{"id":63181,"date":"2026-08-25T19:33:25","date_gmt":"2026-08-25T19:33:25","guid":{"rendered":"https:\/\/selfcaretrailblazers.org\/?p=63181"},"modified":"2026-08-25T19:33:26","modified_gmt":"2026-08-25T19:33:26","slug":"stories-of-choice-care-and-change-how-two-women-in-narok-are-showing-the-future-of-self-care-in-kenya","status":"publish","type":"post","link":"https:\/\/selfcaretrailblazers.org\/fr\/stories-of-choice-care-and-change-how-two-women-in-narok-are-showing-the-future-of-self-care-in-kenya\/","title":{"rendered":"Histoires de choix, de soins et de changement : comment deux femmes \u00e0 Narok montrent l'avenir des autosoins au Kenya"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Deux femmes ont quitt\u00e9 un centre de sant\u00e9 \u00e0 Narok en portant quelque chose qu'elles n'avaient jamais imagin\u00e9 auparavant; la confiance pour g\u00e9rer leur propre contraception. Apr\u00e8s avoir appris \u00e0 s'auto-injecter DMPA-SC, en d\u00e9montrant la technique sous la direction d'un prestataire de soins de sant\u00e9 et en recevant une recharge pour rentrer chez eux, ils sont devenus parmi les premi\u00e8res femmes de leur communaut\u00e9 \u00e0 quitter non seulement avec un contraceptif, mais avec la connaissance et la confiance pour administrer leur prochaine dose eux-m\u00eames. Leur histoire repr\u00e9sente bien plus de deux d\u00e9cisions individuelles. Il refl\u00e8te un changement plus large qui se produit dans tout le Kenya, o\u00f9 l'autogestion des soins transforme la fa\u00e7on dont les femmes ont acc\u00e8s \u00e0 leur sant\u00e9 en mati\u00e8re de procr\u00e9ation et la gestion de celle-ci.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les autosoins change constamment la fa\u00e7on dont les soins de sant\u00e9 sexuelle et g\u00e9n\u00e9sique sont dispens\u00e9s. Gr\u00e2ce \u00e0 des interventions telles que la contraception auto-injectable, l'autotest du VIH et l'auto-\u00e9chantillonnage du VPH, les soins de sant\u00e9 vont au-del\u00e0 des murs des \u00e9tablissements de sant\u00e9 et entre les mains des individus. Toutefois, l'autogestion ne consiste pas \u00e0 transf\u00e9rer la responsabilit\u00e9 des syst\u00e8mes de sant\u00e9 aux femmes. Elle compl\u00e8te plut\u00f4t les soins en \u00e9tablissement en donnant aux gens les moyens d'obtenir l'information, les comp\u00e9tences et la confiance n\u00e9cessaires pour g\u00e9rer en toute s\u00e9curit\u00e9 certains aspects de leur propre sant\u00e9, tout en restant en contact avec les prestataires de soins de sant\u00e9 pour obtenir des conseils, un suivi et une orientation, au besoin. Ce faisant, il permet aux prestataires de se concentrer sur les clients qui ont besoin de soins plus sp\u00e9cialis\u00e9s tout en \u00e9largissant l'acc\u00e8s pour ceux qui font face \u00e0 des obstacles aux services courants.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pour les femmes vivant dans des comt\u00e9s recul\u00e9s comme Narok, o\u00f9 de nombreuses communaut\u00e9s sont dispers\u00e9es g\u00e9ographiquement, l'acc\u00e8s \u00e0 un \u00e9tablissement de sant\u00e9 peut signifier voyager sur de longues distances, d\u00e9penser de l'argent pour les transports et sacrifier un jour de travail ou de responsabilit\u00e9s domestiques. Ces d\u00e9fis sont souvent aggrav\u00e9s par les normes socioculturelles, le pouvoir de d\u00e9cision limit\u00e9 en mati\u00e8re de sant\u00e9 g\u00e9n\u00e9sique et les mythes persistants et les id\u00e9es fausses entourant la contraception. Pour de nombreuses femmes, ces d\u00e9fis d\u00e9terminent si elles peuvent commencer ou continuer \u00e0 utiliser la contraception de fa\u00e7on coh\u00e9rente ou avoir acc\u00e8s \u00e0 des services de sant\u00e9 g\u00e9n\u00e9sique.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dans ce contexte, les autosoins offre quelque chose de plus que de la commodit\u00e9. Il offre une plus grande intimit\u00e9, la continuit\u00e9 des soins et la possibilit\u00e9 pour les femmes de jouer un r\u00f4le plus actif dans la gestion de leur sant\u00e9 g\u00e9n\u00e9sique, tout en restant li\u00e9es au soutien des prestataires de soins de sant\u00e9. Mais la confiance n'arrive pas du jour au lendemain. Les deux femmes qui ont finalement choisi de s'injecter elles-m\u00eames ne sont pas arriv\u00e9es \u00e0 la clinique qui avait l'intention de le faire. Comme beaucoup d'autres, ils sont venus chercher des services de sant\u00e9 g\u00e9n\u00e9sique de routine. Ce qui a chang\u00e9, c'\u00e9tait la conversation. L'occasion d'apprendre, de poser des questions et de d\u00e9couvrir que l'autogestion \u00e9tait possible.