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GROUP MEMBERS.
LILIAN CHEPKORIR
FLORENCE MNYAZI MWANDEJE
CHRISPUS OMBATI NYANGWARA
MARY WANJIRU KUNGU
TITUS NDERITU
PATRICIA KIMANI
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LIST OF ABBREVIATIONS:
CHWS……………………………….. Community Health Workers
PLWHA………………………………Persons Living with HIV and AIDS
ART……………………………………..Anti-Retroviral Therapy
VCT……………………………………….Voluntary Counselling and Testing
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BACKGROUND INFORMATION.
Kuwinda is a slum like village with approximately 10,000 people. It is composed mainly of the
workers working for the rich community in Karen but now around kuwinda. The road leading to
the village is of rough road, the housing mainly of iron roofing and water that is sold for
5bob/20ltr owned by city council. Drainage is a problem especially when it rains, the whole
place gets flooded. Toilets can be counted and the level of hygiene demanding.
Since the population survives on daily casual jobs, they are around only from 5pm in the evening
and leave for work at 7.others that have better income are those that have started business such as
selling vegetables and salons and barber shops. The nearest health facility to them is the Karen
health Centre which is 40 shillings away by matatu.
Karen health center in-charge admitted that most of the clients they receive are from Kuwinda
meaning possibility of spread is high now that there are no free condoms dispensed. There is also
inadequate awareness of the disease as those found positive are found out to have been infected
4-5months before detection.
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INTRODUCTION.
HIV/AIDS affects millions of people globally and has significantly impacted public health for
decades. In Kenya, the effects of HIV/AIDS are widespread, but slum areas have an adult HIV
prevalence rate twice as high as the national rate.
Slums are characterized by scarce resources, making HIV prevention efforts extremely
challenging.
Currently, Kenya has an estimated 1.5 million PLWHA: 180,000 of them are children (UNAIDS,
2010). The adult HIV prevalence rate is 6.3%, which is 5.2% higher than the overall global HIV
adult prevalence rate of 1.1% (Kates& Carbaugh, 2006). Among young people (15 -
24), Kenya‘s HIV prevalence rate is 2.9% (UNICEF, 2010).
The HIV epidemic in Kenya is categorized as generalized, which means that HIV affects
people across all sectors of the population. Of course, HIV does not affect all groups equally. Its
effects depend on gender, education, location, age, and many other factors. Some groups in
Kenya are disproportionately affected by HIV/AIDS and these include commercial sex workers,
injecting drug users, men who have sex with men (MSM), women, truck drivers, and cross
border mobile populations (Kefa, 2011).
Slums in Kenya
Approximately 35% of Kenya‘s population lives in urban areas and more than half of urban
residents are living in slums (UN-Habitat 2007).
Approximately 50% of Kenyans live below the poverty line, living on less than $1/day
(Central Intelligence Agency, 2011). Residents of slum areas are in this category.
Slums are characterized by severe overcrowding in low quality housing and a lack of general
infrastructure including sanitation, drainage, and a clean water supply.
Slum residents have deplorable housing conditions. Structures are made of corrugated iron sheets
that serve as both the walls and roof.
Slum residents experience high levels of unemployment, poor social and environmental
issues, and high levels of crime. Secure tenure in a residence is generally considered to be a
prerequisite for access to social and economic opportunities (UN -Habitat, 2011) . Slum residents
lacking secure tenure also lack credit, public services, and livelihood opportunities (UN –
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Habitat ,2007).Additionally, educational institutions within slums are limited and ill-equipped
for the demand for education. Without education and socioeconomic opportunities, the poverty
cycle within slums continues and the problems compound over time (UN-Habitat, 2011).
The main barriers that inhibit HIV/AIDS prevention efforts in slums are unsuccessful
antiretroviral medication programs, prohibitive social stigmas, and unsatisfactory education.
The constraints of underlying poverty, fractured infrastructure, and limited staff and health
Workers contribute to the shortcomings of ART programs (Undie, Ziraba , Madise, Kebaso
& Kimani -Murage, 2009)
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PROBLEM STATEMENT
A huge percentage of the residents in Kuwinda are casual workers who rely on manual labor
sourced from the Karen suburb. These residents have a strict time schedule working form 8 a.m.
to 5 p.m. on most days leaving no time for them to visit health centers for testing. Most of these
residents are middle aged population of 18-45yrs who are sexually active. Since they depend on casual
jobs, most spend their daytime working. Little time is given to prevention of diseases as hygiene is
a problem. A silent disease affecting them is HIV/AIDS which no one talks about 80% realizes
they have it when they come for treatment of other diseases. There is a lot of stigma associated
with the disease to the level of people shy away from testing. Literacy levels among these
people are also posing to be a challenge as most of them have little to no information on HIV; its
spread; prevalence and how they can prevent contact and properly manage the disease for those
who suffer from it. Social stigma associated with visiting health centers for voluntary counselling
and testing are also a big reason why the residents around the area shy away from visiting VCT
centers. This has resulted to a need of creating awareness and bringing testing services closer to
the people to try and eradicate the stigma associated with visiting testing and counselling centers
for testing.
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OBJECTIVES
To create awareness about HIV/AIDS; Its mode of transmission and prevention
To counsel and test willing individuals in Kuwinda area
METHODOLOGY.
A site will be selected where the awareness will be to be carried out.
Posters will be printed and placed at strategic points to pass information and create
awareness in the area.
Announcements will be made at the local churches to inform the residents in the area
about the plan to carry out the awareness, counseling and testing in the area.
Awareness will be carried out door to door and involving social workers from Karen
health center who will be responsible for carrying out the counselling and testing.
The project proposal will also be uploaded on social media to increase the chances of
getting sponsorship and other forms of support.
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PROJECT LOCATION.
The project area is Kuwinda location, a village near Brookhouse School and the Bomas of Kenya
near the Karen suburb. This land belongs to the government. It measures 5 acres in size. There is
an estimated population of 7, 000 people living in Kuwinda settlement. There are 1400
households of an average 5 people each. 75% of the structures are made using mud and wattle
trees. The other 25% are made using iron sheets and old tins. 60 % of the structures consist of
2/3 rooms each. However there are others that are either single-roomed or have more than 3
rooms and make up the other 40%. (Slum profiles langata Division)
Fewer than 10% of these structures have cemented floors. There are 1600 structure owners in
this settlement, 800 of them are resident owners while the others are absent structure owners.
Average rents range from Kshs. 300 for a single room that has a cemented floor, to others
costing 800 per room for structures of two/three rooms, some with cemented floors. (Slum
profiles langata Division)
Communication
A report of the exercise will be created and generated after carrying out the project to
communicate the outcome of the project to the various involved stakeholders.
Ethical consideration
The village elder in the area has been approached to assist with various logistics, information and
co-operation to see that the project and exercise is well received by residents in the area.
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CONCLUSION
This proposed project will help improve on a very important pillar of the community; the health
and wellbeing of its people. If successfully implemented, it will realize improved and more
responsible health choices among the people of Kuwinda area, enabling them to keep on working
to improve their quality of their lives and to prosper in the long run.
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BUDGET
ITEM QUANTITY AMOUNT
Transport 50 X 9 X 3 1,350
Lunch 50 X 9 X 3 1350
Spirits and Cotton Wool 3ML X 3 X 100 900
Stationery 3 X 500 1500
T-shirts and caps 1200 X 9 10800
CWHS token 500 X 3 1500
miscellaneous 1000 X 1 1000
Total Budget (Cost Estimates) = Ksh 18,400.
