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Needs assessment  preparatory document for THV Kenya THV pilot assessment team Mwanamwinga Location Kibabwani cluster of villages Kailoleni District Kenya Coastal region
coordinates : 3 47’21.45”S  –Latitude 39 35’51.87”5 -Longitude
Location Satellite picture with reaching instructions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
All the way down 'A-109' from Nairobi
Through a game park
Through some very bad roads
after 518 KM .....
To Kibabwani village cluster ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
a poor area where people struggle to make ends meet....
 
..but still want the best for their children !
Note: ,[object Object],[object Object],[object Object]
MAP has already mobilized community members who have taken leadership.... Ownership
The office space given to MAP by the community and local leadership
Engaged community enthusiasm in analyzing their situation Participation
Involved local government in the process -Mr. Joseph the subLocation Chief
Executive summary: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Executive summary: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Executive summary: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continued…..
Preamble: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Profile of the Kibwabwani cluster ,[object Object]
Location: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Socio-Cultural aspects: Population ,[object Object],[object Object],[object Object],[object Object]
 
Socio-Cultural aspects: Ethnic Composition ,[object Object],[object Object],ATR Christian Muslim
Socio-Cultural aspects: Gender analysis (Kilonga) Masonry and Thatching herding Casual work (digging) Main responsibility of men 0 0 0  0 0 0 0 0 0 0 Gender based violence 0 0 0 0 0 0  0 0 0 0 Decision on use of family money 0 0 0 0 0 0 0 0 0 0  Overall ratio of the population Female Male Issue Taking care of babies Fetching water digging Fuel wood collection Main responsibility of women
LAND TYPE: (mostly Sandy Loam) Undulating Flat
Pond : the main source of drinking water the unsafe drinking water source Rain water flow direction Rain water flow direction Rain water flow direction This Pond Roof water harvesting Main drinking water sources
Dr. Julius Kavuludi, Country Director, MAP International Kenya reviews all information collected along with other facilitators before the larger assembly of villagers.
RFSA Rapid(household) Foodsecurity Status Assessment: (of the Kibabwani village cluster) 0 0 0 0 0 0 0 0 0 0  Mkiya (‘poor’) 0 0 0 0 0 0 0 0 0 0  Mutsowi (‘they lack’) 0 0 0 0 0 0 0 0 0 0 Nafuu (‘somehow manage’) 0 0 0 0 0 0 0 0 0 0 Matajiri (the well off) EXPENDITRURE INCOME IE Ratio (Income-Expenditure ratio) Local name  (& Description) Population ratio
 
 
RFSA and access to education: Middle college/ Univ. Mkiya (‘poor’) Mutsowi (‘they lack’) Nafuu (‘somehow manage’) Matajiri (the well off) Secondary school Primary school Stage of Education (Access profile) Local name  (& Description) Population ratio
Type of health seeking behavior in the cluster of villages % of Population Perceived success rate Self medication Go to the health centre (Daktari) Medicine man (Aganga) Pray (Muvambi) Do nothing (Kuhasa) Type of options accessed 30% 70% 30% 40% 50%
Villagers joke about each other's health seeking behavior...
...and soon turn their attention back to the "profile of their lives"..
RFSA and access to Health care: Self medication pray Go to the health centre Mkiya (‘poor’) Mutsowi (‘they lack’) Nafuu (‘somehow manage’) Matajiri (the well off) Medicine man Do nothing Type of health care facility (Access profile) Local name  (& Description) Population ratio
 
Family planning practices in operation in the community: ,[object Object],[object Object],NO YES NO YES WOMEN MEN CONDOMS COITUS INTERRUPTUS RHYTHUM METHOD RHYTHUM FEMALE CONDOM IUD NORPLANT INJECTION PILLS
 
Nutritional status of 1-5 year olds: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],EXTREMLY POOR MODERATELY POOR FAIRLY POOR GOOD APPROXIMATE RATIO STATUS (AS ASSESSED BY THE MOTHERS)
Disease distribution: GENDER & AGE Wise (*)Men in the FGD observed that it was impossible to get to the age of 40 without getting an STD first !! TB STDs (*) Malaria Men Respiratory Gynecological Malaria Women (maternal) Children Diarrhea Cough Malaria Group DISEASE Frequency
 
