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Medical Services
Helping the most vulnerable portion of population with medical services is our main priority recently GAAP has assisted more than Three hundred families with medical services in Somalia Refugee camp. Patients have been treated so far (From Sep 2011 until March 2012) and more than $135,000 worth of medicines and medical supplies has been provided to deserving poor. Primary Health care Maternal, child HealthCare, Immunization, Health Education, and Awareness Prevention of Blindness, and Ambulance Service, Diagnostic help Management of Chronic Disease.

OVC and PLWHA Support in Kenya

  • Introduction

Global Aid against Poverty (GAAP) has been operating in Somalia, Kenya and Ethiopia, the surrounding countries since 1993 undertaking an emergency relief, rehabilitation, eliminating poverty, and development activities. GAAP is a project of Action without Borders, a non-profit organization, 
GAAP is also registered in Washington State with Secretary of State as a Charitable Organization .The mission of GAAP is to insure that every human being has an access to safe drinking water, sanitation, health service and improve hygiene education in rural areas, particularly to women and   children. GAAP also supports local communities that can plan, implement, and maintain greater levels of health, safety, and self-sufficiency.

2.0 Problem Statement
Seventy percent of all new HIV infections take place in Africa(UNAIDS,2003) and there can be no doubt that HIV/AIDS is no longer only a public health challenge, and it is having a devastating impact on the continent. Poverty, lack of adequate medical facilties,inadequate education, cultural/social barriers and political inertia are but a few of the complex factors that facilitate the spread of this disease which is undermining the hard-won economic and social gains that many African countries were able to make in the last two to three decades(IBRD/World Bank,2009). Kenya has gone through different phases of national response to the HIV pandemic: widespread denial in the late 1980s and early 1990s, adoption of a multisectoral policy in the mid 1990s, and strong government leadership and political commitment since the year 2007.  Despite the major strides that have been made to prevent and control HIV/AIDS, the pandemic still has a solid grip in the country and continues to reverse the gains made in key health measures and in many sectors of the economy. With this is the ever increasing number of OVC, the government estimates that there is a total of 1.8 Million OVC in Kenya die to HIV and AIDS (National Aids Control Program).
The recent 2009 Kenya Aids Indicator Survey shows the HIV prevalence standing at 7.4% meaning a total of 1.4 million people are infected. The report further indicates that 75% of Kenyans live in rural areas among which 7% are infected with HIV/AIDS. Though the prevalence rate in rural areas is lower than in urban areas, the greatest burden of the disease is in rural areas. This means more parents in the rural areas are dying or are put down by HIV and AIDS and they are unable to properly care for the children. There is an increasing number of children being taken care of by relatives especially grandmothers and in some cases child headed families have been experienced. 
The impact of HIV/AIDS is pervasive and far-reaching, affecting individuals and communities not only psychologically but also economically and socially. Families lose their most productive members productive members to this disease, leaving children and widows without means of support. The high cost of the disease wreaks havoc within communities where the already fragile structures are not capable of absorbing further strain. Households fall into deeper poverty, economies stumble.

3.0 Targeted Beneficiaries
The primary beneficiaries will be the Muslim orphans and children made vulnerable by HIV and AIDS living in Kenya. These children are engulfed in poverty, which makes them vulnerable to abuse, and exploitation . The secondary beneficiaries who include the families, guardians and caregivers of these OVC shall be playing a great role in ensuring that the OVC benefits from the program. Their success in proper management of the income generating projects and active participation in PLWHA support groups will be paramount in ensuring that project meets its objective.
4.0 Goal
To expand equitable, effective, and high-quality OVC programs in education support, Psychosocial Support (PSS), and home-based care for children and families affected by HIV and AIDS for rapid expansion and sustainability and reduce its negative economic and social impact.

