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After a five-month strike, nurses have finally agreed to resume duty.
This comes after intensive deliberations between their officials and the Council of Governors,
which is their current employer. The two-week talk led to an agreement that their 35% pay
rise be paid latest by December 2017.

The officials, however, asserted that any game

paying, which will lead to non-payment will be met with another industrial strike.
The Collective Bargaining Agreement (CBA) that was signed by both parties also addressed
the need to have better working conditions, more employment of nurses to reduce workload,nursing risk allowance, off-duty allowance, per diem allowance, increased house allowance,
commuter allowance, and an annual 5% increment on their salary.
The governors have promised to uphold their part of the bargain and called on the nurses tofulfill their part as well.Their resumption of duty has begun immediately!

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It is of great essence to note that a
number of patients we talked to abusedrugs and take a lot of alcohol. We
enquired of the reason why this happens,and we discovered a few facts.
1. Most of the patients who take alcohol
are unemployed.
2. They take alcohol to forget about their frustrations, and lack of basic means of living.
3. If they are taking TB drugs, there are chances that they will not take them, and forget thestrict routine.
4. failing to take medication leads to a more complicated TB, which takes an even longer
time to treat.
5. When there is such a problem, the fight against Tb is weakened.
It is, therefore, a suggestion to have some events to campaign against taking alcohol,
especially to people with TB
It is, therefore, a suggestion to have some events to campaign against taking alcohol,
especially to people with TB

$$ $!$$#It becomes of interest to note that two of
the TB patients in Kangemi, havepassed on. One of them was a young
student.I discovered a few things when I
wascollectingresponsesfrom

thepatients.
The fact that many of them cannot havegood food to eat contributed greatly totheirdeath,especiallytheyoung

student. TB drugs require one to have energy, and generally, good nutrition.
The connection between TB and HIV is also another problem which is very widespread. Infact, the relation between TB and HIV causes a lot of stigma among the patients. This
makes them not to say they have TB, or do not go to hospital completely.
I also noted with concern that most patients need more follow-ups since they say themedication takes a long time. To ensure this does not happen, the next session with CHVs
will have to ensure these follow-ups are done, and very strictly.
dangerous than initial TB.
Relapse TB is more dangerous than initial TB.

Relapse TB is more(
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$!$#!!" &)The Kenya Ministry of Health has issued a recommendation for a rapid and robust test to
diagnose pulmonary tuberculosis (TB) in peripheral health centres.The test, known as
TB-LAMP(loop-mediatedisothermal

amplification),requiresminimallaboratoryinfrastructure and has been evaluated as an alternative to sputum smear microscopy, still
the most widespread test in use in resource-limited settings.

The machines will be rolled out in the
coming year with the first Machine to beinstalled

inKangemi

Healthcentre."Currently, we are working on
the policy framework to ensure that therollout of the process is smooth and done
mostprofessionally",

thehealthminister said in a meeting at Serena
Hotel.The procurement, installation anduse of such machines in Kenya will
therefore become easier that before, when the government had not approved their use in thecountry.

2017

1121

19
WHO
We love Japan

We love Mario
Arigatou gozaimazu

20171115

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111225 '$ $!$$#'$#$& $ !$)One of the most disturbing things topatients with TB, is the stigma thatcomes with their association with HIV
Aids patients. Much as empirical studies
have shown that a good number of TB
patients have HIV, the stigma is much
impeding to seeking medication.
Given the long-lasting psychologicaleffect of being associated with HIV,segregation from other people, and evenrefusing to share anything with you, it ishigh time we handle this problem.In ourtraining of CHVs, we shall focus on theneed to completely protect the patientsfrom the stigma of any kind. That will be in the community, the health facility, and othersocial gatherings.
The facilitators will have to come up with ways of making sure the patients get treatment
with high levels of dignity, to fast-track the health-seeking behaviour of the Kangemipeople.
At that time as well, I will talk to the nurses to practice a much more private, friendlier, andmore dignified approach in handling patients of this kind. The new CHVs will have to makethis a success, for the record, and for the improved results of the project in Kangemi.
It is zero tolerance to the stigma on TB patients as we set to begin this new project.

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"#%$#!&% !$#$"! )It is a very good thing to learn that the guidelines I
developed for the training and management of CHVs havebeen taken as excellent by the Nairobi County and will be
used to train CHVs even in other places in Kenya.Theguidelines were developed in Nairobi to manage theactivities of the CHVs and make it possible for their efforts to achieve the best results.
We as Results Japan are happy that we are developing what is taken as a good example bymany governmental organizations in the county.I thank all staff, who, directly or indirectly,contributed to the successful completion of that guideline.

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