Mijomboni Dispensary is a vibrant and upcoming level 2 health facility within Kilifi North Sub-county. It has been funded with facilities over the past year, including a laboratory room, a maternity wing, extra consultation rooms and a comprehensive care room for HIV Treatment Services (HTS). Although this facility is yet to be equipped with the additional staff to man the new wings and rooms, the facility has a rare opportunity for growth as evidenced by gradual increase of catchment population due to meeting target as follows; 10,000 people in 2015, 11,000 in 2016, 13,000 in 2017 and 15,000 in 2018 (Ref Mijomoni Dispensary records). There are only two nurses seeing all the patients. Of which, the second was transferred in in May 2018. Mijomboni community, had a challenge of not being reached with most of the preventive community health projects (including HIV prevention and behavior change) like the surrounding communities such as Watamu in the south and Kakuyuni in the North. The other facilities have a support system in the community; at least 30 community health volunteers (CHV) who’s main work is giving health talks at village level going house to house.
Due to the lack of trained CHVs in Mijomboni, the community lacked basic preventive messages on HIV, family planning (FP), malaria, etc. In addition, due to the large volume of patients per nurse, the staff couldn’t take extra time to give the patient’s this information as they were rushing to serve an average of 70 patients per day (35 per nurse). Moreover, there was very low chance of finding willing donor to do a major behavior change project in the near future, due to the financial and time cost it takes to fully train CHVs. Upon visiting the site and brainstorming, we believed the best low cost solution will be to purchase a digital television with an external hard disk. Installed a number of informative adverts and messages from different partners approved by the Ministry of Health/County Department of Health and showing this videos to the patients in the facility’s waiting bay. We found out that this solved 2 challenges uniquely faced by the facility; giving important needed message to the community while they are waiting to be served and secondly, keeping the clients busy while waiting for their turn and reducing the restlessness due to the long waiting period caused by understaffing of the facility. It is hoped that the long term success of the project will be stigma reduction for HIV due to the information in the videos shown.