DOCSLIB.ORG

Usaid Afya Pwani Quarterly Progress Report

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Usaid Afya Pwani Quarterly Progress Report USAID AFYA PWANI QUARTERLY PROGRESS REPORT JULY-SEPTEMBER 2017 This publication was produced for review by the United States Agency for International Development. It was prepared by Dr Eileen Mokaya, Chief of party, Afya Pwani. USAID AFYA PWANI FY 2017 Q4 PROGRESS REPORT 1st July 2017– 30th September 2017 Award No: Aid-615-C-16-00002 Prepared for Mr. Vincent Ojiambo United States Agency for International Development/Kenya C/O American Embassy United Nations Avenue, Gigiri P.O. Box 629, Village Market 00621 Nairobi, Kenya Prepared by Pathfinder International-Kenya The Watermark Business Park, Karen, Fountain Court, 1st Floor Ndege Road, off Langata Road P. O. Box 1996 – 00502 Karen NAIROBI, KENYA Office : +254-20-3883142/3/4 Mobile : +254-733-618359/+254-722-516275 Fax : [+254 20] 2214890 www.pathfinder.org DISCLAIMER The authors’ views expressed in this report do not necessarily reflect the views of the United States Agency for International Development or the United States Government. USAID AFYA PWANI PROGRESS REPORT Q4 July-September 2017 i I. AFYA PWANI EXECUTIVE SUMMARY ................................................................................... 7 II. KEY ACHIEVEMENTS (QUALITATIVE IMPACT) ................................................................. 10 SUB-PURPOSE 1: INCREASED ACCESS AND UTILIZATION OF QUALITY HIV SERVICES10 Output 1.1: Elimination of Mother to Child Transmission (eMTCT):....................................................................... 10 Output 1.2: HIV Care and Support Services ............................................................................................................. 18 Output 1.3: HIV Treatment Services ........................................................................................................................ 22 Output 1.4 HIV Prevention and HIV Testing and Counseling ................................................................................... 31 Output 1.5: Tuberculosis/HIV Co-infection Services ............................................................................................... 34 SUB-PURPOSE 2: INCREASED ACCESS AND UTILIZATION OF FOCUSED MNCH and FP, WASH and NUTRITION ..... 38 Output 2.1: Maternal, Newborn and Health services ............................................................................................. 39 Output 2.2: Child Health Services ........................................................................................................................... 45 Output 2.3 Family Planning Services and Reproductive Health (FP and RH) .......................................................... 47 Output 2.4 Water, Sanitation and Hygiene (WASH) ............................................................................................... 53 Output 2.5 Nutrition................................................................................................................................................ 57 SUB-PURPOSE 3: STRENGTHENED AND FUNCTIONAL COUNTY HEALTH SYSTEMS ................................................ 62 Output 3.1 Partnerships for Governance and Strategic Planning ...................................................................... 62 Output 3.2: Human Resources for Health (HRH)..................................................................................................... 66 Output 3.3 a): Health Products and Technologies (HPT)......................................................................................... 67 Output 3.3 b): Health Products and Technologies- Facility Report ......................................................................... 70 Output 3.4: Monitoring and Evaluation Systems .................................................................................................... 74 III. ACTIVITY PROGRESS (QUANTITATIVE IMPACT) ............................................................ 76 IV. CONSTRAINTS AND OPPORTUNITIES ................................................................................. 77 V. PERFORMANCE MONITORING................................................................................................ 79 VI. PROGRESS ON CROSS CUTTING THEMES: GENDER AND YOUTH ................................ 90 VII. PROGRESS ON ENVIRONMENTAL MITIGATION AND MONITORING ......................... 