Rapid assessment for THV Kibwabwani

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

4. All the way down 'A-109' from Nairobi

5. Through a game park

6. Through some very bad roads

7. after 518 KM .....

9. a poor area where people struggle to make ends meet....

11. ..but still want the best for their children !

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

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

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 "profile of their lives"..

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

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

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

46. Infidelity in marriage Never faithful Sometimes faithful sometimes not Very faithful to spouse WOMEN MEN Sexual behavior

52. Bio-Physical conditions: Land resources in May 2008 Other Uses: Grazing Part -1 Fallow Cultivated

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

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

74. Transect: of Kilonga village

75. Communication: Two national GSM networks available. No cell phones Have cell phones

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!