A REPORT BY COBES 2
KIREME AUGUST
[Date]
INTERPROFESSIONAL
COMMUNITY-BASED REPORT
ON COMMUNICABLE AND
NON COMMUNICABLE
DISEASES CONDUCTED IN
KIREME COMMUNITY FROM
12TH TO 27TH August 27, 2025.
INSTITUITION: NORTH COAST MEDICAL
TRAINING COLLEGE.
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SUBMITTED ON 27TH AUGUST 2025
AUTHORS;
1. Janet Mbulwa – NC/NUR/MAR/24/668
2. Freddy Nyaga – NC/DCM/MAR/24/285
3. Muta Bokoro – NC/DOTM/MAR/24/623
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4. Winnie Tatu – NC/UPGDOTM/MAR/25/037
5. Zuena Mugalla -NC/DOTM/MAR/24/609
6. Michael Charo – NC/DCM/MAR/24/299
7. Viola Luvuno – NC/NUT/SEP/23/210
8. Bredgit Moraa – NC/NUR/SEP/23/570
9. Victor Onguso – NC/DOTM/MAR/24/571
10. Nassoro Mohamed – NC/NUR/MAR/24/666
11. Janet MuthoniNC/UPGDOTM/MAR/24/025
12. Lelly Pauline – NC/NUR/MAR/24/660
13. Hassan Thoya – NC/DOTM/MAR/262
PRELIMINARY
DECLARATION
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We declare that this research report is our own original and unaided work,
and we have given full acknowledgement to all the cited and referred
sources used. This research report has not been submitted previously for any
degree or examination.
Signature: ……………….
Date: ……………………
TABLE OF CONTENTS
Acknowledgement and Declaration …………………….. 3
1. Introduction ……………………………………… 5
1.1 Geographical location ………………
1.2 Historical background ………………
1.3 Vision Statement .…………………
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1.4 Mision statement ………………
1.5 Core values
2. Attachment Experience ………………………
2.1 Activities Undertaken ………….
2.2 Analysis ………………
3. Summary ……………………
3.1 Challenges Encountered ……………
3.2 Conclusion …………….
3.3 Recommendations ……………………….
4. References ……………………………….
5. Appendix ………………………………
DEFINITION OF TERMS
- Prevalent - common
- Incentive – a positive motivational influence
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-
-
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ABBREVIATIONS AND ACRONYMS
-CHP Community Health Promoter
-HIP Health Information Point
-NCD Non Communicable Disease
-
EXUCUTIVE SUMMARY
NAME: KIREME COBES 2 AUGUST 2025
OVERVIEW
Kireme is a semi-rural area prone to communicable and non-communicable
diseases such as Hypertension and Common cold. The cases are increasing
day by day and the COBES 2 team was assigned to this community to figure
out ways to curb the crisis. The team targeted these health issues through
households assessments, screening, health education and referrals.
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THE PROBLEM
COMMUNICABLE DISEASES ;
-Meningitis
- Upper Respiratory Tract Infections
NON COMMUNICABLE DISEASES ;
- Hypertension (often undiagnosed or uncontrolled)
- Preeclampsia
- Hyperacidity
- Diabetes Mellitus
- Iron-deficiency Anemia
METHODS USED TO SOLVE THE PROBLEM
- Household visits
- Health education
- Screening in the HIPs
- Involvement of CHPs for continuity of care
- Group discussions and community sensitization
FINDINGS AND CONCLUSIONS
- Many residents lacked awareness of Communicable and Non
communicable Diseases.
-Most hypertensive and diabetic patients were non-compliant with
treatment.
- Cultural beliefs and economic limitations hindered clinic visits.
CONCLUSIONS
There is a rising trend of communicable and non-communicable diseases in
Kireme. Early detection, sustained community involvement and improved
access to care are vital. Collaborative community health efforts proved
effective in identifying and managing cases.
RECOMMENDATIONS FOR IMPROVING PARTICIPATION
- Regular community health education and outreach programs.
- Empower and equips CHPs to strengthen follow up care.
- Introduce incentive and support groups to boost clinic attendance.
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- Use participatory methods (drama, role plays, group discussions) to engage
youth and mothers.
INTRODUCTION
GEOGRAPHICAL LOCATION
Bomani is a village located in Kikambala Ward, Kilifi South Sub-county,
Kilifi County in the Coastal region of Kenya.
Bomani is made up of 4 villages namely;
Bomani Centre
Bomani Kireme
Bomani Timboni
Bomani Palepale.
HISTORICAL BACKGROUND
Bomani is a small town in Kikambala, Kilifi county.
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The region is predominantly inhabited by the Chonyi people, one of the nine
sub-tribes of the Mijikenda community. Historically, the Chonyi migrated
from the Chonyi hills to coastal areas like Bahari, Kikambala and Mtwapa
during the colonial era. This migration was influenced by British colonial
policies that relocated communities to provide labor for sisal plantations and
colonial enterprises.
VISION STATEMENT
To empower a healthy, informed and self-reliant Kireme community through
sustainable health and social interventions.
MISION STATEMENT
To promote health awareness, prevent disease and enhance quality of life in
Kireme by providing accessible, inclusive and community-driven healthcare
and education services through collaborative partnerships.
CORE VALUES
1. Compassion – serve the community with empathy and dignity
2. Integrity – uphold honesty and accountability in our actions
3. Collaboration – work hand-in-hand with CHPs and community members.
4. Sustainability – promote long-term impact-driven solutions.
5. Innovation – we encourage creative and evidence-based approaches to
community health.