97 VIII. PROGRESS ON LINKS TO OTHER USAID PROGRAMS ................................................... 97 IX. PROGRESS ON LINKS WITH GOK AGENCIES ...................................................................... 98 X. PROGRESS ON USAID FORWARD ........................................................................................... 99 XI. SUSTAINABILITY AND EXIT STRATEGY ............................................................................. 99 XII. SUBSEQUENT QUARTER’S WORK PLAN ................. ERROR! BOOKMARK NOT DEFINED. USAID AFYA PWANI PROGRESS REPORT Q4 July-September 2017 ii XIV. ACTIVITY ADMINISTRATION .......................................................................................... 101 XV. SUCCESS STORIES ................................................................................................................. 101 Figure 1 Number of ANC Clients Tested for HIV Oct 2016-Sept 2017 ...................................... 10 Figure 2 PMTCT HAART and HEI Prophylaxis Oct 2016-Sept 2017 ........................................ 12 Figure 3 RTK reporting rates July -Sept 2017................................................................................ Figure 4 ART uptake for pregnant women and HEI prophylaxis July –Sept 2017 ...................... 14 Figure 5 Comparing Q4 TX_CUR against APR targets ............................................................. 23 Figure 6 Afya Pwani Treatment Cascade ....................................................................................... Figure 7 Test and Start July -Sept 2017 ..................................................................................... 24 Figure 8 Afya Pwani Improved VL uptake Oct 2016-Sept 2017 ................................................ 27 Figure 9 Trend Analysis for the 1st and 4th ANC Visits October 2016 to September 2017 39 Figure 10 Trends in SBA and live births October 2016-June 2017 ............................................. 43 Figure 11 Trends in maternal deaths, stillbirths and Neonatal deaths October 2016 and September 2017 44 Figure 12 Trends in Child Health Indicators October 2016-September 2017 .............................. 45 Figure 13 : Trends in Diarrhea Cases Managed at facilities in the 7 sub-counties for Oct 2016 to June 2017 .................................................................................................. 46 Figure 14 Uptake of FP Services, New clients and re-visits for Oct-Dec 2016, Jan-Mar 2017, Apr-Jun 2017 ................................................................................................ 47 Figure 15 Trends in FP method mix for the period Oct 2016 – June 2017 .................................. 48 Figure 16 Trends in CYP for October 2016 – September 2017 .................................................. 48 Figure 17 Distribution of CYP by Method for October 2016 – September 2017 ......................... 49 Figure 18 Contraception commodity reporting trends (June 2016 - May 2017) .......................... 53 Figure 19 Afya Pwani Underweight Trend Analysis Oct 2016- Sept 2017 ................................. 61 Figure 20 Stunting Trends Oct 2016- Sept 2017 ........................................................................ 62 Figure 21 Health Budgetary Allocation for FY 2015/16, 2016/17 and 2017/18 for Kilifi, Kwale, Lamu, Mombasa and Taita Taveta Counties ............................................... 64 Figure 22: Mombasa Indicator tracking data by County TWG ................................................... 68 Figure 23 HIV Laboratory Commodity Reporting Rates ............................................................ 68 Figure 24 Coast DHIS2 Commodity reporting rates................................................................... 69 Figure 25 Kongowea Health Center Commodity Management Performance .............................. 71 Figure 26 Kisauni Health Center Commodity Management Performance ................................... 72 Figure 27 Comparative Commodity Management Indicator Analysis for Afya Pwani Facilities Visited Twice (Q1 to Q4) ........................................................................ 73 Figure 28 Comparison of EMR DQA Findings .......................................................................... 74 Figure 29 Comparison of 1st and 4th ANC ................................................................................ 