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En mars 2026, le R\u00e9seau de sant\u00e9 g\u00e9n\u00e9sique Kenya (RHNK), en collaboration avec le gouvernement du comt\u00e9 de Narok et avec l'appui de l'Initiative Clinton pour l'acc\u00e8s \u00e0 la sant\u00e9 (CHAI), a men\u00e9 des campagnes int\u00e9gr\u00e9es de sensibilisation \u00e0 la sant\u00e9 g\u00e9n\u00e9sique \u00e0 travers Narok Central, Narok West et Narok South afin de rapprocher les services des communaut\u00e9s tout en introduisant les femmes \u00e0 des interventions d'autosoins. Alors que les femmes attendaient des services, les dispensateurs de soins de sant\u00e9 ont facilit\u00e9 des conf\u00e9rences interactives sur la planification familiale, les soins pr\u00e9natals, la sant\u00e9 menstruelle et d'autres sujets li\u00e9s \u00e0 la sant\u00e9 sexuelle et g\u00e9n\u00e9sique. Parmi les m\u00e9thodes examin\u00e9es figuraient l'auto-injection DMPA-SC. Les prestataires ont expliqu\u00e9 comment fonctionne la m\u00e9thode, d\u00e9montr\u00e9 la technique d'injection, r\u00e9pondu aux questions, abord\u00e9 les mythes et rassur\u00e9 les femmes qu'apr\u00e8s une formation appropri\u00e9e, l'auto-injection est \u00e0 la fois s\u00fbre et efficace. Les conversations ont suscit\u00e9 la curiosit\u00e9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c0 la fin de la campagne, deux femmes se sont senties pr\u00eates. Ils se sont auto-inject\u00e9s avec succ\u00e8s sous la supervision du prestataire et sont partis avec des recharges, \u00e9quip\u00e9s pour administrer leur prochaine injection \u00e0 la maison.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pour RHNK et ses partenaires, ces deux femmes repr\u00e9sentaient beaucoup plus qu'un nombre. Ils ont d\u00e9montr\u00e9 que les autosoins ne consiste pas simplement \u00e0 introduire un nouveau produit, il s'agit de renforcer la confiance. Lorsque les femmes re\u00e7oivent des informations exactes, des d\u00e9monstrations pratiques et un soutien continu de la part de prestataires de soins de sant\u00e9 fiables, elles sont dispos\u00e9es \u00e0 adopter de nouvelles fa\u00e7ons de g\u00e9rer leur sant\u00e9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La sensibilisation a \u00e9galement montr\u00e9 que les autosoins fonctionne mieux lorsqu'il est int\u00e9gr\u00e9 dans des soins de sant\u00e9 complets. Parall\u00e8lement \u00e0 la planification familiale, les femmes ont eu acc\u00e8s aux soins pr\u00e9natals et postnatals, aux tests de d\u00e9pistage du VIH et aux liens avec les soins, au d\u00e9pistage du cancer du col de l\u2019ut\u00e9rus, au d\u00e9pistage et au traitement des maladies sexuellement transmissibles, au d\u00e9pistage de la grossesse, aux services de protection de l\u2019enfance et aux consultations externes g\u00e9n\u00e9rales. Les adolescents et les jeunes femmes de 14 \u00e0 24 ans ont \u00e9galement particip\u00e9 activement aux s\u00e9ances d'\u00e9ducation sanitaire, soulignant l'importance de cr\u00e9er des espaces s\u00fbrs et de soutien o\u00f9 les jeunes peuvent chercher des informations et des services sans crainte ni jugement. L'exp\u00e9rience de Naroks offre une le\u00e7on importante pour le Kenya.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Il ne s'agit pas simplement de mettre des produits \u00e0 disposition. Il exige des prestataires de soins de sant\u00e9 fiables qui peuvent \u00e9duquer, d\u00e9montrer et rassurer les clients, les promoteurs de la sant\u00e9 communautaire qui cr\u00e9ent des syst\u00e8mes de sensibilisation et de sant\u00e9 qui garantissent aux femmes un acc\u00e8s continu aux produits, aux soins de suivi et aux services d'aiguillage au besoin. Les autosoins devraient r\u00e9duire les obstacles aux soins, et non transf\u00e9rer la charge de la navigation des syst\u00e8mes de sant\u00e9 faibles aux femmes, en particulier celles qui sont d\u00e9j\u00e0 confront\u00e9es \u00e0 la pauvret\u00e9, \u00e0 de longues distances de d\u00e9placement et \u00e0 un acc\u00e8s limit\u00e9 aux services de sant\u00e9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La