CHAPTER THREE. Health Findings on Client and Staff Levels Totals by Congregations

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1 CHAPTER THREE Health Findings on Client and Staff Levels Totals by s Access to Basic Health Care a Sure Way to Fight Poverty A t Good Shepherd Angiya Dispensary in the sleepy village of Homa Bay s Kawuor Sub- location, nurse Benta Atieno is attending to a six-year-old living with HIV/Aids. Kevin Oloo (not his real name) is among over 30 children who visit the dispensary monthly for care and treatment at the Comprehensive Care Centre (CCC) facility. Angiya Dispensary is a Catholic medical institution under Homa Bay Diocese that opened its doors to patients from East Kabuoch location and the adjacent villages 10 years ago. The facility is run by the Medical Mission Sisters. Benta is a dedicated nurse to her work. She was adopted by the Medical Mission Sisters at age 13 after she lost both of her parents. Benta, a fourth born in a family of five, received sponsorship for her primary and high school education. 69

2 Benta later pursued a course in nursing and decided to work with the Medical Mission Sisters. She is grateful to the sisters for seeing her through school and is determined to make a difference in providing her medical skills and knowledge to better the lives of children. I am giving back to the society. I have benefited so much from the sisters goodwill and I am happy to serve my community as a beneficiary, she says. This story is evidence how Catholic Sisters intervene to improve and increase accessibility of basic health care and education to the most vulnerable in the community. The Sisters are inspired in their work by a desire to alleviate poverty through promotion of Early Childhood Development (ECD), health and other social services among communities they serve. Medical Mission Sisters is one of the over 150 Association of Sisterhood of Kenya (AOSK) member congregations with over 5,000 consecrated women scattered all over the country running various development projects. According to UNaids 2015 statistics, Orphans due to HIV/AIDS aged between zero to 17 years rage between and the number is likely to increase due to inadequate medical care, cultural practices and reluctance to abstain from casual sex among other factors. Addressing the UN's on HIV/AIDS in June this year, Archbishop Bernardito Auza, Apostolic Nuncio and Permanent Observer to the UN, noted that as many as 50 percent of HIV-positive children die before their second birthday because they lack access to necessary diagnosis, treatment and medication. He added that the majority of HIV-positive children are not diagnosed until they are four years of age. Additionally, there is an increase in maternal related deaths due to low quality health facilities and services while mother-tochild transmission is likely to grow as women continue to have children without a HIV test and breast feeding exclusively. Kenya s constitution stipulates the right to every child to access basic nutrition, shelter and health care. This right to basic needs is still a dream to many children in Kenya. Alarming poverty levels have been attributed as a hindrance to children from poor backgrounds being able to access even the most basic health care. Statistics indicate that most children in their early stages of lives are exposed to many risks which in turn affect their growth. High infant mortality rate experienced mostly in some regions shows the poor health conditions that children are exposed to. The recent efforts by the Kenyan First Lady Ms. Margaret Kenyatta in her Beyond Zero Campaign to save Kenya s children and mothers during birth is also an indication that maternal health had been neglected. The national and devolved governments, and non-governmental institutions such as Unicef, Save the Children and the Catholic Relief Services (CRS) among other organizations that work towards improving children s welfare have shown tremendous effort in changing the situation. Today the government of Kenya has made it free for women to deliver in any public-funded hospital with free ambulances that cater for mothers and their under-five children. The mapping exercise reveals the instrumental role the Catholic Church continues to play in the provision of health care to children and women. Most of non-government hospitals that are accessible by the poor are owned and run by the Catholic sisters. The Sisters contributions towards improving, increasing accessibility and affordability of health dates back to the days when the country gained her independence. Their merciful deeds have touched many lives and continue leaving an indelible mark in the lives of many especially children, women and men in the marginalized areas. 70

