2015 Annual Review
Our Vision Wholeness of life in Lwala and beyond.
Who We AreLetter from Our Leadership
INTEGRATED APPROACH
When a family in Lwala, Kenya, is affected by a HEALTH CHALLENGE, like HIV, they
are simultaneously impacted by FINANCIAL INSTABILITY and EDUCATIONAL
BARRIERS. Our communities are not looking for vertical solutions or silver bullets.
They see the causes of poor health as complex and nuanced - so do we. It’s not
enough to run a stellar health facility, so Lwala also delivers services in people’s
HOMES, FIELDS, and SCHOOLS.
BOTTOM-UP INNOVATION
Founded by Drs. Milton and Fred Ochieng’, brothers from our community, the
DESIGN, IMPLEMENTATION, and EVALUATION of our programs continue to be
driven by the communities they benefit. We employ more than 180 staff from our
region and follow human-centered design and participatory approaches. We source,
measure, and share bottom-up innovations that yield lasting change, reinforcing the
value - NOTHING FOR US, WITHOUT US.
SYSTEMS CHANGE
Not only are we impacting the communities we serve, WE ARE REFORMING
SYSTEMS. Our education programs are delivered by 17 government-owned and
-operated schools. Our health facility is an integrated part of the county’s health
system - delivering services and collecting data in partnership with local government.
Our economic programs are built off market-based models and, after our initial
investment, run independently.
HEALTH
C
A
RE M
A
RKETS
EDUCATION
“Health designed by us for us”
Leah Oyugi, Mentor Community Health Worker
SHEILA ADHIAMBO ODONGO
Mentor Community Health Worker
With Lwala for 4 years
“When we were first recruited as
CHWs from the community, Lwala
educated us, empowered us, gave us
knowledge, gave us skills which we
then implemented in the community.”
WINNIE OYUGI
Economic Development Coordinator
With Lwala for 4 years
“Lwala is what is changing and
forming my life; the work that I’m
doing in Lwala is what makes me
what I am when I go back into the
community.”
WYCLIFFE OMWANDA
Head of Clinical Services
With Lwala for 1.5 years
“I am motivated when I see my
targets being realized when I see
my patients achieve wholeness
of life.”
Dear Allies,
2015 has been a year of evolution for us in Lwala.
After nearly 7 years of service, James Nardella stepped down as Executive Director. James came to Lwala in our most
vulnerable years and helped us grow from a community hospital to a truly holistic model of development. James oversaw
the creation of our girls education program, the growth of our staff from 25 to 180, a 100% reduction in infant mortality, and
a 300% increase in facility deliveries. He grew the budget from $420,000 to $1,680,000. Most notable to us was the way
he empowered his team to own the mission and innovate. As James continues to mentor this team, he will forever be
implicated in the lives of the people of Lwala.
James passed the baton to the two of us, Ash and Julius, the new stewards of Lwala. As co-directors, we are committed
to continuing the great legacy of community-driven, holistic development. Ash’s experience at Segal Family Foundation
and Julius’s at Actionaid International exposed us to global innovations in health and education. We’ve seen the best social
innovations out there and were pulled to Lwala because it is a proof point that community-initiated innovation is the best
way to make lasting change.
In 2015, we opened the new hospital wing and additional staff housing. We expanded our Community Health Worker
program, the bedrock of our community-driven approach. We strengthened our data, financial, and governance systems to
set ourselves up for continued growth.
We launched our 2020 Strategy, an ambitious plan to cut under-5 mortality, eliminate mother-to-child HIV infections, and
drive down teen pregnancy by the year 2020. The strategy also asserts that we have a mandate to spread our impact
more widely by proving that when communities lead change, that change is drastic and lasting.
There are thousands of individuals across the U.S. and Kenya who have made the bold choice to align themselves with
us in this struggle for dignity, health and wholeness of life. We thank them for their partnership and call for evermore
urgency in this important work.
In solidarity,
Ash Rogers, Executive Director & Julius Mbeya, Managing Director
459
Babies delivered
(Compared to 429 babies
delivered in 2014)
98%
HIV-exposed Infants who tested
HIV-negative at 18 months
6,962
Women receiving 12 months
of contraception
(Couple years of protection in
2014 and 2015)
80%
Women delivering who
attended 4 or more
prenatal visits
(Compared to 41%
at control sites)
1,107
HIV clients on care
(15% increase from 2014)
$18,362
Earned income from hospital
Clinical Care
In 2016, we are building out our ELECTRONIC MEDICAL RECORD system -
beginning with our HIV-positive clients. With real-time access to patient medical
histories, our clinicians will be able to offer superior care. This system will also allow us
to identify and respond to community health trends with shorter response times.
2015
Accomplishments
New Hospital Wing
New Staff Housing
In August 2015, we opened our new hospital
connecting wing in partnership with Ronald McDonald
House Charities, Health eVillages, Izumi Foundation,
The Charitable Foundation, and the Nashville
community. With this addition, we now have 16
inpatient beds, separate rooms for well-child and
prenatal visits, and a new and expanded pharmacy and
laboratory. We’ve seen a 10% increase in patient
visits in the first two months since the opening.
We also completed construction on new staff housing. This addition provides our
clinical staff with living quarters close to the hospital so they can quickly respond to
emergencies at night and on weekends.
Getting to Zero
In December, we celebrated with many of the HIV-exposed babies who graduated from
our Prevention of Mother to Child Transmission program — 18 months after birth, these
children remain HIV NEGATIVE!
2016 Targets
$30,000
Earned income
from hospital
33,000
Patient visits
1,500
HIV clients on care
Lwala Community Hospital Patient Disease
Burden
Malaria
Respiratory diseases
Skin diseases
Diarrhoeal diseases
Urinary tract infections
Rheumatism
Accidents
Pneumonia
Anemia
Lwala Community Hospital
Patient Disease Burden
Our work is not only for the people of Lwala but is slowly being recognized as a major
contributor to the strengthening of the County Health System and realization of the
Sustainable Development Goals.
