Summary
This study took place in Embakasi, Kibra/Langata, and Ruaraka sub-counties in Nairobi, Kenya’s biggest city. Approximately, 1 in 2 people in Nairobi live in informal urban settlements where they lack improved water and sanitation, security of tenure, durability of housing, and sufficient living areas, among others. We worked with dispensaries and health centres that offer primary healthcare to people in informal urban settlements in the selected sub-counties.
Participants involved 19 nurses and 10 clinical officers/doctors (20 women and 9 men) from 16 public, 5 faith-based, and 4 private health facilities. Their professional experience ranged from 6 months to 35 years of service. We also engaged 24 TB stakeholders, representing the National TB, Leprosy and Lung Disease Program (1), Nairobi County Health Management Team (18), the Sub-County Health Management Teams (4), and non-governmental organisations (1).
We conducted three participatory workshops (two with nurses and one with clinical officers and doctors) in March 2024. As shown on the next page, the healthcare workers discussed their experiences and challenges in differentiating TB care to people’s needs and developed potential solutions. Thereafter, a stakeholder workshop was conducted in April 2024 where participants presented and discussed their findings with TB stakeholders and agreed action.
