical camp  border three other communities, namely Tharaka, Imenti and Kamba and as such those who came to the  medical camp  were from  all the  communities surrounding  Mbeu ward.

Action in Focus and Family Care Mission,  one of the main partners at the  medial camp provided medicines   enough to cover over 3,000  while the  supplies from the  district healthy center and the donations from private pharmaceutical companies  was adequate to  serve all those who attended. Those who remained due to time constraints on material day were requested to pick their free medicine from the  Kibuline  health center in the days that followed.

TVT free medical camps are normally experience huge turnout ranging from 5000- 13,000 and therefore the Mbeu one was considered to among the well attended. The number could be have been higher than the 7,000 because even after the  registration had stopped at 2pm, people still showed up at doctors’ rooms and  who could not turn away patients and had to prescribe medicine in plain papers.  There were complicated cases that were referred to Meru general hospital and others to  various hospitals in  Nairobi and  TVT has been facilitating their  travel  to  the referral hospitals.

TVT  also provided the  necessary logistical support to the all supporting  partners and  once on the  ground the  representatives  of Rotary club from Nairobi and Meru were in charge of the  registrations and general organization the  patients.  The services that were provided at the medical  camp were as  follows:

  1. Eye and Dental clinic.
  2. Medical clinic for groups and children under  5 years old
  3. Taking requirement of the  persons with disabilities
  4. Distribution of wheelchairs and fittings for the  people with  disabilities
  5. Breast cancer Screening and counseling
  6. VCT Services
  7. Testing and counseling on diabetic related  sicknesses
  8. Skin diseases treatment
  9. Distribution of mosquito nets

10.  Awareness creation on personal hygiene  and  nutrition

11.  Distribution of old clothes and shoes

VI.    Sponsors and Partners of last Medical Camp

With the increasing cost of living and especially healthcare, it is going  to be even harder for the  common people to  afford effective medicine and food. Thus there is need for all stakeholders, from the  private, public  and individuals to forge a strong alliance aimed at improving the  social amenities  in the  country. Their intervention will complement the efforts of government and will indeed make a real difference in the lives of those from humble backgrounds.

The success of the  Mbeu medical camp  would not have been realized  without the  support of  all partners, local authorities and the Tigania West community at large. Some of the  sponsors, supporters and partners are  as follows:

  1. Rotary Club, Nairobi  Meru Branch, played a crucial role of  organizing  the entire  logistics of the  medical  camp. They provided  volunteers for the  registrations. Members  Rotary club through  Ms. Makena Mathiu, a TVT member of the  advisory council  mobilized support for the  medical camp  and it is through their contacts that  support from Safaricom, red cross,  Nairobi Women  Hospital, Rural Community Development Agency( RCDA)  and   family Health Options was secured. Rotary club handled the  registration of  patients and  assisted in maintaining order.
  2. Action in Focus and Family Care Mission has  been involved in  the last three medical camps  organized by TVT.  They   provide medicines for no less than 3,000 patients and they normally bring their  own team to  dispense the  medicines.  Action in Focus is a committed partner who not only provides medicine but even food stuff. They played a key role in ensuring that the  Mbeu medical camp was a success.
  3. Nairobi Women Hospital, provided breast cancer  screening  services, which was the first time TVT has facilitated such services and the  from the large of cases referred  for further treatment, it is clear that this  service needs  to be provided in many other areas.
  4. Silverspread Hardware’s limited has been actively involved in community development  activities of TVT , including  medical camps. Silverspread Hardware’s limited   generously contributed   towards the  costs of the transport for the   volunteers, accommodation and meals.
  5. Tigania West Constituency is  the main partner given that the  medical camps are organized for the  benefits of the  people of  Tigania west. The  officials of  the constituency development office work closely with TVT on  all development activities. The area MP, Dr. Hon. Kilemi Mwiria is  one of the  resource mobilizers  for all the  medical camps.  For the  Mbeu-Kibuline medical camp, the constituency office provided funds  to cover the  cost of security, medical parishioners, purchase of  drugs and stationery and provision of  meals  for the  volunteers.
  6. Equity Bank, Meru, Makita Branch is the  official banker of TVT and has partnered with TVT on most development activities including the  tree planting and greenhouse farming. They have supported all previous medical camps and  for the  Mbeu/Kibuline medical camp, equity bank provided  funds  to cater for the  movement of the  volunteers and medical personnel from various medical and health centers  to and from the  venue.
  7. Association of People with Disabilities in Kenya (APDK), has been a partner of TVT  in all the  previous medical camps. They have continued to support with wheel chairs, shoes and other fittings for persons with disabilities. They provide advice on how to take care of the  people  with disabilities and  continue to offer free consultations in even after the  medical camp.
  8. Medical personnel of  Mbeu  and Miathene District Hospital, which is also the referral hospital in the  constituency  have continued to play a key role in the organization  of the  free medical camps. They coordinate the  operations  of the  medical practitioners and also offer follow up services to  cases that are identified at the  medical camp.
  9. Medical staff of Meru General Hospital, Maua district hospital, Maua Methodist hospital and all heath centers of Tigania West have always been part of the  medical  camp. Apart from the  transportation and minimal meal allowance, the  medical staff  from these healthy institutions in the wide Meru, are very committed to offering free services. They have been the backbone of the success recorded in this medical initiative.
  10. Red Cross: Nairobi office provided medicines, blankets and clothing for children/old women; etc. The Meru Office provided 5 volunteers-who assisted in distribution, first aid and logistics.  Red Cross offered their  vehicle  to be on standby  to provide ambulance services
  11. Kibuline Secondary School. The principal, students and all officials of  Kibuline secondary school played a key role in  the logistics. They supported in preparing consultations rooms, moving medical supplies, assisting the elderly to locate  rooms  for various services. The school also played a key role in the planning of the  medical camp.
  12. Local Authorities, are normally involved in  all medical  camps organized by  TVT. The councilor  of Mbeu  and the  District Commissioner of  Tigania  West  were in  charge of the  peace and security  during the  medical camp. The camp was orderly and even though the  number of people was overwhelming , the local authorities provided a peaceful environment for both the old and the  young.
  13. Nila Pharmaceuticals and  Nairobi hospital have been supporting TVT organized medical camps  for this  camp they provided  medicines
  14. Population Services International (PSI) AND JPHIEGO provided Mosquito nets, which were distributed to  mothers with  young babies.
  15. Rural Community Development Agency( RCDA). Though  Kibuline Secondary school had offered all classrooms to be  used  for the  medical camp, the high turnout of people  made it necessary to  use tents and Rural Community Development Agency( RCDA) supported the  medical camp with 6 tents, which were used as consultation and counseling centers.
  16. Kianjai Secondary  school, provided the  vehicle and driving services  for the medical volunteers from Meru
  17. Family Health  Options provided VCT and counseling services
  18. Individual health professions such as dental surgeons, General practitioners, Clinical officers, Lab technicians, Pharmacists, Eye surgeons, Pediatric surgeons and Specialist doctors all turned up to provide free services to the community and they  contributed to the  success of the  medical camp.

V. Lessons Learnt

TVT  and the  Tigania West Development office have been organizing annual the free medical camps   in various  locations within the   constituency  for the  last 4 years and such lessons are constantly being drawn from each one of them.  For this particular medical camp, there following  lessons  learnt have been noted for record and future enhancement of the  logistics and general planning and management of the  medical camps.