JULIUS MBEYA, Managing Director, Lwala Community Alliance
Outpatient Visits (10,082)
HIV Patient Visits (7,921)
Well-Child Visits (5,334)
Clinical Outreach Visits (2,548)
Maternal Care Visits (2,049)
Family Planning Visits (1,552)
Inpatient Visits (1,088)
30,574
Total Patient Visits
in 2015
Outpatient Visits (10,082)
HIV Patient Visits (7,921)
Well-Child Visits (5,334)
Clinical Outreach Visits (2,548)
Maternal Care Visits (2,049)
Family Planning Visits (1,552)
Inpatient Visits (1,088)
Maternity
Wing Opens
CHW outreach
to all pregnant
women in the
community
launched
10,000
15,000
20,000
25,000
30,000
35,000
2010 2011 2012 2013 2014 2015 2016
Total Patient Visits Per Year
Community-
based
long-term
contraceptive
program
launched
CHW tracking
of all children
under 5
launched
New Hospital
Wing Opens
75 CHWs 80 CHWs60 CHWs35 CHWs 95 CHWs
Public Health 2015
Accomplishments
80
Community Health Workers
(Plus 23 Youth Peer Providers)
3,258
Households visited by a
Community Health Worker
30%
Decrease in under-5 child
deaths from 2014
48%
Increase in number
of children regularly visited by
a Community Health Worker
89%
Population with access to
improved sanitation facilities
(Kenya national average: 30.1%)
300%
Increase in family planning
services since 2011
(Compared with no change in
service visits at control sites)
In 2016, we are rolling out our HIV-WASH INTEGRATED PROJECT (HAWI) in
partnership with Blood:Water. The goal of HAWI is to drastically increase adherence
to HIV treatment, and we’ll accomplish this by expanding the focus of our Community
Health Workers to provide targeted community care to those who are HIV-positive.
Since we have known Lwala, they have come from humble roots as a small locally-lead NGO and transformed into a
larger impact-minded organization. The growth, quality of programs and depth of their relationships both with the
community they serve and the greater NGO community continue to amaze us.
MARTIN SEGAL, Managing Director, Segal Family Foundation
In February 2015, our region faced a cholera outbreak. Our health team worked as an extension of the Migori County
Ministry of Health to contain the outbreak. Our Community Health Workers conducted door-to-door Water Sanitation and
Hygiene education to community members. With partners including Blood:Water and Doctors Without Borders, we also trained
clinical staff, added designated cholera beds and heighten disinfection protocol for medical equipment.
Lwala works with County Government to Halt Cholera outbreak
Our COMMUNITY HEALTH WORKERS are
TRAINED, PAID, and SUPERVISED as a core part
of the Lwala Community Health System. They are
serving their own communities.
“Investment in Community Health Workers in sub-
Saharan Africa can yield an economic return of $10
for every $1 invested by providing jobs, thwarting
epidemics, and keeping people healthy.”
U.N. Secretary General’s Special Envoy for Financing
the Health MDGs and for Malaria, 2015
Deborah Achieng first suspected something was wrong when she drastically lost weight while two months pregnant. After
encouragement and a referral from a Lwala Community Health Worker, Deborah visited the Lwala hospital and was tested for HIV.
Upon learning of her HIV-positive status, she was enrolled on antiretroviral treatment and
joined a support group with other HIV-positive expectant mothers. Deborah received
counseling on infant feeding, safe sex practices, and family planning.
When Deborah went into labor, she called her Community Health Worker, who arranged an
ambulance to Lwala hospital in partnership with Riders for Health. Upon arrival, Deborah
immediately received the single-dose antiretroviral prophylaxis. Four hours later, baby girl
Shamimah Adhiambo was born, and also received a pediatric dose of the antiretroviral
prophylaxis.
Thanks to the work of Lwala’s Community Health Workers and clinical staff,
Shamimah was confirmed HIV free at 18 months. The Community Health Workers will
continue monitoring Shamimah until age 5.
This effort is supported by Ronald McDonald House Charities, Izumi Foundation, Health eVillages, and Real Medicine Foundation.
CHWs Lead effort to cut Under-5 Mortality
0
10
20
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TotalDeliveriesatLwalaCommunityHospital
CountofContraceptivePrescriptions
Contraceptive prescriptions compared to total deliveries
Implants (Long-Term)
I.U.C.D (Long-Term)
Injections (Short-Term)
Pills (Short-Term)
Total Facility Deliveries
95
Community Health
Workers
50%
Reduction of under-5
mortality in the
community of the
county average
4,300
Households
regularly visited by
a Community Health
Worker
2016 Targets
0
1000
2000
3000
4000
5000
6000
7000
2012 2013 2014 2015 2016 2017
809
2,406
939
3,258
5,800
4,300
Number of Households regularly visited by CHWs
26%
47%
92% 96% 94% 97%
53%
Pre-2011 2011 2012 2013 2014 2015 County
Average
Pregnant Women Delivering at a Health Facility
Education 2015
Accomplishments
In February 2016, we LAUNCHED AN eREADER PILOT PROJECT with WorldReader
in Class 6 at three government school. The 150 eReaders — each with more than 100
books — are changing the face of learning in the community.
Making “better Breaks”
for Teens During School Holidays
In 2015, nearly 2,000 teens attended our “Better Break” activities. In
Lwala and surrounding communities, school breaks are often times
when teen girls and young women are more vulnerable to unplanned
pregnancy, sexual abuse, and HIV infections. This vulnerability spikes
because they are away from the routines of school and the presence of
caring teachers. To reduce this vulnerability, we work with partners like
Weyerhaeuser Family Foundation to provide “Better Breaks” for boys
and girls, ages 13-19. Better Breaks sessions include trainings sexual and
reproductive health, setting career goals, and making good choices.
Each of us, through our deeds and actions, create a ripple effect that changes the world around us. Education amplifies that
ripple 1000 x because of its power to unleash our potential to do great things. Millions of girls across the globe are out of
school, denying them - and the world - of so much greatness. The promise of a better future will only be realized by investing in
their education. KEF is proud to partner with Lwala Community Alliance to educate many girls in the Lwala catchment area.
BRADLEY BRODER, Executive Director, Kenya Education Fund
Ifind you (Lwala) a perfect partner because you are complementing the County efforts and reducing the load in
provision of quality education and health in line with the Sustainable Development Goals.
H.E OKOTH OBADO, Governor Migori County
64%
Increase in number of girls
mentored from 2014
(183 girls in 2014 compared
to 288 girls in 2015)
6,795
Youth reached with sexual and
reproductive health education
or counseling
1,712Youth accessing
family planning services
802
Girls receiving pads and/or
uniforms
5,155
Students with access to safe
water at 13 government
schools
2,871
Students with access to latrines
at 6 government schools
40
Students sponsored by
Education For All Children
or Kenya Education Fund for
secondary school
“If all women in sub-Saharan Africa completed primary education, MATERNAL
DEATHS WOULD BE REDUCED BY 70% and CHILD DEATHS
WOULD BE REDUCED BY 15%.”
Education for All Global Monitoring Report Education Transforms, October 2013
At age 14 Truphene gave birth to her first child and dropped out of school. She was quickly
recruited into one of Lwala’s out-of-school mentoring groups. Upon completion of the 5-month
mentoring program, Truphene realized her mistake in dropping out of school. So, with the help of
her mother, group mentor, and friends at Lwala, she re-enrolled in Class 6. Through the mentorship
group she gained the courage and support to avoid early marriage, a common path for young
mothers. She found that education is power and returned to school.