76 Figure 30 FY 17: Average Annual Reporting Rates for Major Reports ............................................. Figure 31 Kwale County EMR Uptake August 2017 ................................................................. 90 USAID AFYA PWANI PROGRESS REPORT Q4 July-September 2017 iii ACRONYMS AND ABBREVIATIONS AIDS Acquired Immune Deficiency Syndrome ANC Antenatal Care APH Antepartum Hemorrhage APHIA AIDS, Population and Health Integrated Assistance APHIAplus AIDS, Population and Health Integrated Assistance-People-centered, local universal access and sustainability ART Antiretroviral Therapy ARV Antiretroviral ASRH Adolescent Sexual Reproductive Health AYLHIV Adolescents and Youth Living with HIV AYSRH Adolescent and Youth Sexual Reproductive Health BEmONC Basic Emergency Obstetric and Newborn Care CASCO County AIDS and STI Control
Load more

Recommended publications
  • Taita-Taveta Anthropometric and Mortality Survey
    ATHROPOMETRIC AND MORTALITY SURVEY TAITA-TAVETA COUNTY (VOI, MWATATE, WUNDANYI AND TAVETA DISTRITCS) KENYA FINAL REPORT JULY 2011 Onesmus Muinde Nutrition Consultant [email protected] Survey done by World Vision in collaboration with Ministry of Health of Health and ARIDLANDS 0 | Taita-Taveta County July 2011 ACKNOWLEDGMENTS We would like to acknowledge the following: UNICEF for funding the survey report World Vision Kenya for proving transport and logistical support Provincial administration in Taita-Taveta County , for their guidance to ensure smooth flow of the survey, Ministries of Medical services and Public Health and ARID lands for their participation in the survey. The local surveyors for their resolute efforts, in contributing towards fulfilment of the survey objectives, Final but not least, appreciation goes to caretakers, local authorities, and community leaders without whose cooperation and assistance the survey objectives could not have been realized. 1 | Taita-Taveta County July 2011 Table of content ACKNOWLEDGMENTS ............................................................................................................. 1 Table of content ............................................................................................................................ 2 List of Tables .................................................................................................................................. 4 List of Figures ...............................................................................................................................
    [Show full text]
  • Pollution of Groundwater in the Coastal Kwale District, Kenya
    Sustainability of Water Resources under Increasing Uncertainty (Proceedings of the Rabat Symposium S1, April 1997). IAHS Publ. no. 240, 1997. 287 Pollution of groundwater in the coastal Kwale District, Kenya MWAKIO P. TOLE School of Environmental Studies, Moi University, PO Box 3900, Eldoret, Kenya Abstract Groundwater is a "last-resort" source of domestic water supply at the Kenyan coast because of the scarcity of surface water sources. NGOs, the Kenya Government, and international aid organizations have promoted the drilling of shallow boreholes from which water can be pumped using hand- operated pumps that are easy to maintain and repair. The shallow nature and the location of the boreholes in the midst of dense population settlements have made these boreholes susceptible to contamination from septic tanks and pit latrines. Thirteen percent of boreholes studied were contaminated with E. coli, compared to 30% of natural springs and 69% of open wells. Areas underlain by coral limestones show contamination from greater distances (up to 150 m away) compared to areas underlain by sandstones (up to 120 m). Overpumping of the groundwater has also resulted in encroachment of sea water into the coastal aquifers. The 200 ppm CI iso-line appears to be moving increasingly landwards. Sea level rise is expected to compound this problem. There is therefore an urgent need to formulate strategies to protect coastal aquifers from human and sea water contamination. INTRODUCTION The Government of Kenya and several nongovernmental organizations have long recog­ nized the need to make water more easily accessible to the people in order to improve sanitary conditions, as well as to reduce the time people spend searching for water, so that time can be freed for other productive economic and leisure activities.