Ratio of number of children per man and per women in the village: Children above 11years Children 6-10 years Children under 5 years Per WOMAN Per MAN Average ratio of numbers of children to men & women Age range
 
Infidelity in marriage Never faithful Sometimes faithful sometimes not Very faithful to spouse WOMEN MEN Sexual behavior
who do the unfaithful men go to for sex? ,[object Object],[object Object],[object Object],[object Object],Commercial Sex workers  ( charge 100 KSH per time) Those who have sex out of friendship with the man Those who sell sex due to poverty  (just for some food or clothes) 20 % are married women 80 % are married women 50% single and 50% married Marital status of these women Profile of these women Profile of these women
 
 
Bio-Physical conditions: Climate ,[object Object],[object Object],[object Object],[object Object],[object Object],Part -1 Below 40 mm 352 mm 176 mm Below 40 mm Below 40 mm 352 mm 352 mm 440 mm 88 mm Below 40 mm Below 40 mm Below 40 mm Dec Nov  Oct Sept Aug July June May Apr Mar Feb  Jan
Bio-Physical conditions: Rivers and water bodies ,[object Object],[object Object],[object Object],[object Object]
Bio-Physical conditions: Land resources in May 2008 Other Uses: Grazing Part -1 Fallow Cultivated
Economic situation:  Farming systems (Cropping pattern) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Part -1
Economic situation:  Farming systems (Cropping pattern) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Part -1
Economic situation:  Farming systems (Cropping pattern) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Part -1
Economic situation:  Farming systems (Cropping pattern) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Part -1
Economic situation:  Farming systems (Cropping pattern) ,[object Object],[object Object],[object Object],[object Object],Part -1 Photo needed Dr. Kavuludi tries his hand at being a farmer...and decides it is easier to be a Surgeon!
Economic situation:  Enterprises and industry ,[object Object],Part -1
Part -1 Livelihood analysis: KilongaVillage : Kibaru? (casual labour) Kilimu (Agriculture ) Business (Byashara) Livelihood analysis- Kilonga village
Part -1 Problem analysis: Kilonga Village : Maji (water shortage) Elimu (poor education) Afya (poor health) Problem analysis-Kilonga village
Part -1 Uncertainity analysis: Kilonga Village : Ukame (drought) Ki Pindu Pendu (Cholera) Rady (thunder storms) Uncertainty analysis- Kilonga village
Kaya THV Rapid assessment-May-June 2008 May 2008 Wholistic Worldview Analysis-Kilonga village  Byshara (business) Radi (thunder storms) Ki Pindu Pendu (Cholera) 000 0  00000000 00 0 000000000 Vibaru  (casual labour) Kilimo (agriculture) Elimu (poor education) Afya (poor health) Ukame (drought) Maji- (lack of water) 000000 0 00 0000000 0 WWVA: 0 0  000 0 0000000 0 00000000000 0 0 0000000 00 00000 00 0000000 0 From: Uncertainty Analysis From: Problem Analysis COLOR CODE From: Livelihood Analysis
Part -1 Livelihood analysis: Kibwabwani Village cluster: Kibarua (casual labour) Kilimo (Agriculture ) Business (Biashara) Livelihood analysis-Kibwabwani cluster
Part -1 Problem analysis: Kibwabwani Village cluster: Maji-2 (Irrigation water problem) Maji-1 (Drinking water problem) Elimu (poor education) Afya (poor health) Problem analysis-Kibwabwani cluster
Part -1 Uncertainity analysis: Kibabwani Village cluster: Ukame (drought) Ki Pindu Pindu (Cholera) Mafuriko (flood) Uncertainty analysis-Kibwabwani cluster
Kaya THV Rapid assessment-May-June 2008 May 2008 Wholistic Worldview Analysis-Kibabwani village cluster Byshara (business) Maji-2 (lack of water for irrigation) Mafariko (Floods) Ki Pindu Pendu (Cholera) 00 000 0 0 0 0 0 00 00 00 00 00 00000 000 Kibaru  (casual labour) Kilimo (agriculture) Elimu (poor education) Afya (poor health) Ukame (drought) Maji-1 (lack of safe drinking water) 00 0000 0 00000 00 000 WWVA: 0 0 00 0 0000 00 00 000000 000000 000 00000 00000000 0 0 00 00 000 00000 From: Uncertainty Analysis From: Problem Analysis COLOR CODE From: Livelihood Analysis