  1. Transportation: Though transport was available on time, the fact that the  same bus was to pick  staff and  supplies from many locations, delayed the  arrival time of the  medical personnel. In future separate transportation  should be provided for personnel and supplies taking into account the distance between pick up points
  2. Medical supplies: Coordination on the  mobilization of supplies was commendable and the medical camp had  more than enough for the large number of the  people who  came. Even though  there was no physical meeting held  use of email to report progress on mobilizing  support for various services was found to be effective. For this  medical camp only  TVT had to purchase only a small quality of drugs for the  dental related illness, which was expected based on the experiences of the previous camps.
  3. Publicity: The strategy adopted  to  inform people of the medical camp was very effective and  this was evident from the  large number  of people who turned up. One month prior to the medical camp,  TVT placed  advertised through Banners, community radio station, Posters, chief Barazas, Schools, Churches, Women groups. The  strategy worked  very well and the same approach will  be perfected in all future medical camps.
  4. Number of the beneficiary: The initial estimate had projected  a turn out between 3000- 5000 and the number of doctors and other medical parishioners had been based on this  number. However, there was need to take into the  impact of the  increased publicity and provide for more, especially given the  location was at the  border of other constituencies.  This oversight presented a challenge on the organization and timely delivery of services. Future medical camps will  ensure that  initials allocation of resources is  reviewed close to the  date of the free medical camp to  ensure that all emerging developments are taken care of.
  5. Logistical arrangement: The lesson learn on this  aspect is similar to the  one relating to the  number of  beneficiaries above. Registration of patients did not  start on time as the  registration material  was late in arriving.  Again due to the  high large number of people, registration  cards, which were also used as prescription pads were not  adequate and registration had to be closed by 2.00pm, to facilitate the doctors to attend to all the patients already registered. Again this could have been addressed if the impact of publicity had been reviewed close to the  date of  the  camp.

    7. Accommodation: Due to lack of resources, is only able to provide accommodation on very limited  cases. Based on previous experience from the other camps negotiated rates were received from hotel Incredible and Hotel Three Steers in Meru town, where the doctors, volunteers and special guests who were from Nairobi were accommodated well with full meals provided to their satisfaction.  So far the accommodation arrangements have been satisfactory  but it  would  good to provide accommodation to  many more volunteers who are out of Meru, as when the  funding allows.
  6. Financial donations : TVT received  financial support  to cover food allowance for medical parishioners and support staff from  Meru regions,  provide accommodations & Food,  transportation for volunteers from Meru, Embu and  some from Nairobi,  purchase of Stationary and drugs and  facilitate travel of the  patients who are referred for further treatment  in Nairobi and  Meru general hospital.  For this  particular  camp a total of  Kshs310,000 was received directly by TVT from three partners and this  was barely enough for a medical camp of 7,000 persons.  Separate financial utilization report will  be submitted to these partners. The lesson learnt here is that many  volunteers especially those providing security who expected to be paid some meal allowances did not get to be paid and the  feeling was not  good. In future TVT and the  partners will have to intensify efforts of mobilizing  financial support for the logistics  at least 3 months in advance.
  7. Overall coordination on the  day of the medical camp. In the  previous medical camp, clear distribution of responsibilities  was done  in advance during actual meetings and  everybody  knew what was allocated to him or her and the associated resources. However, for this  particular medical  camp,  some hitches were noted  mainly due to the fact that there were no physical meetings as most deliverations took place via the email and telephones. Also apart from the  few individuals from TVT who were on the ground many other volunteers arrived in Meru, on the  night of the  medical camp. Some time was therefore lost in the morning hours  in order to distribute tasks but thereafter the operations went on smoothly. The lesson learnt was that  good coordination of all  partners is required and  allocation of responsibilities should be accompanied by the  needed resources before actual date of the camp. A meeting of the team leaders of various groups should take place the day before the camp. However, TVT, constituency office  in Tigania west  and  officials of district hospital should endeavor to have regular meetings and communicate more regularly so as to  put in place a contingency plan to address matters  related to cases of large turnout.
  8. Duration and frequency of medical camp. Free medical camps have been to be held annually, on the last Saturday of May.  From the  previous  camps it has become evident that one day is not enough.  For this medical camp those who could not get the medicine on the  date of the  medical camp were  asked to collect their medicine from the Mbeu medical  center within the  3 days. Lesson learnt here is  that there is need for TVT to look at the  possibility of having the  medical camp run throughout the  weekend  or for at least two days, could be Friday and Saturday. However this will entail more  funding for logistics  which has  been a major constraint. From this  particular camp it also emerged that there is need to  organize a specific day for the  specialized services such the  eye treatment, breast cancer screening, cardialogical related sickness and disabilities and dental services. This will reduce on the  number of patients who will turn  up at the annual medical camp. TVT could therefore negotiate with  Nairobi  women Hospital to set another  day  in the  course of the  year to go to  Meru, conduct more screening and  educate  women  accordingly. This could be held in one of the  girls’ schools who could also benefit from the  services. Similar arrangement should be put into place in connection with other sickness like prostate cancer, heart and eye disorders.
  9. Referral Cases. Case requiring more specialized treatment emerge from all the medical camps  and  Tigania west constituency office and  TVT facilitate travel  and accommodation  of patients to Nairobi and Meru general hospital. So far the many cases of cancer have been transferred to Kenyatta hospital  and Meru general hospital for further treatment. Lyons Eye Hospital has been  performing  free operations to remove cataracts at their hospital in Kengemi  and thanks to  Lyons club over 70 persons have benefited from their support. The last medical camp was fortunate to benefit from the services of Nairobi women’s hospital, thanks to the  support of Safaricom. Following the  screening done on many women who could never have afforded such  services on their own, cases of breast cancer that were identified. Treatment of such illness proved to be challenging due to lack of resources. There are still some of the patients for whom treatment is yet to commence due to the  lack of resources. TVT therefore is exploring  all possibilities of having these patients assisted. TVT  in collaboration with  constituency development office would cover the cost of travel and  accommodation  to Nairobi.
  10. Eye sickness: Many elderly persons have problems of the  eyes requiring operations, while others  required medication or glasses.  Due to the high number of patients that turn up for eye treatment it is clear  that there  is need for an operating theater within the district.  TVT would require the assistance of the  local area MP and other partners for this  service to be provided  at the  district hospital in Miathene.