    [Show full text]
  • County Urban Governance Tools
    County Urban Governance Tools This map shows various governance and management approaches counties are using in urban areas Mandera P Turkana Marsabit P West Pokot Wajir ish Elgeyo Samburu Marakwet Busia Trans Nzoia P P Isiolo P tax Bungoma LUFs P Busia Kakamega Baringo Kakamega Uasin P Gishu LUFs Nandi Laikipia Siaya tax P P P Vihiga Meru P Kisumu ga P Nakuru P LUFs LUFs Nyandarua Tharaka Garissa Kericho LUFs Nithi LUFs Nyeri Kirinyaga LUFs Homa Bay Nyamira P Kisii P Muranga Bomet Embu Migori LUFs P Kiambu Nairobi P Narok LUFs P LUFs Kitui Machakos Kisii Tana River Nyamira Makueni Lamu Nairobi P LUFs tax P Kajiado KEY County Budget and Economic Forums (CBEFs) They are meant to serve as the primary institution for ensuring public participation in public finances in order to im- Mom- prove accountability and public participation at the county level. basa Baringo County, Bomet County, Bungoma County, Busia County,Embu County, Elgeyo/ Marakwet County, Homabay County, Kajiado County, Kakamega County, Kericho Count, Kiambu County, Kilifi County, Kirin- yaga County, Kisii County, Kisumu County, Kitui County, Kwale County, Laikipia County, Machakos Coun- LUFs ty, Makueni County, Meru County, Mombasa County, Murang’a County, Nairobi County, Nakuru County, Kilifi Nandi County, Nyandarua County, Nyeri County, Samburu County, Siaya County, TaitaTaveta County, Taita Taveta TharakaNithi County, Trans Nzoia County, Uasin Gishu County Youth Empowerment Programs in urban areas In collaboration with the national government, county governments unveiled
    [Show full text]
  • Presentation on the 5Th Inter-Regional Meeting Of
    PRESENTATION ON THE 5TH INTER‐REGIONAL MEETING OF NATIONAL COMMISSIONS FOR UNESCO TO BE HOSTED IN KENYA, 19‐21 JUNE 2018, DIANI, KENYA By: Dr Evangeline Njoka, MBS Secretary General, Kenya National Commission for UNESCO 11th April, 2018 Where is Kenya? Venue for Meeting • The Leisure Lodge Beach and Golf Resort situated on the World famous Diani Beach on the Kenyan Coast, south of Mombasa. • Diani Beach voted as one of the top ten beaches in Africa in 2017. • Diani is a comfortable and safe area, which regularly hosts national and international conferences, as an alternate for Nairobi and Mombasa. LOCATION OF LEISURE LODGE & GOLF RESORT 42.5 KM from Moi International Airport Approx: 1 h 37 min by road; 15 min from Ukunda Airtrip Kenya Visa Application • Kenyan visa costs about $50 USD • Kenya visa application process automated since April 2015. • Delegates are required to apply online through: http://evisa.go.ke/evisa.html • Inasmuch as the visa takes 2 to 5 working days, one is encouraged to apply in good time. Travelling to Diani, Kenya (1) Visa Application…contd • Passports should be valid for a period of at least six months after the date of arrival. • For some countries visa is not required if the stay is less than 90 day. • Also delegates from some few countries cannot make visa application online, so they must visit the nearest Kenya embassy / consulate. • For more information including on countries exempted, please see https://immigration.ecitizen.go.ke/index.php?id=6 Travelling to Diani, Kenya (2) • Most flights from Europe and Asia fly to Jomo Kenyatta International Airport (JKIA), Nairobi, a Regional hub.
    [Show full text]
  • National Drought Early Warning Bulletin June 2021
    NATIONAL DROUGHT MANAGEMENT AUTHORITY National Drought Early Warning Bulletin June 2021 1 Drought indicators Rainfall Performance The month of May 2021 marks the cessation of the Long- Rains over most parts of the country except for the western and Coastal regions according to Kenya Metrological Department. During the month of May 2021, most ASAL counties received over 70 percent of average rainfall except Wajir, Garissa, Kilifi, Lamu, Kwale, Taita Taveta and Tana River that received between 25-50 percent of average amounts of rainfall during the month of May as shown in Figure 1. Spatio-temporal rainfall distribution was generally uneven and poor across the ASAL counties. Figure 1 indicates rainfall performance during the month of May as Figure 1.May Rainfall Performance percentage of long term mean(LTM). Rainfall Forecast According to Kenya Metrological Department (KMD), several parts of the country will be generally dry and sunny during the month of June 2021. Counties in Northwestern Region including Turkana, West Pokot and Samburu are likely to be sunny and dry with occasional rainfall expected from the third week of the month. The expected total rainfall is likely to be near the long-term average amounts for June. Counties in the Coastal strip including Tana River, Kilifi, Lamu and Kwale will likely receive occasional rainfall that is expected throughout the month. The expected total rainfall is likely to be below the long-term average amounts for June. The Highlands East of the Rift Valley counties including Nyeri, Meru, Embu and Tharaka Nithi are expected to experience occasional cool and cloudy Figure 2.Rainfall forecast (overcast skies) conditions with occasional light morning rains/drizzles.
