Usaid Kenya Support for Orphans and Vulnerable Children in Nairobi and Coast Counties of Kenya (Nilinde) Quarterly Progress Report

USAID KENYA SUPPORT FOR ORPHANS AND VULNERABLE CHILDREN IN NAIROBI AND COAST COUNTIES OF KENYA (NILINDE) QUARTERLY PROGRESS REPORT

FEBRUARY 2016 This publication was produced for review by the United States Agency for International Development. It was prepared by Plan International USAID KENYA Support for Orphans and Vulnerable Children in Nairobi and Coast Counties of Kenya (Nilinde) FY 2015 Q2 PROGRESS REPORT

October 1 – December 31, 2015

Award No: (AID-615-A-15-00005)

Prepared for Rose Kerubo Mokaya, AOR 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 Plan International USA 1255 23rd St. NW, Suite 300 Washington DC 20037

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.

I. EXECUTIVE SUMMARY ...... 4

II. KEY ACHIEVEMENTS (Qualitative Impact) ...... 5

III. ACTIVITY PROGRESS (Quantitative Impact) ...... 16

IV. CONSTRAINTS AND OPPORTUNITIES ...... 36

V. PERFORMANCE MONITORING ...... 36

VI. PROGRESS ON GENDER STRATEGY ...... 37

VII.PROGRESS ON ENVIRONMENTAL MITIGATION AND MONITORING ...... 38

VIII. PROGRESS ON LINKS TO OTHER USAID PROJECTS ...... 40

IX. PROGRESS ON LINKS WITH GOK AGENCIES ...... 40

X. PROGRESS ON USAID FORWARD ...... 40

XI. SUSTAINABILITY AND EXIT STRATEGY ...... 41

XII. GLOBAL DEVELOPMENT ALLIANCE (if applicable) ...... 41

XIII. SUBSEQUENT QUARTER’S WORK PLAN ...... 42

XIV. FINANCIAL INFORMATION ...... 43

XV. ACTIVITY ADMINISTRATION ...... 46

XVI. INFORMATION FOR ANNUAL REPORTS ONLY ...... 46

XVII. GPS INFORMATION ...... 46

XVIII. SUCCESS STORY ...... 47

ANNEX I: BRANDING STRATEGY AND MARKING PLAN ...... 48

ANNEX II: OTHERS ...... 49

USAID/KENYA Nilinde PROGRESS REPORT FOR YEAR 1Q1 FY 2015 i

ACRONYMS AND ABBREVIATIONS

AAC Area Advisory Council AMURT Ananda Marga Universal Relief Team AO USAID Agreement Officer AOR USAID Agreement Officer’s Representative APHIAplus AIDS, Population and Health Integrated Assistance Project CB Capacity building CBO Community-based organization CBT Community-based Trainer CCI Charitable Children Institutions CHIL Community Health Information Link CHV Community Health Volunteer CHW Community Health Worker CoP Chief of Party DATIM Data, Accountability, Transparency and Impact DCS Department of Children’s Services DO2 USAID Kenya’s Development Objective 2 ECCD Early Childhood Care and Development EMMP Environmental Monitoring and Mitigation Plan FP Family Planning GOK Government of Kenya HES Household Economic Strengthening HVA Household Vulnerability Assessment IBTCI International Business & Technical Consultants Inc. IDEWES Institute for Development and Welfare Services IMA IMA World Health JKF Jomo Kenyatta Foundation JOL Journey of Life KCBF Kenya Commercial Bank Foundation KENWA Kenya Network of Women with AIDS LIP Local Implementing Partner

