Opinion Article:
“It’s time children had a seat at the budget table and their views implemented.”
- June 24,2025
As Kenya joined the rest of the world in marking the Day of the African Child (DAC) 2025, it became clear that we must confront an uncomfortable truth. While we have made legislative strides in recognizing children’s rights, we have yet to meaningfully include children in the processes that shape their future especially in national and county budgeting.
This year’s theme, “Planning and Budgeting for Children’s Rights: Progress Since 2010,”reminds us that policies without children’s voices are incomplete and budgets without their participation miss the mark. Despite the promises of the African Charter on the Rights and Welfare of the Child and the UN Convention on the Rights of the Child, many African governments including Kenya, still plan for children not with them. But meaningful progress requires more than budgeting in their name, it requires budgeting with their input, insight and lived experience.
At ICRHK, we believe in practicing the four guiding principles of child rights not just in rhetoric, but in action.
- Non-discrimination: Every child whether living with a disability, out of school or in a remote village must have an equal say in matters affecting them.
- Child participation: Children’s voices are not just valid, they are important. We must create child-friendly spaces and tools that allow them to be heard in public planning and budgeting.
- Survival and development: Budgets must prioritize children’s holistic development not only health and education, but also psychosocial support, protection and safe environments.
- Best interests of the child: This should be the gold standard in every line of a national or county budget. If it doesn’t benefit children first, it’s not a priority.
At ICRHK, we are fully committed to co-creating and co-designing programs with children from identifying the root causes of child rights violations, to implementation, evaluation and holding programs accountable at every step. We have seen firsthand how, when given the opportunity, children offer creative, grounded and bold ideas that make interventions more responsive and sustainable.
Children are not too young to understand how resources shape their access to education, healthcare and protection. What they need are child-friendly tools and inclusive platforms to express these views meaningfully.
The call this year is simple but urgent: Governments must embed child participation in public finance management systems. Children’s councils, school clubs and youth parliaments must be linked to real budgetary decisions not left on the sidelines.
Let 2025 be the year we finally recognize that children are not just passive beneficiaries, they are active stakeholders. They don’t need our permission to dream, they need platforms to be heard. Let’s give them the space they deserve and the budgets that reflect their priorities.
By Norah Mwangi -Child protection Officer, ICRHK
Nuru ya Vijana:- Bridging the Gap – Addressing the HIV and SRH Needs of Vulnerable Youth in Kilifi County
- February 11, 2025
In the picturesque coastal county of Kilifi, Kenya, behind the stunning beaches and rolling waves, lies an often-overlooked health crisis. Every day, young female sex workers (YFSWs) and young transgender persons (YTGs) navigate a complex landscape of stigma, discrimination, and structural barriers in their pursuit of healthcare services. For these marginalized groups, accessing sexual and reproductive health (SRH) services is not merely challenging—it is a fight for survival.
Recent baseline surveys conducted by the International Centre for Reproductive Health Kenya (ICRHK) shed light on the challenges and opportunities to improve the sexual and reproductive health (SRH) outcomes for these groups. These populations, otherwise known as key populations, are among the most vulnerable to HIV and sexually transmitted infections (STIs) in Kenya. Recent studies reveal that 33 percent of all new HIV infections in Kenya occur among key populations, with more than half of these new infections affecting individuals aged 15–24 years. In Kilifi County, where 19 percent of people living with HIV fall into this same age group, the need for targeted interventions is both urgent and undeniable.
Understanding the Landscape
Kilifi County, with its 2.8% HIV prevalence, is home to over 6,600 female sex workers, 4,589 men who have sex with men (MSM), and 342 transgender persons. While the national prevalence of HIV is 3.7%, the burden is disproportionately borne by young people aged 15–24, who make up 19% of people living with HIV in the region.
The vulnerabilities of YFSWs and YTGs are compounded by structural, social, and behavioral factors. YFSWs frequently report early sexual debut, averaging 16 years, and multiple sexual partners, with many engaging in sex work as a survival strategy due to poverty. This reality is stark: 58.9% of YFSWs reported using condoms during their last sexual encounter, while 11.1% reported no use of any HIV prevention methods.
YTGs face distinct challenges, including harassment, stigma, and inadequate access to gender-affirming care. The lack of healthcare providers trained in transgender health means many YTGs must rely on informal channels for information and services, leaving them vulnerable to misinformation and neglect.
The Lives Behind the Statistics
Behind every statistic is a young person, each with their own unique story. For many YFSW, the path to sex work begins early, often in their teenage years. The average age of sexual debut among this group is just 16 years, and many report engaging with multiple partners, often under conditions that limit their ability to negotiate safer practices. According to survey findings, while 91 percent of YFSWs reported using condoms as their primary prevention method, only 58.9 percent consistently used them during their most recent sexual encounters. Factors such as trust in partners, influence of alcohol, and financial desperation often lead to risky behaviors.
For young transgender persons, the situation is no less challenging. These individuals face dual marginalization—both for their gender identity and their health vulnerabilities. Many transgender persons avoid healthcare facilities altogether, fearing the discrimination they are likely to encounter. One participant in the study shared a heartbreaking experience, describing how police officers mocked their gender identity instead of addressing their concerns when they reported a case of violence. Such systemic harassment discourages individuals from seeking critical healthcare, exacerbating their vulnerabilities to HIV and other health risks.
Barriers to Accessing SRH Services
Stigma and Discrimination
Fear of judgment is one of the most significant barriers to healthcare access for both YFSWs and YTGs. For many YFSW, the fear of being judged or identified as a sex worker discourages them from seeking essential SRH services. Around 12.7% of YFSWs surveyed reported experiencing discrimination when seeking services, and many avoided public facilities altogether to prevent exposure to stigma. As one respondent noted, “When I go to a public clinic, I am afraid people will know what I do. They will judge me before I even speak.”
For YTGs, the situation is often worse. Many report harassment from both law enforcement and healthcare providers. One transgender respondent recounted being asked intrusive and humiliating questions by healthcare providers, such as, “Are you a woman or a man?” These encounters not only deter individuals from seeking care but also deepen the sense of alienation and invisibility felt by many within the transgender community. Another transgender respondent shared: “When you report an issue to the police, they ask, ‘Are you a woman or a man?’ instead of addressing the complaint.” This transphobia discourages many YTGs from seeking the care they need, even when facing life-threatening health concerns.
The Practical Barriers to Care
In addition to stigma, practical barriers compound the challenges faced by these populations. Stockouts of essential SRH supplies such as condoms, Pre-Exposure Prophylaxis (PrEP), and Post-Exposure Prophylaxis (PEP) are a frequent occurrence in many healthcare facilities. For individuals with limited financial resources, these shortages can be life-threatening. One young sex worker described a common dilemma: “When I come to the facility to get STI treatment and there is no medication, I have to choose between buying the medicine or buying food. Most times, food wins.”
Accessibility issues extend beyond stockouts. Many facilities are located far from where key populations live or work, and long waiting times deter those who need quick, discreet services. This is where Drop-In Centers (DICs) have become a lifeline. These centers provide safe, stigma-free environments where individuals can access SRH services without stigma or discrimination. According to the surveys, 71.8 percent of YFSWs in Kilifi reported using DICs as their primary healthcare access point. However, the limited number of these centers means that not everyone can benefit from their services.
For young transgender persons, the gaps are even wider. Gender-affirming care, such as hormone replacement therapy or gender-affirming surgeries, is unavailable in most public healthcare facilities. Without these critical services, transgender individuals are left feeling ignored and underserved by the very systems meant to protect their health.
Inaccessible and Unfriendly Services
Healthcare services in Kilifi are often described as inaccessible, either due to long distances, long wait times, or stockouts of essential supplies like condoms, PrEP, and PEP. While Drop-In Centers (DICs) provide a safe haven for many, their limited number means they cannot serve everyone in need. For YFSWs, inconsistency in commodity availability poses a significant barrier.
Legal and Policy Challenges
Kenya’s restrictive policies further exacerbate access challenges. Adolescents under 18 require parental consent to access family planning and HIV prevention services, leaving many young people, including underage sex workers, without the protection they need. Similarly, the lack of gender-affirming services for YTGs underscores systemic neglect of their unique healthcare needs.
Insights from the Surveys
The surveys revealed that 71% of YFSWs in Kilifi are aged 20–24, with 54.9% reporting being single and 32.4% having children, often starting motherhood as teenagers. Among young female sex workers, 96 percent were aware of HIV and STI prevention methods. Despite their vulnerabilities, 91% of YFSWs reported using condoms as a primary prevention method, while 75% relied on PrEP. However, inconsistent use remains a challenge, driven by factors like trust in partners, the influence of alcohol, and perceived reduced risk due to PrEP. Alcohol consumption during sexual encounters was identified as a major risk factor, with 40 percent of those who had consumed alcohol reporting that they did not use condoms.
Similarly, while YTGs expressed a willingness to seek care, many cited fears of discrimination and inadequate services tailored to their needs. Digital platforms such as TikTok and Instagram emerged as key channels for SRH information among YTGs, offering a glimpse into the potential of innovative outreach strategies. This reliance on social media underscores the need for innovative, youth-friendly outreach strategies.
The Kilifi Drop-in Center(DIC) have become a lifeline for YFSWs and YTGs in Kilifi. These center provides a stigma-free environment where young people can access services like HIV testing, PrEP initiation, and STI screening. Around 71.8% of YFSWs identified DICs as their primary healthcare access point, emphasizing their critical role in reducing barriers.
Moving Forward
The path to equitable healthcare for young female sex workers and transgender persons in Kilifi County is fraught with challenges but also brimming with opportunities. The resilience of these young key populations, coupled with the dedication of organizations like ICRHK, offers hope for a brighter future.
We have the data, the insights, and the tools to make a difference. By expanding access to youth-friendly services, tackling stigma, and advocating for systemic reforms, we can create a future where no one is left behind. Young key populations deserve nothing less.
We are moving beyond words and taking action, ensuring that Kilifi County becomes a model of inclusive, compassionate healthcare for all.
Nuru ya Vijana:- Empowering Communities Through Peer Education: A Journey of Change and Hope
- February 11, 2025
Imagine walking into a room where individuals from some of the most marginalized communities—young transgender (YTG) persons and young female sex workers (YFSW)—are coming together to learn, grow, and become leaders within their networks. Peer education is a transformative approach that leverages shared experiences to inspire positive change. It involves equipping individuals with the knowledge and skills needed to educate and support their peers on issues such as health, safety, and human rights. This approach is particularly effective for addressing the unique challenges faced by vulnerable populations, as it builds on trust and lived realities.