    [Show full text]
  • Recognized University Campuses in Kenya – July 2016
    RECOGNIZED UNIVERSITY CAMPUSES IN KENYA – JULY 2016 NO. UNIVERSITY CAMPUS/CONSTITUTE ACCREDITATION NT COLLEGE STATUS A. BARINGO COUNTY 1. Kisii University Eldama Ravine Campus Under Review 2. Kisii University Kabarnet Campus Under Review B. BOMET COUNTY 3. University of Kabianga Sotik Campus Under Review C. BUNGOMA COUNTY 4. Kibabii University Main Campus Accredited in 2015 5. Masinde Muliro University of Bungoma Campus Under Review Science and Technology 6. Masinde Muliro University of Webuye Campus Under Review Science and Technology D. BUSIA COUNTY 7. Moi University Alupe University College Accredited in 2015 E. EMBU COUNTY 8. University of Nairobi Embu University College Accredited in 2011 9. Kenyatta University Embu Campus Under Review 10. Laikipia University Embu Campus Under Review F. GARISSA COUNTY 11. Moi University Garissa University College Accredited in 2011 G. HOMA BAY COUNTY 12. Maseno University Tom Mboya University Adopted as accredited in 2016 College 13. Maseno University Homa Bay Campus Under Review H. KAJIADO COUNTY 14. Adventist University of Africa Main Campus Accredited in 2013 15. Africa Nazarene University Main Campus Accredited in 2002 16. KAG EAST University Main Campus Adopted as accredited in 2014 17. The East African University Main Campus Accredited in 2010 18. KCA University Kitengela Campus Under Review I. KAKAMEGA COUNTY 19. Masinde Muliro University of Main Campus Accredited in 2013 Science and Technology 20. Mount Kenya University Kakamega Campus Accredited in 2016 J. KERICHO COUNTY 21. Kenya Highlands Evangelical Main Campus Accredited in 2011 University 22. Kenyatta University Kericho Campus Accredited in 2016 23. University of Kabianga Main Campus Accredited in 2013 24.
    [Show full text]
  • CURRICULUM VITAE WOKABI Francis Gikonyo, Born: 22 April 1969. Phd in Philosophy, MA, BA, PGDE and Higher Diploma in HRM. Lectu
    CURRICULUM VITAE WOKABI Francis Gikonyo, Born: 22 April 1969. PhD in Philosophy, MA, BA, PGDE and Higher Diploma in HRM. Lecturer in Philosophy, Pwani University, P.O. Box 195-80108, Kilifi, Kenya. Work Tel: +254 41 7522059 Ext. 348 Cell Phone: +254-722-298416, +254-731-212272 E-mail: [email protected] or [email protected] KEY COMPETENCES: Critical and Creative Thinking, Philosophy of Education, Professional Development and Ethics and are my areas of specialization and interest. My focus has been to explore their application in educational reform as well as in the workplace. EDUCATION: PhD in Philosophy, Kenyatta University, 2009. Supervisors: Prof. K. Wambari and Dr. Fr. J. Kariuki. M.A. in Philosophy, Kenyatta University, 2001. Supervisor: Prof. K. Wambari. B.A. in Philosophy, Sociology and Literature, Kenyatta University, 1994. (Obtained Second Class Honours, Upper Division) Post Graduate Diploma in Education (PGDE), Kenyatta University, 2004. Higher National Diploma in Human Resource Management (Kenya National Examinations Council), The Kenya Polytechnic, 2001. KACE: 3Principals (History B, Geography B, Literature in English C and I subsidiary (General Paper) at Moi High School Kabarak, 1989. KCE: Division One, 12 Points at Moi High School Kabarak, 1987. CPE: Maths A, English B, General Paper A, 34 Points at Mathenya Primary School, 1983. TEACHING AND SUPERVISION OF STUDENTS: I have 5 years of teaching experience at high school level and fifteen years at the university. I have taught the following undergraduate courses at university level: Critical and Creative Thinking, Ethics, Introduction to Philosophy, Professional Ethics, Epistemology, Philosophy of Social Science, Philosophical Anthropology, Philosophy of Education and History of Philosophy.