3 - 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 90,000 Health Findings on Client and Staff Levels Totals by s Table 3.1 Hospital Clients and staff levels * Daughters Of Our Lady Queen Of The Holy 47,053 31,671 78, Dominican Missionary Sisters Of The Sacred Heart Of Jesus 35,554 Little Sisters Of St Therese Of The Child Jesus 18,518 13,428 31, Sisters Of St. Joseph Mombasa 27, Sisters Of St. Joseph Benedict Cottolengo 15,000 9,000 24, Sisters Of St. Joseph Of Tarbes 4,500 3,000 7, ,900 2,500 6, Ursuline Sisters 3,304 1,504 4,828 Missionary Benedictine Sisters 4, Daughters Of St Joseph Of Cabulatto 3, Assumption Sisters Of Eldoret 1, , Sisters Of St. Joseph Mombasa 1, , Religious Sisters Of Mercy Sisters Of The Adoration Of The Blessed Sacrament 2 1 Society Of Nirmala Dasi Sisters Total 94,829 62, , ,512 The Daughters of Our Lady Queen of The Holy served the highest number of patients treated at their facilities totalling to 78,724 patients treated annually followed by Dominican Missionary Sisters of the Sacred Heart of Jesus with 35,554 patients in descending order. A total of 228,380 clients visited hospitals run by 15 congregations with a combined medical 52 doctors, 327 nurses and 83 clinical officers respectively. Graph of Client handled by Hospitals by 2016 Society Of Nirmala Dasi Sisters Sisters Of The Adoration Of The Blessed Sacrament Religious sisters of mercy Sisters Of St. Joseph Mombasa Assumption Sisters Of Eldoret Daughters of St Joseph of Cabulatto Missionary Benedictine Sisters Ursuline Sisters Sisters Of St. Joseph Of Tarbes 1,928 2,292 3,000 4,400 4,828 6,400 7,500 Sisters Of St. Joseph Mombasa Little Sisters Of St Therese Of The Child Jesus Dominican MissionarySisers of the sacred Heart of Jesus 24,000 27,808 31,946 35,554 78,724 71

4 Table 3.2 Health Centres Clients and staff levels * Daughters Of Our Lady Queen Of The Holy Missionaries Of Charity Of Mary Immaculate 6,030,000 5,020,000 11,050, , Franciscan Sisters Of St. Ann 58,404 30,106 88, Religious Sisters Of Mercy 33,140 19,000 52, Sisters Of St. Joseph Benedict Cottolengo 13,500 11,600 25, Medical Missionaries Of Mary 14,959 8,909 23, ,140 18,000 49, Sisters Of St. Joseph Benedict Cottolengo Missionary Of The Evangelizing Sisters Of Mary 12,688 8,082 20, , Little Daughters Of St. Joseph , Apostolic Carmel , Sisters Of St. Joseph Mombasa - - 9, Assumption Sisters Of Eldoret 4,932 3,544 8, Consolata Missionary Sisters 7, Franciscan Sisters Of The Immaculate 3,750 1,999 5, Sisters Of The Blessed Virgin 3,490 1,900 5, Little Sisters Of Mary Immaculate Of Gulu Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God 3,338 2,893 6, , Daughters Of St. Anne 1,800 1,300 3, Bannabikira (Daughter Of Mary) Sisters 1,578 1,216 2, Missionary Benedictine Sisters 1,468 1,309 2, Assumption Sisters Of Nairobi 1,500 1,200 2, Missionary Sisters Of Mary Mother Of The Church Companion Of The Little Flower Sisters - Nyeri 1,000 1,000 2, Little Sisters Of St. Joseph Missionary Sisters Of Our Lady Of The Holy Nazareth Sisters Of Annunciation Total 6,216,687 5,132,058 11,555, A total of 11,555,469 clients benefited from services offered by health services run by 27 congregations across the country. Overall there 26 doctors, 287 nurses and 140 clinical officers. 72

