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

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

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 540 000-810 000 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

- 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 78,724 1 6 7 84 4 3 7 95 115 210 Dominican Missionary Sisters Of The Sacred Heart Of Jesus 35,554 Little Sisters Of St Therese Of The Child Jesus 18,518 13,428 31,946 5 5 84 2 9 11 95 54 149 Sisters Of St. Joseph Mombasa 27,808 2 2 12 5 2 7 28 23 51 Sisters Of St. Joseph Benedict Cottolengo 15,000 9,000 24,000 1 1 2 21 3 3 6 60 25 85 Sisters Of St. Joseph Of Tarbes 4,500 3,000 7,500 1 1 7 5 5 10 10 8 18 3,900 2,500 6,400 1 1 11 1 3 4 18 18 36 Ursuline Sisters 3,304 1,504 4,828 Missionary Benedictine Sisters 4,400 1 1 8 2 2 3 3 Daughters Of St Joseph Of Cabulatto 3,000 2 1 1 1 1 Assumption Sisters Of Eldoret 1,440 852 2,292 2 2 16 1 1 1 8 18 26 Sisters Of St. Joseph Mombasa 1,114 814 1,928 1 1 3 2 1 3 7 5 12 Religious Sisters Of Mercy 18 10 28 78 76 250 30 100 298 919 Sisters Of The Adoration Of The Blessed Sacrament 2 1 Society Of Nirmala Dasi Sisters 1 1 1 1 2 Total 94,829 62,769 228,380 22 28 52 327 100 280 83 422 569 1,512 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

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 11,050,000-5 5 4-6 6 9 10 19 - - 145,560-1 1 1 1 1 Franciscan Sisters Of St. Ann 58,404 30,106 88,510 33 3 14 17 4 18 22 Religious Sisters Of Mercy 33,140 19,000 52,140 3 5 68 13 16 29 50 42 92 Sisters Of St. Joseph Benedict Cottolengo 13,500 11,600 25,100 1 1 16 2 4 6 18 10 28 Medical Missionaries Of Mary 14,959 8,909 23,868 - - - 11 4 1 5 21 12 33 31,140 18,000 49,140 3 5 63 11 15 26 45 35 80 Sisters Of St. Joseph Benedict Cottolengo Missionary Of The Evangelizing Sisters Of Mary 12,688 8,082 20,770 - - - 17-5 5 23 16 39 - - 16,665 1-1 - 10 5 15 5 4 9 Little Daughters Of St. Joseph - - 12,886 - - - 7 2 1 3 3 4 7 Apostolic Carmel - - 10,800 - - - - - - - - - - Sisters Of St. Joseph Mombasa - - 9,000 - - - 1 1 3 3 6 Assumption Sisters Of Eldoret 4,932 3,544 8,476 - - - 3 1 1 5 4 9 Consolata Missionary Sisters 7,102 - - - - - Franciscan Sisters Of The Immaculate 3,750 1,999 5,749 - - 10 2 2 8 5 13 Sisters Of The Blessed Virgin 3,490 1,900 5,390 1 5 1 1 2 3 3 6 Little Sisters Of Mary Immaculate Of Gulu Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God 3,338 2,893 6,231 8 8 20 8 8 12 32 44 - - 4,711 2 1 1 3 8 11 Daughters Of St. Anne 1,800 1,300 3,100 4 3 1 4 4 2 6 Bannabikira (Daughter Of Mary) Sisters 1,578 1,216 2,794 12 1 1 2 4 6 Missionary Benedictine Sisters 1,468 1,309 2,777 4 - - Assumption Sisters Of Nairobi 1,500 1,200 2,700 1 1 1 2 2 4 Missionary Sisters Of Mary Mother Of The Church Companion Of The Little Flower Sisters - Nyeri 1,000 1,000 2,000 1 1 1 2 3 - - - - - - 1 1 2 - Little Sisters Of St. Joseph - - - - - - 2 1 1 4 4 Missionary Sisters Of Our Lady Of The Holy - - - - - - 2 1 1 5 9 14 Nazareth Sisters Of Annunciation - - - - - - 2 1 1 1 1 2 Total 6,216,687 5,132,058 11,555,469 1 20 26 287 52 88 140 227 231 458 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