    [Show full text]
  • Kenya, Groundwater Governance Case Study
    WaterWater Papers Papers Public Disclosure Authorized June 2011 Public Disclosure Authorized KENYA GROUNDWATER GOVERNANCE CASE STUDY Public Disclosure Authorized Albert Mumma, Michael Lane, Edward Kairu, Albert Tuinhof, and Rafik Hirji Public Disclosure Authorized Water Papers are published by the Water Unit, Transport, Water and ICT Department, Sustainable Development Vice Presidency. Water Papers are available on-line at www.worldbank.org/water. Comments should be e-mailed to the authors. Kenya, Groundwater Governance case study TABLE OF CONTENTS PREFACE .................................................................................................................................................................. vi ACRONYMS AND ABBREVIATIONS ................................................................................................................................ viii ACKNOWLEDGEMENTS ................................................................................................................................................ xi EXECUTIVE SUMMARY ............................................................................................................................................... xiv 1. INTRODUCTION ............................................................................................................................................. 1 1.1. GROUNDWATER: A COMMON RESOURCE POOL ....................................................................................................... 1 1.2. CASE STUDY BACKGROUND .................................................................................................................................
    [Show full text]
  • Tana River County
    TANA RIVER COUNTY FLOOD EARLY WARNING COMMUNICATION STRATEGY 2021 Table of Contents Foreword .................................................................................................................................. 6 Acronyms and Abbreviations .............................................................................................. 7 Acknowledgements ............................................................................................................... 8 1.0 Tana River County Background Context ..................................................................... 9 1.1 Geographical context ...................................................................................................... 9 1.2 Socio economic context .................................................................................................. 9 1.3 Climatic condition, vegetation and livelihoods .................................9 2.0 Methodology of Development of This Few Strategy ................................................ 11 2.1 Flood Early Warning Communication Strategy Development Process ................ 11 3.0 Situation Analysis ............................................................................................................ 13 3.1 Context of disasters in Tana River County ................................................................ 13 3.2 Floods in Tana River ....................................................................................................... 14 3.2.1 Types of flooding experienced ...................................................................................
    [Show full text]
  • Citizens' Perception of Leadership During COVID-19 Times in Mombasa, Kenya
    Citizens’ Perception of Leadership during COVID-19 Times in Mombasa, Kenya Fathima Azmiya Badurdeen To cite this version: Fathima Azmiya Badurdeen. Citizens’ Perception of Leadership during COVID-19 Times in Mombasa, Kenya. 2020, https://mambo.hypotheses.org/2853. halshs-03078567 HAL Id: halshs-03078567 https://halshs.archives-ouvertes.fr/halshs-03078567 Submitted on 16 Dec 2020 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. Institut français de recherche en Afrique French Institute for Research in Africa MAMBO! XVII (4), 2020 COVID-19 Special Papers Citizens’ Perception of Leadership during COVID-19 Times in Mombasa, Kenya Fathima AZMIYA BADURDEEN Cite: AZMIYA BADURDEEN, Fathima. 2020. Citizens’ Perception of Leadership during COVID-19 Times in Mombasa, Kenya. Mambo! vol. XVII, no. 4. URL: https://mambo.hypotheses.org/2853 The author: Dr. Fathima Azmiya Badurdeen is a lecturer in Development Studies at the Department of Social Sciences, Technical University of Mombasa, working on issues related to youth, gender and violent extremism. The article is an outcome of the research funded by the French Institute for Research in Africa (IFRA) from April to September 2020. Email: [email protected].