5 Graph of Client handled by Health Centres by 2016 Nazareth Sisters of Annunciation Missionary Sisters of our Lady of the Holy Little Sisters of St Joseph Companion Of The Little Flower Sisters - Nyeri Missionary Sisters of Mary Mother of the Church Assumption Sisters Of Nairobi Missionary Benedictine Sisters Bannabikira (Daughter of Mary) Sisters Daughters Of St.Anne Franciscan Sisters of the Immaculate Conception of the Holy Mother of God Little Sisters of Mary Immaculate of Gulu Sisters Of The Blessed Virgin Franciscan Sisters Of The Immaculate Consolata Missionary Sisters Assumption Sisters Of Eldoret Sisters Of St. Joseph Mombasa Apostolic Carmel Little Daughters Of St. Joseph Missionary Of The Evangelizing Sisters Of Mary Medical Missionaries Of Mary Religious sisters of mercy Franciscan Sisters Of St Ann (Fssa) Misionaries Of Charity Of Mary Immaculate ,000 2,700 2,777 2,794 3,100 4,711 6,231 5,390 5,749 7,102 8,476 9,000 10,800 12,886 16,665 20,770 49,140 23,868 25,100 52,140 88, ,560 11,050,000-2,000,000 4,000,000 6,000,000 8,000,000 10,000,000 12,000,000 73

6 Table 3.3 Dispensaries Clients and staff levels * 111,870 3, , Comboni Missionary Sisters 18,000 38,755 56, ,000 20,000 50, Sisters Of Charity Of St. Charles Borromeo 25,000 20,000 45, ,320 15,600 36, Missionary Benedictine Sisters 36, ,030 11,306 31, Assumption Sisters Of Eldoret 13,396 11,070 24, Little Servants Of The Sacred Heart 13,034 10,909 23, Sisters Of St. Joseph Region Mombasa 20, Nazareth Sisters of Annunciation 9,418 10,651 20, Sisters Of St. Joseph Mombasa 7,700 7,300 15, Consolata Missionary Sisters , Little Daughters Of St. Joseph , Sisters Of St. Joseph Of Tarbes 8,500 3,400 11, Carmelite Missionaries 7,000 3,000 10, Little Sisters Of St Therese Of The Child Jesus 5,584 4,369 9, Sisters Of Our Lady Of The Missions 3,281 6,185 9, Missionary Sisters Of The Catechism 5,079 4,113 9, Sister Ministers Of The Infirm Of St. Camillus (Camillian Sisters) 3,742 3,997 7, Daughters Of Charity Of St. Vincent De Paul 4,661 2,038 6, Assumption Sisters Of Nairobi 3,500 2,800 6, Ursuline Sisters 3,304 1,504 4, Assumption Sisters Of Nairobi 2,584 1,768 4, Religious sisters of mercy 2,500 1,500 4, Religious Sisters Of Mercy 2,500 1,500 4, Companion Of The Little Flower Sisters - Nyeri 1,913 1,734 3, Dominican Missionary Sisers of the sacred Heart of Jesus 2,070 1,258 3, Daughters of St Joseph of Cabulatto 3, Sisters Of The Blessed Virgin 1, , Daughters Of Divine Love 1, , Sisters Of Emmanuel , Medical Missionaries Of Mary 1,209-1, Servants of the Sacred Heart of Jesus and of the poor , Little Missionary Sisters Of Charity Sisters Of The Adoration Of The Blessed Sacrament Little Sisters of St Joseph Missionary Sisters Of The Precious Blood Bannabikira (Daughter of Mary) Sisters Capuchin Sisters Of Mother Rubatto Fransciscan Clarist Total 332, , , Out of 41 respondents, Daughters of our Lady of Queen of the Holy had the highest number of clients served in dispensaries at 118,000 followed by Comboni missionary Sister s clients standing at 56, medical doctors, 188 nurses and 78 clinical officers serve in these dispensaries. 74