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 - - - - 2,000 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 88,510 145,560 11,050,000-2,000,000 4,000,000 6,000,000 8,000,000 10,000,000 12,000,000 73

Table 3.3 Dispensaries Clients and staff levels * 111,870 3,273 115,143 - - - 1 1-1 1-1 Comboni Missionary Sisters 18,000 38,755 56,755 - - - 5 2 3 5 9 8 17 30,000 20,000 50,000 - - - 1 1 1 2-1 1 Sisters Of Charity Of St. Charles Borromeo 25,000 20,000 45,000 - - - - 1 1 4 1 5 21,320 15,600 36,920 - - -- 1 3 1 4 4 6 10 Missionary Benedictine Sisters 36,088-1 1 17 1 1 2 - - - 20,030 11,306 31,336 1-1 6-2 2 9 7 16 Assumption Sisters Of Eldoret 13,396 11,070 24,466 - - - 5 1 3 4 3 10 13 Little Servants Of The Sacred Heart 13,034 10,909 23,943-1 1 10 3 3 6 10 4 14 Sisters Of St. Joseph Region Mombasa 20,820 - - - 7 1-1 11 23 34 Nazareth Sisters of Annunciation 9,418 10,651 20,069 - - -- - - - - 3 1 4 Sisters Of St. Joseph Mombasa 7,700 7,300 15,000 - - - 5 3 3 3 4 7 Consolata Missionary Sisters - - 14,000 - - - - - - - - - - Little Daughters Of St. Joseph - - 13,832 1-1 1 - - - 2 3 5 Sisters Of St. Joseph Of Tarbes 8,500 3,400 11,900 1-1 11 3 2 5 14 8 22 Carmelite Missionaries 7,000 3,000 10,000 - - - 5 2 1 3 3 2 5 Little Sisters Of St Therese Of The Child Jesus 5,584 4,369 9,953 - - - 3 1 1 7 2 9 Sisters Of Our Lady Of The Missions 3,281 6,185 9,466 - - - 1 1 3 2 5 Missionary Sisters Of The Catechism 5,079 4,113 9,192 - - - 1 1 1 2 3 4 7 Sister Ministers Of The Infirm Of St. Camillus (Camillian Sisters) 3,742 3,997 7,739 - - - 4-2 2 3 2 5 Daughters Of Charity Of St. Vincent De Paul 4,661 2,038 6,699 -- 1 1 9 3 1 4 17 18 35 Assumption Sisters Of Nairobi 3,500 2,800 6,300 -- - - 3-1 1 11 2 13 Ursuline Sisters 3,304 1,504 4,808 - - - - - - - - - - Assumption Sisters Of Nairobi 2,584 1,768 4,352-2 2 2 2 2 4 Religious sisters of mercy 2,500 1,500 4,000 - - - 8 1 2 3 4 6 10 Religious Sisters Of Mercy 2,500 1,500 4,000 - - - 8 1 2 3 4 6 10 Companion Of The Little Flower Sisters - Nyeri 1,913 1,734 3,647 - - - 2 2 4 - - - Dominican Missionary Sisers of the sacred Heart of Jesus 2,070 1,258 3,328 2 3 5 51 1 5 6 53 30 83 Daughters of St Joseph of Cabulatto 3,000 - - - 2 1 1 1 1 Sisters Of The Blessed Virgin 1,600 700 2,300 - - - 1-1 1 1 1 2 Daughters Of Divine Love 1,015 600 1,615 - - - 2 - - - - 1 1 Sisters Of Emmanuel 783 477 1,260 - - - - 1 1 1 1 Medical Missionaries Of Mary 1,209-1,209 - - - 5-1 1 8 3 11 Servants of the Sacred Heart of Jesus and of the poor 600 400 1,000 - - - 2-1 1-3 3 Little Missionary Sisters Of Charity 268 158 426 - - - 2 - - - 1-1 Sisters Of The Adoration Of The Blessed Sacrament 45-45 - - - 1 - - - - Little Sisters of St Joseph - - - - - - 2 - - - 1 3 4 Missionary Sisters Of The Precious Blood - - - - - - 2 1 1 2 1 2 3 Bannabikira (Daughter of Mary) Sisters - - - - - - - - - - - -- - Capuchin Sisters Of Mother Rubatto - - - - - - 3 1 1 2 3 6 9 Fransciscan Clarist - - - - - - 2 - - - 2-2 Total 332,289 190,842 610,871 5 6 11 188 31 47 78 202 172 374 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 56,755. 11 medical doctors, 188 nurses and 78 clinical officers serve in these dispensaries. 74