Recently, two training programs held in Kilifi, Kenya, organized by the International Center for Reproductive Health (ICRH) and the National AIDS and STI Control Programme (NASCOP), highlighted the potential of peer education in bringing about real change. These programs focused on empowering transgender individuals and young female sex workers (YFSW) by addressing their specific vulnerabilities. The impact of these training programs extended far beyond the sessions themselves, planting the seeds for long-term community transformation.
Why Peer Education is Critical for Marginalized Populations
Peer education works because it is personal. The people delivering the messages are not external facilitators who might not fully understand the complexities of a community. Instead, they are individuals who share the same challenges, experiences, and cultural contexts as their peers. This relatability creates a sense of trust and acceptance that is critical for addressing sensitive issues.
For transgender persons, the need for peer education is especially urgent. Global statistics show that transgender women are nearly forty-nine times more likely to contract HIV than the general population. This figure reflects a combination of social, economic, and structural inequalities. For example, transgender individuals often face stigma and discrimination in healthcare settings, which deters them from seeking the services they need. They are also more likely to experience violence, unemployment, and homelessness, all of which increase their vulnerability to HIV and other sexually transmitted infections (STIs).
The situation is equally concerning for young female sex workers. Among women aged fifteen to twenty-four engaged in sex work, HIV prevalence is three times higher than that of older sex workers in the same areas. The younger women are more likely to be coerced into unsafe practices or to face violence from clients and law enforcement. They often lack the bargaining power needed to insist on condom use, making them even more susceptible to HIV and STIs.
Peer education offers a way to address these vulnerabilities by empowering individuals within these groups to become advocates for safer practices, better health, and stronger rights.
Insights from Transgender Peer Educator Training
In December 2024, a five-day training program for transgender peer educators was conducted in Kilifi, Kenya. This initiative was designed to tackle the unique challenges faced by transgender individuals and to equip participants with the tools to drive change within their communities.
The training began by addressing the intersections of HIV risk, stigma, and violence. Participants were introduced to the critical links between these factors and were guided on strategies to mitigate them. One of the key areas of focus was the proper use of preventive tools such as condoms, pre-exposure prophylaxis (PrEP), and post-exposure prophylaxis (PEP). Despite being proven methods for reducing HIV transmission, these tools remain underutilized in many communities due to lack of awareness and misinformation.
The sessions included hands-on demonstrations using anatomical models to teach the correct use of male and female condoms, dental dams, and lubricants. This practical approach allowed participants to build their confidence and address common myths about these products. For example, some participants had believed that condoms reduce pleasure or cause infertility, misconceptions that were clarified during the training.
Another critical component of the program was the discussion on gender identity and transitioning. Participants were guided through the distinctions between gender identity, gender expression, and sexual orientation, terms that are often misunderstood and conflated. The training also delved into the challenges of transitioning, including access to medical care, societal stigma, and personal safety. These discussions not only provided valuable knowledge but also created a safe space for participants to share their experiences and learn from one another.
Mental health was another central focus of the training. Transgender individuals face disproportionately high rates of depression, anxiety, and other mental health challenges due to the discrimination and rejection they encounter. A psychologist was present throughout the sessions to offer support and to lead discussions on coping strategies. Participants were encouraged to address their mental health needs and to recognize the importance of self-care in their roles as peer educators.
Empowering Young Female Sex Workers
The training program for young female sex workers was similarly transformative. Held over five days, it aimed to address the specific vulnerabilities faced by this group and to provide them with the skills needed to educate and support their peers.
One of the most engaging sessions focused on condom negotiation skills. For YFSW, the ability to negotiate condom use is not just about health; it is about safety and economic security. Through role-playing exercises, participants practiced strategies for persuading clients to use condoms, even in challenging circumstances. These exercises helped to build confidence and to emphasize the importance of prioritizing one’s health and well-being.
Another key topic was the relationship between violence and HIV risk. Participants learned to identify different forms of violence, including physical, sexual, emotional, and economic abuse, and were guided on how to respond. Many YFSW shared personal stories of violence at hotspots, and the training provided them with tools to seek help and to support others in similar situations.
HIV prevention was a recurring theme throughout the program. Participants were introduced to PrEP and PEP and were encouraged to spread awareness about these preventive measures within their communities. The sessions also covered the basics of HIV transmission, emphasizing the link between STIs and increased vulnerability to HIV.
Family planning and reproductive health were additional areas of focus. The participants were educated on different contraceptive methods and the importance of cervical cancer screening. These topics were particularly impactful, as they addressed gaps in knowledge that directly affect the health outcomes of young women in sex work.
The Importance of Mental Health and Community Support
Both training programs highlighted the critical role of mental health in improving overall well-being. For both YTG and YFSW, the stigma and discrimination they face can lead to feelings of isolation and despair. Recognizing this, the programs included sessions on mental health awareness and coping strategies.
The presence of a psychologist was particularly valuable. Participants were able to share their struggles in a supportive environment, and many noted that this helped them to feel less alone. The training emphasized the importance of peer support networks, encouraging participants to lean on one another for strength and encouragement.
The programs also stressed the importance of addressing substance abuse, which is a common coping mechanism among marginalized groups. Participants discussed the risks associated with alcohol and drug use, particularly in relation to HIV transmission, and explored strategies for reducing substance abuse within their communities.
Why This Work Matters
At its heart, peer education is about empowerment. It is about peer educators the tools to take control of their narratives, advocate for their rights, and create healthier, safer communities. For young key populations, this approach offers a pathway out of marginalization and into leadership.
The ripple effects of these programs are profound. Peer educators are not just individuals; they are catalysts for change. By sharing their knowledge and experiences, they inspire others to adopt safer practices, seek help, and challenge stigma. In doing so, they contribute to a broader cultural shift toward acceptance and inclusivity.
The Journey Ahead
As these peer educators return to their communities, their work is only beginning. They will face challenges, from limited resources to persistent stigma. However, they will also have the tools, confidence, and support needed to overcome these obstacles.
For those watching from the outside, their stories serve as a powerful reminder of the importance of investing in community-driven solutions. When individuals are empowered to lead, the possibilities for change are limitless. Peer education is more than a strategy—it is a movement, and its potential to transform lives is boundless.
Nuru ya Vijana:- Strengthening HIV Prevention: Insights from the Kilifi Key and Vulnerable Populations Technical Working Group (KVP-TWG)
- February 11, 2025
The fight against HIV/AIDS remains one of the most pressing public health challenges globally, and in Kenya, it is no different. With an estimated 1.4 million people living with HIV in the country as of 2020, it is evident that the fight is far from over. Among the most affected are key and vulnerable populations (KVP), who account for a significant portion of new HIV infections. To address this, various initiatives and programs have been launched, including the Key and Vulnerable Populations Technical Working Group (KVP-TWG), which convened recently in Kilifi North. This meeting served as a critical platform to review progress, address challenges, and chart a path forward for the effective prevention and management of HIV among these groups.
Setting the Stage: A Snapshot of the KVP-TWG Meeting
The KVP-TWG meeting brought together stakeholders from various sectors, including representatives from the OMARI project, MEWA project, and the Kilifi County MSM project. The agenda was comprehensive and focused, ranging from a review of the Kenya AIDS Strategic Framework (KASF2) to an analysis of programmatic data and challenges faced in the previous quarter. The overarching goal of the meeting was to align efforts toward the reduction of new HIV infections among KVPs while ensuring the sustainability of interventions already in place.
The Kenya AIDS Strategic Framework 2 (KASF2) envisions a future where the number of new HIV infections is significantly reduced. Statistics from the Kenya Population Size Estimates (KPSE 2020) reveal the magnitude of the challenge. For example, men who have sex with men (MSM) have an HIV prevalence rate of approximately 18.2%, compared to a national prevalence of 4.5%. Similarly, the prevalence among people who inject drugs (PWID) stands at 18.3%. These numbers underscore the need for targeted interventions tailored to the unique needs of these populations.
Reviewing the Data: Successes and Lessons Learned
A significant portion of the meeting was dedicated to analyzing data from July to September 2024. This review highlighted critical insights into service delivery and gaps that need to be addressed. Among the standout achievements was the increase in HIV testing and service uptake among KVPs. For instance, projects such as the Malindi Desire Project, which targets transgender individuals, reported a notable rise in the number of individuals reached with HIV prevention services. However, this success was tempered by high positivity rates in certain groups, pointing to the need for more aggressive prevention measures.
Methadone-Assisted Treatment (MAT) services, particularly those offered at the Watamu Dispensary MAT Clinic, were another area of focus. The clinic has successfully enrolled hundreds of PWID, providing them with a lifeline and an alternative to high-risk behaviors. Despite this, retention remains a challenge, with dropout rates threatening the long-term success of the program. This was a recurring theme across several interventions, where the lack of sustained engagement and follow-up emerged as a barrier to achieving desired outcomes.
The data also revealed concerning trends in violence against KVPs, which not only affects their mental and physical well-being but also limits their access to essential health services. The meeting highlighted the need for more robust mechanisms to address and prevent such violence. Projects like Micare, which integrate mental health services into KVP programming, are a step in the right direction. By training healthcare providers and community representatives, Micare aims to address the often-overlooked mental health challenges that these populations face, thereby improving their overall health outcomes.
Key Challenges: A Roadblock to Progress
Despite the progress made, several challenges continue to hinder the effectiveness of KVP interventions. One of the most pressing issues is the shortage of essential commodities, including Rapid Test Kits (RTKs), Pre-Exposure Prophylaxis (PrEP), condoms, and lubricants. These shortages are not just logistical challenges; they are life-threatening barriers that compromise the ability of KVPs to protect themselves against HIV.
Another significant challenge is the limited community-based support for service uptake. While the projects reviewed have made commendable strides, the lack of community-driven initiatives means that many KVPs remain unreachable. This gap is particularly evident among younger KVPs, who often face stigma and discrimination that deter them from seeking services.
Technological barriers also emerged as a critical challenge. The unstable functionality of electronic medical record (EMR) systems has hampered data collection and analysis, making it difficult to track progress and make informed decisions. Additionally, limited involvement of healthcare providers in the program has created a disconnect between community needs and service delivery, further complicating efforts to reach the most vulnerable.
Action Points: Charting a Path Forward
In response to these challenges, the KVP-TWG outlined several actionable strategies aimed at enhancing the effectiveness of HIV prevention programs. One of the key priorities is targeting young KVPs, who represent a growing demographic within these populations. Tailored interventions that address their unique vulnerabilities and leverage youth-friendly platforms are essential for increasing service uptake and retention.