 5.0 Objectives

  1. Identify and support PLWHA groups in Kenya with direct support to OVC and caregivers.
  2. Build the capacity of 100 peer groups to enhance the quality of essential services delivered to OVC.
  3. By May 2010 provide direct support to 5000 OVC covering the ‘6 plus one’ services essential for OVC.
  4. By July 2010, train and capacitate community leaders in Kenya in advocating against stigma denial and discrimination.
  5. By December 2010 Support the formation of 8 VCT and peer counseling centers to advocate for the OVC in access to devolved grants from the central government aimed at assisting OVC.
  6. To promote Behavior Change practices and life skills training to 400 OVC

6.0 Overview of Activities

The following summarizes broadly the types of activities being implemented across the country in line1 with the overall goal of the project. The project objectives will be subdivided into three key result areas:

6.1 Building the Capacity of  Muslim Community Leaders and Caregivers to care for OVC in the ‘six plus one’ services through PSS and Home Based Care provision training.
Care and support will thus be provided through direct assistance on educational, nutritional and psychosocial support in order to ensure the future of the child.


  • Support 1,200 OVC with educational support through 50 congregations(muslims)
  • Procure and provide scholastic materials to 1,800 OVC through 40 meetings
  • Train 160 Muslim community leaders to reach 3,000 OVC with anti-SDD and advocacy messages.
  • Support formation of 6 VCT and peer counseling centers which will be engaged in advocacy and awareness activities that focus on proper utilization of devolved funds meant to support OVC.
  • Convening of the peer counseling centers meeting on OVC for 300 leaders to review progress on OVC advocacy.
  • Training of 600 care givers on Home Based Care and psycho-social support skills and provide them with basic support to support 1,800 OVC.

6.2 Strengthen participation in caring for the OVCs through the support of PLWHA peer groups and empowering OVC guardians economically in order to prolong the parent-child relationship


    • Support formation of 50  PLWHA support groups with IGA seed funds to do local agri-business (e.g. Kitchen gardens, goat rearing) and skills driven (tailoring, nutritional flour making) commercial activities.
    • Provide support to 20 existing PLWHA support groups by providing training and income generating projects.
    • Train and support 100 guardians taking care of 300 OVCs in IGAs and provide them with start up capital.
    • Support CBOs to provide direct assistance to 100 parents reaching 2,000 OVC directly in at least two essential services including vocational training for older OVC.

6.3 Behavior Change communication and life skills training


  • Train and support over 60 older OVC in economic empowerment skills and provide them with start up capital.
  • Train 100 Muslim community leaders in HIV and AIDS mitigation.
  • Train 300 OVC in life skills.  The lay leaders will extend their information to others through the peer counseling centers.
  • The project will support 20 CBO’s to identify 40 youth who are no longer in school to undertake training in skills that will provide employment opportunities. Both male and female participants will be included in the vocational training programs

7.0 Implementation strategy
GAAP will adopt the congregation model for this project. The congregation model is premised on the fact that in most Kenyan communities, the mosque for Muslims is the first abode for the disadvantaged. These places of worship have an established congregation (worshippers) within a given geographical area and they have structures and mechanisms of reaching them.

Further, through the places of worship initiatives the social and economic status of the worshippers is known. Most of these congregations already have existing initiatives targeted towards alleviating the suffering of the OVC, People Living with HIV and AIDS (PLWHA) and others affected community members. These initiatives include food nutritional and educational support for the OVC, PLWHA support groups, Support of the guardians in small-scale income generating activities. It is through this congregational approach that GAAP shall reach the orphans and vulnerable children and other people infected and affected by HIV and AIDS.

GAAP shall partner with the different faith communities and other organizations dealing with OVC and PLWHA in reaching out to assist orphans and other vulnerable children affected by HIV and AIDS through the religious coordinating bodies. The religious coordinating bodies shall be involved in identifying the various congregations within their community, which have existing and sound OVC intervention projects to work with. This project deals specifically with the Muslim faith communities in Kenya. These communities shall enhance existing initiatives, which seek to deepen the community support system, which ordinarily ensures the survival and continuity of the community. These include support of the guardians economically, assisting the OVC in education, shelter, nutritional supplement and clothing.