Table 3.4: Maternal Health Care Clients and staff levels * 83,200 2,500,600 2,583,800-1 1 7 2 1 3 4 4 8 Sisters Of St Joseph Benedict Cottolengo 12,317-12,317 - - - 1 - - - 2 1 3 Assumption Sisters Of Eldoret 8,867 8,867 - - - Sisters Of St. Joseph Benedict Cottolengo 6,430-6,430 - - - 6,086-6,086 - - - 2 - - - 2-2 Little Sisters Of St Therese Of The Child Jesus 5,828 5,828 1 1 15-8 8 Franciscan Sisters Of The Immaculate 4,800 4,800-7 - - Sisters Of St. Joseph Of Tarbes 2,000 1,600 3,600 1 1 15 7 2 9 11 11 22 Sisters Of Our Lady Of The Missions 2,700 2,700 - - - 1 - - - 1-1 Sisters Of St. Joseph Mombasa 1,393 602 1,995 1 1 5 2 2 7 7 14 Little Sisters Of Mary Immaculate Of Gulu 875 720 1,595-3 3 4 7 11 Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God 1,159 1,159-2 1 1 1 1 2 Little Daughters Of St. Joseph 1,130 1,130 1 1 4 1-1 5 7 12 Sisters Of The Blessed Virgin 870 60 930-1 1 17 2 5 7 22 16 38 Servants Of The Sacred Heart Of Jesus And Of The Poor 400 300 700 2 2 4 3 2 2 2 2 4 Missionary Sisters Of The Catechism 698 698 1 1 4 3 2 5 10 9 19 Sister Ministers Of The Infirm Of St. Camillus (Camillian Sisters) 555 555-4 2 2 3 2 5 Society Of Nirmala Dasi Sisters 350 140 490-5 3 3 5 3 8 Missionary Benedictine Sisters 371 371 - - - Franciscan Elizabethan Sisters 239 15 254 - - - Daughters Of Divine Love 200 200 - - - Assumption Sisters Of Nairobi 116 116 - - - Daughters Of Charity Of St. Vincent De Paul 98-98 - 1 1 9 3 1 4 17 18 35 Little Servants Of The Sacred Heart 77 77-2 1 1 2 1 3 Missionary Sisters Of Mary Mother Of The Church 50 50-1 1 1 1 Total 140,809 2,504,037 2,644,846 4 8 12 103 23 21 44 107 89 196 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

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 50 77 98 116 200 254 371 490 555 698 700 930 1,130 1,159 1,595 1,995 2,700 3,600 4,800 5,828 6,086 6,430 8,867 12,317 2,583,800-500,000 1,000,000 1,500,000 2,000,000 2,500,000 3,000,000 76

