None
Categories:
  • Health
Status:
Ongoing
Start Date:
Aug 2020
Cost:
$500

Transfer Facility Maintenance Responsibilities to the Government

Assure longevity of Karimu investment and community benefit

 

Part of Karimu’s agreements with the community to perform construction projects is the requirement to maintain the investments. We see the transfer of this responsibility in three phases: 

  • Phase 1: Karimu leads the monthly management and maintenance of the project and members of the community join us. In the case of the medical buildings, we work with the medical staff to help them understand what to look for, how to record the incidents for tracking, and who to contact to resolve the issues. Costs of maintenance come out of the clinic budget provided by the government. 

  • Phase 2: As the community becomes comfortable with the process, we move to phase 2 where members of the community lead the management and maintenance and Karimu supports them and oversees the process. We gradually reduce our maintenance checks while ensuring the work is being done well and providing feedback to them. 

  • Phase 3: When it becomes clear that the members don't need our involvement anymore, we move to phase 3. In phase 3, Karimu has transferred all maintenance to the community and Karimu is not involved at all. 

 

To date Karimu has completed these medical construction projects in Ayalagaya ward.

 

Aerial view of Dareda Kati Health Center

 

Karimu has developed a health dashboard for tracking health statistics at the dispensaries. It includes a high level summary of the medical building maintenance issues. 

 

The medical building maintenance is in phase 2.

 

August 2022 Update: We continue to be very happy with the maintenance of the medical buildings. A persistent problem with bees was difficult to solve and extended resolution time, but that is now resolved. At this time there are no open issues!


December 2022 Update: We ended the year with zero open issues. For the entire year there were 9 maintenance issues opened and all were resolved in roughly 1 month. The community and staff are really taking pride in their facilities.

 

December 2023 Update:   In 2023 the health facilities served 4590 outpatient visits, conducted 3982 pregnancy checkups, delivered 526 babies, gave 14224 vaccinations, and conducted 5100 family planning consultations! There were twelve maintenance incidents reported in 2023 with an average time to fix of 95 days. This number was driven up due to a cracked floor tile in the staff house that was not prioritized for repair. 


December 2024 Update: Overall we continue to be very happy with the maintenance of the medical facilities Karimu has built in Ayalagaya. The Dereda Kati Health Center continues to serve more and more people across the district. In 2024 the health facilities served 8198 outpatient visits, conducted 7404 pregnancy checkups, delivered 1440 babies, gave 17821 vaccinations, and conducted 6753 family planning consultations! There were only 25 incidents in 2024 with an average time to fix of 7 days! This is a record breaker for the least number of average days to fix for all facilities (not just health) in Ayalagaya.

 

Benefits:

  • Grants full ownership of all investments to the community itself

  • Guarantees longevity of donor contribution value to the community

 

Cost:

  • Karimu: $500 

  • Government: Pays for all maintenance

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