VI.       Special Note of Appreciation

This medical camp would have been a success without the  active involvement of  TVT board members led by Dr. Sarah M. Kilmer,  Ms. Makena Mathiu and  Mr. Ramesh Hiran  who actively mobilized the  financial resources, donation in kind and  volunteers who made the  day a success. Through  personal contacts of Ms. Makena Mathiu,  TVT got to  collaborate  with  Rotary club, Safaricom, Nairobi Women Hospital, red cross and  number of pharmaceutical companies that provided medicine.  Mr. Martin McNally, Director of the  Action in Focus, has been part  of  the planning team for all previous medical camp. Martin does not only ensure the availability of medicine but also brings along a very dedicated and enthusiastic team of young professionals who man the Action in Focus pharmacy,  which has come to be known as Pharmacy 2. The role the team of action in focus has continued to play has been crucial for the  success of the medical camp.  This medical camp and indeed all the previous  ones would not have been successful if it were not for the personal involvement of the member of parliament for Tigania west  Hon. Dr. Kilemi  Mwiria. Through his personal appeals to  donors, the  medical camp was  able have adequate supply of medicines, wheelchairs, fittings for the  people  with disabilities and transportation for the supplies from Nairobi to Meru.  His personal presence at the  medical camp was  moral boost for all present and a true testimony of how much he cares for the  wellbeing of the humble communities.

Special thanks  go to the  employees of the Hon. Dr. Kilemi Mwiria’s offices in  Tigania West and Nairobi for their  commitment towards the  success of the  medical camp. Their unrelenting follow-up efforts and  involvement in logistics  was  commendable. Last and not least  any medical camp will not be a success without the  providers and  recipients  of the medical services. To all who turned  up to receive the  services and to all the  medical personnel, the security, students and  local authorities,  a big thank you and we look forward to even a stronger partnership with TVT in her efforts to address the  needs of  our  communities.