By Nick Maosa, Program Coordinator

Field operations remained dynamic throughout the year 2025, ensuring that service delivery, supervision, and stakeholder engagement activities were carried out effectively. Our focus was to support health facilities and county teams in achieving high-quality service provision through regular engagement and adaptive support.

Four mentorship visits were conducted at strategic intervention sites. These visits included one-on-one coaching, data reviews, and practical system usage guidance, especially for new users. Feedback collected during mentorships revealed improved health worker confidence in interpreting screening results and using the CATSystem to follow up on clients with abnormal outcomes.

Two clinical audits were conducted in collaboration with CHMT members. The audits focused on screening accuracy, referral practices, and follow-up outcomes. The findings led to on-the-spot data corrections and improved documentation, with facility teams expressing strong appreciation for the supportive approach.

A key highlight was a focus group discussion (FGD) held at Matayos Sub County Hospital, where nurses, screening staff, and outreach personnel shared challenges and ideas for improving service delivery. Issues raised included cryotherapy machine access, delays in referral completion, and training gaps for new staff. The FGD was attended by the CEO, demonstrating senior leadership commitment to listening and responding to field realities.

Our team also continued building relationships with county officials, providing routine updates and collaborating on joint workplans. These engagements have helped align program goals with county health strategies and paved the way for future integration of CATSystem tools into official county systems. Overall, the field operations strategy remains grounded in active listening, collaborative problem-solving, and hands-on support.