7 Table 3.4: Maternal Health Care Clients and staff levels * 83,200 2,500,600 2,583, Sisters Of St Joseph Benedict Cottolengo 12,317-12, Assumption Sisters Of Eldoret 8,867 8, Sisters Of St. Joseph Benedict Cottolengo 6,430-6, ,086-6, Little Sisters Of St Therese Of The Child Jesus 5,828 5, Franciscan Sisters Of The Immaculate 4,800 4, Sisters Of St. Joseph Of Tarbes 2,000 1,600 3, Sisters Of Our Lady Of The Missions 2,700 2, Sisters Of St. Joseph Mombasa 1, , Little Sisters Of Mary Immaculate Of Gulu , Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God 1,159 1, Little Daughters Of St. Joseph 1,130 1, Sisters Of The Blessed Virgin Servants Of The Sacred Heart Of Jesus And Of The Poor Missionary Sisters Of The Catechism Sister Ministers Of The Infirm Of St. Camillus (Camillian Sisters) Society Of Nirmala Dasi Sisters Missionary Benedictine Sisters Franciscan Elizabethan Sisters Daughters Of Divine Love Assumption Sisters Of Nairobi Daughters Of Charity Of St. Vincent De Paul Little Servants Of The Sacred Heart Missionary Sisters Of Mary Mother Of The Church Total 140,809 2,504,037 2,644, Maternal Health Care institutions run by the handled a total of 2,583,800 clients highest number while the combine total of clients who benefited from institutions run by the 25 congregations recoded 2,644,846 against 12 medical doctors, 103 nurses and 44 clinical officers. 75

8 Graph of Client handled by Maternal by 2016 Missionary Sisters of Mary Mother of the Church Little Servants Of The Sacred Heart Daughters Of Charity Of St. Vincent De Paul Assumption Sisters Of Nairobi Daughters Of Divine Love Fransciscan Elizabethan Sisters Missionary Benedictine Sisters Society Of Nirmala Dasi Sisters Sister Ministers Of The Infirm Of St. Camillus (Camillian Sisters) Missionary Sisters Of The Catechism Servants of the Sacred Heart of Jesus and of the poor Sisters Of The Blessed Virgin Little Daughters Of St. Joseph Franciscan Sisters of the Immaculate Conception of the Holy Mother of God Little Sisters of Mary Immaculate of Gulu Sisters Of St. Joseph Mombasa Sisters Of Our Lady Of The Missions Sisters Of St. Joseph Of Tarbes Franciscan Sisters Of The Immaculate Little Sisters Of St Therese Of The Child Jesus Assumption Sisters Of Eldoret Delegation Territory Africa ,130 1,159 1,595 1,995 2,700 3,600 4,800 5,828 6,086 6,430 8,867 12,317 2,583, ,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 76

9 Table 3.5: Delivery services Clients and staff * 31,727 23,946 55,673 Society Of Nirmala Dasi Sisters 3,950 2,850 6, Sisters Of St. Joseph Of Tarbes 3,600 1,900 5, Assumption Sisters Of Eldoret 3,348 2,032 5,380 Sisters Of St. Joseph Benedict Cottolengo 4,096-4, Little Sisters Of St Therese Of The Child Jesus 2,067 2, ,391 Sisters Of The Blessed Virgin 1,000 1, Little Sisters Of Mary Immaculate Of Gulu Little Servants Of The Sacred Heart Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God Sisters Of St. Joseph Mombasa Missionary Sisters Of The Catechism Sisters Of Our Lady Of The Missions Servants Of The Sacred Heart Of Jesus And Of The Poor Daughters Of Divine Love 200 Little Daughters Of St. Joseph Total 52,129 30,748 82, Delivery health facilities run by 17 congregations recorded 82,749 clients with posting the highest number at 55,673 with a medical personnel of seven doctors, 71 nurses and 46 Clinical officer. Graph of Client handled by Delivery services by 2016 Little Daughters Of St. Joseph Daughters Of Divine Love Servants of the Sacred Heart of Jesus and of the poor Sisters Of Our Lady Of The Missions Missionary Sisters Of The Catechism Sisters Of St. Joseph Mombasa Franciscan Sisters of the Immaculate Conception of the Holy Mother of God Little Servants Of The Sacred Heart Little Sisters of Mary Immaculate of Gulu Sisters Of The Blessed Virgin Little Sisters Of St Therese Of The Child Jesus Assumption Sisters Of Eldoret Sisters Of St. Joseph Of Tarbes Society Of Nirmala Dasi Sisters ,000 1,391 2,067 4,096 5,380 5,500 6,800 55,673-10,000 20,000 30,000 40,000 50,000 60,000 77