WWVA: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],analysis & community need priorities
[object Object],Economic situation: Enterprises and industry Very poor Poor Medium Poor Well off category Livestock Business Coconut trees
Economic situation:  Financial services and access to credit Part -1 Credit Facilities: ,[object Object],Purpose for which Loans taken: ,[object Object],Employee /Remittance Ox plough trader Neighbors Grocery shop
Educational facilities:  Other services/ social infrastructure ,[object Object],[object Object],[object Object],Part -1 Primary College Secondary Female Male
Physical and social infrastructure:  Physical infrastructure ,[object Object],Part -1
Other on-going /Planned projects: ,[object Object],[object Object],[object Object],Part -1
Some Pointers: (Expenditure analysis) Part -1 NEED these details: clement will need to do this exercise and send details Other expenses Clothes Medicine Education Food
Transect: of Kilonga village
Communication: Two national GSM networks available. No cell phones Have cell phones
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Voices of the poor
Project Design Matrix -LFA Note: The bold fonts represent specific Community identified needs Train community members on water treatment methods , safe disposal of human waste, PHASE, prevention of SH, STH, LF. Increased access to safe drinking water Training of CHWs and TOTs to address the common disease specifics (SH, STH, LF) at the time of a special campaign launch Provide health education to the community on SH< STH, and  LF and other diseases of public health importance in the village Provide essential medicines to combat SH, STH, LF Conduct medical camps on disease specifics (SH, STH, and LF) Countering diseases such as LF, Schistosomiasis, STH and other diseases of public health importance  through awareness at a special campaign and training of health promoters Disease burden  in the Kibwabwani sub-location reduced and health improved Advocating for enhancement of career guidance in schools Carrying out advocacy for the recruitment of more teachers of construction of secondary schools Improved capacity of laborers in Kibwabwani to get better remuneration Carrying out advocacy to enhance girl child education Advocating for greater interest in formal education performance Improved business skills  among interested adults so that their capacity to earn is increased Training on functional adult literacy Networking  to get construction of classrooms and Office Improved literacy  in Kibwabwani sub-location especially of girl children Literacy levels  among children and skills in adults improved Facilitate water pumps for irrigation and water pan construction Initiate a demonstration farm within the community Improved agriculture Initiate a forestation  efforts and environmental protection Field visits to successful farmers at the coast and to resource persons in agriculture Mitigating damage caused by floods in the rainy season Train farmers on modern farming methods for improved food production Network  with agriculture university and procure appropriate seeds for sandy soil Countering drought through watershed development and increased access to irrigation Food security  in Kibwabwani improved Activities Outputs Impact/ Objective GOAL Community in Mwanamwinga (Kibwabwani sub-location) empowered to create conditions that contribute to Poverty reduction and improved Health in the region
countering specific diseases: the entry point that will then lead to it becoming A Total Health Village
Dr. Phaneus Maggo: is based in Kilonga
The medicine used for Schiztozoma treatment
Will all this make a difference to me?
Yes ! We want to Anchor that hope!
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Potential future opportunitites:

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THV-Kibabwani village

  • 1. Needs assessment preparatory document for THV Kenya THV pilot assessment team Mwanamwinga Location Kibabwani cluster of villages Kailoleni District Kenya Coastal region
  • 2. coordinates : 3 47’21.45”S –Latitude 39 35’51.87”5 -Longitude
  • 3.
  • 4. All the way down 'A-109' from Nairobi
  • 6. Through some very bad roads
  • 7. after 518 KM .....
  • 8.
  • 9. a poor area where people struggle to make ends meet....
  • 10.  
  • 11. ..but still want the best for their children !
  • 12.
  • 13. MAP has already mobilized community members who have taken leadership.... Ownership
  • 14. The office space given to MAP by the community and local leadership
  • 15. Engaged community enthusiasm in analyzing their situation Participation
  • 16. Involved local government in the process -Mr. Joseph the subLocation Chief
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.  
  • 25.
  • 26. Socio-Cultural aspects: Gender analysis (Kilonga) Masonry and Thatching herding Casual work (digging) Main responsibility of men 0 0 0 0 0 0 0 0 0 0 Gender based violence 0 0 0 0 0 0 0 0 0 0 Decision on use of family money 0 0 0 0 0 0 0 0 0 0 Overall ratio of the population Female Male Issue Taking care of babies Fetching water digging Fuel wood collection Main responsibility of women
  • 27. LAND TYPE: (mostly Sandy Loam) Undulating Flat
  • 28. Pond : the main source of drinking water the unsafe drinking water source Rain water flow direction Rain water flow direction Rain water flow direction This Pond Roof water harvesting Main drinking water sources
  • 29. Dr. Julius Kavuludi, Country Director, MAP International Kenya reviews all information collected along with other facilitators before the larger assembly of villagers.
  • 30. RFSA Rapid(household) Foodsecurity Status Assessment: (of the Kibabwani village cluster) 0 0 0 0 0 0 0 0 0 0 Mkiya (‘poor’) 0 0 0 0 0 0 0 0 0 0 Mutsowi (‘they lack’) 0 0 0 0 0 0 0 0 0 0 Nafuu (‘somehow manage’) 0 0 0 0 0 0 0 0 0 0 Matajiri (the well off) EXPENDITRURE INCOME IE Ratio (Income-Expenditure ratio) Local name (& Description) Population ratio
  • 31.  
  • 32.  
  • 33. RFSA and access to education: Middle college/ Univ. Mkiya (‘poor’) Mutsowi (‘they lack’) Nafuu (‘somehow manage’) Matajiri (the well off) Secondary school Primary school Stage of Education (Access profile) Local name (& Description) Population ratio
  • 34. Type of health seeking behavior in the cluster of villages % of Population Perceived success rate Self medication Go to the health centre (Daktari) Medicine man (Aganga) Pray (Muvambi) Do nothing (Kuhasa) Type of options accessed 30% 70% 30% 40% 50%
  • 35. Villagers joke about each other's health seeking behavior...
  • 36. ...and soon turn their attention back to the &quot;profile of their lives&quot;..
  • 37. RFSA and access to Health care: Self medication pray Go to the health centre Mkiya (‘poor’) Mutsowi (‘they lack’) Nafuu (‘somehow manage’) Matajiri (the well off) Medicine man Do nothing Type of health care facility (Access profile) Local name (& Description) Population ratio
  • 38.  
  • 39.
  • 40.  
  • 41.
  • 42. Disease distribution: GENDER & AGE Wise (*)Men in the FGD observed that it was impossible to get to the age of 40 without getting an STD first !! TB STDs (*) Malaria Men Respiratory Gynecological Malaria Women (maternal) Children Diarrhea Cough Malaria Group DISEASE Frequency
  • 43.  
  • 44. Ratio of number of children per man and per women in the village: Children above 11years Children 6-10 years Children under 5 years Per WOMAN Per MAN Average ratio of numbers of children to men & women Age range
  • 45.  
  • 46. Infidelity in marriage Never faithful Sometimes faithful sometimes not Very faithful to spouse WOMEN MEN Sexual behavior
  • 47.
  • 48.  
  • 49.  
  • 50.
  • 51.
  • 52. Bio-Physical conditions: Land resources in May 2008 Other Uses: Grazing Part -1 Fallow Cultivated
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59. Part -1 Livelihood analysis: KilongaVillage : Kibaru? (casual labour) Kilimu (Agriculture ) Business (Byashara) Livelihood analysis- Kilonga village
  • 60. Part -1 Problem analysis: Kilonga Village : Maji (water shortage) Elimu (poor education) Afya (poor health) Problem analysis-Kilonga village
  • 61. Part -1 Uncertainity analysis: Kilonga Village : Ukame (drought) Ki Pindu Pendu (Cholera) Rady (thunder storms) Uncertainty analysis- Kilonga village