Improving PrEP retention is another critical area of focus. While the availability of PrEP has been a game-changer in HIV prevention, its impact is diminished if individuals do not adhere to the regimen. Strengthening follow-up mechanisms, providing psychosocial support, and engaging peer educators can significantly improve adherence rates.
Scaling up HIV case identification efforts was also emphasized. By expanding outreach activities and incorporating innovative approaches such as mobile testing units and community-based testing, the program can ensure earlier diagnosis and linkage to care. This is particularly important for groups like MSM and transgender individuals, who often face barriers to accessing conventional health services.
Finally, the TWG stressed the need for advocacy and resource mobilization to address commodity shortages. By lobbying for increased funding and streamlined procurement processes, stakeholders can ensure a consistent supply of essential commodities, thereby removing a critical barrier to service delivery.
Collaboration: The Key to Success
The success of the KVP-TWG meeting underscores the importance of collaboration in addressing complex health challenges. The diverse range of stakeholders present—from healthcare providers and community leaders to international partners—highlighted the power of collective action in achieving shared goals. This collaborative approach is not just a strategy; it is a necessity in the fight against HIV/AIDS.
As the data from the meeting shows, Kenya is making significant strides in addressing HIV among KVPs. However, the journey is far from over. By addressing the challenges identified and implementing the proposed action points, the vision of a Kenya free from HIV is not just a distant dream but a tangible reality within reach.
Conclusion: A Call to Action
The Kilifi KVP-TWG meeting serves as a reminder that while progress has been made, much work remains to be done. The statistics tell a sobering story but also one of hope and resilience. With targeted interventions, innovative approaches, and unwavering commitment, the fight against HIV among key and vulnerable populations can be won.
The call to action is clear: stakeholders at all levels must redouble their efforts, address existing challenges, and leverage opportunities to create a future free from HIV. By doing so, we not only improve the lives of those directly affected but also contribute to the broader goal of health and well-being for all.
Post-Launch Reflections: PMA Agile’s Commitment to Tackling Gender-Based Violencee
The recent launch of the PMA Agile women’s survey data marked a significant milestone in the fight against Gender-Based Violence (GBV). Held amidst a gathering of policymakers, partners, and community leaders, the event released data collected from four counties in Kenya on GBV-related indicators including prevalence, help-seeking, and access to justice. In doing so it highlighted the urgent need to address the harmful gender norms that continue to perpetuate violence and inequality in society.
A Call to Action from Leadership
During the launch, Prof. Violet Nanyu, Board Member of the International Centre for Reproductive Health Kenya (ICRHK), delivered a powerful message that resonated with all in attendance:
“We are facing gender norms to fight GBV. A world where everyone is free from the threats of violence and can achieve their full potential is the world we are working towards.”
Prof. Nanyu’s words serve as a reminder of the central mission of PMA Agile—to create a world where violence, particularly against women and girls, is not tolerated, and where every individual has the opportunity to thrive. PMA Agile’s collaborative leadership includes ICRHK (Mary Thiongo, Prof Peter Gichangi), Kenyatta University Women’s Economic Empowerment Hub (Grace Ngare, Regina Mwatha), and Johns Hopkins Bloomberg School of Public Health/ Center for Global Women’s Health and Gender Equity (Prof Michele Decker).
The Alarming Reality of GBV and Gaps in Policy Confidence
GBV remains a widespread issue in Kenya, with deeply ingrained cultural norms contributing to the persistence of violence, especially against women and girls. According to the 2022 Kenya Demographic and Health Survey (KDHS), 45% of women aged 15–49 have experienced either physical or sexual violence in their lifetime. Moreover, Prof. Ann Kihara shared an alarming statistic from Kenyatta National Hospital’s GBV center in her remarks: 75% of those seeking help are women and girls, many of whom are facing severe public health consequences. These figures are a stark reminder of the ongoing crisis.
While Kenya has made strides in establishing a policy framework to combat GBV, gaps in public confidence in the justice system remain a significant challenge, “if people are unsure, they are not going to report to police.” This underscores the need to not only improve policy but also ensure that communities trust in the systems meant to protect them. Building confidence in access to justice is critical to encouraging survivors to come forward and seek help.
Uniting Forces to End GBV
The PMA Agile women’s data launch brought together key stakeholders, from grassroots organizations to governmental bodies, all committed to breaking the cycle of violence through evidence-informed action. The survey data demonstrate persistent intimate partner violence in the four counties (27%, past year, among partnered women). Critically, the team presented estimates on forms of GBV for which no national data currently exist, including economic abuse (22%, past year, among partnered women), technology-facilitated gender-based violence (29.5%, past year), and sexual harassment (47.1%, past year). Helpseeking was relatively low, and actionable gaps were identified in confidence in the GBV response across police and health sectors. A robust discussion affirmed commitment to translating these gaps to policy. There is a clear need to strengthen systems for response – the laws criminalizing violence against women remain effectively inaccessible when confidence in police response is low and attitudes discourage intervention in cases of partner violence. Increasing confidence in police response and changing norms to enable helpseeking are actionable and represent meaningful metrics for change. Primary GBV prevention was also identified as a priority. As we reflect on the success of the event, it’s clear that this was just the beginning. The energy and passion in the room underscored the urgent need for continued collaboration, innovation, and advocacy in addressing GBV.
To bridge the gap in policy confidence, the PMA Agile initiative aims to work closely with communities to create awareness and provide education on the resources available to GBV survivors. Ensuring that survivors feel supported and secure in seeking help is essential for women’s safety and full economic participation.
Insights on Reproductive Health
GBV also intersects with broader reproductive health issues in Kenya. According to recent data, 40% of women of reproductive age are not using contraceptives, signaling a significant gap in family planning access and education. However, there is good news-90% of women are reporting the use of disposable sanitary products, showing progress in menstrual hygiene management. These findings reflect the mixed progress in addressing women’s health and underscore the need for continued efforts in sexual and reproductive health education.
Building a Safer, More Equal Future
PMA Agile’s approach goes beyond awareness; it focuses on action. From empowering local communities with cutting-edge data, to equipping healthcare providers, educators, and policymakers with the information needed to combat GBV, the project is paving the way for a future where everyone can live free from fear and violence.
We are particularly proud of the partnerships that were strengthened during the launch, all aimed at breaking down the societal norms that perpetuate violence. The PMA Agile team will continue to work closely with these stakeholders to ensure that the evidence presented translate into real, measurable progress.
Looking Ahead
As we move forward, PMA Agile remains committed to challenging harmful practices, raising awareness, and supporting survivors through high-quality actionable data. Through data-driven strategies, community engagement, and unwavering dedication, we will continue pushing the envelope in our efforts to end GBV and close gaps in reproductive health access.
The road to achieving a world free from violence and inequality is long, but with collective effort and sustained action, we can bring about lasting change.
We thank everyone who contributed to making the launch a success and look forward to sharing the progress we make as we continue to use these data to create meaningful change. As the femicide of Rebecca Cheptegei at the hands of her partner, and countless others without a similar spotlight illustrate – women’s lives depend on it. , we can build a future where everyone, regardless of gender, can reach their full potential.
Confronting Sexual Violence: Collaborative Efforts for Lasting Change
Sexual violence remains a pervasive issue affecting women and girls globally, disrupting lives, and perpetuating cycles of trauma and inequality. In Kenya, the situation is particularly dire, with numerous cases going unreported or unresolved due to societal stigma, inadequate legal frameworks, and insufficient support systems. However, there is hope and a growing commitment to addressing these challenges head-on, as demonstrated by the recent #PMAGender Dissemination event.
Hosted in collaboration with the SDGs Kenya Forum, this event brought together key stakeholders from various sectors, including GROOTS Kenya, the Centre for Rights Education and Awareness (CREAW), LVCT Kenya, UNFPA Kenya, VSO, the Association of Media Women in Kenya (AMWIK), and the Kenya National Bureau of Statistics. The discussions were rooted in findings from a recent survey, highlighting the pressing issues affecting women and girls and setting the stage for evidence-based strategies to drive positive change.
Understanding the Landscape
The survey revealed startling statistics: a significant percentage of women and girls have experienced some form of sexual violence, with many incidents occurring within familiar environments-homes, schools, and workplaces. The physical and psychological impact of these violations is profound, often leading to long-term health issues, diminished economic opportunities, and fractured communities.
Breaking the Silence
One of the critical barriers to addressing sexual violence is the culture of silence that surrounds it. Many survivors fear retribution, social ostracization, or disbelief. During the dissemination event, stakeholders emphasized the need for comprehensive public education campaigns to dismantle these stigmas and encourage survivors to come forward.
Media organizations like AMWIK play a vital role in this effort, using their platforms to amplify survivor stories and advocate for change. By shifting the narrative and focusing on empowerment rather than victimization, we can begin to alter public perceptions and create a more supportive environment for survivors.
Strengthening Legal and Support Systems
Another focal point of the discussions was the need to strengthen legal frameworks and support systems. While Kenya has laws in place to address sexual violence, their implementation often falls short due to various systemic issues. Training law enforcement officers, judicial staff, and healthcare providers on handling sexual violence cases with sensitivity and urgency is crucial.
Organizations like CREAW and LVCT Kenya are at the forefront of these efforts, providing legal aid, counseling, and medical services to survivors. Their work underscores the importance of a multi-faceted approach-combining legal action, medical care, and psychological support to holistically address the needs of survivors.
Collaborating for Change
The event highlighted the importance of collaboration among stakeholders. No single entity can tackle sexual violence alone; it requires coordinated efforts across sectors. The SDGs Kenya Forum exemplifies this collaborative spirit, bringing together government agencies, NGOs, community groups, and international organizations to share knowledge, resources, and strategies.
The Kenya National Bureau of Statistics’ involvement is particularly significant, as accurate data is essential for informed decision-making and policy formulation. By understanding the prevalence, patterns, and root causes of sexual violence, we can develop targeted interventions that address specific community needs.
Looking Ahead
As we move forward, the commitment to ending sexual violence must remain unwavering. The insights gained from the #PMAGender Dissemination event provide a roadmap for action. It is imperative to continue these discussions, implement the strategies outlined, and monitor progress closely.
Every woman and girl deserve to live free from the fear of sexual violence. By working together, we can create a safer, more equitable society where all individuals can thrive. The journey is challenging, but with the collective efforts of dedicated stakeholders, we can drive lasting change and ensure that no one is left behind.
Join the Conversation
We invite you to join this critical conversation and support initiatives aimed at ending sexual violence. Follow our updates, participate in community programs, and advocate for stronger policies and support systems. Together, we can make a difference.