10 Table 3.6: Emergency Services Clients and staff * , Little Sisters Of St Therese Of The Child Jesus Franciscan Sisters Of The Immaculate Little Sisters of Mary Immaculate of Gulu Daughters Of Divine Love Medical Missionaries Of Mary Franciscan Sisters of the Immaculate Conception of the Holy Mother of God Total 4, , Eleven congregations running emergency services attended to 4,630 which are manned by four doctors, 38 nurses and 21 clinical officers respectively. Graph of Client handled by Emergency Services by 2016 Franciscan Sisters of the Immaculate Conception of the Holy Mother of God - Medical Missionaries Of Mary 3 Daughters Of Divine Love 10 Little Sisters of Mary Immaculate of Gulu Franciscan Sisters Of The Immaculate Little Sisters Of St Therese Of The Child Jesus , ,000 1,200 78

11 Table 3.7: Sexual/Gender Based Violence Clients and staff levels * Daughters Of Our Lady Queen Of The Holy Daughters Of Divine Love Franciscan Sisters of the Immaculate Conception of the Holy Mother of God Sisters Of The Blessed Virgin Total Cases of gender violence recorded totaled 33 in three Counties and attended by one doctor, 12 nurses and four clinical officers. Table 3.8: New Born Care Clients and staff levels by Diocese, County and * 5,000 5,000 10, Sisters Of St. Joseph Benedict Cottolengo 3,857 3,014 6, Missionary Benedictine Sisters 1, Little Sisters Of St Theresa Of The Child Jesus Sisters Of St. Joseph Benedict Cottolengo Sisters Of The Blessed Virgin Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God Medical Missionaries Of Mary Total 9,243 8,231 18, Daughters of Our Lady Queen of the Holy had the highest newborn services handled their institutions at 10,000 followed by Sisters of St. Joseph Benedict Cottolengo attending to 6,871 clients. Overall, 18,908 clients benefited from services offered by 10 congregations manned by six doctors, 31 nurses and 17 clinical officers. Graph of Client handled by Newborn Services by 2016 Medical Missionaries Of Mary Franciscan Sisters of the Immaculate Conception of the Holy Mother of God Sisters Of The Blessed Virgin Little Sisters Of St Therese Of The Child Jesus Missionary Benedictine Sisters ,372 6,871 10,000-2,000 4,000 6,000 8,000 10,000 12,000 79