8.0 Timelines
The project will take a maximum 7 months which will be divided into three quarters of two months each and a month for report consolidation and communication.

  • The first week of the project will consist of ensuring that proper systems and structures for efficient management of the project have been established. This shall included training the beneficiaries on the various aspects of project management, financial accounting, monitoring and evaluation and reporting guidelines. Disbursement of funds shall also be done during this period.


  • The next three weeks into the project will be utilized in developing and strengthening OVC support strategies and themes to be shared with the congregation for use. Monitoring shall be on going through out the project implementation. Congregational implementation and faith based consultations meetings will commence in the fourth week of the project.
  • The training of community leaders will take place during the third week of every month. The congregations will start submitting their 1st phase report in the 6th week of the project implementation and subsequently after every three weeks during the duration of the project.


9.0 Outputs

  • CBOs fully coordinating the responses of their members.
  • 210 activities scaled up and providing assistance directly to 5000 OVC and indirectly to over 6,000 OVC.
  • Regular messages of compassion and inclusion of OVC and PLWHA delivered to the peer counseling centers.
  • 50 PLWHA support groups formed and enhancement of 20 existing PLWHA support groups.
  • Improved capacity of the CBOs on advocacy for orphans and other children made vulnerable by HIV/AIDS
  • Greater acceptance within the society and reduced stigma on those affected and infected by HIV/AIDS through 160 community leaders trained
  • Greater understanding by the leadership on the plight of OVC and the roles they can play to alleviate the situation through the 8 peer counseling centers formed with direct membership of 300 community leaders and a further 1500 lay leaders reached indirectly.  This will ensure the sustainability of support to the OVC after the end of the project.
  • Easier access to psycho-social support offered by the community leaders/lay leaders by the community through the training of caregivers.

10.0 Indicators

  • Number of OVC directly benefiting from the project.
  • Number of income generating activities initiated and operating successfully.
  • Number of households that are self-sustaining on basic needs
  • Number and nature of advocacy activities carried out.
  • Number of people using counseling services.
  • Number of OVC acquiring life and vocational skills.


11.0 Reporting and Documentation
Reporting of all program aspects including M&E will be handled by National Muslim Youth Forum (NAMYF). This will be done by first collecting raw data from the field and analyzing them using internal resources and capacity. The raw data will also be available for stakeholders and partners who may want to use them.

12.0 Budget
This proposal seek support for KSh.19, 877, 000 (US$265,026) to support 5,200 OVC which is equivalent to US$50 per OVC served.  This is well within the effective unit costs of a comprehensive care and support program for OVC in the country.  In this proposal the overhead costs are only 11.3% of this total budget which means that nearly 90% of the expenses will go towards supporting the OVC, the care givers and community support structures.
13.0 Risks and Risk Management
The major risk in this project is managing the expectations of target groups amid the current National situation in Kenya (i.e. famine, hunger). There may be more numbers intended to be reached and more OVC risk to be left out due to the short time frame in implementation and a lack of a baseline survey to determine the areas of absolute need. There will be (as already is) increased pressure from the communities for support for relief interventions.
14.0 Conclusion
There are a  lot of activities being undertaken by other organizations at the congregational level that have several strengths including availability of implementation and management infrastructure, values that motivate the personnel and activities, and their deep roots within the communities that inspire trust among their congregations. It is widely acknowledged that responses need to be improved (through scaling up) and coordinated (to align with national/recommended priorities and targets).
GAAP has developed simplified funding mechanisms that ensure the minorities are not left out due to capacity challenges associated with the project cycle management. These recognize and exploit local decision making structures and channel small but significant amounts of resources over longer periods. Local networking is thus key in enhancing linkages and establishing community referral structures that draw together efforts at the congregational level to respond to the OVC plight through congregations and support groups .The ripple effects are guaranteed to transform the lives of more OVC indirectly.

1 National program guidelines on orphans and other children made vulnerable by HIV/AIDS March 2003
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