USAID/KENYA Nilinde PROGRESS REPORT FOR YEAR 1Q1 FY 2015 ii

LKM Learning and Knowledge Management LOA Letter of Authorization MOCASO Mothers/Child with AIDS support Organization m2m mothers2mothers M&E Monitoring and Evaluation MIS Management Information System NGO Non-governmental organization NIP Nairobi Integrated Project NOFI Njiru Organic Farmers Integrated NCPWD National Council for Persons with Disabilities OLMIS OVC Longitudinal Management Information System OMB Office of Management and Budget OVC Orphans and Vulnerable Children PCC Progressive Care Coalition PEP Post-exposure Prophylaxis PEPFAR President’s Emergency Plan for AIDS Relief PPP Public Private Partnership PwP Prevention with Positives RFA Request for Application RGC Redeemed Gospel Church SI Strategic Information SILC Savings and Internal Lending Communities SJCC St. John Community Centre TRP Technical Resource Partners TOL Tree of Life USAID United States Agency for International Development USG United States Government VCO Volunteer Children’s Officer VSLA Village Savings and Loan Association WAD World AIDS Day

USAID/KENYA Nilinde PROGRESS REPORT FOR YEAR 1Q1 FY 2015 iii

I. EXECUTIVE SUMMARY This Quarterly Progress/Performance Report of Cooperative Agreement AID-615-A-15-00005 covers the period from October 1st, 2015 through to December 31st, 2015. The quarter consisted mostly of a continuation of project start-up activities including staffing, submission of the projects four key deliverables (Year 1 work plan, Monitoring and Evaluation plan, Environmental Monitoring and Mitigation plan, Branding, Marking and Strategy plan), transition planning with Pathfinder International and a continuation of critical services to OVC households transitioned to Nilinde from the APHIAplus Nairobi, Coast project. By November, 2015 all the five key staff had been brought on board providing the basis for a seamless project management hand over from the surge team support from Plan US and Kenya offices. In addition, Nilinde completed the recruitment for the Senior Accountant, two accountants, a Grants Manager, Grants officer, a MIS specialist and a Learning and Knowledge management expert. A second project office was set up in Mombasa and most of the non-key staff hired. All the Nilinde staff that were onboard, together with Nilinde consortium partners’ staff were taken through a 2-day USAID rules and regulations training by Plan USA Director of contracts and compliance. The project also undertook various courtesy visits at both the National and county levels (including Mombasa, Nairobi and Kilifi) to introduce the project to key stakeholders, garner government support prior to implementation and to manage expectations. Courtesy visits targeting Kwale, Lamu and Taita Taveta planned for the following quarter. Pathfinder International and Plan International agreed on a plan for transitioning project beneficiaries from APHIAplus Nairobi/Coast to Nilinde. This plan was submitted to USAID on 10th November, 2015. The key guiding principles that have informed this transition plan are (i). The need to ensure a smooth transition of services between the two projects so as to safeguard the best interests of the child and (ii). The need for a “phase out” of certain aspects of the Pathfinder-led APHIAplus delivery model while also preparing to “Phase over” of best practices and lessons learned based on evidence and (iii). A “phase in” of the Nilinde project methodology which emphasizes a family centered approach to OVC support. A complement of staff member (14 staff members) from Pathfinder International that had previously worked on the OVC component of the APHIAplus Nairobi/Coast project were offered fixed term employment by Plan International to support a smooth transition. As at December, 2015 and building on the OVC project as transitioned from APHIAplus Nairobi/Coast, Nilinde served a total of 157, 510 OVC with critical services as elaborated upon in the afore-mentioned transition plan. In addition to the meetings held with Pathfinder International, additional planning meetings were held with other USAID funded projects, including ASSIST, Afya Jijini, and PIMA with a view to identifying areas of synergy and collaboration in the implementation of Nilinde. Additional technical meetings with these projects will be held in the next quarter with a view to concretizing key aspects of collaboration and leverage. Plan International commenced with the acquisition of Danya International Africa’s portfolio and the seamless transfer of the 5 Danya M & E staff working on Nilinde, including key personnel, Gilbert Aluoch, M & E Specialist. At the same time, a RFA was issued on 23rd December inviting 80 organizations to submit proposals for service delivery as part of the “phase in” of the Nilinde project methodology. The key constraints during this period related to the partial transfer of OVC data from APHIAplus Nairobi/Coast. Due to the lack of the use of the USAID commissioned OLMIS database by APHIAplus Nairobi/Coast, comprehensive data transfer characterized by names of OVC and Household size among other critical data sets continues to be a challenge. Nilinde is verifying beneficiary information through the on-going service provision under the transition plan with support from former LIPs under the APHIAplus Nairobi/Coast project as a short term measure pending the roll out of Nilinde’s