plus grande transformation observ\u00e9e \u00e0 Narok n'est pas que deux femmes ont appris \u00e0 s'auto-injecter. C'est que deux femmes croyaient qu'elles le pouvaient. Cette croyance et cette confiance font de l'autogestion d'une politique une r\u00e9alit\u00e9. Et alors que le Kenya poursuit la mise en \u0153uvre des Lignes directrices nationales pour les interventions en mati\u00e8re d\u2019autosoins en mati\u00e8re de sant\u00e9 g\u00e9n\u00e9sique, l\u2019avenir de l\u2019autogestion d\u00e9pendra de l\u2019autonomisation d\u2019une femme \u00e0 la fois gr\u00e2ce \u00e0 l\u2019information, \u00e0 des d\u00e9monstrations pratiques et \u00e0 un soutien continu. La v\u00e9ritable mesure du succ\u00e8s sera non seulement le nombre de femmes qui choisissent l'autogestion, mais aussi le fait que chaque femme dispose de l'information, du soutien et du soutien du syst\u00e8me de sant\u00e9 pour l'utiliser en toute s\u00e9curit\u00e9 et confiance. C'est ainsi que les autosoins passe de la politique \u00e0 la pratique et qu'il respecte sa promesse d'\u00e9largir le choix, l'\u00e9quit\u00e9 et l'acc\u00e8s pour tous.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Two women left a health facility outreach in Narok carrying something they had never imagined before; the confidence to manage their own contraception. After learning how to self-inject DMPA-SC, demonstrating the technique under the guidance of a healthcare provider and receiving a refill to take home, they became among the first women in their communities [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":63183,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"related_practice_areas":[],"class_list":["post-63181","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.5 - aioseo.com -->\n\t<meta name=\"description\" content=\"Two women left a health facility outreach in Narok carrying something they had never imagined before; the confidence to manage their own contraception. After learning how to self-inject DMPA-SC, demonstrating the technique under the guidance of a healthcare provider and receiving a refill to take home, they became among the first women in their communities\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"Victoria Torres\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/selfcaretrailblazers.org\/fr\/stories-of-choice-care-and-change-how-two-women-in-narok-are-showing-the-future-of-self-care-in-kenya\/\" \/>\n\t\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.5\" \/>\n\t\t<meta property=\"og:locale\" content=\"fr_FR\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Self-Care Trailblazer Group \u2014 Advancing Self-Care for UHC - A global coalition driving evidence, policy, and advocacy to make safe, effective self-care part of every health system.\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"Stories of Choice, Care and Change: How Two Women in Narok Are Showing the Future of Self-Care in Kenya - Self-Care Trailblazer Group \u2014 Advancing Self-Care for UHC\" \/>\n\t\t<meta property=\"og:description\" content=\"Two women left a health facility outreach in Narok carrying something they had never imagined before; the confidence to manage their own contraception. After learning how to self-inject DMPA-SC, demonstrating the technique under the guidance of a healthcare provider and receiving a refill to take home, they became among the first women in their communities\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/selfcaretrailblazers.org\/fr\/stories-of-choice-care-and-change-how-two-women-in-narok-are-showing-the-future-of-self-care-in-kenya\/\" \/>\n\t\t<meta property=\"og:image\" content=\"https:\/\/selfcaretrailblazers.org\/wp-content\/uploads\/2025\/04\/Logo_Horizontal-Color.png\" \/>\n\t\t<meta property=\"og:image:secure_url\" content=\"https:\/\/selfcaretrailblazers.org\/wp-content\/uploads\/2025\/04\/Logo_Horizontal-Color.png\" \/>\n\t\t<meta property=\"og:image:width\" content=\"854\" \/>\n\t\t<meta property=\"og:image:height\" content=\"531\" \/>\n\t\t<meta property=\"article:section\" content=\"Two women left a health facility outreach in Narok carrying something they had never imagined before; the confidence to manage their own contraception. After learning how to self-inject DMPA-SC, demonstrating the technique under the guidance of a healthcare