Table 3.5: Delivery services Clients and staff * 31,727 23,946 55,673 Society Of Nirmala Dasi Sisters 3,950 2,850 6,800 4 3 2 4 3 7 Sisters Of St. Joseph Of Tarbes 3,600 1,900 5,500 1 1 16 5 11 9 6 15 Assumption Sisters Of Eldoret 3,348 2,032 5,380 Sisters Of St. Joseph Benedict Cottolengo 4,096-4,096 1 2 3 4-4 4 5 2 7 Little Sisters Of St Therese Of The Child Jesus 2,067 2,067 1 1 13 7 7 319 1,391 Sisters Of The Blessed Virgin 1,000 1,000-1 1 17 3 4 7 4 4 8 Little Sisters Of Mary Immaculate Of Gulu 540 540 5-5 5 3 8 Little Servants Of The Sacred Heart 120 120 4 1 5 3 1 4 Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God 62 2 1 1 1 1 Sisters Of St. Joseph Mombasa 50 50 1 1 2 Missionary Sisters Of The Catechism 89 19 32 1 1 4 3 2 5 10 9 19 Sisters Of Our Lady Of The Missions 28 28 - - - 1 - - - - - - Servants Of The Sacred Heart Of Jesus And Of The Poor 9 1 10 3 2 4 5 2 7 Daughters Of Divine Love 200 Little Daughters Of St. Joseph 986 3 1-1 3 4 7 Total 52,129 30,748 82,749 1 6 7 71 13 23 46 56 35 90 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 10 28 32 50 62 120 540 1,000 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

Table 3.6: Emergency Services Clients and staff * 900 200 1,100-1 1 6-6 6 7 8 15 979-979 - - - - - - - - - - 905 1 906 5-5 3 1 6 7 3 5 8 Little Sisters Of St Therese Of The Child Jesus 864-864 - 1 1 13 - - - 7-7 240-240 - - - - - - - - - Franciscan Sisters Of The Immaculate 240-240 - - - - - - - - - - 200-200 - 1 1 11 1 3 4 - - - Little Sisters of Mary Immaculate of Gulu 56 32 88-1 1 2-1 1 2 1 3 Daughters Of Divine Love 10-10 - - - - - - - - - - Medical Missionaries Of Mary 3-3 - - - 1 1 1 2 - - - Franciscan Sisters of the Immaculate Conception of the Holy Mother of God - - - - - - 2-1 1-1 1 Total 4,397 233 4,630 5 4 9 38 3 18 21 19 15 34 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 88 200 Franciscan Sisters Of The Immaculate 240 240 Little Sisters Of St Therese Of The Child Jesus 864 906 979 1,100-200 400 600 800 1,000 1,200 78

Table 3.7: Sexual/Gender Based Violence Clients and staff levels * Daughters Of Our Lady Queen Of The Holy 15-15 - - - - - - - 3-3 Daughters Of Divine Love 10-10 - - - - - - - - - - Franciscan Sisters of the Immaculate Conception of the Holy Mother of God - - 0 - - - 2 - - - - - - Sisters Of The Blessed Virgin 7 1 8-1 1 10 1 3 4 18 12 30 Total 32 1 33 0 1 1 12 1 3 4 21 12 33 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 10,000 1 1 9 1 6 7 4 7 11 Sisters Of St. Joseph Benedict Cottolengo 3,857 3,014 6,871 - - - Missionary Benedictine Sisters 1,372 - - - Little Sisters Of St Theresa Of The Child Jesus 109 93 202 1 1 4-2 2 Sisters Of St. Joseph Benedict Cottolengo 97 65 162 1 1 5 2 2 6 3 9 Sisters Of The Blessed Virgin 100 20 120 1 1 11 1 4 5 19 13 32 36 36 72 - - - Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God 62-2 1 1 1 1 Medical Missionaries Of Mary 42-42 - - - - - - - 1-1 2 3 5 1 2 3-1 1 2 3-3 Total 9,243 8,231 18,908 1 6 7 31 3 14 17 36 23 59 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 5 42 62 72 120 162 202 1,372 6,871 10,000-2,000 4,000 6,000 8,000 10,000 12,000 79