beneficiary verification exercise which will be concluded by March 2015. Security threats in part of the project area especially in Lamu County delayed some project activities including engagement with the DCS at the County level and Data collection from Local Implementing Partners (LIPs). During the January to March 2016 period, Nilinde will focus on county level courtesy meetings with the Department of Children Services (DCS) in Lamu, Taita Taveta and Kwale, finalize recruitment of Nilinde technical staff and procurement of five project vehicles. In addition, both a stakeholder M & E capacity assessments in all six counties and a rapid situation analysis of current child protection status in three counties (Nairobi, Kilifi and Mombasa) are planned for. Other key efforts will be the continuation of critical services to OVC and their households whilst Nilinde conducts a verification of household and beneficiaries transitioned from Pathfinder International and the roll out of a household vulnerability assessment to categorize target households by levels of vulnerability. This will inform tailor made economic strengthening activities and other aspects of service delivery. It will allow for a “phase in” of the Nilinde project methodology which emphasizes a family centered approach to OVC support. This phasing will be enabled through sub agreements with Nilinde consortium partners and through sub-grants to those organizations that will have successfully responded to the Nilinde RFA issued in December, 2015 and subject to USAID concurrence.

II. KEY ACHIEVEMENTS (QUALITATIVE IMPACT) Overview This Quarterly Progress Report of Cooperative Agreement AID-615-A-15-00005 covers the period October 1, 2015 to December 31, 2015. Key achievements during this quarter include start-up activities, execution of a Transition Plan to continue critical services to orphans and vulnerable children (OVC) as they transition from the closing, Pathfinder International led APHIAplus Project in Nairobi and Coast Counties (hereafter referred to as APHIAplus) over to Nilinde, and preparation for the phase-in of the Nilinde model of service-delivery. Start-up Activities With all five of the key personnel on board, including the Chief of Party, Ms. Kate Vorley, who reported during the quarter under review, the team continued to make significant progress on all of the planned start-up activities. This includes establishing a new project office in Mombasa to coordinate and support Nilinde activities at the Coast. The team viewed numerous properties and completed security assessments of multiple sites before selecting this current venue due to its accessibility, level of security, and cost. In addition to these two locations, Transition Staff have been deployed in Kilifi and Kwale counties, working from the Plan Offices in this counties; and in Taita Taveta working from Pathfinder International Office to support the continuity of services. The Nairobi office remains the overall headquarters for the project. Nilinde has provided training to thirty five (35) staff representing seven (7) partners organizations on USAID rules and regulations, trafficking in persons, and the whistle-blowing policy during an intensive two-day workshop led by the Plan International’s Director of Grants, Contracts and Compliance in December 2015. This hands-on training provided multiple case studies that not only enabled the participants to identify key provisions recommended by the United States Government (USG) Office of Management and Budget (OMB) Super Circular for Federal Awards (2 CFR 200 and 2 CFR 700), it also provided for practical application and understanding of the rules. All staff have completed a briefing on security, and reviewed and acknowledged their responsibilities under the organization’s code of conduct. Plan intends to conduct a second training to new project staff and service delivery partners in the subsequent months. Meetings with key stakeholders continued during this quarter, including both National and County- level meetings with the Department of Children’s Services (DCS) in Nairobi, Mombasa and Kilifi. Through these meetings, the team was able to introduce the project, highlight key areas for collaboration and begin to map out key aspects to include in the Memorandum of Understanding (MoU) between the Department of Children Services (DCS) at the National-level and Plan International. Although meetings were planned with the County Children’s Officers in Kwale and