  • 62. Kaya THV Rapid assessment-May-June 2008 May 2008 Wholistic Worldview Analysis-Kilonga village Byshara (business) Radi (thunder storms) Ki Pindu Pendu (Cholera) 000 0 00000000 00 0 000000000 Vibaru (casual labour) Kilimo (agriculture) Elimu (poor education) Afya (poor health) Ukame (drought) Maji- (lack of water) 000000 0 00 0000000 0 WWVA: 0 0 000 0 0000000 0 00000000000 0 0 0000000 00 00000 00 0000000 0 From: Uncertainty Analysis From: Problem Analysis COLOR CODE From: Livelihood Analysis
  • 63. Part -1 Livelihood analysis: Kibwabwani Village cluster: Kibarua (casual labour) Kilimo (Agriculture ) Business (Biashara) Livelihood analysis-Kibwabwani cluster
  • 64. Part -1 Problem analysis: Kibwabwani Village cluster: Maji-2 (Irrigation water problem) Maji-1 (Drinking water problem) Elimu (poor education) Afya (poor health) Problem analysis-Kibwabwani cluster
  • 65. Part -1 Uncertainity analysis: Kibabwani Village cluster: Ukame (drought) Ki Pindu Pindu (Cholera) Mafuriko (flood) Uncertainty analysis-Kibwabwani cluster
  • 66. Kaya THV Rapid assessment-May-June 2008 May 2008 Wholistic Worldview Analysis-Kibabwani village cluster Byshara (business) Maji-2 (lack of water for irrigation) Mafariko (Floods) Ki Pindu Pendu (Cholera) 00 000 0 0 0 0 0 00 00 00 00 00 00000 000 Kibaru (casual labour) Kilimo (agriculture) Elimu (poor education) Afya (poor health) Ukame (drought) Maji-1 (lack of safe drinking water) 00 0000 0 00000 00 000 WWVA: 0 0 00 0 0000 00 00 000000 000000 000 00000 00000000 0 0 00 00 000 00000 From: Uncertainty Analysis From: Problem Analysis COLOR CODE From: Livelihood Analysis
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73. Some Pointers: (Expenditure analysis) Part -1 NEED these details: clement will need to do this exercise and send details Other expenses Clothes Medicine Education Food
  • 75. Communication: Two national GSM networks available. No cell phones Have cell phones
  • 76.
  • 77. Project Design Matrix -LFA Note: The bold fonts represent specific Community identified needs Train community members on water treatment methods , safe disposal of human waste, PHASE, prevention of SH, STH, LF. Increased access to safe drinking water Training of CHWs and TOTs to address the common disease specifics (SH, STH, LF) at the time of a special campaign launch Provide health education to the community on SH< STH, and LF and other diseases of public health importance in the village Provide essential medicines to combat SH, STH, LF Conduct medical camps on disease specifics (SH, STH, and LF) Countering diseases such as LF, Schistosomiasis, STH and other diseases of public health importance through awareness at a special campaign and training of health promoters Disease burden in the Kibwabwani sub-location reduced and health improved Advocating for enhancement of career guidance in schools Carrying out advocacy for the recruitment of more teachers of construction of secondary schools Improved capacity of laborers in Kibwabwani to get better remuneration Carrying out advocacy to enhance girl child education Advocating for greater interest in formal education performance Improved business skills among interested adults so that their capacity to earn is increased Training on functional adult literacy Networking to get construction of classrooms and Office Improved literacy in Kibwabwani sub-location especially of girl children Literacy levels among children and skills in adults improved Facilitate water pumps for irrigation and water pan construction Initiate a demonstration farm within the community Improved agriculture Initiate a forestation efforts and environmental protection Field visits to successful farmers at the coast and to resource persons in agriculture Mitigating damage caused by floods in the rainy season Train farmers on modern farming methods for improved food production Network with agriculture university and procure appropriate seeds for sandy soil Countering drought through watershed development and increased access to irrigation Food security in Kibwabwani improved Activities Outputs Impact/ Objective GOAL Community in Mwanamwinga (Kibwabwani sub-location) empowered to create conditions that contribute to Poverty reduction and improved Health in the region
  • 78. countering specific diseases: the entry point that will then lead to it becoming A Total Health Village
  • 79. Dr. Phaneus Maggo: is based in Kilonga
  • 80. The medicine used for Schiztozoma treatment
  • 81. Will all this make a difference to me?
  • 82. Yes ! We want to Anchor that hope!
  • 83.