The Republic of Kenya is an African nation on the Indian ocean bordered by Tanzania, Uganda, South-Sudan, Ethiopia and Somalia. Since its independence in the early 1960s, Kenyan democracy has evolved from a single party system to a multi-party democracy. Known for its wildlife and beautiful national parks, Kenya has a deserved reputation for its abundance of cultural and biological diversity. With a population of 46 million, Kenya has the largest economy by GDP in East and Central Africa and is considered to have one of the most successful agricultural sectors on the African continent. Although Kenya’s economy has shown significant growth over the last decades, the nation still has a 45.5% poverty rate and is ranked as a country with low human development. The Kenyan healthcare system has to deal with several of the world’s deadliest diseases, including Malaria, HIV and Tuberculosis.
Eastern Africa runs from Ethiopia in the North, to Mozambique, Madagascar and Zimbabwe in the South and contains a diverse range of nations, cultures and languages. Since antiquity, East African nations and city states were renowned for trade with regions as far as China, India and the Greek city states. Currently, East-Africa is commonly used to refer to the Nations in the Horn of Africa as well as Kenya, Tanzania and Uganda.
Tuberculosis in the country
Tuberculosis is one of the top-ten causes of death in Kenya, with HIV as the top cause of death. In 2015, 9000 people perished because of Tuberculosis, with 7200 additional deaths due to a combination of HIV and TB. Although incidence of TB has been slowly decreasing since 2000, mortality rates have roughly remained the same.
KNCV Activities in the country
East-Africa is a region where the Challenge TB program is active. Challenge TB is USAID’s flagship global mechanism for implementing USAID’s TB Strategy and is led by KNCV Tuberculosis Foundation, who also led USAID’s previous TB Control projects TB CARE I, TB CAP and TBCTA. The Cross-Border TB Initiative brings together four Kenyan border areas with Somalia, Ethiopia, Uganda and Tanzania, to prevent TB among mobile populations.
30 healthcare workers in Somalia and Rwanda were trained as trainers on Childhood TB.
The KNCV office in Kenya is the driving force behind the Cross-Border TB Initiative, which focuses on the prevention of TB amongst mobile populations such as nomads, pastoralists and refugees in the East Africa region. The initiative brings together four Kenya border areas with Somalia, Ethiopia, Uganda, and Tanzania. In 2016, we set up Cross-Border Health committees in all areas except for Moyale in Ethiopia, where a state of emergency hindered implementation. These committees will be critical in the establishment of communication and the linkages necessary for patient follow-up between border counties and districts in neighboring countries.