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 23,750 - - - 4 1-1 6-6 10,329 6,330 16,659 - - Assumption Sisters Of Eldoret 9,592 6,982 16,574 - - Sisters Of St. Joseph Of Tarbes 2,400 6,400 8,800 1 1 8 4 6 10 4 6 10 Sisters Of St. Joseph Benedict Cottolengo 8,647 2 1 1 1 1 2 Society Of Nirmala Dasi Sisters 4,500 3,500 7,700 3 3 3 4 3 7 4,018 3,483 7,501 5 1 1 3 3 3,792 2,032 5,824 1-1 5-2 2 9 7 16 Little Servants Of The Sacred Heart 2,350 1,591 3,941 2 2 2 2 1 3 Medical Missionaries Of Mary 1,669 556 2,225 - - - 5 1-1 8 3 11 Sister Ministers Of The Infirm Of St. Camillus (Camillian Sisters) 949 807 1,756 4 2 2 3 2 5 Sisters Of St. Joseph Mombasa 1,000 736 1,736 - - Sisters Of The Blessed Virgin 830 428 1,258 1 1 17 2 5 7 22 16 38 Franciscan Sisters Of The Immaculate 584 523 1,107 10 - - Sisters Of Our Lady Of The Missions 300 387 687 - - - 1 - - - - Assumption Sisters Of Nairobi 288 262 550 2 2 2 2 2 4 Daughters Of Charity Of St. Vincent De Paul 168 160 328-1 1 9 3 1 4 17 18 35 Franciscan Elizabethan Sisters 304 304 - - Missionary Benedictine Sisters 229 229 - - Little Sisters Of Mary Immaculate Of Gulu Servants Of The Sacred Heart Of Jesus And Of The Poor 54 67 121 2 1 1 2 3 5 4 1 5 1 1 1 2 2 4 Total 59,460 41,895 109,702 1 3 4 80 14 24 38 85 64 149 109,702 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

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

Table 3.10: Tuberculosis Testing and Treatment Services Clients and staff * 10,703 10,723 21,426 - - - 2 1-1 10 3 13 Sisters Of St. Joseph Of Tarbes 2,800 3,200 6,000-6 2 2 2 2 4 Missionary Sisters Of The Catechism 1,559 1,444 3,003 1 1 4 3 2 5 10 9 19 Servants Of The Sacred Heart Of Jesus And Of The Poor 257 203 460-3 1 1 3 3 Sisters Of St. Joseph Benedict Cottolengo 231 124 355 1 6 7 84 4 3 7 95 115 210 Little Sisters Of Mary Immaculate Of Gulu 120 115 235-1 1 4 1 2 3 5 3 8 102 122 224 - - - Sisters Of The Blessed Virgin 145 76 221 1 1 16 2 5 7 22 16 38 Society Of Nirmala Dasi Sisters 83 130 213-3 3 3 4 3 7 Sisters Of St. Joseph Benedict Cottolengo 97 107 204 - - - 88 114 202 - - - 3 2 2 4 3-3 Sisters Of St. Joseph Mombasa 10 25 35 - - - Daughters Of Charity Of St. Vincent De Paul 12 9 21-1 1 9 3 1 4 17 18 35 Little Sisters Of St Therese Of The Child Jesus 7 14 21 1 1 4 2 1 3 7 2 9 Sisters Of Our Lady Of The Missions 11 9 20 - - - 1-1 1 - - - 10 8 18 1-1 1-1 1 3 3 6 Franciscan Elizabethan Sisters 13 13 - - Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God 3 7 10-1 1 1 1 1 Missionary Benedictine Sisters - - - - Total 16,251 16,430 32,681 2 11 13 141 18 25 43 181 175 356 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 - 10 13 18 20 21 21 35 202 204 213 221 224 235 355 460 3,003 6,000 21,426-5,000 10,000 15,000 20,000 25,000 82