#SDGs #GenderEquality #LeaveNoOneBehind #PMAGender #ICRHK #SexualViolence #Empowerment #Collaboration #JusticeForAll
Empowering Advocates: A Week-Long Training on SRH Advocacy for Adolescent Rights in Machakos County
From May 20th, 2024, we embarked on an enriching journey in Machakos County, hosting a one-week intensive training focused on Sexual and Reproductive Health (SRH) Advocacy for Adolescent Rights. This pivotal event brought together community-based organizations (CBOs) and champions from Kakamega, Homa Bay, Kilifi, and Nairobi Counties, creating a collaborative and dynamic environment aimed at strengthening advocacy efforts for adolescent SRH rights.
Day 1: Setting the Stage
Our training commenced with an invigorating start as we welcomed participants from various counties, fostering an atmosphere of unity and shared purpose. The presence of the National Council for Population and Development (NCPD) was particularly impactful, as they shared their extensive knowledge and practical experiences on advocating for reproductive health rights. Their insights provided a strong foundation, equipping our participants with the tools and strategies needed to champion adolescent rights effectively.
Building a Network of Committed Advocates
Throughout the week, our primary goal was to bolster advocacy efforts for adolescent SRH rights by addressing key issues and sharing best practices. This training was not merely about knowledge-sharing; it was about building a robust network of committed advocates who will drive change in their respective communities. Participants engaged in interactive sessions, group discussions, and hands-on activities designed to enhance their understanding and skills in SRH advocacy.
Day 2: Enhancing Advocacy Tactics
Day 2 of the training was particularly remarkable. We delved deep into advocacy tactics and approaches for effective advocacy. A highlight of the day was the presence of FP2030, who led an enlightening session on empowering CBOs through smart media advocacy. Participants learned how to craft compelling messages, harness the power of various social media platforms, and engage with their audiences to advocate for significant social change. The emphasis on a strategic approach to advocacy underscored the importance of clear goals, target audiences, and impactful content.
Day 3: Mastering Media Engagement
Day 3 was another intense session focused on advocacy, where participants were taken through essential tips and tricks for media engagement. The session covered crucial aspects such as body language, emphasizing the importance of portraying confidence in all interactions. Participants also learned the significance of dressing appropriately for the camera to ensure a professional and approachable appearance. Prepping was another key point, with guidance on avoiding disorganization and being well-prepared for media engagements.
The training also highlighted the strategic positioning of oneself during media interactions and provided techniques for handling difficult situations, teaching participants how to navigate trouble without losing composure. Maintaining diplomacy was a critical skill discussed, focusing on rolling with resistance and staying calm without getting angry. These skills are vital for effective advocacy, especially when engaging with the media to promote SRH rights for adolescents.
Engaging Sessions and Practical Learning
Each day of the training built upon the last, with participants gaining valuable insights into various aspects of advocacy. The interactive sessions and group discussions were particularly beneficial, allowing participants to share experiences, challenge ideas, and develop innovative strategies. Practical activities reinforced theoretical knowledge, ensuring that participants could apply what they learned in real-world scenarios.
Day 4 to Day 5: Deepening Understanding and Commitment
As the week progressed, participants delved deeper into the intricacies of SRH advocacy. Sessions focused on specific challenges faced by adolescents in different regions, and participants worked together to develop tailored strategies to address these challenges. The emphasis was on creating sustainable advocacy efforts that could adapt to the unique needs of various communities.
Collaboration and Knowledge Exchange
The collaborative spirit of the workshop was palpable. Organizations such as USAID Momentum, USAID, Jhpiego, and the SRHR Alliance played crucial roles in facilitating
Empowering Adolescents: Shaping the Future of Youth Health Communication
The International Centre for Reproductive Health Kenya (ICRHK) is actively participating in the ongoing development of the National Adolescent Youth Sexual Reproductive Health (AYSRH) Social Behavior Change (SBC) Strategy. Supported by Breakthrough Action Kenya, Amref, the Ministry of Health (MoH), VSO, and the Children’s Department, this initiative aims to provide comprehensive guidance on adolescent health communication initiatives across the county.
Adolescents and youth face unique challenges that significantly impact their health and future prospects. Recognizing and addressing these challenges is crucial for fostering a healthier, more informed generation. The AYSRH SBC strategy is a proactive and preventive measure designed to meet the specific needs of this demographic, promoting their overall health, well-being, and potential.
Understanding the Unique Needs of Adolescents
Adolescence is a critical period of growth and development, characterized by significant physical, emotional, and social changes. During this time, young people are particularly vulnerable to health risks, including those related to sexual and reproductive health. The lack of accurate information, coupled with societal stigmas and barriers to accessing healthcare, often leaves adolescents ill-prepared to make informed decisions about their health.
The development of the AYSRH SBC strategy is a response to these challenges. By focusing on social behavior change, the strategy aims to transform the way adolescents perceive and engage with health information and services. It emphasizes the importance of creating supportive environments where young people can access accurate information, receive appropriate care, and feel empowered to make healthy choices.
Collaborative Efforts for Sustainable Impact
The success of the AYSRH SBC strategy hinges on collaboration between various stakeholders. Meetings and workshops have brought together experts from diverse fields, including healthcare, education, and community development, to share insights and best practices. Each partner plays a crucial role in shaping a strategy that is culturally sensitive, evidence-based, and tailored to the specific needs of Kenyan adolescents.
One of the key components of the strategy is the development of targeted communication campaigns that resonate with young people. These campaigns will leverage digital platforms, peer education, and community outreach to disseminate important health messages. By using innovative and engaging methods, the strategy aims to capture the attention of adolescents and encourage positive health behaviors.
Promoting Holistic Well-Being
The AYSRH SBC strategy is not just about addressing immediate health concerns; it is about promoting holistic well-being. By equipping young people with knowledge and resources, the strategy seeks to empower them to make informed decisions that will positively impact their lives. This includes understanding their rights, accessing healthcare services, and navigating the social and economic challenges they may face.
Moreover, the strategy highlights the importance of involving adolescents in the development and implementation of health initiatives. By giving them a voice and encouraging their active participation, the strategy ensures that the interventions are relevant and effective. This participatory approach also fosters a sense of ownership and responsibility among young people, further enhancing the impact of the initiatives.
Looking Ahead
As ICRHK continues to contribute to the development of the AYSRH SBC strategy, we remain committed to advocating for the health and well-being of adolescents. This initiative is a testament to our dedication to creating a healthier future for Kenya’s youth. We are confident that, through collaboration and innovation, we can address the unique challenges faced by adolescents and pave the way for a brighter, healthier future.
Stay tuned for more updates on the progress of the AYSRH SBC strategy and our ongoing efforts to empower and support young people in Kenya. Together, we can make a meaningful difference in the lives of adolescents, ensuring they have the knowledge, resources, and support they need to thrive.
#BreakthroughActionKenya #Amref #MoH #VSO #Children’sDepartment #ICRHK #AYSRH #YouthHealth #SocialBehaviorChange #EmpowerYouth #FutureLeaders
Empowering Youth Through Data Literacy: The PMA Agile Youth Capacity Building Workshop
In an era where data drives decision-making across all sectors, fostering data literacy among the youth is crucial for shaping a knowledgeable and empowered generation. Recognizing this need, the International Center for Reproductive Health Kenya (ICRHK) has launched the PMA Agile Youth Capacity Building Workshop, a groundbreaking initiative aimed at equipping young individuals with the essential skills for effective data utilization and dissemination.
The Importance of Data Literacy
Data literacy refers to the ability to read, understand, create, and communicate data as information. In a world increasingly dominated by data, being data literate is akin to being able to read and write. For the youth, especially those involved in community development and advocacy, understanding data is not just an asset but a necessity. Data literacy enables young people to interpret data accurately, share insights derived from data in a clear and impactful manner, drive advocacy efforts, influence policy, and enhance both personal and professional growth.
The PMA Agile Youth Capacity Building Workshop
The PMA Agile Youth Capacity Building Workshop is designed to address the gap in data literacy among youth. This comprehensive program covers various aspects of data collection, analysis, and dissemination, ensuring that participants are well-prepared to handle data in their respective fields.
The primary objectives of the workshop are to empower youth with data skills, promote data-driven decision-making, and enhance advocacy through data. Participants engage in in-depth training sessions that cover the entire data cycle, including data collection, analysis, interpretation, and visualization. These sessions are hands-on, ensuring that the youth can immediately apply their new skills in their community and advocacy work.
The workshop emphasizes practical learning through exercises that simulate real-world scenarios. This hands-on approach not only reinforces the lessons but also ensures that participants are ready to use their skills in practical settings. The collaborative learning environment fosters the sharing of ideas, experiences, and best practices among participants, building a network of like-minded individuals committed to making a difference.
Expert facilitators from various organizations, including DSW – Deutsche Stiftung Weltbevölkerung, UNFPA-Youth Advisory Panel Kenya, Champions for SDGs Youth, U-Tena Youth Organization, and The Link Initiative, lead the sessions. Their insights and guidance enrich the learning experience, providing participants with valuable knowledge and skills.
The Impact of Data Literacy on Youth
Equipping youth with data literacy skills has far-reaching impacts. It enhances their advocacy efforts by allowing them to back their campaigns with credible data, making their messages more compelling. Data-literate youth can make informed decisions that positively affect their communities, ensuring their voices are heard in discussions on issues that impact them. Moreover, data literacy opens up numerous career opportunities in various fields, from research and analytics to community development and policy making.
The PMA Agile Youth Capacity Building Workshop is a significant step toward empowering youth with the skills needed to navigate and thrive in a data-driven world. By fostering data literacy, ICRHK and its partners are not only enhancing the capabilities of young individuals but also ensuring they are equipped to drive meaningful change in their communities. As we continue this journey, we look forward to seeing the remarkable impact these empowered youth will have on their communities and beyond. Together, we are shaping a future where the youth are not just consumers but contributors to the data-driven initiatives that will define our world.
#LeavingNoYouthBehind #YouthEmpowerment #DataLiteracy #CapacityBuilding #SDGs #PMAAgileWorkshop #ICRHK #YouthInAction
Enhancing Post Abortion Care in Baringo and Kwale Counties: A Collaborative Effort by ICRHK, Ministry of Health, and UNFPA Kenya
At the International Center for Reproductive Health Kenya (ICRHK), we are proud to announce our ongoing collaboration with the Ministry of Health and UNFPA Kenya to enhance the capacity of health service providers in Baringo and Kwale counties. This initiative aims to deliver top-notch Post Abortion Care (PAC) services, ultimately transforming healthcare in these regions.