Young Mom returns to school
13
Primary schools where
we, in partnership
with BD, will expand
in-school mentoring for
Grade 6 to 8 girls
480
Girls participating in
mentoring services
150
Students
participating in
eReader program
8,000
Youth reached with
sexual and reproductive
health education through
health clubs
2015
2015	
Boys	
Girls	
2009	
Boys
Girls
2015	
Boys	
Girls	
37%
Ratio of Boys to Girls
Completing Primary School (Class 8)
63%
44%
56%
2009
2016 Targets
EconomicDevelopment Monitoring&Evaluation2015
Accomplishments
215
Community members active
in a table banking
community group
$15,384
New Vision Sewing
Cooperative sales
$22,000
Savings in the Lwala Staff Rural
Sacco (Savings and Credit
Cooperative Society)
October 2015 marked our fifth anniversary with Development in Gardening (DIG).
This partnership has been essential in building our capacity in organic farming and
nutrition training for vulnerable households and key to our holistic approach.
In 2015, our New Vision Women’s Sewing Cooperative partnered with Thistle Farms and
Thistle Farms Global: Shared Trade to create a variety of products including aprons, tea
satchels, and Christmas ornaments.
In 2016, we are going back to our community and launching a design process to
source innovations to increase access to markets and financial services and ultimately
drive income growth. We’ll keep the community at the forefront of the process,
employing best practices in human-centered design and supporting community members
as they test the best ideas.
2015
Accomplishments
514
Households reached
in annual household survey
through random sampling
1,107
Individuals tracked
in Kenya Electronic Medical
Records
6,628
Individuals tracked
in SIMBA/Salesforce database
EUNICE is a 26-year-old widow and mother of 4 children. When she joined the
DIG Young Mothers training, her 3 youngest were sick and malnourished.
Thourgh the training, she was taught sustainable farming techniques, nutrition and
gardening skills, and how to use farming for income. DIG also linked her to the
Lwala hospital where her children were treated for malaria and provided food
supplements. Today, her children are strong and healthy thanks to food from
Eunice’s garden and the income she makes selling vegetables in the market.
dig Training Gives single mom a new start
We are deeply committed to rigorously measuring and evaluating our
impact in the community and the effectiveness of our programs. The
very first use of our data is to make data-driven decisions to improve
our programs.
VINCENT OKOTH, Monitoring and Evaluation Officer, Lwala Community Alliance
Salesforce - In partnership with Vera Solutions, we developed a Salesforce
database (nicknamed SIMBA) to collect, analyze and act on data in real time. We
started by tracking mothers, children and their households, but will expand in 2016
to track all HIV+ clients and begin enrolling girls mentoring participants.
KenyaElectronicMedicalRecords - Lwala shifted all HIV patient records into
Kenya Electronic Medical Records (EMR), a nationwide patient management system. In
2016, we will utilize Kenya EMR at all HIV patient service points and integrate the
system with SIMBA to provide a holistic view of patient information for
optimized care.
GeographicInformationSystems - A team of Vanderbilt University
students assisted in mapping every household in the Lwala catchment
area. We continued to record the location of every major water point and
newly constructed latrine, and we carried out analysis of malaria prevalence
in the region. In 2016, we plan to map our Community Health Worker-
reached households to better understand our reach.
									
AnnualHouseholdSurvey - In 2015, we employed our first-ever
catchment-wide household survey on topics from health-seeking behavior
and feelings about HIV stigma to livelihoods and community need.
Through this survey, we learned that 83% of our population approves of
family planning in marriages and 11% of children are not attending school.
In 2016, we will partner with Vanderbilt University to improve our data
collection tools and methodologies to strengthen the survey.
In 2016, Vanderbilt
University will submit
for publication
results from a study
titled,”Strengthening
community-clinical
linkages: Effective
strategies to increase uptake of
reproductive, maternal, and child
health services in rural Western
Kenya,” conducted in 2015 in Lwala.
The research, by lead author Assistant
Professor Carolyn Audet, found that
by July 2014 almost 100% of pregnant
women in Lwala received skilled
assistance during delivery, compared to
<70% in control sites.
Vanderbilt ToReleaseStudyon
StrengtheningCommunity-ClinicalLinkages
Partner
with Sankalp Entrepreneurship
summit in Nairobi
engage
community to redesign the
economic program to focus
on building household
incomes
Pilot
and measure 1 to 3 new
interventions
2016 Targets
DIG has seen a true return in investment from our programs and partnership. In
Lwala, DIG found that on average each home garden started with less than $100
invested had earned or saved on food expenditures $300 per family, yearly.
NOAH DERMAN, Deputy Director, Development in Gardening
2015 Organizational AlliesFinance
*
Board giving in 2014 & 2015
100%
These figures are currently being audited in Kenya and the U.S.
All figures are combined U.S. and Kenya.
2009 201520142013201220112010 20172016
Expenses by year (without capital investments)
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
1	 2	 3	 4	 5	 6	 7	 8	 9	
Thousands	
Annual Budgets
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2015 2016 2017
Thousands
Funds to be
Raised
Committed /
Pending Funds
$1.64 M $1.64 M
$1.8 M
*Budget figures include capital investments
of $340,252 in 2015 and $155,340 in 2016.
*
2015 Individual Allies
With your support, we are bringing high quality, holistic programming to every family in our catchment
area and sharing our practices with others in the region and beyond. We are doing this by:
•	 REDUCING MORTALITY for all children under 5.
•	 Virtually ELIMINATING mother to child TRANSMISSION OF HIV.
•	 DRIVING DOWN TEEN PREGNANCY to below 10% and achieving gender parity in primary
school completion rates in our region.
•	 Growing Lwala Community Alliance into a CENTER OF EXCELLENCE that is equipped to train our peers
and advocate for our holistic model of development.
•	 DOCUMENTING AND SHARING THE EVIDENCE AND PROCESSES that lead to results, and share
these lessons with peer organizations working in other grassroots locations in order to demonstrate that
locally-driven, holistic programs are needed for global development.
•	 TRANSFERRING OUR COMMUNITY-BASED MODEL to replicators in similar rural settings.