12 Table 3.9: Immunization Services Clients and staff levels * Daughters Of Our Lady Queen Of The Holy Sisters Of St. Joseph Benedict Cottolengo 16,100 7,650 23, ,329 6,330 16, Assumption Sisters Of Eldoret 9,592 6,982 16, Sisters Of St. Joseph Of Tarbes 2,400 6,400 8, Sisters Of St. Joseph Benedict Cottolengo 8, Society Of Nirmala Dasi Sisters 4,500 3,500 7, ,018 3,483 7, ,792 2,032 5, Little Servants Of The Sacred Heart 2,350 1,591 3, Medical Missionaries Of Mary 1, , Sister Ministers Of The Infirm Of St. Camillus (Camillian Sisters) , Sisters Of St. Joseph Mombasa 1, , Sisters Of The Blessed Virgin , Franciscan Sisters Of The Immaculate , Sisters Of Our Lady Of The Missions Assumption Sisters Of Nairobi Daughters Of Charity Of St. Vincent De Paul Franciscan Elizabethan Sisters Missionary Benedictine Sisters Little Sisters Of Mary Immaculate Of Gulu Servants Of The Sacred Heart Of Jesus And Of The Poor Total 59,460 41, , ,702 clients were attended to in immunization facilities run by 22 congregations. Among this number, Daugheters of our lady Queen of the Holy recorded the highest immunization services at 23,750 followed by at 16,659 in descending order. In total, 109,702 Clients were attended to against a total of 4 doctors, 80 nurses and 38 clinical officers. 80

13 Graph of Client handled by Immunization Services by 2016 Servants of the Sacred Heart of Jesus and of the poor 5 Little Sisters of Mary Immaculate of Gulu 121 Missionary Benedictine Sisters 229 Fransciscan Elizabethan Sisters 304 Daughters Of Charity Of St. Vincent De Paul 328 Assumption Sisters Of Nairobi 550 Sisters Of Our Lady Of The Missions 687 Franciscan Sisters Of The Immaculate 1,107 Sisters Of The Blessed Virgin 1,258 Sisters Of St. Joseph Mombasa 1,736 Sister Ministers Of The Infirm Of St. Camillus (Camillian Sisters) 1,756 Medical Missionaries Of Mary 2,225 Little Servants Of The Sacred Heart 3,941 5,824 7,501 Society Of Nirmala Dasi Sisters 7,700 8,647 Sisters Of St. Joseph Of Tarbes 8,800 Assumption Sisters Of Eldoret 16,574 16,659 23,750-5,000 10,000 15,000 20,000 25,000 81

14 Table 3.10: Tuberculosis Testing and Treatment Services Clients and staff * 10,703 10,723 21, Sisters Of St. Joseph Of Tarbes 2,800 3,200 6, Missionary Sisters Of The Catechism 1,559 1,444 3, Servants Of The Sacred Heart Of Jesus And Of The Poor Sisters Of St. Joseph Benedict Cottolengo Little Sisters Of Mary Immaculate Of Gulu Sisters Of The Blessed Virgin Society Of Nirmala Dasi Sisters Sisters Of St. Joseph Benedict Cottolengo Sisters Of St. Joseph Mombasa Daughters Of Charity Of St. Vincent De Paul Little Sisters Of St Therese Of The Child Jesus Sisters Of Our Lady Of The Missions Franciscan Elizabethan Sisters Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God Missionary Benedictine Sisters Total 16,251 16,430 32, A total of 32,681 clients were recorded in TB services facilities run by 19 congregations. Across the country. There are 13 doctors, 131 nurses and 43 clinical officers serving in these institutions. Graph of Client handled by TB Services by 2016 Missionary Benedictine Sisters Franciscan Sisters of the Immaculate Conception of the Holy Mother of God Fransciscan Elizabethan Sisters Sisters Of Our Lady Of The Missions Little Sisters Of St Therese Of The Child Jesus Daughters Of Charity Of St. Vincent De Paul Sisters Of St. Joseph Mombasa Society Of Nirmala Dasi Sisters Sisters Of The Blessed Virgin Little Sisters of Mary Immaculate of Gulu Servants of the Sacred Heart of Jesus and of the poor Missionary Sisters Of The Catechism Sisters Of St. Joseph Of Tarbes ,003 6,000 21,426-5,000 10,000 15,000 20,000 25,000 82