Building Capacity for Quality Care
The training program is designed to equip healthcare providers with the necessary skills and knowledge to offer high-quality PAC services. Our focus areas include:
- Cultivating the Right Attitude: Ensuring that health service providers approach PAC with empathy, professionalism, and respect for patients.
- Counseling Skills: Enhancing providers’ ability to offer compassionate and effective counseling, which is crucial for patients undergoing PAC.
- Managing Complications: Training providers to handle complications effectively, ensuring the safety and well-being of patients.
- Documenting PAC Services: Emphasizing the importance of accurate and thorough documentation to improve service delivery and patient outcomes.
A Transformative Healthcare Initiative
Our efforts in Baringo County are geared towards making a lasting impact on healthcare delivery. By improving the skills of health service providers, we aim to reduce maternal morbidity and mortality associated with unsafe abortions. This training is a critical step towards achieving sustainable healthcare improvements in the region.
Spotlight on Kwale County
In Kwale County, the training sessions were graced by notable dignitaries, including The CEC Health, Dr. Francis Gwama, and County Director of Health, Dr. Hajara. Their presence underscores the importance of this initiative and the commitment of local government officials to improving reproductive health services.
Community Wellness and Healthcare Transformation
Our collaborative efforts are not just about training; they are about transforming communities and fostering wellness. By enhancing PAC services, we are contributing to healthier communities and empowering women to make informed decisions about their reproductive health.
The Way Forward
As we continue this transformative journey, we remain committed to working closely with local health authorities and international partners. Together, we can ensure that every woman in Baringo and Kwale counties has access to high-quality post-abortion care.
At ICRHK, we believe that every step towards improving healthcare services brings us closer to a healthier, more empowered society. We invite you to join us in this vital initiative. Stay connected with us for updates on our progress and impact. Together, we can achieve #HealthcareTransformation and #CommunityWellness.
Unveiling the Kenya Health Facility Census Report: A Step Towards Universal Health Coverage
Recently, the International Centre for Reproductive Health Kenya (ICRHK) had the honor of participating in a significant event hosted by the Ministry of Health. The occasion marked the unveiling of the Kenya Health Facility Census Report, a comprehensive survey that provides a detailed snapshot of the country’s healthcare infrastructure. Covering over 12,000 health facilities across the nation, this report is a critical tool in Kenya’s ongoing efforts to achieve Universal Health Coverage (UHC).
A Comprehensive Overview
The Kenya Health Facility Census Report offers an in-depth analysis of the country’s healthcare landscape, revealing that the majority of health services are concentrated at levels 2 and 3. These levels encompass dispensaries and health centers, which serve as the backbone of primary healthcare services in Kenya. The report underscores the distribution of healthcare facilities and highlights areas that require focused attention to ensure equitable access to health services for all Kenyans.
One of the key findings of the report is the disparity in the health workforce across the country. Alarmingly, only 12 out of the 47 counties have met the required numbers of health workers per population, including nurses, clinical officers, and doctors. This shortfall presents a significant challenge to achieving UHC, as an adequate and well-distributed health workforce is essential for delivering quality healthcare services.
Addressing Workforce Challenges
The report’s findings on the health workforce have prompted the Ministry of Health to call for urgent and collaborative action. Ensuring that all counties have the required number of health workers is paramount to strengthening the healthcare system and improving health outcomes. The Ministry emphasized the importance of collaboration among various stakeholders, including development partners, the government, and healthcare providers.
By working together, these stakeholders can develop and implement strategies to address the workforce gaps. This includes investing in health worker training, recruitment, and retention programs, particularly in underserved areas. Additionally, there is a need to create an enabling environment that supports health workers’ well-being and professional development, ensuring they are motivated and equipped to provide high-quality care.
Commitment to Universal Health Coverage
Kenya’s commitment to achieving UHC is evident in its efforts to enhance healthcare infrastructure and address workforce challenges. The Health Facility Census Report serves as a critical resource for policymakers, health planners, and stakeholders, providing them with the data needed to make informed decisions. It highlights the progress made and identifies areas that require focused attention, guiding efforts to strengthen the health system.
Universal Health Coverage is a fundamental goal that aims to ensure all individuals and communities have access to the health services they need without suffering financial hardship. Achieving UHC requires a multi-faceted approach that includes expanding health services, improving healthcare quality, and ensuring financial protection for all Kenyans.
Moving Forward
The unveiling of the Kenya Health Facility Census Report marks a significant milestone in the country’s journey towards UHC. It provides a clear picture of the current state of healthcare facilities and workforce distribution, offering a roadmap for future actions. As ICRHK, we are committed to supporting these efforts through our research, advocacy, and community engagement initiatives.
By leveraging the insights from this report, we can work collaboratively with the Ministry of Health and other stakeholders to address the identified challenges and drive progress towards UHC. Together, we can ensure that all Kenyans have access to the healthcare services they need to lead healthy and productive lives.
Overcoming Challenges: Successful Mapping and Listing Activities for the Women's Survey in West Pokot and Bungoma Counties
At the International Centre for Reproductive Health Kenya (ICRHK), we are dedicated to advancing reproductive health through comprehensive data collection and research. One of our flagship initiatives, the PMA Agile project, recently undertook a significant task: mapping and listing activities for the Women’s Survey in West Pokot and Bungoma Counties. Despite facing considerable challenges, including heavy rains and treacherous roads, the team successfully completed these crucial activities, demonstrating resilience and determination.
Navigating Adversity: The Journey in West Pokot and Bungoma
The enumeration areas in West Pokot County presented unique logistical challenges. The areas are widely dispersed, and the onset of heavy rains made many roads impassable. Rivers swollen by the downpours created additional hurdles, making travel difficult and time-consuming. At one point, our teams had to wait up to nine hours to cross a particularly swollen river.
In Bungoma County, similar conditions prevailed. The bad roads, exacerbated by the heavy rains, tested the team’s resolve and required innovative problem-solving and a steadfast commitment to the project’s goals.
Team Resilience and Community Support
The success of the mapping and listing activities in these counties is a testament to the resilience of our team and the invaluable support of the local communities. Our central team, alongside the resident enumerators, displayed exceptional perseverance in the face of adversity. The involvement of village elders was crucial; their local knowledge and support were instrumental in navigating the challenging terrain and ensuring that all enumeration areas were accurately mapped and listed.
Collaborative Efforts and Stakeholder Engagement
The successful completion of these activities would not have been possible without the collaboration and support of key stakeholders. The West Pokot and Bungoma County administrations, Johns Hopkins University (JHU), and the Kenya National Bureau of Statistics (KNBS) all played significant roles in facilitating the project. Their commitment to the PMA Agile project’s objectives and their support in overcoming logistical challenges were vital to our success.
Moving Forward: Data for Impact
With the mapping and listing activities now complete, we are poised to move forward with the Women’s Survey. The data collected will provide critical insights into reproductive health needs and challenges faced by women in West Pokot and Bungoma Counties. This information will be instrumental in shaping policies and interventions aimed at improving reproductive health outcomes in these regions.
The PMA Agile project continues to demonstrate the importance of resilience, community engagement, and collaborative efforts in achieving its goals. We extend our heartfelt thanks to everyone involved in this endeavor, from our dedicated team members to the supportive village elders and key stakeholders. Together, we are making significant strides in advancing reproductive health and empowering communities with the data they need to drive meaningful change
Navigating Challenges, Building Solutions: A Journey Through Kakamega, Homa Bay, and Kilifi Counties
In a bid to tackle capacity gaps and adolescent Sexual and Reproductive Health (SRH) challenges, the International Center for Reproductive Health – Kenya (ICRHK) embarked on a transformative journey, engaging with three Civil Society Organizations (CSOs) representing persons with disabilities, youth, and women. This collaborative effort unfolded across Kakamega, Homa-Bay, and Kilifi Counties, where insights were gathered, and solutions were sought to create a healthier and more inclusive future for all.
The journey began in Kakamega, where vibrant discussions and meaningful interactions took place. The CSOs, serving as pillars of their communities, shared valuable perspectives on the existing challenges faced by adolescents regarding their SRH and the prevailing capacity gaps. This exchange of insights laid a solid foundation for the collaborative efforts that followed, setting the stage for impactful change.
Moving forward, the journey continued to Homa-Bay County, where the focus shifted to engaging with youth-led entities. Here, the discussions delved deeper into the specific needs and challenges faced by young people regarding their SRH. The vibrant energy and enthusiasm of the youth brought a new dimension to the conversation, highlighting the importance of youth empowerment in driving positive change within communities.
The journey culminated in Kilifi County, where discussions with women-led organizations added a crucial perspective to the dialogue. The insights shared by these organizations shed light on the unique challenges faced by women regarding their SRH and the vital role they play in community development. This leg of the journey reaffirmed the importance of gender-sensitive approaches in addressing SRH challenges comprehensively.
Throughout this transformative journey, one thing became abundantly clear: collaboration is key to creating sustainable change. By bringing together diverse voices and perspectives, ICRHK and its partners are paving the way for a future where everyone has access to quality SRH services and the opportunity to lead healthy, fulfilling lives. Additionally, the engagement with CSOs representing persons with disabilities added a crucial dimension to the discussions. In each county, the unique challenges faced by persons with disabilities regarding their SRH were highlighted, underscoring the importance of inclusive approaches in addressing these issues.
By actively involving persons with disabilities in these discussions, ICRHK and its partners are ensuring that their voices are heard and their needs are addressed, ultimately leading to more inclusive and effective interventions.
By collaborating with a diverse range of stakeholders and actively engaging with communities, ICRHK is not only addressing immediate challenges but also laying the groundwork for long-term, sustainable change. This journey has demonstrated the power of partnership and the impact it can have on transforming communities. As the program continues to unfold, ICRHK remains committed to its mission of creating a healthier and more inclusive future for all, leaving no one behind.
Empowering Youth, Transforming Communities: ICRHK's Youth Dissemination Project
Empowering youth is a core pillar of our mission at the International Center for Reproductive Health – Kenya (ICRHK). We firmly believe that by investing in the youth, we are not only shaping a brighter future for them but also creating healthier communities and advancing sustainable development. This commitment is at the heart of our recent projects, including the groundbreaking, the first-of-its-kind- Youth Dissemination event, where passionate young minds came together to share insights from a comprehensive study on Gender-Based Violence (GBV).
