1 Introduction

Below is the Evaluation Finding from the data collected in Kalobeyei which aims to improve and ensure continuous access to NCD care for crisis-affected populations in Kalobeyei camp in Turkana, and therefore have sought to undertake this evaluation. The primary purpose of this evaluation is to assess the relevance and coherence of current strategies, document the lessons learnt and identify areas for improvement to ensure that individuals with chronic conditions receive uninterrupted care despite the challenges posed by emergencies. The evaluation is being carried out in the refugee populations of Kalobeyei camp. The project is funded by the Danish Red Cross, and implemented by the Kenya Red Cross Society (KRCS).

Specify Village in Kalobeyei**

Beneficiary population category

1.1 SECTION 1: RESPONDENT DEMOGRAPHIC INFORMATION.

1. What is your Sex?

2. What is your highest level of Educational attainment?

3. What is your Marital Status?

4. What is your age (in years)

5. What is your Religious Affiliation?

7. What is your MAIN Source of household income

1.2 SECTION 2. KNOWLEDGE AND ATTITUDE ON NON COMMUNICABLE DISEASES

8. Have you ever heard of the term Non Communicable Disease (NCDs)?

9a. Have you ever heard of Diabetes

9b. Have you ever heard of Hypertension

9c. Have you ever heard of Mental Health Illness

9d. Have you ever heard of Asthma

9e. Have you ever heard of Cervical Cancer

9f. Have you ever heard of Breast Cancer

9g. Have you ever heard of Lung Cancer

9h. Have you ever heard of Throat Cancer

9i. Have you ever heard of Prostate Cancer

9j. Have you ever heard of Stroke

9k. Have you ever heard of Heart Conditions

1.3 Diabetes

10. Where did you hear about diabetes

11. What are the symptoms of diabetes?

12. What body organs or functions can diabetes affect?

13. What are the risk factors of diabetes?

14. What are some of the measures that can be done to prevent or manage Diabetes?

1.4 Hypertension

15. Where did you hear about hypertension?

16. What are the symptoms of hypertension?

17. What complications can hypertension cause?

18. What are the risk factors of hypertension?

19. What are some of the measures that can be done to prevent or manage hypertension?

1.5 Mental Health Illness

20. Have you participated in any mental health awareness activity?

21. If yes in 20 above, who organized this activity (Tick all that apply)

22. What are the symptoms of Mental Health conditions?

23. What are the risk factors for Mental Health conditions?

24. What are some of the measures that can be done to prevent or manage mental health conditions?

1.6 General NCD Knowledge and Perceptions

25. Do you believe you are at risk of getting NCDs?

26. How serious a threat do you think NCDs are to people’s health and wellbeing?

27. In your opinion, can NCDs be managed so that the affected persons lives a normal life?

28. What is your most COMMON source of information on NCDs?

29. What is your most PREFERRED source of information on NCDs?

30. Have you heard of a digital wallet or system (including cross-border) for managing your NCD care (e.g., storing prescriptions, reminders, appointments)?

31. Have you used a digital wallet or system (including cross-border) for managing your NCD care (e.g., storing prescriptions, reminders, appointments)?

32. If yes, what was it used for?

33. Have you attended any NCD-related health education or sensitization session in the past 1 year?

34. Who conducted the session?

35. What was the mode of sensitization?

1.7 HEALTH SEEKING BEHAVIOR AND ACCESS TO HEALTH SERVICES

36. Have you ever been screened/tested for any NCD?

37. When you were last screened/tested for an NCD, did you receive your results?

38. Which NCD have you been screened/tested for?

40. When you were last screened/tested for an NCD, who initiated/advised you to test/screen for the NCD?

41. When you were last tested/screened for an NCD, were you provided with any information or information material on the NCDs?