15 Table 3.11: Prevention Of Child Illness Services Clients and staff levels * 11,178 8,784 19, Sisters Of St. Joseph Of Tarbes 5,200 6,000 11, Little Sisters Of St Therese Of The Child Jesus 2,418 2,359 4, ,506 2,105 4, Sisters Of St. Joseph Benedict Cottolengo 1,895 1,411 3, Sisters Of The Blessed Virgin 1,760 1,150 2, ,350 1,150 2, Missionary Sisters Of The Catechism , Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God 1, Medical Missionaries Of Mary , Little Daughters Of St. Joseph Sisters Of St. Joseph Mombasa Assumption Sisters Of Nairobi Little Sisters Of Mary Immaculate Of Gulu Servants Of The Sacred Heart Of Jesus And Of The Poor Total 28,595 25,290 55, A total of 55,320 clients were recorded in all facilities run by 15 congregations with ten doctors, 130 nurses and 41 clinical officers service. Graph of Client handled by Child Illness Services by 2016 Servants of the Sacred Heart of Jesus and of the poor Little Sisters of Mary Immaculate of Gulu Assumption Sisters Of Nairobi Sisters Of St. Joseph Mombasa Little Daughters Of St. Joseph Medical Missionaries Of Mary Franciscan Sisters of the Immaculate Conception of the Holy Mother of God Missionary Sisters Of The Catechism Sisters Of The Blessed Virgin Little Sisters Of St Therese Of The Child Jesus ,071 1,335 1,806 2,500 2,910 3,306 4,611 4,777 Sisters Of St. Joseph Of Tarbes 11,200 19,962-5,000 10,000 15,000 20,000 25,000 83

16 Table 3.12: Nutrition, Growth Monitoring/Promotion Services Clients and staff levels * 4,400 4,200 8, Assumption Sisters Of Eldoret , Sisters Of The Blessed Virgin Sisters Of St. Joseph Benedict Cottolengo Missionary Sisters Of The Catechism Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God Franciscan Elizabethan Sisters Medical Missionaries Of Mary Total 6,739 5,695 12, A total of 12,434 clients were attended to in nutrition services facilities offered by 10 congregations served by 4 doctors, 29 nurses and 18 clinical officers. Table 3.13: Community Health Services Clients and staff levels * 1, , Assumption Sisters Of Eldoret , Little Daughters Of St. Joseph Sisters Of The Blessed Virgin Little Sisters of Mary Immaculate of Gulu Total 3,036 2,311 5, Seven congregations have Community Health Services having eight doctors, 106 nurses and 18 clinical officers who recorded 5,347 clients who benefited from the facilities. 84

17 Graph of Client handled by Child Nutrition Services by 2016 Medical Missionaries Of Mary - Fransciscan Elizabethan Sisters 53 Franciscan Sisters of the Immaculate Conception of the Holy Mother of God Missionary Sisters Of The Catechism Sisters Of The Blessed Virgin 980 Assumption Sisters Of Eldoret 1,511 8,600-1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000 Table 3.14: TB Health Facilities Clients and staff levels by Diocese, County and * 4,000 5,000 9, Sisters Of St. Joseph Of Tarbes 2,800 3,000 5, Sisters Of The Blessed Virgin 1, , Little Sisters Of Mary Immaculate Of Gulu 1, , Sisters Of St. Joseph Benedict Cottolengo Medical Missionaries Of Mary Daughters Of Mary Help Of Christians Missionary Sisters Of The Catechism Daughters Of Charity Of St. Vincent De Paul Total 11,106 9,760 21, A total of 21,476 clients were attended to in TB Health Facilities run by ten congregations. Two doctors, 38 nurses and 15 clinical officers work in these facilities. 85

18 Graph of Client handled by TB Services by 2016 Daughters Of Charity Of St. Vincent De Paul Missionary Sisters Of The Catechism 570 Daughters Of Mary Help Of Christians 610 Medical Missionaries Of Mary Little Sisters of Mary Immaculate of Gulu 1,148 Sisters Of The Blessed Virgin 2,325 Sisters Of St. Joseph Of Tarbes 5,800 9,000-2,000 4,000 6,000 8,000 10,000 86