Cultivating Change: Planting Seeds of Empowerment and Sustainability
The Youth Dissemination event was more than just a one-time gathering; it marked a significant milestone in our ongoing journey to empower youth and drive positive change. One of the key highlights was the engaging discussions that featured youth voices alongside religious leaders, legal advisors, and service providers. Together, we delved into various aspects identified from the research findings, fostering a holistic understanding of GBV and its impact on communities.
Data-Driven Impact: Advocacy Based on Solid Research
A central theme of the event was Data-Driven Advocacy, where youth united to dissect study findings and craft impactful messages aimed at decision-makers. These messages, rooted in solid data, became the foundation for powerful advocacy campaigns led by our dynamic youth community. As a symbol of our commitment to sustainability, stakeholders planted trees during the event, symbolizing the growth and resilience of our collective efforts in combating GBV.
Inspiring Action: Engaging Discussions and Holistic Understanding
Additionally, the event addressed immediate needs by distributing dignity packs containing sanitary towels and personal essentials to the youth. This act underscored the importance of dignity and well-being, essential aspects of our mission at ICRHK. The event was not only an informative experience but also an entertaining and inspiring one, setting the stage for a future of youth-led advocacy and positive change.
Key to our approach is the use of comprehensive studies on GBV, which serve as the foundation for our youth-led advocacy efforts. Through these studies, young participants gain valuable insights into the root causes and prevalence of GBV, empowering them to craft powerful messages aimed at decision-makers and community leaders.
Fostering a Culture of Research: ICRHK's Journey with the Mombasa County Journal Club
In the bustling city of Mombasa, where the ocean breeze carries the promise of change and progress, a dedicated group of researchers and health professionals is actively shaping the future of health research. Among them stands the International Centre for Reproductive Health – Kenya (ICRHK), a beacon of innovation and compassion in the field of reproductive health. One of ICRHK’s flagship initiatives is its active involvement in the Mombasa County Journal Club, a collaborative platform that aims to cultivate a vibrant culture of health research within the County.
The Mombasa County Journal Club is a consortium of six esteemed organizations, including ICRHK, LVCT Health, the Aga Khan University, the University of Washington, Médecins Sans Frontières (MSF), and the Department of Health, Mombasa County. This diverse group of stakeholders meets monthly to engage in rigorous discussions, critically appraise research papers, and share best practices in health research. The Club serves as a hub for intellectual exchange, where ideas are nurtured, collaborations are forged, and innovative solutions to health challenges are born.
At the heart of our involvement in the Journal Club lies a deep commitment to excellence in research and a belief in the transformative power of knowledge sharing. Through our participation, we have not only contributed valuable insights and expertise to the Club but has also gained invaluable lessons and experiences from our peers. By engaging in constructive debates and peer reviews, we have refined our research methodologies, enhanced its analytical skills, and strengthened its ability to conduct high-quality research that directly impacts the health and well-being of communities. As a member of this dynamic community, we remain steadfast in our commitment to advancing health research and improving health outcomes for all in Mombasa County and beyond.
Building Capacity: ICRHK's Staff Empowered through Communication Workshop
In a quest to enhance their communication proficiency, the team at the International Centre for Reproductive Health-Kenya (ICRHK) convened for a two-day workshop at The Waterbuck in Nakuru. This workshop, held on April 17th and 18th, 2024, was not just an ordinary gathering; it was a transformative experience designed to equip participants with advanced communication skills and storytelling techniques, facilitated by a seasoned communications consultant.
The workshop’s curriculum was thoughtfully structured to cater to the diverse needs of the participants. They delved into various aspects of communication, including general communication skills, story spotting, and gathering, as well as phone photography. These sessions aimed to empower the staff to identify and select impactful stories that resonate with ICRHK’s mission and values.
One of the highlights of the workshop was the discussion on ethical storytelling. Participants were sensitized on the importance of telling stories responsibly, ensuring that the narratives they craft are not only engaging but also ethical and respectful. This aspect of the workshop resonated deeply with the staff, as it underscored the core values of integrity and empathy that guide ICRHK’s work.
The workshop also focused on enhancing verbal and non-verbal communication skills, providing strategies for effective written communication, including email etiquette. Participants were introduced to various communication channels and learned how to use them effectively. Additionally, the significance of communication in teams was emphasized, with tools provided for effective team communication.
As the workshop came to a close, the participants left with a renewed sense of confidence in their ability to craft compelling narratives and communicate effectively. The knowledge and skills acquired will not only benefit their individual growth but also contribute significantly to ICRHK’s communication endeavours. This workshop was more than just a capacity-building exercise; it was a testament to ICRHK’s commitment to excellence and innovation in communication.
The journey towards becoming powerful communicators aligned with the mission and values of ICRHK has just begun for the participants. Their stories will inspire change and drive the organization’s mission forward, creating a future where every voice is heard, and every story matters. Stay tuned for more updates as ICRHK continues to empower through effective communication.
Empowering Stories: Resident Enumerators Prepare for Impactful Survey in Nakuru County
In the bustling town of Nakuru County, the air is filled with anticipation as 107 resident enumerators (REs) gather for a transformative 4-day training session. These dedicated individuals are at the forefront of the PMA Agile 2.0 project, gearing up for the upcoming Women’s survey across Kakamega, Bungoma, Kiambu, and West Pokot counties.
A Journey of Empowerment
For Leah, a spirited Resident Enumerator from Kakamega County, this training is more than just a professional development opportunity—it’s a journey of empowerment. With a passion for community service and a drive to make a difference, Leah eagerly immerses herself in the training, absorbing every bit of knowledge shared.
Equipped with Skills, Fuelled by Passion
The training covers a range of essential topics, from listing and mapping to advanced interviewing techniques and research ethics. Each session not only equips the REs with the necessary skills but also ignites a fire within them to drive meaningful change in their communities.
Stakeholders Unite for a Common Cause
The success of the training is a testament to the collaboration and support of key stakeholders, including Johns Hopkins University (JHU), the National Council for Population and Development (NCPD), and the Kenya National Bureau of Statistics (KNBS). Their commitment to the project is unwavering, providing the necessary resources and expertise to ensure its success.
Leah’s Vision: Empowering Kakamega County
As Leah and her colleagues delve into the intricacies of the household and female questionnaires, her vision for Kakamega County becomes clearer. She envisions a future where every woman and girl has access to quality healthcare and information, where their voices are heard and their needs are met.
A Bright Future Ahead
As the training draws to a close, Leah and her fellow REs are not just armed with knowledge—they are fuelled by a shared purpose. Their journey has just begun, but their impact promises to be profound. Together, they are ready to embark on a mission to collect valuable data, empower their communities, and drive positive change.
Stay tuned for more stories of empowerment and impact as the PMA Agile 2.0 project unfolds across Kakamega, Bungoma, Kiambu, and West Pokot counties
Empowering Voices: The Art of Realizing Children's Rights
In every child’s heart lies a whirlwind of creativity, a unique perspective on the world that, when nurtured, can blossom into powerful expressions of identity, hope, and change. Recognizing this, we, the International Centre for Reproductive Health Kenya (ICRHK) have embarked on a transformative journey through the Linda Mtoto initiative, aimed at championing the rights of children by engaging them in one of the most universal language of all; art.
The Power of Participation
Promoting child participation is not just an activity; it’s a fundamental principle in realizing the rights of children as outlined in the Convention on the Rights of the Child. Participation allows children to express their views, be heard in matters affecting them, and play a role in decision-making processes. It’s about acknowledging children as active contributors to society, capable of inspiring change and advocating for their rights and the rights of others.
Art as a Medium for Expression
ICRHK’s initiative, under the banner of #LindaMtoto, leverages the power of art to give children a platform to express themselves, their dreams, and their understanding of their rights. This approach not only empowers children to be advocates for their rights but also provides a unique insight into their minds, showcasing their perspectives through drawings, paintings, and other art forms. By involving beneficiaries in this artistic endeavor, ICRHK is breaking down barriers to participation and giving voice to the most vulnerable members of society.
A Canvas for Change
The artworks created by these young artists are more than just pictures; they are messages to the world, illustrating their views on education, health, protection, and love. Through their art, children articulate their right to be protected from harm, their right to access education, and their right to be loved and cared for. These pieces serve as powerful advocacy tools, raising awareness about children’s rights and the importance of nurturing and protecting these rights.
The Impact of #LindaMtoto
The #LindaMtoto initiative has not only fostered a sense of confidence and self-worth among the children involved but also sparked conversations within communities about the importance of listening to and valuing the opinions and expressions of children. It has shown that when children are given the opportunity to participate and express themselves, they can contribute significantly to discussions about their rights and well-being.
A Call to Action
The journey of promoting child participation through art is just beginning. ICRHK invites educators, policymakers, parents, and communities at large to recognize and support the rights of children to express themselves. By providing platforms for these expressions, we can collectively work towards a world where every child is heard, respected, and valued.
The art created by these young voices serves as a vivid reminder of the importance of listening to and involving children in matters that affect them. It is through initiatives like #LindaMtoto that we can pave the way for a future where the rights of children are not just recognized but celebrated and protected.
As we move forward, let us all commit to being champions for children’s rights, encouraging and promoting their participation in all aspects of life. After all, in the brushstrokes of a child’s painting might just lie the blueprint for a brighter, more inclusive world.
Empowering Peer Educators: The Digital Revolution in Kenya's Healthcare
In a remarkable stride towards revolutionizing healthcare management and delivery in Kenya, a groundbreaking initiative is underway, thanks to the collaborative efforts of ICRH Kenya and the generous support from USAID Stawisha Pwani. This pioneering endeavor focuses on leveraging technology to enhance the quality of healthcare services, a move that is set to transform the landscape of medical record-keeping in the country through the Kenya EMR (Electronic Medical Records) system.
The Dawn of a New Era in Healthcare
At the heart of this transformative journey are our peer educators, the unsung heroes who are often on the frontline, making a direct impact on their communities. The beginning of the year marked a significant milestone in this quest as we hosted a special training session aimed at equipping these dedicated individuals with the necessary skills to navigate and utilize the Kenya EMR system effectively. But what exactly is Kenya EMR, and why is it a game-changer for Kenya’s healthcare system?
Kenya EMR is an innovative digital platform designed to modernize how medical information is managed, stored, and utilized across Kenya. This system is not just about transitioning from paper to digital records; it’s about enhancing the efficiency, accuracy, and accessibility of medical data, thereby significantly improving patient care and health outcomes.
Empowering Through Technology
Recognizing the critical role of our peer educators in this transformative process, we have equipped them with tablets, empowering them to streamline data collection processes for their peers. This not only simplifies their work but also ensures that the information collected is directly inputted into the Kenya EMR system, maintaining data integrity, and facilitating real-time access to health information.