42. Would you like to be screened for any NCDs?

43. If no, what are the reasons for not wanting to be screened for an NCD?

1.8 NCD Treatment

44. Are you currently on any treatment for any NCDs?

45. What NCD are you receiving treatment for?

46. Where are you receiving your treatment?

47. In the past 3 months, were you able to access your prescribed NCD medication when needed?

48. If no, what was the main reason for not getting your prescribed medication?

1.9 NCD Psychological Support Groups

49. Are you aware of any members of psychological support groups?

50. Are YOU a Member of any psychological support group for NCDs?

51. To what extend are you satisfied with support group services and activities?

52. Have you benefited by being a member of a support group?

53. If yes, how have you benefited by being a member of a support group?

54. Have you ever sought NCD services from a Health Facility?

55. The last time you sought NCD services from a health facility, did you have to pay any money?

58. Are you aware of any new clinic that has been set up in the past 1 year in your area?

59. If yes, have you visited this new clinic for NCD services?

1.10 SECTION D. NCD RISK FACTORS (TOBACCO USE)

60. Have you ever smoked any tobacco product such as cigarettes, cigars, pipes and shisha?

61. Which tobacco product have you ever smoked?

62. In the past 30 days, have you smoked any tobacco product such as cigarettes, cigars, pipes and shisha?

63. Which tobacco product have you smoked in the past 30 days?

65. During the past 1 year, have you tried to stop smoking?

67. Do you currently use any smokeless tobacco products such as snuff, chewing tobacco, betel)

68. What is the main source of energy for cooking your daily meal (breakfast, lunch or dinner)?

69. What is the main source of energy for lighting your home?

1.11 ALCOHOL CONSUMPTION

70. Have you ever consumed any alcohol?

71. Do you take alcohol currently?

72. Which type of alcohol do you take?

73. How often do you drink alcohol?

74. During the past 1 year, how often have you failed to do what was expected from you because of drinking alcohol?

75. During past 1 year, how often have you needed a first drink in the morning to get yourself going after heavy drinking session?

76. Have you received any support to quit drinking?

1.12 PHYSICAL ACTIVITY

77. Do you participate in VIGOROUS-intensity activity that causes large increase in breathing or heart rate like carrying or lifting heavy loads, digging, construction work or high intensity sporting activities for at least 10 minutes continuously at work, during exercise or other activities?

79. How much time do you spend doing vigorous-intensity activities on a typical day?

80. Do you participate in MODERATE-intensity activity that causes small increases in breathing or heart rate such as brisk walking, carrying light loads or moderate sporting activities for at least 10 minutes continuously?

82. How much time do you spend doing moderate–intensity activities?

1.13 DIET

83. Do you know what a balanced diet is?

84. What are the components of a balanced meal?

1.14 Dietary Salt

87. How often do you add salt to your food right before you eat or as you are eating it?

88. How often do you add salt in cooking or preparing foods in your household?

89. How often do you eat processed food high in salt?

1.15 Blood Pressure: Self report

90. Have you ever had your blood pressure measured by a doctor or other health worker?

91. Have you ever been told by a doctor or other health worker that you have raised blood pressure?

92. In the past two weeks have you taken any drugs (medication) for raised blood pressure prescribed by a doctor?

1.16 Diabetes: Self Report

93. Have you ever had your blood sugars measured by a doctor or other health worker?

94. Have you ever been told by a doctor or other health worker that you have diabetes?

95. In the past two weeks have you taken any drugs (medication) for diabetes prescribed by a doctor?

96. Are you aware of any emergency response plan in your camp/community that considers people with chronic conditions such as NCDs (e.g. diabetes, hypertension)?

97. If yes, what kinds of services for people with NCDs are included in that plan?

98. During the most recent emergency or crisis in your area, were your regular NCD services disrupted?

99. If yes above, in what ways were NCD services disrupted?

100. Did you or your family receive any specific support to help you manage NCDs during the last emergency?

101. if yes above, what type of support did you receive?

1.17 Community Engagement and Accountability (CEA)

CEA 01_Do you know how you can reach to Kenya Red Cross Society (KRCS) to provide feedback (ask questions, give suggestion, give complaints, etc)

CEA 01.1_If yes what are some of the Feedback mechanisms you know?

CEA 02_Have you ever use any of the KRCS feedback mechanisms?

CEA 03_What is/would be your most preferred way of providing feedback to KRCS?