Taita Taveta, they were rescheduled to the next project quarter due to the holiday season and scheduling conflicts. In addition, the team has been meeting with a wide range of stakeholders, including other USG-funded projects to map out key points for collaboration and leverage. The project has made extensive progress in establishing a library of key policies, technical guidelines and tools; distributing these materials to staff and partners to inform planning and implementation under Nilinde. Implementation of the Transition Plan to Continue Critical Services to OVC Amid these efforts, Plan has also supported the continuation of critical services as articulated in the transition plan developed by both Pathfinder International (PI) and Plan. The transition plan was submitted to USAID on November 10th, 2015. A total of 157,5101 OVC who transitioned from the Presidential Emergency Plan for AIDS Relief (PEPFAR) -funded APHIAplus have been served with critical services as identified in the aforementioned transition plan. This strategy has been tremendously helpful in understanding the critical dimensions of transition – beneficiary data, tools, guidelines, and communications to prepare beneficiaries and other stakeholders – while at the same time clarifying transition activities, targets, and timelines related to the continuation of the Pathfinder model of service delivery, and the phase-in of the Nilinde family-centered model. Through this collaborative effort, Plan set-up a Transition Team, staffed by 14 former staff members-from APHIAplus, to continue working with the same Local Implementing Partners (LIPs) and Community Health Volunteers (CHVs) to minimize disruptions in services. This initiative has enabled the project to continue to provide services to OVC including: (i) Support to the OVC HIV case load: CHVs supported by Nilinde, continued to hold monthly support group sessions for OVC. A total of 251 sessions were held during this period to reach 4,915 HIV positive OVC. Each child also received a food basket this quarter to support an adequate intake of food for the dedication to antiretroviral therapy; (ii) During these sessions, the children continued to receive information about positive living and other health and nutrition information to support adherence to treatment regimens and retention in care; (iii) Support to the continuation of Early Childhood Care and Development (ECCD) service package: Nilinde supported 77 ECD centers through the provision of fortified porridge meal cereals to support the provision of healthy snacks for young children (children under age five) at the various centers; (iv) Support to 714 Village Savings and Loan Associations (VSLA) to ensure that the groups, which consist of 9,929 households, including parents and guardians of OVC, continue to meet with, mentorship support from Community Based Trainers (CBTs); (v) Home visits to households with OVC. Over 2,912 CHVs were supported to continue home visits during this period. They continued to visit households each month with a key focus on child protection, household hygiene, and providing referrals to needed health services. A total of 139,806 OVC were visited during this period.

During this period, Plan continued to work with the members of the consortium to prepare for the phase-in of the Nilinde family-centered model, which will enable the project to use household economic strengthening as an entry-point and platform for service-delivery. Key preparations included drafting the plan and tools for the Household Vulnerability Assessment (HVA), leveraging experience from other USG-funded projects in measuring and tracking poverty reduction/changes in vulnerability. In addition, Plan worked with each member of the consortium to clarify expectations regarding their targets, scope and role in supporting and ensuring quality services to OVC. Plan also launched a Request for Applications (RFA) with the goal of recruiting additional service delivery partners. The RFA was issued on December 23, 2015 inviting 80 service delivery organizations who have on the ground, community based projects that are supporting OVC and their

1 The figure includes 139,806 OVC supported through Nilinde direct support and 17,704 OVC supported by Pathfinder International during the transition period.