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LEADERSHIP TEAM
Robert Kasambala, Hospital & Operations Director / Mercy Owuor, MPH, Community Programs Director / Wycliffe Omwanda, Head
Clinician / Catherine Omollo, Nursing Officer in Charge / Meshack Wafula, Public Health Coordinator / Emily Mbolo, Education
Coordinator / Winnie Oyugi, Economic Development Officer / Mark Barasa, Operations Coordinator / Mackenzie Okun, Finance Manager
/ Vincent Okoth, Monitoring & Evaluation Officer / Gilbert Were, Human Resources Manager / Katherine Carpenter, MEd, Partnerships
& Communications Manager / Liz Chamberlain, MA, Impact Manager / Kelli Ross, MS, Communications Officer / Special Assistant to the
Executive Director
BOARD OF DIRECTORS
Elizabeth Carr, MBA (Chair) / Dave Eilers, MBA (Vice Chair) / Chris Hobday, MBA (Treasurer) / Caitlin Glover, MPH (Secretary) / Cole Barfield,
MD, MBA / Thomas Glanfield / Susan Douglas, PhD / Fred Ochieng’, MD / Milton Ochieng’, MD / Joel Stanton / Lindsey Carpenter Toomey,
MPA / Richard Wamai, PhD
ADVISORY BOARD
Senator Bill Frist, MD / Joel Vikre, MS / Alison Kelley, MBA / Larry Trabue / Sten Vermund, MD
LWALA VILLAGE DEVELOPMENT COMMITTEE
Gervasse Nyakinye (Chair) / Shem Ooko (Vice Chair) / Charles Obong’o (Treasurer) / David Odwar Solo (Secretary) / Perpetua Okong’o
(Assistant Secretary) / Charles Obunga / John Obunga / Rose Onyango / Samson Mbori / Robinson Mbori / Musa Odhiambo Oloo
Our Team Our Kenya team makes up 97% of our organization.
We invest heavily in local leaders.
www.LwalaCommunityAlliance.org
ADMINISTRATION TEAM
John Licha / Josephat Arwa / Mary Awuor / Roselyne Ochieng / Tabitha Ogando / Wycliffe Osinda / Cheline Nyange / David Nyakinye /
Grace Obongo / Jael Ochieng / Joanes Omoro / John Ogolla / Joram Odiero / Kennedy Obonyo / Kenneth Boro / Robinson Nyakinya /
Samuel Onyango / Samuel Waringa / Emily Sheldon
ORGANIZATION LEADERSHIP
Ash Lauren Rogers, MPA, Executive Director Julius Mbeya, MA, Managing Director
CLINICAL TEAM
Caren Siele / Christine Aoko / Duncan Owino / Elisha Opiyo / Elizabeth Tindi / Irene Ouma / Jackton Okello / Janet Bosibori / Joash Ochieng
/ Julius Omondi / Lilian Otieno / Lucy Bosibori / Mercy Obiero / Michael Ondiek / Peter Ondieki Mainya / Phanice Nyanchama Maroria /
Reagan Ogayo / Rose Gayo / Rosemary Akello / Samuel Odipo / Thomas Magolo / Vincent Onsongo / Zadock Okello / Ann Oyaya / Benter
Atieno / Elizabeth Aoko / Irene Jakoyo / Mikal Akoth / Reginah Aoko / Rose Okech
ECONOMIC DEVELOPMENT TEAM
Olivia Nyaidho / Paul Asuke / Roselyne Odira
MONITORING & EVALUATION TEAM
Benard Nyabonge / George Omondi / Kelly Peuquet
YOUTH PEER PROVIDERS
Alice Akoth / Fred Opiyo / Kennedy Opiyo / Sharon Awour / Mercy Anyango / Norah Awino / Dickson Ochieng / Benard Okoth / Doris
Onyango / Felix Omondi / Enock Ominde / Elizabeth Owino / Lilian Pondo / Tobias Owiti / Linet Opalla / Kennedy Odhiambo / Molenter
Awuor / Alphonce Odhiambo / Victor Ochieng / Lawrence Obonyo / Vivian Ochieng / Lilian Okonda / Verine Opiyo
COMMUNITY HEALTH WORKERS
Ann Ochola / Beatrice Nyakinye / Benta Owuor / Benter Odongo / Carolyne Ong’oma / Carolyne Ochieng / Charles Ouko / Charles Todo
/ Elizabeth Odhiambo / Emily Otieno / Emily Odhiambo / Esther Nyarlere / Eunice Adhiambo / Eunice Ochoo / Euniter Nyasita / Euniter
Adoyo / Flora Omolo / Grace Okong’o / Grace Oracha / Grace Ouma / Grace Opiyo / Hellen Boi / Hellen Otieno / Herine Jalang’o /
Jactone Ouma / John Odero / John Oyugi / Joshua Obong’o / Joyce Akoth / Joyce Omolo / Justus Onyango / Justus Ochiri / Leah Oyugi
/ Magagret Agola / Mareen Atieno / Margaret Onyinge / Margaret Ochola / Martha Kemunto / Mary Odhiambo / Mary Kiama / Mary Awuor
/ Michael Otana / Milka Akoth / Millicent Miruka / Millicent Odongo / Millicent Obudho / Monica Adhiambo / Monica Juma / Monica Opiyo
/ Moses Opala / Nereah Juma / Nereah George / Pacifica Odongo / Pamela Otieno / Pamela Kidew / Pamellah Otieno / Peres Opiyo /
Priscah Akinyi / Rose Ochola / Salome Korima / Sara Akoth / Sarah Otieno / Sheila Odongo / Sophia Akinyi / Susan Ogola / Susan Omolo
/ Teresa Auma / Timothy Asudi / Vida Bita / Wifrida Odindo / Elizabeth Otieno / Hellen Otieno / Jane Atieno / Mary Obuya / Naomi Opiyo
/ Norah Atieno / Shadrach Onuko
EDUCATION TEAM
Alfred Odhiambo / Pauline Paciphique / Rebeca Oluoch
PUBLIC HEALTH TEAM
Elizabeth Obiero / Jabes Otieno / Obel Ongwena /
Stephen Okongo
CO-FOUNDERS
Milton Ochieng’, MD Fred Ochieng’, MD

2015-Lwala-Annual-Report_Page-Spreads

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    Our Vision Wholenessof life in Lwala and beyond. Who We AreLetter from Our Leadership INTEGRATED APPROACH When a family in Lwala, Kenya, is affected by a HEALTH CHALLENGE, like HIV, they are simultaneously impacted by FINANCIAL INSTABILITY and EDUCATIONAL BARRIERS. Our communities are not looking for vertical solutions or silver bullets. They see the causes of poor health as complex and nuanced - so do we. It’s not enough to run a stellar health facility, so Lwala also delivers services in people’s HOMES, FIELDS, and SCHOOLS. BOTTOM-UP INNOVATION Founded by Drs. Milton and Fred Ochieng’, brothers from our community, the DESIGN, IMPLEMENTATION, and EVALUATION of our programs continue to be driven by the communities they benefit. We employ more than 180 staff from our region and follow human-centered design and participatory approaches. We source, measure, and share bottom-up innovations that yield lasting change, reinforcing the value - NOTHING FOR US, WITHOUT US. SYSTEMS CHANGE Not only are we impacting the communities we serve, WE ARE REFORMING SYSTEMS. Our education programs are delivered by 17 government-owned and -operated schools. Our health facility is an integrated part of the county’s health system - delivering services and collecting data in partnership with local government. Our economic programs are built off market-based models and, after our initial investment, run independently. HEALTH C A RE M A RKETS EDUCATION “Health designed by us for us” Leah Oyugi, Mentor Community Health Worker SHEILA ADHIAMBO ODONGO Mentor Community Health Worker With Lwala for 4 years “When we were first recruited as CHWs from the community, Lwala educated us, empowered us, gave us knowledge, gave us skills which we then implemented in the community.” WINNIE OYUGI Economic Development Coordinator With Lwala for 4 years “Lwala is what is changing and forming my life; the work that I’m doing in Lwala is what makes me what I am when I go back into the community.” WYCLIFFE OMWANDA Head of Clinical Services With Lwala for 1.5 years “I am motivated