provider and receiving a refill to take home, they became among the first women in their communities to leave not just with a contraceptive, but with the knowledge and confidence to administer their next dose themselves. Their story represents far more than two individual decisions. It reflects a broader shift taking place across Kenya, where self-care is transforming how women access and manage their reproductive health. Self-care is steadily changing how sexual and reproductive healthcare is delivered. Through interventions such as self-injectable contraception, HIV self-testing and HPV self-sampling, healthcare is moving beyond the walls of health facilities and into the hands of individuals. However, self-care is not about shifting responsibility from health systems to women. Rather, it complements facility-based care by empowering people with the information, skills and confidence to safely manage aspects of their own health, while remaining connected to healthcare providers for counselling, follow-up and referral when needed. In doing so, it allows providers to focus on clients requiring more specialized care while expanding access for those who face barriers to routine services. For women living in remote counties such as Narok, where many communities are geographically dispersed, accessing a health facility can mean travelling long distances, spending money on transport and sacrificing a day&#039;s work or household responsibilities. These challenges are often compounded by sociocultural norms, limited decision-making power over reproductive health and persistent myths and misconceptions surrounding contraception. For many women, these challenges determine whether they can start or continue using contraception consistently or access reproductive health services at all. In this context, self-care offers something more than convenience. It provides greater privacy, continuity of care and the opportunity for women to take a more active role in managing their reproductive health, while remaining connected to the support of healthcare providers. But confidence does not happen overnight. The two women who eventually chose to self-inject did not arrive at the clinic intending to do so. Like many others, they came seeking routine reproductive health services. What changed was the conversation. The opportunity to learn, ask questions and discover that self-care was possible. In March 2026, the Reproductive Health Network Kenya (RHNK), in collaboration with the Narok County Government and with support from the Clinton Health Access Initiative (CHAI), conducted integrated reproductive health outreaches across Narok Central, Narok West and Narok South to bring services closer to communities while introducing women to self-care interventions. As women waited for services, healthcare providers facilitated interactive health talks covering family planning, antenatal care, menstrual health and other sexual and reproductive health topics. Among the methods discussed was DMPA-SC self-injection. Providers explained how the method works, demonstrated the injection technique, answered questions, addressed myths and reassured women that, after appropriate training, self-injection is both safe and effective. The conversations sparked curiosity.\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2026-08-25T19:33:25+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2026-08-25T19:33:26+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"Stories of Choice, Care and Change: How Two Women in Narok Are Showing the Future of Self-Care in Kenya - Self-Care Trailblazer Group \u2014 Advancing Self-Care for UHC\" \/>\n\t\t<meta name=\"twitter:description\" content=\"Two women left a health facility outreach in Narok carrying something they had never imagined before; the confidence to manage their own contraception. After learning how to self-inject DMPA-SC, demonstrating the technique under the guidance of a healthcare provider and receiving a refill to take home, they became among the first women in their communities\" \/>\n\t\t<meta name=\"twitter:image\" content=\"https:\/\/selfcaretrailblazers.org\/wp-content\/uploads\/2025\/04\/Logo_Horizontal-Color.png\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BlogPosting\",\"@id\":\"https:\\\/\\\/selfcaretrailblazers.org\\\/fr\\\/stories-of-choice-care-and-change-how-two-women-in-narok-are-showing-the-future-of-self-care-in-kenya\\\/#blogposting\",\"name\":\"Stories