Table 3.11: Prevention Of Child Illness Services Clients and staff levels * 11,178 8,784 19,962 - - - Sisters Of St. Joseph Of Tarbes 5,200 6,000 11,200-7 3 3 2 4 6 Little Sisters Of St Therese Of The Child Jesus 2,418 2,359 4,777 1 1 9 2 9 11 1 1 2 2,506 2,105 4,611 - - - 3-2 2 4-4 Sisters Of St. Joseph Benedict Cottolengo 1,895 1,411 3,306 1-1 3-2 2 7 7 14 Sisters Of The Blessed Virgin 1,760 1,150 2,910-6 1 2 3 4 4 8 1,350 1,150 2,500-5 3 3 4 3 7 Missionary Sisters Of The Catechism 904 902 1,806-1 1 1 2 3 4 7 Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God 1,335-2 1 1 1 1 Medical Missionaries Of Mary 505 566 1,071 - - - 1 1-1 9 3 12 Little Daughters Of St. Joseph 346 256 602 1 6 7 84 4 3 7 95 115 210 Sisters Of St. Joseph Mombasa 230 300 530 - - - Assumption Sisters Of Nairobi 137 209 446-2 2 2 2 2 4 Little Sisters Of Mary Immaculate Of Gulu 152 87 239 1 1 5 1 2 3 3 5 8 Servants Of The Sacred Heart Of Jesus And Of The Poor 14 11 25-2 1 1 3 3 Total 28,595 25,290 55,320 2 8 10 130 10 31 41 138 148 286 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 25 239 446 530 602 1,071 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

Table 3.12: Nutrition, Growth Monitoring/Promotion Services Clients and staff levels * 4,400 4,200 8,600 - - - 4-2 2 2 2 4 Assumption Sisters Of Eldoret 891 620 1,511 - - - - - - - - - - Sisters Of The Blessed Virgin 680 300 980-1 1 11 1 4 5 19 13 32 355 253 608 1-1 3-1 1 5 3 8 Sisters Of St. Joseph Benedict Cottolengo 132 150 282-1 1 5-2 2 8 5 13 Missionary Sisters Of The Catechism 128 92 220-1 1 3 3-3 7 5 12 100 80 180 - - - 2-1 1 3-3 Franciscan Sisters Of The Immaculate Conception Of The Holy Mother Of God - - - - - - 1-1 1 1 2 3 Franciscan Elizabethan Sisters 53-53 - - - - - - - - - - Medical Missionaries Of Mary - - - - - - - 2 1 3 2-2 Total 6,739 5,695 12,434 1 3 4 29 6 12 18 47 30 77 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 * 1,261 631 1,892 - - - - 1-1 8 3 11 Assumption Sisters Of Eldoret 600 972 1,572 - - - - - - - - - - Little Daughters Of St. Joseph 370 316 686 1 6 7 84 4 3 7 95 115 210 Sisters Of The Blessed Virgin 400 200 600-1 1 11 1 3 4 18 12 30 229 69 298 - - - 2-2 2 2 2 Little Sisters of Mary Immaculate of Gulu 176 123 299 - - - 5-2 2 7 10 17 - - - - - - 4-2 2 4 6 10 Total 3,036 2,311 5,347 1 7 8 106 6 12 18 134 146 280 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

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 - 180 Missionary Sisters Of The Catechism 220 282 608 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 9,000 - - - - - - - 1-1 Sisters Of St. Joseph Of Tarbes 2,800 3,000 5,800 - - - 4-2 2 4 4 8 Sisters Of The Blessed Virgin 1,610 715 2,325 - - 6 1 2 3 4 4 8 Little Sisters Of Mary Immaculate Of Gulu 1,050 98 1,148-1 1 8-2 2 6 5 11 Sisters Of St. Joseph Benedict Cottolengo 633 357 990 - - - 1-1 1-1 1 Medical Missionaries Of Mary 518 243 761 - - - 1 1-1 10 3 13 Daughters Of Mary Help Of Christians 610 - - - - - - - - - - Missionary Sisters Of The Catechism 350 220 570-1 1 4 3 2 5 10 9 19 120 100 220 - - - 2-1 1 3-3 Daughters Of Charity Of St. Vincent De Paul 25 27 52 - - - 12 - - - 7 5 12 Total 11,106 9,760 21,476-2 2 38 5 10 15 45 31 76 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

Graph of Client handled by TB Services by 2016 Daughters Of Charity Of St. Vincent De Paul 52 220 Missionary Sisters Of The Catechism 570 Daughters Of Mary Help Of Christians 610 Medical Missionaries Of Mary 761 990 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