when I see my targets being realized when I see my patients achieve wholeness of life.” Dear Allies, 2015 has been a year of evolution for us in Lwala. After nearly 7 years of service, James Nardella stepped down as Executive Director. James came to Lwala in our most vulnerable years and helped us grow from a community hospital to a truly holistic model of development. James oversaw the creation of our girls education program, the growth of our staff from 25 to 180, a 100% reduction in infant mortality, and a 300% increase in facility deliveries. He grew the budget from $420,000 to $1,680,000. Most notable to us was the way he empowered his team to own the mission and innovate. As James continues to mentor this team, he will forever be implicated in the lives of the people of Lwala. James passed the baton to the two of us, Ash and Julius, the new stewards of Lwala. As co-directors, we are committed to continuing the great legacy of community-driven, holistic development. Ash’s experience at Segal Family Foundation and Julius’s at Actionaid International exposed us to global innovations in health and education. We’ve seen the best social innovations out there and were pulled to Lwala because it is a proof point that community-initiated innovation is the best way to make lasting change. In 2015, we opened the new hospital wing and additional staff housing. We expanded our Community Health Worker program, the bedrock of our community-driven approach. We strengthened our data, financial, and governance systems to set ourselves up for continued growth. We launched our 2020 Strategy, an ambitious plan to cut under-5 mortality, eliminate mother-to-child HIV infections, and drive down teen pregnancy by the year 2020. The strategy also asserts that we have a mandate to spread our impact more widely by proving that when communities lead change, that change is drastic and lasting. There are thousands of individuals across the U.S. and Kenya who have made the bold choice to align themselves with us in this struggle for dignity, health and wholeness of life. We thank them for their partnership and call for evermore urgency in this important work. In solidarity, Ash Rogers, Executive Director & Julius Mbeya, Managing Director
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    459 Babies delivered (Compared to429 babies delivered in 2014) 98% HIV-exposed Infants who tested HIV-negative at 18 months 6,962 Women receiving 12 months of contraception (Couple years of protection in 2014 and 2015) 80% Women delivering who attended 4 or more prenatal visits (Compared to 41% at control sites) 1,107 HIV clients on care (15% increase from 2014) $18,362 Earned income from hospital Clinical Care In 2016, we are building out our ELECTRONIC MEDICAL RECORD system - beginning with our HIV-positive clients. With real-time access to patient medical histories, our clinicians will be able to offer superior care. This system will also allow us to identify and respond to community health trends with shorter response times. 2015 Accomplishments New Hospital Wing New Staff Housing In August 2015, we opened our new hospital connecting wing in partnership with Ronald McDonald House Charities, Health eVillages, Izumi Foundation, The Charitable Foundation, and the Nashville community. With this addition, we now have 16 inpatient beds, separate rooms for well-child and prenatal visits, and a new and expanded pharmacy and laboratory. We’ve seen a 10% increase in patient visits in the first two months since the opening. We also completed construction on new staff housing. This addition provides our clinical staff with living quarters close to the hospital so they can quickly respond to emergencies at night and on weekends. Getting to Zero In December, we celebrated with many of the HIV-exposed babies who graduated from our Prevention of Mother to Child Transmission program — 18 months after birth, these children remain HIV NEGATIVE! 2016 Targets $30,000 Earned income from hospital 33,000 Patient visits 1,500 HIV clients on care Lwala Community Hospital Patient Disease Burden Malaria Respiratory diseases Skin diseases Diarrhoeal diseases Urinary tract infections Rheumatism Accidents Pneumonia Anemia Lwala Community Hospital Patient Disease Burden Our work is not only for the people of Lwala but is slowly being recognized as a major contributor to the strengthening of the County Health System and realization of the Sustainable Development Goals. JULIUS MBEYA, Managing Director, Lwala Community Alliance Outpatient Visits (10,082) HIV Patient Visits (7,921) Well-Child Visits (5,334) Clinical Outreach Visits (2,548) Maternal Care Visits (2,049) Family Planning Visits (1,552) Inpatient Visits (1,088) 30,574 Total Patient Visits in 2015 Outpatient Visits (10,082) HIV Patient Visits (7,921) Well-Child Visits (5,334) Clinical Outreach Visits (2,548) Maternal Care Visits (2,049) Family Planning Visits (1,552) Inpatient Visits (1,088) Maternity Wing Opens CHW outreach to all pregnant women in the community launched 10,000 15,000 20,000 25,000 30,000 35,000 2010 2011 2012 2013 2014 2015 2016 Total Patient Visits Per Year Community- based long-term contraceptive program launched CHW tracking of all children under 5 launched New Hospital Wing Opens 75 CHWs 80 CHWs60 CHWs35 CHWs 95 CHWs
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    Public Health 2015 Accomplishments 80 CommunityHealth Workers (Plus 23 Youth Peer Providers) 3,258 Households visited by a Community Health Worker 30% Decrease in under-5 child deaths from 2014 48% Increase in number of children regularly visited by a Community Health Worker 89% Population with access to improved sanitation facilities (Kenya national average: 30.1%) 300% Increase in family planning services since 2011 (Compared with no change in service visits at control sites) In 2016, we are rolling out our HIV-WASH INTEGRATED PROJECT (HAWI) in partnership with Blood:Water. The goal of HAWI is to drastically increase adherence to HIV treatment, and we’ll accomplish this by expanding the focus of our Community Health Workers to provide targeted community care to those who are HIV-positive. Since we have known Lwala, they have come from humble roots as a small locally-lead NGO and transformed into a larger impact-minded organization. The growth, quality of programs and depth of their relationships both with the community they serve and the greater NGO community continue to amaze us. MARTIN SEGAL, Managing Director, Segal Family Foundation In February 2015, our region faced a cholera outbreak. Our health team