Perceptions of volunteers on the effectiveness of Kenya Medical Training College-run free medical camps in enhancing access to healthcare by vulnerable communities

Zachary O. Ombasa, Jonah R. Nyachae, Urbanus M. Mutiso, Raphael N. Mutiso, Nicholas M. Kwinga, Luciana N. Kaloki, James Musovya, Vincent N. Kinyae, Gilbert K. Nguutu, Emma Nthei, Loise W. Mwangi, Lucia M. Jonah, Redempta M. Mutisya
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Abstract

In certain regions of Kenya, such as Nyahururu, Kabarnet, Kasikeu, and Mbooni, inadequate access to healthcare services contributes to avoidable deaths. Organizations like the Kenya Medical Training College (KMTC) address this challenge by organizing free medical camps, involving both local and international volunteer healthcare workers. This study explored the effectiveness of KMTC's free medical camps through interviews with 18 key informants, including faculty, non-faculty members, and community leaders from purposefully sampled hardship areas, namely, Nyahururu, Kabarnet, Kasikeu, and Mbooni. The study found that KMTC's free clinics offered crucial services like curative care, immunization, maternal and child health services, disease sensitization, reproductive health services, and substance abuse education. However, limitations were identified, including a shortage of medications, lack of specialized screening, follow-up care, and referral services. Resources available included community health volunteers, KMTC and hospital staff, socio-structural support, and physical infrastructure. Challenges faced by volunteers included motivation issues, inadequate facilitation, limited stakeholder involvement in planning, and perceived service comprehensiveness issues. Despite these challenges, the community acknowledged the vital role of medical camps in delivering essential services to marginalized groups. Addressing resource shortages, enhancing stakeholder engagement, improving service comprehensiveness, and boosting volunteer motivation were highlighted as crucial steps to maximize community benefits.
志愿者对肯尼亚医学培训学院开办的免费医疗营在促进弱势群体获得医疗服务方面的效果的看法
在肯尼亚的某些地区,如尼亚胡鲁、卡巴内特、卡西凯乌和姆博尼,医疗服务不足导致了本可避免的死亡。肯尼亚医学培训学院(KMTC)等组织通过组织免费医疗营来应对这一挑战,当地和国际志愿医疗工作者都参与其中。本研究通过对 18 位关键信息提供者(包括教职员工、非教职员工以及特意从尼亚胡鲁、卡巴内特、卡西库和姆博尼等艰苦地区抽取的社区领袖)进行访谈,探讨了肯尼亚医学培训学院免费医疗营的有效性。研究发现,KMTC 的免费诊所提供了治疗护理、免疫接种、妇幼保健服务、疾病宣传、生殖健康服务和药物滥用教育等重要服务。但也发现了一些局限性,包括药物短缺、缺乏专业筛查、后续护理和转诊服务。可用资源包括社区卫生志愿者、韩国医疗技术中心和医院工作人员、社会结构支持和物质基础设施。志愿者面临的挑战包括动机问题、促进不足、利益相关者对规划的参与有限以及服务的全面性问题。尽管存在这些挑战,但社区承认医疗营在为边缘化群体提供基本服务方面发挥了重要作用。与会者强调,解决资源短缺问题、加强利益相关者的参与、改善服务的全面性以及提高志愿者的积极性,是实现社区利益最大化的关键步骤。
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