This initiative is more than just an upgrade in technology; it’s a revolutionary approach to healthcare. By integrating the Kenya EMR system, we are not only streamlining data management but also enhancing our capabilities in promoting health awareness, facilitating preventive measures, and improving access to healthcare services.
A Vision for a Healthier Tomorrow
The deployment of the Kenya EMR system through the training and empowerment of peer educators signifies a leap towards a future where technology and healthcare go hand in hand. This initiative underscores our commitment to not just collecting data but using it as a tool to revolutionize healthcare, making it more accessible, efficient, and effective for everyone.
As we embark on this journey, we invite you to join us in embracing the power of technology to create a healthier tomorrow. It is through initiatives like these that we can truly make a difference, leveraging innovation to overcome the challenges facing healthcare delivery in Kenya and beyond.
The support from USAID Stawisha Pwani has been instrumental in this endeavor, and we are grateful for their commitment to improving healthcare through technological advancements. Together, we are setting the stage for a revolution in healthcare, one that promises better health outcomes and a brighter future for all Kenyans.
Join us in this exciting journey towards healthcare innovation. Your support and involvement are crucial as we strive to make a lasting impact in the lives of many. Here’s to a healthier, more empowered Kenya!
Breaking Barriers, Saving Lives: A Glimpse into the Maternal and Child Health Struggles of Homa Bay County
In the heart of Kenya lies Homa Bay County, a region grappling with some of the most challenging maternal and child health issues in the country. At the recent Homa Bay International Investment Conference (HOBIIC) 2024, a power panel led by Dr. Susan Ontiri, Country Director of ICRH Kenya, unveiled the stark realities faced by mothers and children in this region, shedding light on the urgent need for action and change.
Imagine a young mother, Mary (not her real name), in her early twenties, living in a rural village in Homa Bay. Mary has just given birth to her first child, a beautiful baby girl. However, Mary’s joy is overshadowed by the harsh reality of her surroundings. Homa Bay County has the highest rates of new HIV infections in Kenya, and Mary fears for her daughter’s future in a county where access to quality healthcare is a luxury.
Mary’s story is not unique. In Homa Bay County, gender-based violence (GBV) is on the rise, with many young girls like Mary experiencing abuse and exploitation. The county also faces a staggering 23% teenage pregnancy rate, leading to increased risks for both mothers and babies.
The statistics are alarming – maternal mortality in Homa Bay County is at 516 per 100,000 live births, and under-5 mortality stands at 92.2 per 1000 live births. These numbers paint a grim picture of the challenges faced by mothers and children in this region.
The power panel at HOBIIC 2024 brought together experts and stakeholders to discuss solutions to these pressing issues. One key focus was the need for a multisectoral response – collaboration across sectors such as health, education, and social services to address the complex challenges faced by the county.
Another crucial aspect discussed was the importance of policy support. By crafting and redefining policies, the county can drive impactful change in maternal and child healthcare, ensuring that mothers like Mary have access to the care and support they need.
Healthcare innovations were also highlighted, with panelists exploring groundbreaking approaches and technologies to improve maternal and child health outcomes. From innovative prenatal care to telemedicine solutions, the panelists emphasized the need for creative solutions to address the unique challenges faced by Homa Bay County.
Community engagement was identified as a key driver of change. By involving communities in healthcare decision-making and promoting health-seeking behaviors, the county can empower individuals like Mary to take charge of their health and the health of their families.
The power panel at HOBIIC 2024 ignited sparks of change and emphasized the urgency of addressing these issues to secure a healthier future for Homa Bay County. Through continued collaboration, innovative solutions, and community involvement, we can break barriers and save lives in Homa Bay County and beyond.
The stories of mothers like Mary remind us of the human cost of these statistics. Behind every number is a life, a family, and a community in need of support and care. By working together, we can make a difference and ensure that every mother and child in Homa Bay County has the opportunity to thrive.
Breaking the Silence: Addressing Sexual and Gender-Based Violence in Kenya
In Kenya, the stark reality is that up to 30% of girls and 18% of boys experience sexual violence by the age of 18 years. These harrowing statistics reveal a deep-seated issue that requires urgent attention and action. Sexual violence not only inflicts physical harm but also leaves lasting scars on mental health, often leading to increased mental health problems and substance abuse disorders.
At the International Centre for Reproductive Health-Kenya (ICRHK), our commitment to addressing Sexual and Gender-Based Violence (SGBV) is unwavering. Our research and interventions aim to uncover the underlying factors associated with SGBV and provide evidence to scale up quality prevention and response interventions. By understanding the links between individual and community factors, we can better tailor our interventions to meet the needs of survivors and prevent future occurrences.
One of our key initiatives is the Sexual and Gender-Based Violence Center at Coast General Teaching and Referral Hospital. This center provides comprehensive SGBV services and includes a newly launched child therapy room, ensuring that survivors of all ages receive the care and support they need to heal and rebuild their lives.
In addition to our clinical services, ICRHK is also actively involved in promoting school-based interventions. These interventions aim to build knowledge and empower young boys and girls about their rights to be protected from sexual violence. By educating and empowering the youth, we are laying the foundation for a future where SGBV is not tolerated, and survivors are supported.
The road ahead is challenging, but with each step forward, we are breaking the silence around SGBV and creating a safer, more inclusive society for all. Together, we can make a difference. Join us in our mission to end SGBV and ensure that every individual has the right to live free from violence and fear.
Breaking the Cycle of Exploitation: The Story of Linda Mtoto
In the bustling streets of Mombasa, Kenya, lies a hidden reality that often goes unnoticed – the commercial sexual exploitation of children (CSEC). This global concern has deeply impacted the lives of many, including young girls and boys who have fallen victim to this form of sexual violence.
According to the Violence against Children study (VAC Survey, 2019), alarming statistics reveal that nearly half of females and over half of males aged 18 to 24 have experienced sexual violence during childhood. Among these, CSEC stands out as a prevalent issue, particularly along the Coast, where poverty, neglect, and cultural norms have created fertile ground for exploitation.
Amidst these challenges, a beacon of hope shines through the Linda Mtoto project, a collaborative effort between the International Centre for Reproductive Health-Kenya (ICRH-K), Kindernothilfe (KNH), and the County Government of Mombasa. This initiative aims to combat CSE among children aged 10-17 in Mombasa County by identifying victims, creating strong community structures, and providing essential support.
One of the key strategies of the project is a community-based approach, leveraging the efforts of Community Health Volunteers and Child Protection Volunteers. Through their dedication and commitment, these volunteers work tirelessly to raise awareness, identify at-risk children, and provide support to survivors.
Additionally, the project takes a holistic approach by integrating life skills programs into schools, empowering children with the knowledge and tools to protect themselves. Institutional linkages ensure that children and caregivers receive the necessary support and services to heal and thrive.
The Linda Mtoto project also focuses on capacity building and community sensitization, ensuring that stakeholders are engaged and advocating for the protection of children. Education and vocational support are provided to child beneficiaries, offering them a path towards a brighter future.
As the project continues to make strides in combating CSE, it serves as a reminder that with unity and determination, we can break the cycle of exploitation and create a safer world for our children. The story of Linda Mtoto is not just one of intervention but of transformation, showing that through collective efforts, we can protect the innocence and dignity of our most vulnerable.
Transforming Lives: ICRHK's Impact in Reproductive Health, Maternal Health, and Family Planning
In the heart of Kenya, the International Centre for Reproductive Health-Kenya (ICRHK) is not just an organization; it’s a beacon of hope for women and families. We understand that reproductive health services are not just about health; they’re about empowerment, dignity, and the future.
At ICRHK, we’re dedicated to ensuring that every woman has access to quality family planning and maternal, newborn, and child health (MNCH) services. We believe that these services are not just essential for individual well-being, but for achieving broader development goals related to health, poverty reduction, gender equality, and environmental sustainability.
Our work goes beyond research and documentation; it’s about transforming lives. Through initiatives like the Performance Monitoring for Action (PMA) surveys and the Exemplars in Family Planning (FP) project, we’re not just collecting data; we’re shaping policies, improving services, and changing lives.
Our commitment to family planning is evident in our implementation of FP supply chain management activities. By rolling out an integrated logistics management information system, we ensure that FP commodities are available up to the last mile. This means that women in even the most remote areas have access to the contraceptives they need to plan their families and take control of their futures.
Our work doesn’t stop there. We’re also fighting against cervical cancer, one of the leading causes of cancer-related deaths among women in Kenya. Through early diagnosis, treatment of precancerous lesions, and access to advanced treatment, we’re working to reduce the burden of this disease and save lives.
In maternal health, our research on Birth Companion, Network of Care, and group Antenatal Care is not just about improving health outcomes; it’s about ensuring that every pregnant woman receives the care and support she deserves. By focusing on these areas, we’re not just improving health outcomes; we’re empowering women and communities.
At ICRHK, we’re not just a research institute; we’re a community of change-makers. We’re committed to continuing our work in reproductive health, maternal health, and family planning because we know that by investing in women’s health, we’re investing in a brighter future for all.
Nancy’s Resilience: A Tale of a Child-Headed Family in Jomvu Sub-County, Mombasa
When Nancy (not her real name) heard from the Community Health Volunteers that the Linda Mtoto project team would visit her in their home, she was so excited and eager to share her personal experience in the Commercial Sexual Exploitation of Children.
Nancy’s case was identified by one of the CHVs engaged in Linda Mtoto’s project in Jomvu Sub-County. Upon case assessment and verification, it was discovered that Nancy was not only a victim of CSE under survival sex but had also been neglected by her parents. Nancy is a child aged 17 and lives with her siblings in Narcol, an informal settlement in Jomvu Sub-county. She is the firstborn in a family of four: two girls and two boys. Unfortunately, she is a victim of family disintegration after her parents separated in 2013. The children were left behind with their father. Their mother’s whereabouts remain unknown to date. Nancy and her siblings live in a rental house where they pay a monthly rent of KSH1000. The house is connected to electricity but has no access to water. They are therefore forced to fetch water for domestic use from outside at a cost.
Nancy’s father does not have any reliable source of income and is an absentee parent. Sometimes the children do not know where their father spends the night, which causes anxiety among the children. Nancy also admits that the family relatives are present but are neither concerned about their welfare nor provisions.
Nancy, overwhelmed by family responsibilities, started engaging in in order to fend for her siblings. Life got tough. “Why do I have to go through all this?” Nancy asks, while nodding her head.