households. These 80 organizations were part of the Technical Resource Partners (TRPs) listed in the approved work plan, along with selected organizations recognized by the National Council of Children Services (NCCS)2. This expanded list of potential applicants is expected to increase competition; (2) mobilize key partners that have been supporting larger segments of the OVC caseload and thus reduce Plan’s management burden; while (3) achieving full geographic coverage in each of the six counties covered by Nilinde. With the support of Plan USA’s Director of Grants, Contracts and Compliance, the project also developed a sub grants manual and grants templates to be used over the life of project to guide the grant management process. The Nilinde project continued partnerships with the four consortium partners (AMURT, Childline, Danya International and mothers2mother (m2m) through Letters of Authorization (LOAs) to enable these partners to continue with startup activities with the quarter under review. The full sub- agreement development process included meetings with the partners to discuss scopes of work and to review and finalize the budgets. Sub agreements are fully developed and will be issued early next quarter. In addition, Nilinde has worked on a scope of work for St. John’s Community Centre (SJCC) that will inform a proposed sub grant subject to concurrence from USAID. It is anticipated that SJCC will cover Kamkunji area of Nairobi reaching approximately 10,000 OVC. A request for USAID’s review and concurrence will be submitted in the next quarter. Project Management (i) Annual Work Plan and M&E plan The four Nilinde project deliverables were developed and submitted to USAID on October 21st, 2015 and resubmitted on December 2nd 2015 on receipt on feedback from USAID. This included the Year 1 work plan, the project M&E plan, Environmental Monitoring and Mitigation Plan (EMMP), Branding Strategy and Marking Plan. For the latter, Nilinde, with support from Plan International Kenya County Office, developed a project logo. Following feedback from USAID and resubmissions, the work plan and EMMP were approved by USAID this quarter. The project anticipates making final USAID revisions to both the M&E plan and the Branding and Marking plan following feedback from USAID early next quarter. (ii) Transition Meetings Following an earlier strategic level transition meeting in September, a second one was held in October between APHIAplus Nairobi/Coast and Nilinde staff at the Pathfinder Kenya office. This second meeting allowed for more in-depth discussions between project staff around service delivery approaches and data. The Nilinde M&E team held two meetings with Pathfinder International’s M&E and data management teams during the quarter with a focus on transitioning of OVC data to Plan International. Nilinde received aggregate Data, Accountability, Transparency, Impact (DATIM) data reported to USAID for the reporting periods January – March (Nairobi) and July – September, 2015 (Coast). Nilinde received some data reporting tools and templates and will continue engaging the transition team to get more detailed data. The M&E team also conducted field visits to 9 LIP sites in Nairobi, Mombasa, Kilifi and Taita-Taveta Counties to learn more on how the OVC field data flows from the household, understand the status of the OVC Longitudinal Management Information System (OLMIS) and to meet with some of the LIP data management focal persons for familiarization since the transitioning of data reporting from Pathfinder to Nilinde project was to take effect from 1st November, 2015. (iii) Staff Recruitment and Orientation Besides the CoP who reported during the quarter, two other key staff, the Interim M&E Specialist, Gilbert Aluoch, was approved by USAID in November 2015 as the long-term M&E Specialist for the

2 Plan referenced the NCCS directory and used the following criteria to identify eligible organizations: (i) reputable organization known for delivery of community services to OVC; (ii) have a physical office at the county level; and (iii) have a caseload/track-record of serving large numbers of OVC.