worked as an extension of the Migori County Ministry of Health to contain the outbreak. Our Community Health Workers conducted door-to-door Water Sanitation and Hygiene education to community members. With partners including Blood:Water and Doctors Without Borders, we also trained clinical staff, added designated cholera beds and heighten disinfection protocol for medical equipment. Lwala works with County Government to Halt Cholera outbreak Our COMMUNITY HEALTH WORKERS are TRAINED, PAID, and SUPERVISED as a core part of the Lwala Community Health System. They are serving their own communities. “Investment in Community Health Workers in sub- Saharan Africa can yield an economic return of $10 for every $1 invested by providing jobs, thwarting epidemics, and keeping people healthy.” U.N. Secretary General’s Special Envoy for Financing the Health MDGs and for Malaria, 2015 Deborah Achieng first suspected something was wrong when she drastically lost weight while two months pregnant. After encouragement and a referral from a Lwala Community Health Worker, Deborah visited the Lwala hospital and was tested for HIV. Upon learning of her HIV-positive status, she was enrolled on antiretroviral treatment and joined a support group with other HIV-positive expectant mothers. Deborah received counseling on infant feeding, safe sex practices, and family planning. When Deborah went into labor, she called her Community Health Worker, who arranged an ambulance to Lwala hospital in partnership with Riders for Health. Upon arrival, Deborah immediately received the single-dose antiretroviral prophylaxis. Four hours later, baby girl Shamimah Adhiambo was born, and also received a pediatric dose of the antiretroviral prophylaxis. Thanks to the work of Lwala’s Community Health Workers and clinical staff, Shamimah was confirmed HIV free at 18 months. The Community Health Workers will continue monitoring Shamimah until age 5. This effort is supported by Ronald McDonald House Charities, Izumi Foundation, Health eVillages, and Real Medicine Foundation. CHWs Lead effort to cut Under-5 Mortality 0 10 20 30 40 50 60 70 80 90 100 0 50 100 150 200 250 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 TotalDeliveriesatLwalaCommunityHospital CountofContraceptivePrescriptions Contraceptive prescriptions compared to total deliveries Implants (Long-Term) I.U.C.D (Long-Term) Injections (Short-Term) Pills (Short-Term) Total Facility Deliveries 95 Community Health Workers 50% Reduction of under-5 mortality in the community of the county average 4,300 Households regularly visited by a Community Health Worker 2016 Targets 0 1000 2000 3000 4000 5000 6000 7000 2012 2013 2014 2015 2016 2017 809 2,406 939 3,258 5,800 4,300 Number of Households regularly visited by CHWs 26% 47% 92% 96% 94% 97% 53% Pre-2011 2011 2012 2013 2014 2015 County Average Pregnant Women Delivering at a Health Facility
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    Education 2015 Accomplishments In February2016, we LAUNCHED AN eREADER PILOT PROJECT with WorldReader in Class 6 at three government school. The 150 eReaders — each with more than 100 books — are changing the face of learning in the community. Making “better Breaks” for Teens During School Holidays In 2015, nearly 2,000 teens attended our “Better Break” activities. In Lwala and surrounding communities, school breaks are often times when teen girls and young women are more vulnerable to unplanned pregnancy, sexual abuse, and HIV infections. This vulnerability spikes because they are away from the routines of school and the presence of caring teachers. To reduce this vulnerability, we work with partners like Weyerhaeuser Family Foundation to provide “Better Breaks” for boys and girls, ages 13-19. Better Breaks sessions include trainings sexual and reproductive health, setting career goals, and making good choices. Each of us, through our deeds and actions, create a ripple effect that changes the world around us. Education amplifies that ripple 1000 x because of its power to unleash our potential to do great things. Millions of girls across the globe are out of school, denying them - and the world - of so much greatness. The promise of a better future will only be realized by investing in their education. KEF is proud to partner with Lwala Community Alliance to educate many girls in the Lwala catchment area. BRADLEY BRODER, Executive Director, Kenya Education Fund Ifind you (Lwala) a perfect partner because you are complementing the County efforts and reducing the load in provision of quality education and health in line with the Sustainable Development Goals. H.E OKOTH OBADO, Governor Migori County 64% Increase in number of girls mentored from 2014 (183 girls in 2014 compared to 288 girls in 2015) 6,795 Youth reached with sexual and reproductive health education or counseling 1,712Youth accessing family planning services 802 Girls receiving pads and/or uniforms 5,155 Students with access to safe water at 13 government schools 2,871 Students with access to latrines at 6 government schools 40 Students sponsored by Education For All Children or Kenya Education Fund for secondary school “If all women in sub-Saharan Africa completed primary education, MATERNAL DEATHS WOULD BE REDUCED BY 70% and CHILD DEATHS WOULD BE REDUCED BY 15%.” Education for All Global Monitoring Report Education Transforms, October 2013 At age 14 Truphene gave birth to her first child and dropped out of school. She was quickly recruited into one of Lwala’s out-of-school mentoring groups. Upon completion of the 5-month mentoring program, Truphene realized her mistake in dropping out of school. So, with the help of her mother, group mentor, and friends at Lwala, she re-enrolled in Class 6. Through the mentorship group she gained the courage and support to avoid early marriage, a common path for young mothers. She found that education is power and returned to school. Young Mom returns to school 13 Primary schools where we, in partnership with BD, will expand in-school mentoring for Grade 6 to 8 girls 480 Girls participating in mentoring services 150 Students participating in eReader program 8,000 Youth reached with sexual and reproductive health education through health clubs 2015 2015 Boys Girls 2009 Boys Girls 2015 Boys Girls 37% Ratio of Boys to Girls Completing Primary School (Class 8) 63% 44% 56% 2009 2016 Targets