Nancy narrates the ordeal of being the sole breadwinner in the family as a child. She says that she really hates selling her body but blames the circumstances forcing the family separation. She sometimes fails to raise the rental fee of 1000/=. She is always pleading with the landlord, who is constantly threatening them with eviction. Nancy stated that she normally gets KSH150, which is too little to take care of their basic needs such as food, education, and clothing. Sometimes her clients force her to have sex without payment.
Nancy also recalls the numerous times that distant relatives (from her father’s side) would ask her for sex in exchange for a packet of maize flour.
Psychological support:
The Linda Mtoto Project offers structured psychosocial support to all enrolled children in the program. Counselors meet with children for 6 sessions over a period of 6 weeks. Topics discussed during the sessions include awareness of the emerging trends, e.g., online CSEC, child protection, self-awareness, self-esteem, effects of CSEC; effective communication, positive parenting, sex and sexuality, psycho-education and visioning.
Nancy was linked to counselors and received individual therapy for 7 weeks. ‘I learned the effects of engaging in CSEC and anger management,” says Nancy.
Current situation:
Nancy presently engages in casual work, offering laundry services to individuals for a fee, and selling groundnuts to school-going children as a means to support her siblings. She has affirmed that she no longer engages in CSEC activities after completing counseling. Furthermore, during Nancy’s formative years, her aspiration was to become a teacher. However, following visioning therapy sessions with her counselor, she discovered her true passion for beauty and hairdressing. Thanks to the support of the Linda Mtoto project, Nancy has been enrolled as a part-time student at the Mikindani Vocational Training Center. She is currently pursuing a course in beauty therapy and eagerly anticipates completing her training. Her goal is to utilize these newfound skills to enhance her family’s economic prospects.
A child’s wish:
Nancy really longs to see her family reconciled. She also longs to see her parents taking up their responsibilities, which include offering parental love to their children. This case was also reported to the children’s department and presented as neglect by the parents who are both alive.
Khadija's Journey: A Promise to Make Her Parents Proud Again
The jovial and ever-smiling 15-year-old “Khadija,” not her real name, ushered us into their homestead. She was standing alone as her siblings were playing with their friends behind their mud-thatched house. Neighbors kept on peeping from every corner perhaps eager to discover what was happening.
“Don’t mind them let’s proceed,” she said with a gentle voice. Khadija was brought up in Bombo, Kisauni Sub-County. Her father worked as a casual worker, and her mother was a vegetable hawker in the nearby estates. However, their stability took a hit when her father lost his job, the primary breadwinner for the family. This setback triggered an unfortunate cycle of domestic violence and the relentless intrusion of poverty.
“I scored highly in my Kenya Certificate of Primary Education (KCPE) and I was among the top students in my school,” said Khadija. Which year? “In 2020.” She proudly responded.
Life became more manageable, a far cry from the struggles they had faced before “My dad had become a better person, and we loved him. My mother was at peace too,” said Khadija. The children found solace and love from their parents again.
Khadija had been accepted into a provincial school in Makueni County. However, her parents struggled to gather the necessary tuition fees. Khadija’s father made a courageous decision to secure a loan from a local financier, ultimately securing Ksh100, 000. The jovial Khadija joined Ngumo Girls High School in 2021.
Peer pressure:
Khadija reflected, her voice gentle as she spoke, “All my friends had expensive shoes and plenty of shopping. I used to envy them. On visiting days, their parents would bring them delicious roasted chicken, pilau, and more shopping. My own parents couldn’t afford such luxuries. To add to it, some of my friends constantly bragged about having boyfriends waiting for them at home.”
Under the pressure of her peers’ expectations, Khadija felt compelled to find herself a boyfriend during the holiday season. Unfortunately, it didn’t take long before she found herself pregnant, forcing her to discontinue her education. Her father was furious, especially since he had taken out a loan to pay for her tuition. He made the tough decision never to send her back to school again.
Psychological support:
The Linda Mtoto Project delivers a structured program of psychosocial support to all the children enrolled in the project. Each child participating in the project undergoes a 6-week period of 2-hour group sessions. These sessions cover a range of important topics, including awareness of emerging trends like online CSEC (Child Sexual Exploitation and Abuse), child protection, self-awareness, self-esteem, the consequences of CSEC, effective communication, positive parenting, sex and sexuality education, and psycho-education to equip children with better-coping mechanisms for various life situations.
Khadija was identified by trained community health volunteers associated with the Linda Mtoto project in April 2021. After thorough verification, she was connected with counselors who provided her with six counseling sessions.
Reflecting on her experience, Khadija shared, “Following the counseling sessions, I took the initiative to seek forgiveness from my parents, although my dad initially resisted. I also made the tough decision to end my relationship with my boyfriend. During the counseling sessions, I gained insights into the consequences of CSEC, dealing with peer pressure, and I felt empowered about my rights.“
Family-centered therapy intervention:
In June 2021, Khadija’s dad was linked to the Linda Mtoto counselors for psychosocial support. The family-centered therapy intervention focuses on improving family communication, raising awareness about child protection, and emphasizing individual psychological assistance for adults who are distressed in adversity-stricken communities.
‘By the time I was participating in this intervention, I was completely crushed by my daughter’s behavior. I had thought of chasing and disowning her. She had really embarrassed my family in the whole community. I thought my problems were the most complicated on earth. However, during the therapy sessions, I met other caregivers/parents who shared their experiences, and I realized that I wasn’t the only one with such problems. Some of their challenges were more complicated than mine, “says Khadija’s father.
Khadija’s father was engaged in different therapeutic problem-management sessions to reduce his anxiety disorders. Weekly phone calls and supervision were also conducted to provide him with the necessary support.
“When I started listening to other people’s experiences, I started consoling myself. The Linda Mtoto project staff gave me all the necessary support for my healing journey. I decided to give my daughter a second chance. I took her back to school and we decided to take care of the child. The man who was responsible for her pregnancy took off immediately when he heard Khadija was expectant. I embraced her despite what had happened. I built trust and now she is always open with me. I felt empowered and I started to detach myself from my worries. I apologized to my Khadija and we are a happy family again,” he says.
Education support:
The Linda Mtoto project provides tailored educational and vocational assistance to children based on their individual needs. This assistance is extended following a comprehensive assessment of each child, conducted by both project staff and community health volunteers. Khadija was one of the children who received educational support amounting to 20,900 Kenyan Shillings.
Expressing her gratitude, Khadija declared, “I am deeply grateful for this support, and I am committed to making my parents proud.”
Khadija remained true to her promise, emerging as one of the top students in her class with an impressive B grade. Her father was overjoyed with pride. Presently, Khadija serves as a role model within the Majaoni children’s support groups.
Entrepreneurship (management of finances, savings, and increasing household income) Intervention:
In August 2021, the Linda Mtoto project organized and provided assistance for an entrepreneurship and financial literacy training program. Khadija’s father was among the beneficiaries. The two-day was conducted by experts from the Women’s Enterprise Fund and representatives from the Ministry of Agriculture. The curriculum covered various topics, including group formation, value addition, agribusiness, soft skills, bookkeeping, savings, and connections to government funding sources.
“We learned how to generate capital, how to start small businesses as well as keeping sale records. A week after the training, I expanded my charcoal business. We also formed a group with other participants and registered it through the Ministry of Social Services. Currently, we are in the process of applying for a government loan worth Kenya Shillings 100000,” says Khadija’s father.
Khadija concludes our interview by affirming “I’m content knowing my child is being well cared for by their parents, and I’m also performing well in school.”
Faida's Journey: From Survival to Leadership: The Inspiring Case Story of Kenya Children Assembly's National Deputy Speaker
In the heart of Majoni, Kisauni Sub County, a story unfolds that exemplifies the power of determination and resilience. It’s the story of a young girl, whom we will refer to as ‘Faida,’ whose journey from a life of uncertainty to becoming the National Deputy Speaker of the Kenya Children Assembly (KCA) is nothing short of inspiring.
The principles of the Convention on the Rights of the Child (CRC), the new Children Acts of 2022, and the Kenyan Constitution all share a common vision: to ensure children’s voices are heard, their rights are upheld, and their participation in decision-making processes is valued. In 2010, the Kenyan Constitution laid the foundation for the creation of Children’s Assemblies, and one such assembly, the Kenya Children Assembly (KCA), was established in 2011. The primary objective of KCA was to amplify the voices of children, providing them with a platform to express their views and concerns. To achieve this, operational guidelines were formulated by the Directorate of Children Services, with the ultimate aim of reaching marginalized children, and ensuring their participation in shaping their own futures.
Faida, a 16-year-old girl from Majoni, was one such child who found herself at a crossroads. A community health volunteer identified her as a young girl engaged in survival sex, and it was evident that she carried the weight of uncertainty about her future. Faida was subsequently connected with a counselor for psychosocial sessions, where she completed six counseling sessions. These sessions ignited a transformation within her, and she made a resolute decision to turn her life around.
Her parents who were peasant farmers, had faced their fair share of challenges. Prolonged droughts had forced them to scale down their farming activities after their wells dried up. Despite these hardships at home, Faida was unwavering in her determination to create a better future for herself. Her dream was to become an officer in the Kenya Defense Force, and she actively participated in children’s support groups, often taking on leadership roles and engaging enthusiastically in group activities.
On April 11, 2022, children from Kisauni Sub County came together to elect their representatives who would champion child protection policies within the Kenyan Children Assembly. The KCA allows children aged 7 to 17 to exercise their civic duties by electing their peers to represent them at the national level. Those elected serve for a term of two years, with the possibility of re-election for a second term. The children’s assembly empowers children to participate in decision-making, policy formulation, planning, and implementation of activities affecting them.
Faida’s boldness shone through, and she was elected as the Speaker of Kisauni Sub County. Her words reflected her sense of honor, “I felt honored to be called an Honourable member. This challenged me that if I work hard in school, one day I can make it to parliament.” Following this, the elected children leaders embarked on a national election in Nairobi in December 2022. This national election was highly competitive, but Faida’s determination and commitment to leadership saw her elected as the Kenya Children Assembly National Deputy Speaker. She shared her excitement, “I’m honored and am looking forward to participating in decision-making, policy formulation, planning, and implementation of child-affected activities and issues affecting them.”
Faida’s journey from a life of uncertainty to becoming the National Deputy Speaker of the Kenya Children’s Assembly exemplifies the transformative power of providing children with opportunities to participate in decision-making processes. It empowers them to make informed choices, express their views, and claim their rights, including the right to be protected from harm. Faida’s story is a testament to the importance of enabling children to be active participants in shaping their futures, ensuring that no child’s voice goes unheard.