of Choice, Care and Change: How Two Women in Narok Are Showing the Future of Self-Care in Kenya - Self-Care Trailblazer Group \\u2014 Advancing Self-Care for UHC\",\"headline\":\"Stories of Choice, Care and Change: How Two Women in Narok Are Showing the Future of Self-Care in 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After learning how to self-inject DMPA-SC, demonstrating the technique under the guidance of a healthcare provider and receiving a refill to take home, they became among the first women in their communities to leave not just with a contraceptive, but with the knowledge and confidence to administer their next dose themselves. Their story represents far more than two individual decisions. It reflects a broader shift taking place across Kenya, where self-care is transforming how women access and manage their reproductive health. Self-care is steadily changing how sexual and reproductive healthcare is delivered. Through interventions such as self-injectable contraception, HIV self-testing and HPV self-sampling, healthcare is moving beyond the walls of health facilities and into the hands of individuals. However, self-care is not about shifting responsibility from health systems to women. Rather, it complements facility-based care by empowering people with the information, skills and confidence to safely manage aspects of their own health, while remaining connected to healthcare providers for counselling, follow-up and referral when needed. In doing so, it allows providers to focus on clients requiring more specialized care while expanding access for those who face barriers to routine services. For women living in remote counties such as Narok, where many communities are geographically dispersed, accessing a health facility can mean travelling long distances, spending money on transport and sacrificing a day's work or household responsibilities. These challenges are often compounded by sociocultural norms, limited decision-making power over reproductive health and persistent myths and misconceptions surrounding contraception. For many women, these challenges determine whether they can start or continue using contraception consistently or access reproductive health services at all. In this context, self-care offers something more than convenience. It provides greater privacy, continuity of care and the opportunity for women to take a more active role in managing their reproductive health, while remaining connected to the support of healthcare providers. But confidence does not happen overnight. The two women who eventually chose to self-inject did not arrive at the clinic intending to do so. Like many others, they came seeking routine reproductive health services. What changed was the conversation. The opportunity to learn, ask questions and discover that self-care was possible. In March 2026, the Reproductive Health Network Kenya (RHNK), in collaboration with the Narok County Government and with support from the Clinton Health Access Initiative (CHAI), conducted integrated reproductive health outreaches across Narok Central, Narok West and Narok South to bring services closer to communities while introducing women to self-care interventions. As women waited for services, healthcare providers facilitated interactive health talks covering family planning, antenatal care, menstrual health and other sexual and reproductive health topics. Among the methods discussed was DMPA-SC self-injection. Providers explained how the method works, demonstrated the injection technique, answered questions, addressed myths and reassured women that, after appropriate training, self-injection is both safe and effective. The conversations sparked curiosity.","article:published_time":"2026-08-25T19:33:25+00:00","article:modified_time":"2026-08-25T19:33:26+00:00","twitter:card":"summary_large_image","twitter:title":"Stories of Choice, Care and Change: How Two Women in Narok Are Showing the Future of Self-Care in Kenya - Self-Care Trailblazer Group \u2014 Advancing Self-Care for UHC","twitter:description":"Two women left a health facility outreach in Narok carrying something they had never imagined before; the confidence to manage their own contraception. 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