project together with the Finance Manager, Janepher Rugutt, was also approved by USAID in the same month. This quarter, Nilinde also completed recruitment for the Senior Accountant, two Accountants, a Grants Manager and a Grants Officer, a MIS Specialist and a Learning & Knowledge Management Advisor. (iv) Meetings with Nilinde consortium partners Initial meetings were held with selected Technical Resource Partners (TRPs), including St. John’s Community Centre, Life skills Promoters and Root Change. All TRPs were notified of the Nilinde award. In addition, a series of one-on-one meetings were held with Nilinde’s consortium partners over the course of the quarter in order to refine the work plan as well as partner scopes of work and staffing plans. As mentioned earlier, Plan is in advanced stages of finalizing SJCC’s envisioned role in providing services in Nairobi County subject to USAID review and concurrence. (v) Nilinde stakeholder engagement The Nilinde team engaged with different stakeholders including the Department of Children Services (DCS) at the National, County and sub-county levels, USG and other organizations implementing OVC and Child protection work in all or some of the 6 Nilinde focus counties. The M&E team had preliminary engagements with Measure Evaluation’s PIMA project responsible for roll-out of the Child Protection Management Information System (CPMIS). The team also made appointments with APHIAplus Nyanza-Western and APHIAplus-Rift Valley with the aim of visiting the project’s at the beginning of the 2nd quarter to understand and get their experiences in the use of OLMIS. (vi) Project Monitoring & Evaluation During the quarter under review, the project undertook several activities to ensure compliance with data management and reporting. During the initial transition meeting with Pathfinder International, the Nilinde M&E team was advised to take-up data management and reporting responsibilities from 1st November, 2015. The following are some of the accomplishments during the quarter:  The project’s first quarterly performance report was submitted to USAID Kenya in October, 2015,  Finalized and submitted to USAID the project’s M&E plan within the stipulated timelines;  Held two meetings with Pathfinder International M&E team to initiate transfer of OVC data and related tools and templates;  Engaged and supported USAID’s evaluation contractor, International Business & Technical Consultants International (IBTCI) with the necessary project documentation and background information as they prepared to undertake an independent Nilinde project baseline evaluation;  Conducted preliminary field visits to 9 implementing partners in Nairobi, Kilifi, Mombasa and Taita- Taveta counties to study data flow and conducted a rapid assessment on the status of OLMIS database usage among Pathfinder International’s Local Implementing Partners (LIPs), with the following being the highlights of the visit:- a. There are elaborate systems to facilitate quality assurance and feedback at the LIP level. These systems have been set up to support reporting from the community levels, through the CHVs to the OVC project under APHIA plus Jijini and Pwani; b. Although most OVC had updated paper record files, only 5% had been computerized through the OLMIS system at the time of the field visit; c. OLMIS, developed in South Rift, has been deployed and implemented with varying levels of success in the 6 counties where Nilinde has a presence; d. Inadequate support systems for the OLMIS systems was found as the major challenge to adequate adoption of the MIS solution;  Initiated collection, reviews and adaptation of OVC data collection tools, templates and protocols used by the transition team. However, M&E data collection tools, templates, protocol development for the implementation of Nilinde strategy will be implemented during the next quarter;  Discussions of the project’s M&E plan: On December 22nd, 2015, the project’s CoP together with the M&E Lead and the MIS Specialist met and received feedback on the project’s draft M&E plan

from USAID Kenya Strategic Information (SI) lead, Washington Omwomo together with Nilinde project Agreement Officer’s Representative (AOR) Rose Kerubo Mokaya. A revised draft M&E plan was submitted to USAID on 18th January, 2016. A few actions agreed upon the meeting included: a. The need for the Nilinde M&E team to undertake a visit to APHIAplus Western and APHIAplus Rift Valley to study the implementation of the OVC longitudinal management information system (OLMIS) in January 2016 in readiness for roll-out by the project; b. Planning for Data, Accountability, Transparency and Impact (DATIM) training in readiness for PEPFAR reporting.

Development of an interactive reporting/feedback database: During the quarter, and as part of transition of data from Pathfinder International to Nilinde project, an interactive database was developed to facilitate data entry, management, analysis and reporting. The database will be used by the project during this transition period to promote review and interrogation of data among Nilinde project teams. This database will initially be used by the project as a back up to full operationalization of OLMIS. Data collation and management: The M&E team initiated the collation and entry of data in readiness for the October – December, 2015 quarterly report and to measure progress towards achieving project’s targets articulated in the Nov 2015- Jan 2016 transition plan. Establishing a Knowledge Bank: The project’s LKM Specialist developed an internal knowledge bank of vast literature (policies, guidelines, and report publications), data lists, training protocols & curricula, tools and templates relevant to OVC projecting. To date, the library, which is located on the staff portal (intranet) hosts numerous documents, of which 20 (Ref. to Annex 3) were reviewed and selected to serve as guiding documents for Nilinde project technical teams. Plans are underway to explore platforms that are accessible to Nilinde Service Delivery partners and the Department of Children Services at the county level. This library will serve as an internal resource for Nilinde’s core and partner staff, and any new literature or materials will continuously be uploaded for ease of management and sourcing Preparation for Standards & Strategy Review Workshop Planning: During the quarter, the Nilinde Technical project team held two meetings with the Department of Children’s Services at the national level as a first step towards introducing and sharing the project scope as well as establishing the nature of collaboration. A key action point which emerged from these meetings was the need to hold an intensive participatory workshop to discuss Nilinde’s project’s technical strategies and approaches with key OVC stakeholders within government, USG implementing partners, LIPs and community members. With leadership of the Chief of Party and senior management, the LKM Specialist established a Technical Committee within Nilinde to identify, engage, and consult key OVC stakeholders which include a range from both national and county level officials as well as regional OVC experts. The premise of reaching out to this network of individuals was to provide our partners an opportunity to critically review Nilinde’s technical strategies and standards, which are expected to be rolled out during the first year of implementation. This forum is set to take place in the following quarter and will respond to the following objectives:  Familiarize key stakeholders on the project goals, targets and key deliverables;  Share existing models, standards and best practices that may be applicable under Nilinde;  Build consensus on the Nilinde’s approach to service delivery.