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    EconomicDevelopment Monitoring&Evaluation2015 Accomplishments 215 Community membersactive in a table banking community group $15,384 New Vision Sewing Cooperative sales $22,000 Savings in the Lwala Staff Rural Sacco (Savings and Credit Cooperative Society) October 2015 marked our fifth anniversary with Development in Gardening (DIG). This partnership has been essential in building our capacity in organic farming and nutrition training for vulnerable households and key to our holistic approach. In 2015, our New Vision Women’s Sewing Cooperative partnered with Thistle Farms and Thistle Farms Global: Shared Trade to create a variety of products including aprons, tea satchels, and Christmas ornaments. In 2016, we are going back to our community and launching a design process to source innovations to increase access to markets and financial services and ultimately drive income growth. We’ll keep the community at the forefront of the process, employing best practices in human-centered design and supporting community members as they test the best ideas. 2015 Accomplishments 514 Households reached in annual household survey through random sampling 1,107 Individuals tracked in Kenya Electronic Medical Records 6,628 Individuals tracked in SIMBA/Salesforce database EUNICE is a 26-year-old widow and mother of 4 children. When she joined the DIG Young Mothers training, her 3 youngest were sick and malnourished. Thourgh the training, she was taught sustainable farming techniques, nutrition and gardening skills, and how to use farming for income. DIG also linked her to the Lwala hospital where her children were treated for malaria and provided food supplements. Today, her children are strong and healthy thanks to food from Eunice’s garden and the income she makes selling vegetables in the market. dig Training Gives single mom a new start We are deeply committed to rigorously measuring and evaluating our impact in the community and the effectiveness of our programs. The very first use of our data is to make data-driven decisions to improve our programs. VINCENT OKOTH, Monitoring and Evaluation Officer, Lwala Community Alliance Salesforce - In partnership with Vera Solutions, we developed a Salesforce database (nicknamed SIMBA) to collect, analyze and act on data in real time. We started by tracking mothers, children and their households, but will expand in 2016 to track all HIV+ clients and begin enrolling girls mentoring participants. KenyaElectronicMedicalRecords - Lwala shifted all HIV patient records into Kenya Electronic Medical Records (EMR), a nationwide patient management system. In 2016, we will utilize Kenya EMR at all HIV patient service points and integrate the system with SIMBA to provide a holistic view of patient information for optimized care. GeographicInformationSystems - A team of Vanderbilt University students assisted in mapping every household in the Lwala catchment area. We continued to record the location of every major water point and newly constructed latrine, and we carried out analysis of malaria prevalence in the region. In 2016, we plan to map our Community Health Worker- reached households to better understand our reach. AnnualHouseholdSurvey - In 2015, we employed our first-ever catchment-wide household survey on topics from health-seeking behavior and feelings about HIV stigma to livelihoods and community need. Through this survey, we learned that 83% of our population approves of family planning in marriages and 11% of children are not attending school. In 2016, we will partner with Vanderbilt University to improve our data collection tools and methodologies to strengthen the survey. In 2016, Vanderbilt University will submit for publication results from a study titled,”Strengthening community-clinical linkages: Effective strategies to increase uptake of reproductive, maternal, and child health services in rural Western Kenya,” conducted in 2015 in Lwala. The research, by lead author Assistant Professor Carolyn Audet, found that by July 2014 almost 100% of pregnant women in Lwala received skilled assistance during delivery, compared to <70% in control sites. Vanderbilt ToReleaseStudyon StrengtheningCommunity-ClinicalLinkages Partner with Sankalp Entrepreneurship summit in Nairobi engage community to redesign the economic program to focus on building household incomes Pilot and measure 1 to 3 new interventions 2016 Targets DIG has seen a true return in investment from our programs and partnership. In Lwala, DIG found that on average each home garden started with less than $100 invested had earned or saved on food expenditures $300 per family, yearly. NOAH DERMAN, Deputy Director, Development in Gardening
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    2015 Organizational AlliesFinance * Boardgiving in 2014 & 2015 100% These figures are currently being audited in Kenya and the U.S. All figures are combined U.S. and Kenya. 2009 201520142013201220112010 20172016 Expenses by year (without capital investments) 0 200 400 600 800 1,000 1,200 1,400 1,600 1,800 2,000 1 2 3 4 5 6 7 8 9 Thousands Annual Budgets 0 200 400 600 800 1000 1200 1400 1600 1800 2000 2015 2016 2017 Thousands Funds to be Raised Committed / Pending Funds $1.64 M $1.64 M $1.8 M *Budget figures include capital investments of $340,252 in 2015 and $155,340 in 2016. *
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    2015 Individual Allies Withyour support, we are bringing high quality, holistic programming to every family in our catchment area and sharing our practices with others in the region and beyond. We are doing this by: • REDUCING MORTALITY for all children under 5. • Virtually ELIMINATING mother to child TRANSMISSION OF HIV. • DRIVING DOWN TEEN PREGNANCY to below 10% and achieving gender parity in primary school completion rates in our region. • Growing Lwala Community Alliance into a CENTER OF EXCELLENCE that is equipped to train our peers and advocate for our holistic model of development. • DOCUMENTING AND SHARING THE EVIDENCE AND PROCESSES that lead to results, and share these lessons with peer organizations working in other grassroots locations in order to demonstrate that locally-driven, holistic programs are needed for global development. • TRANSFERRING OUR COMMUNITY-BASED MODEL to replicators in similar rural settings. Will you join us today? Oran Aaronson and Shannon Snyder Jon Andereck Jeff and Melinda Balser Randy Brothers Jim Brown Sylvester and Roxanne Brown Joanne Candela Ross and Autumn Carper James and Mary Beth Chamberlain Laura Cleveland Rebecca Cook Jane Easdown Laura Edwards Stephanus Eman Nathan Empsall Geoffrey and Amy Fleming Kristen Foery Dionne Gayle John and Rosemary Gitau Susan Glick Edana Hough Anthony Janetos Michelle Kiger Michelle