    [Show full text]
  • Teenage Pregnancy in Kenya's Kilifi County
    Teenage Pregnancy in Kenya’s Kilifi County: A qualitative study 2 © Faith to Action Network, 2017. All rights reserved www.faithtoactionetwork.org| Teenage Pregnancy in Kenya’s Kilifi County Teenage Pregnancy in Kenya’s Kilifi County: A qualitative study Published by the Faith to Action Network Secretariat with support from the PAI- Population Action International, through the Faith+FP Fund © 2017 www.faithtoactionetwork.org| Teenage Pregnancy in Kenya’s Kilifi County 3 4 TABLE OF CONTENTS Executive summary 3 Acknowledgements 5 Abbreviations and acronyms 6 1. Background and context 7 2. Problem statement 8 3. Objectives of the study 8 4. Literature Review 9 4.1. Root causes of teenage pregnancies 9 4.2. Experiences of teenage girls 10 4.3. Policy regime relating to teenage pregnancies 11 5. Research Methodology 14 5.1. Formation of Coordination Committee 14 5.2. Desk review 15 5.3. Sampling considerations 15 5.4. Tools for data collection 15 5.5. Data collection methods 15 5.6. Data analysis and report writing 16 5.7. Ethical considerations 16 6. Study findings 17 6.1. The identified hotspots 17 6.2. Root causes of teenage pregnancies 18 6.3. How the Young Mothers are treated 21 6.4. Supportive services for the teenage mothers 22 6.5. Challenges faced when supporting teenage mothers 23 7. Conclusions and Recommendations 23 Annex 1: Terms of Reference 26 Annex 2: Tools for data collection 29 Tool 1: Guidelines for key informant interviews 29 Tool 2: Guidelines for focus group discussions 30 www.faithtoactionetwork.org| Teenage Pregnancy in Kenya’s Kilifi County EXECUTIVE SUMMARY The research, on which this report is based, was meant to investigate the root causes, experiences and policy and related responses to the problem of teenage pregnancies in Kilifi County.
    [Show full text]
  • Mombasa Cement Limited EIA Study Report for Proposed Wind Farm
    MOMBASA CEMENT LTD P.O. BOX 83594-80100 MOMBASA Email: [email protected] PROPOSED DEVELOPMENT OF 36 MEGAWATTS WIND FARM AT TAKAUNGU/ MAVUENI LOCATION, VIPINGO ON LAND PARCELS MN/III/291/2 AND MN/III/4391, KILIFI COUNTY ENVIRONMENTAL IMPACT ASSESSMENT STUDY REPORT PROJECT REPORT REF. NEMA/ PR/5/2/16,805 Compiled by: Philip Manyi Omenge – EIA/EA Lead Expert Reg. No 1559 Dr. George Eshiamwata – EIA/EA Lead Expert Reg. No. 1781 J. Morumbasi Mong.oni – EIA/EA Lead ExpertReg. No. 0357 2016 Mombasa Cement Limited EIA Study Report for Proposed Wind Farm MOMBASA CEMENT LTD P.O. BOX 83594-80100 MOMBASA Email: [email protected] PROPOSED DEVELOPMENT OF 36 MEGAWATTS WIND FARM AT TAKAUNGU/ MAVUENI LOCATION, VIPINGO ON LAND PARCELS MN/III/291/2 AND MN/III/4391 KILIFI COUNTY ENVIRONMENTAL IMPACT ASSESSMENT STUDY REPORT Compiled by: J.Morumbasi Mong’oni EIA/EA Lead Expert Reg. No.0357 Philip. Manyi Omenge EIA/EA Lead Expert Reg. No. 1559 Dr. George Eshiamwata EIA/EA Lead Expert Reg. No 1781 Compiled by P.M. Omenge EIA/EA Lead Expert, Dr. G. Eshiamwata EIA/EA Lead Expet and J.M Mong’oni EIA/EA Lead Expert Page ii Mombasa Cement Limited EIA Study Report for Proposed Wind Farm MOMBASA CEMENT LTD P.O. BOX 83594-80100 MOMBASA Email: [email protected] PROPOSED DEVELOPMENT OF 36 MEGAWATTS WIND FARM AT TAKAUNGU/ MAVUENI LOCATION, VIPINGO ON LAND PARCELS MN/III/291/2 AND MN/III/4391 KILIFI COUNTY ENVIRONMENTAL IMPACT ASSESSMENT STUDY REPORT Submitted by HASHUMUKH PATEL ................................................................................ Director Compiled by P.M.
    [Show full text]