ORGANIZATIONAL STRUCTURE
PRINCIPAL
DEPUTY PRINCIPAL
DEAN OF STUDENTS
HEAD OF COMMUNITY DEPARTMENTS
COMMUNITY FACILITATORS
COMMUNITY HEALTH PROVIDERS
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HIP ASSISTANTS
COMMUNITY TEAM
PLACEMENT DEPARTMENT OBJECTIVES
NURSING
To enable nursing students to participate in the prevention, promotion and
control of communicable and non communicable diseases at the community
level.
CLINICAL MEDICINE
To organize and support NCD screening.
ORTHOPEDIC AND TRAUMA MEDICINE
To enable Orthopedic students to assess and map trauma risks and disease
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burdens.
NUTRITION AND DIETETICS
To promote access to affordable healthy food options in the community.
A SKETCH MAP OF BOMANI
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ATTACHMENT EXPERIENCE
GENERAL ACTIVITIES UNDERTAKEN
- Households visits and interviews.
- Health screening ; BP checks, blood glucose and weigh monitoring.
Focus group discussions with the youth, young mothers and elders.
- Three home visits for follow up case management
- Data collection on adherence to medication and clinics
- Community mapping and mobilization.
SPECIFIC ACTIVITIES UNDERTAKEN:
- Community entry protocol via the CHPs
- Home visits and follow-up check-ups
- Health education and counselling
- Referrals of patients with communicable and non-communicable diseases
to Bomani dispensary.
- Use of IEC materials to teach on promotion and prevention of
communicable and non-communicable diseases
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ANALYSIS
COMMUNICABLE DISEASES OBSERVED;
Upper respiratory tract infections
Meningitis
Common cold
Flu
Skin Infections
NON-COMMUNICABLE DISEASES OBSERVED;
Hypertension – very common in adults over 40, often uncontrolled
especially women.
Type 2 Diabetes Mellitus – Rising cases, many undiagnosed
Anemia – Especially in women of reproductive age and elderly.
Arthritis and joint pain – Common among the elderly.
- Hypertension is very prevalent in Kireme community especially in the
elderly and we advised them on adherence to medications and clinic
attendance.
- We conducted home visits to do follow ups on certain diagnosed patients
and educated them on the importance of living a healthy life.
-The people of Bomani community are very aware of the activities
conducted at the HIP hence very cooperative with the CHPs
CASE STUDY
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As COBES 2 Team we identified a case that we specifically worked on
during the period of community attachment;
A 64 yr old hypertensive woman with iron- deficiency anemia (low HB),
poor medication adherence and nutritional challenges. We conducted three
home visits, with interventions including health education, dietary guidance
and referrals to Bomani dispensary.
The first home visit was the initial assessment with the help of CHP. The
patient’s blood pressure was noted to be very high we had to referred her to
Bomani dispensary.
The second home visit was a follow-up and support session with the patient.
The BP was a bit low compared to the first one and we advised the pt on the
importance of adhering to medication. The pt had been prescribed Enalapril
and Folic acid.
The third home visit was to review progress and monitor vital signs. We
arranged an ongoing monitoring by the CHP and health facilitation.
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SUMMARY
This report highlights the activities and findings of a community attachment
conducted in Kireme village, Kilifi County from 12th to 27th August 2025.
The outreach focused on addressing the promotion and preventive measures
on communicable and non-communicable diseases.
Through households visits, health talks, screenings and collaboration with
the Community Heath Promoters (CHPs), the team assessed community
health challenges. Key issues identified included hypertension, low
hemoglobin levels, respiratory infections, diabetes and meningitis.
The team used various methods including one on one talks, health
education, vital signs monitoring and referrals.
Interventions included;
-Individual and group health education.
- Nutritional advice.
- Referrals to nearby health facilities.
- Follow-up visits for chronic visits.
The report concludes that the Kireme community faces multiple health
challenges worsened by socio-economic barriers and low awareness.
Recommendations include strengthening health education, improving
facility linkage, supporting CHPs and increasing community participation in
health activities.
CHALLENGES ENCOUNTERED
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1. Financial constraints for treatment and drugs
2. Poor health seeking behavior.
3. Lack of awareness about chronic disease prevention.
4. Cultural beliefs limiting uptake of care in some homes.
5. Faulty screening equipment.
RECOMMENDATIONS
1. Strengthen continuous community sensitization and screening.
2.Support income generating activities to improve food access.
3. Advocate for mobile clinics or outreach programs in rural set up.
CONCLUSION
The community attachment in Kireme offered practical exposure to
managing both communicable and non-communicable diseases. The
experience highlighted the need for continuous health education, integrated
community care and early detection to improve outcomes and reduce
disease burden. Collaboration among health professionals and CHPs was
key in creating impact within a short time.
APPENDIX
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I. TEAM MEMBERS:
14 students, 3 CHPs, 2 HIP assistants.
ii. ACTIVITY SCHEDULE
DATE ACTIVIT LOCATIO NOTES REMARK
Y N S
12TH Arrival Kireme Met the CHPs Positive
Augus and
t communit
y entry
13 Household Kireme Baseline data Very
th
to visits and Palepale collection Positive
16th health Bomani Screening.
Augus education Centre
t
18th Home Kireme Referrals Positive
to 22nd Visits and Madiga Focused on
Augus follow-ups Palepale chronic illness
t
23rd to Referrals Bomani- Referrals Positive
24th Kireme
Augus
t
26th to Report Kireme Shared findings Educative
27th compilatio and
Augus n recommendatio
t ns
iii. TOOLS USED
Client Cards
BP machines
Glucometers
IEC materials
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iv. SAMPLE CONSENT FORM
v. PHOTOS
Blood Pressure Monitoring
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After home visit
History taking of patients in the community
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THANK YOU
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