Kingsbury Christine Knippenberg Tangela Lauderdale Gus and Diane Lee Larry and Kay Litten Jessica Pearson Thomas McAuliff & Janella Pennington Bettina McKay Leigh Ann and Nathan Michaels Vanessa Moldovan Curry Moore Jim and Allie Nardella Donald and Lisa Nehrig Mindy and Marc Scibilia Dr. Girija Shinde Renee Tevelow Lauren Welsh Cole and Christen Barfield Mary Campbell Elizabeth and Stephen Carr Sarah and Peter Lanfer Lee and Mary Barfield Emily Deschanel & David Hornsby TJ and Seran Glanfield Chris and Kirstin Hobday* Eric Klindt* Georgia Mode Fred and Eileen Springer Thrill Hill Foundation Newell Anderson and Lynne McFarland Philip and Linda Andryc Bert and Kim Bailey Kelley Barnaby Harry and Jeanne Baxter* Anita Cochran Susan Douglas and Felix Dowsley Kairos Church (Atlanta) Suzanne and Thad King Joel and Hilary Stanton* Annabel and Timothy Barger Frank and Ann Bumstead Judson and Carol Burnham Paul and Carol Caldron Karen Callahan William Danforth David and Bettina Eilers Robert and Joyce Fieldsteel Russell and Dinah Fitzgerald* Andy and Katie Friedland Waldon and Renee Garriss* Caitlin and Nic Glover* Gay and John Greer Kevin and Kristin Harney* Doug and Beth Heimburger Justin and Karen Hill Gary and Carol Hobday Brock and Corinne Kidd Hunter King Bernadette Leber and Thomas Folan Cheryl and Harvey Major* Brian and Jocelyn Mason* William and Shelley Mason* Frank and Susan McGinty Robert and Bonnie Miller* Mark and Erin Miller* Ann Moravick James and Jena Nardella Mark and Kaye Nickell Marilyn Paganucci Keith Quinton and Barbara Fildes James Rice Daniel and Sheila Riesel Cathryn Rolfe David and Rebecca Saff Jamie and David Sauerburger Clay and Dorothy Sifford St. Paul’s Episcopal Church (Brookline) Elizabeth B. Stadler Foundation Ruth Stolz Tina and Aaron Swenson* Ann Teaff and Don McPherson Lindsey and David Toomey Glen and Trish Tullman Sten Vermund and Pilar Vargas* Eric and Laurie Wadsworth Erik Wang and Brianne Johnsen Eileen Waters Bill and Sarah Young $10,000 and above $5,000-$9,999 $2,500-$4,999 $1,000-$2,499 Monthly Allies Become our Ally *Denotes also Monthly Allies www.LwalaCommunityAlliance.org/Donate
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    LEADERSHIP TEAM Robert Kasambala,Hospital & Operations Director / Mercy Owuor, MPH, Community Programs Director / Wycliffe Omwanda, Head Clinician / Catherine Omollo, Nursing Officer in Charge / Meshack Wafula, Public Health Coordinator / Emily Mbolo, Education Coordinator / Winnie Oyugi, Economic Development Officer / Mark Barasa, Operations Coordinator / Mackenzie Okun, Finance Manager / Vincent Okoth, Monitoring & Evaluation Officer / Gilbert Were, Human Resources Manager / Katherine Carpenter, MEd, Partnerships & Communications Manager / Liz Chamberlain, MA, Impact Manager / Kelli Ross, MS, Communications Officer / Special Assistant to the Executive Director BOARD OF DIRECTORS Elizabeth Carr, MBA (Chair) / Dave Eilers, MBA (Vice Chair) / Chris Hobday, MBA (Treasurer) / Caitlin Glover, MPH (Secretary) / Cole Barfield, MD, MBA / Thomas Glanfield / Susan Douglas, PhD / Fred Ochieng’, MD / Milton Ochieng’, MD / Joel Stanton / Lindsey Carpenter Toomey, MPA / Richard Wamai, PhD ADVISORY BOARD Senator Bill Frist, MD / Joel Vikre, MS / Alison Kelley, MBA / Larry Trabue / Sten Vermund, MD LWALA VILLAGE DEVELOPMENT COMMITTEE Gervasse Nyakinye (Chair) / Shem Ooko (Vice Chair) / Charles Obong’o (Treasurer) / David Odwar Solo (Secretary) / Perpetua Okong’o (Assistant Secretary) / Charles Obunga / John Obunga / Rose Onyango / Samson Mbori / Robinson Mbori / Musa Odhiambo Oloo Our Team Our Kenya team makes up 97% of our organization. We invest heavily in local leaders. www.LwalaCommunityAlliance.org ADMINISTRATION TEAM John Licha / Josephat Arwa / Mary Awuor / Roselyne Ochieng / Tabitha Ogando / Wycliffe Osinda / Cheline Nyange / David Nyakinye / Grace Obongo / Jael Ochieng / Joanes Omoro / John Ogolla / Joram Odiero / Kennedy Obonyo / Kenneth Boro / Robinson Nyakinya / Samuel Onyango / Samuel Waringa / Emily Sheldon ORGANIZATION LEADERSHIP Ash Lauren Rogers, MPA, Executive Director Julius Mbeya, MA, Managing Director CLINICAL TEAM Caren Siele / Christine Aoko / Duncan Owino / Elisha Opiyo / Elizabeth Tindi / Irene Ouma / Jackton Okello / Janet Bosibori / Joash Ochieng / Julius Omondi / Lilian Otieno / Lucy Bosibori / Mercy Obiero / Michael Ondiek / Peter Ondieki Mainya / Phanice Nyanchama Maroria / Reagan Ogayo / Rose Gayo / Rosemary Akello / Samuel Odipo / Thomas Magolo / Vincent Onsongo / Zadock Okello / Ann Oyaya / Benter Atieno / Elizabeth Aoko / Irene Jakoyo / Mikal Akoth / Reginah Aoko / Rose Okech ECONOMIC DEVELOPMENT TEAM Olivia Nyaidho / Paul Asuke / Roselyne Odira MONITORING & EVALUATION TEAM Benard Nyabonge / George Omondi / Kelly Peuquet YOUTH PEER PROVIDERS Alice Akoth / Fred Opiyo / Kennedy Opiyo / Sharon Awour / Mercy Anyango / Norah Awino / Dickson Ochieng / Benard Okoth / Doris Onyango / Felix Omondi / Enock Ominde / Elizabeth Owino / Lilian Pondo / Tobias Owiti / Linet Opalla / Kennedy Odhiambo / Molenter Awuor / Alphonce Odhiambo / Victor Ochieng / Lawrence Obonyo / Vivian Ochieng / Lilian Okonda / Verine Opiyo COMMUNITY HEALTH WORKERS Ann Ochola / Beatrice Nyakinye / Benta Owuor / Benter Odongo / Carolyne Ong’oma / Carolyne Ochieng / Charles Ouko / Charles Todo / Elizabeth Odhiambo / Emily Otieno / Emily Odhiambo / Esther Nyarlere / Eunice Adhiambo / Eunice Ochoo / Euniter Nyasita / Euniter Adoyo / Flora Omolo / Grace Okong’o / Grace Oracha / Grace Ouma / Grace Opiyo / Hellen Boi / Hellen Otieno / Herine Jalang’o / Jactone Ouma / John Odero / John Oyugi / Joshua Obong’o / Joyce Akoth / Joyce Omolo / Justus Onyango / Justus Ochiri / Leah Oyugi / Magagret Agola / Mareen Atieno / Margaret Onyinge / Margaret Ochola / Martha Kemunto / Mary Odhiambo / Mary Kiama / Mary Awuor / Michael Otana / Milka Akoth / Millicent Miruka / Millicent Odongo / Millicent Obudho / Monica Adhiambo / Monica Juma / Monica Opiyo / Moses Opala / Nereah Juma / Nereah George / Pacifica Odongo / Pamela Otieno / Pamela Kidew / Pamellah Otieno / Peres Opiyo / Priscah Akinyi / Rose Ochola / Salome Korima / Sara Akoth / Sarah Otieno / Sheila Odongo / Sophia Akinyi / Susan Ogola / Susan Omolo / Teresa Auma / Timothy Asudi / Vida Bita / Wifrida Odindo / Elizabeth Otieno / Hellen Otieno / Jane Atieno / Mary Obuya / Naomi Opiyo / Norah Atieno / Shadrach Onuko EDUCATION TEAM Alfred Odhiambo / Pauline Paciphique / Rebeca Oluoch PUBLIC HEALTH TEAM Elizabeth Obiero / Jabes Otieno / Obel Ongwena / Stephen Okongo CO-FOUNDERS Milton Ochieng’, MD Fred Ochieng’, MD