Health workers lead in fight against snakebites
As the world marked the first World Neglected Tropical Diseases Day on Sunday, snakebite envenoming remains one of the major neglected menaces in the country.
We speak to survivors of snakebites and Community Health Workers in Kajiado county.
Fred Ntuyian is a Community Health Volunteer (CHV) covering 66 households in Sinigraine, Kajiado West.
He makes daily visits to these homes to ensure residents are well informed on health matters.
As part of his work, he also sees community members who have been bitten by a snake. “As a CHV, when I get a snakebite victim, we advise them to seek medical attention from a reputable health facility. We also teach them the need to stay calm as they await help.”
Ntuyian’s day starts with his domestic chores before making house to house visits in the area. His work entails recording and reporting any cases of snakebite envenoming and other diseases.
Between January and June 2021, he has recorded three cases of snakebites from the households he manages. Men, he says, are mostly affected either during their daily work as herders or as they walk home late at night.
Stephen Kapunyu is one of the cases Ntuyian attended to. It was a rainy afternoon on April 25, 2021, in the Singiraine area of Kajiado county.
To the residents, the heavy downpour was a source of hope, as it meant better pasture for their livestock and more yield in their farms. But for Stephen Kapunyu, this day was to present a challenge that would keep him temporarily away from his daily chores.
Kapunyu, a father of nine, was walking home late in the evening. It was still raining when what felt like a thorn pricked him on his right foot. When he got home, he started feeling nauseated.
He tried to attend to his sore foot when he realised he had been bitten by a snake.
When his leg started swelling and the pain intensified, he decided to seek medical attention at the Singiraine Health Centre. He was treated and allowed to go back home.
Daily business
Kapunyu also still suffers from the consequences of the snakebite. His leg is not as strong as it was, and he experiences periodic pains in his lower back. However, he tries to go about his daily business.
“I still take care of my family and livestock as before. I also do casual work as a loader with local transport companies,” he says.
The village elder encourages other survivors to keep fulfilling their role in the community and urges locals to seek medical attention in case of a snakebite. “I am alive because of God and the health workers who have given me valuable advice regarding the snakebite,” he added.
Health workers like Ntuyian are actively involved in sensitising the community on how to manage snakebites. “We do regular training sessions with the community to inform them on what to do in case of a snakebite,” he says.
Rose Melita is the nurse in charge at Singiraine dispensary, a Level Two health facility in Kajiado, where Kapunyu sought help after the snakebite.
According to her, community sensitisation is crucial to address snakebites. For a community that largely looks to traditional ways of treating snakebites, Melita says informing the people on snakebites and adequate health-seeking behaviour will go a long way to improving the situation.
She has basic training in first aid. This expertise, she says, comes in handy, especially in a region with a poor referral system and one where essential drugs are sometimes out-of-stock. Shortage of antivenom is common in most parts of the county; something that forces some patients to opt for treatment at private clinics. Here, a vial of antivenom costs between Sh5,000 and Sh7,000.
The situation at Singiraine dispensary is no different. “After a snakebite, we give the patient hydrocortisone and other antibiotics for tetanus prevention. After that, we refer within 24 hours. Unfortunately, these commodities are currently out-of-stock for a month. They are supplied quarterly from the National government.”