Preparation for the Learning Forums: As part of transition of OVC project activities from Pathfinder to Plan International, a learning road map has been developed to understand the lessons learned during the project’s implementation with the focus on data management and sharing and other related programmatic activities. The road map presents a clear approach of engagement for three target groups: (i) OVC county and sub-county actors, (ii) Local implementing partners and (iii)

CHVs/CHWs and beneficiaries (caregivers and OVC). Learning activities for each of these groups will be adopting a phased approach, allowing use of findings to inform and guide reviews and development of tools as part of the Nilinde project’s M&E strategy. The forums are expected to commence in January 2016. Preparation for OVC biodata updates: This will form part of upgrading Nilinde data management system from paper-based to an electronic system which will finally be linked to the national reporting system. However, about 55% of OVC reported through the APHIAplus Nairobi-Coast project had verifiable names and just about 5% of the OVC data in the OLMIS database. Although LIPs have OVC files, the need to populate and use OLMIS for project data management has been prioritized. However, the biodata for all beneficiary OVC must be updated. So towards the end of the quarter, preparation for OVC biodata updates was initiated through review of tools and organization of field work logistics with the plan to roll-out biodata updates and OVC verification in the next quarter. Output 1: Increased access to health and social services for OVC and their families. During the quarter under review, the following activities were implemented to address the above objectives:

i. Scholastic Material support3: In order to reduce absenteeism and supplement the free primary education (FPE) initiative, the project provided 34,646 OVC (17,211 males, 17,435 females) with exercise books and pens in Nairobi and additional number of (23) OVC who sat for their Kenya certificate of primary education (KCPE) examination were supported with clip boards and geometrical sets as well. In the coastal counties, 19,500 OVC (9,247 males, 10,253 females) were supported with exercise books while 12,100 OVC (5,845 males, 6,255 females) received geometric sets based on a needs assessment. ii. Sensitizations of caregivers on available opportunities for secondary school support: To ensure smooth transition of OVC from primary to secondary schools or vocational training centers, 620 caregivers of Class 8 graduates were sensitized on available opportunities for support in readiness for transition into 2016. Sensitizations were done by CHWs to the caregivers during their meetings in November and December 2015. The 238 OVC previously enrolled under various 4scholarship projects continued with their education uninterrupted during the quarter. iii. OVC support groups: The project supported LIPs and Ministry of Health (MoH) nurses to facilitate 137 support group sessions serving a total of children 4,915 (2,673 male, 2,242 female) across Nairobi and Coast Counties. Technical tools used to facilitate the sessions included; Journey of Life (JOL), Tree Of Life (TOL) models as well as the Prevention with Positives (PwP) manual. Age appropriate topics discussed included: drug adherence, prevention of HIV reinfection; nutrition; opportunistic infections; peer pressure; personal hygiene; sexuality; life challenges and how to overcome them including; stigma; denial and discrimination. Additionally the children were served with snacks and given food baskets comprising of 2kgs rice and 2kgs beans to carry home, during the support group meetings. iv. Nutritional support for CLWH: The project provided a food basket to 4,915 OVC (2,673 male, 2,242 female) in support groups. The basket was composed of 2Kg rice, 4kg beans and 2kg maize flour. This was to supplement food at the household level and ensure that they adhere to drugs. The project also supplied Unimix to 77 ECD centers to provide a mid-morning snack for children at school. The teachers reported more children to be consistently attending school in the period.

3 These materials had been purchased by Pathfinder International for distribution in schools from September 2015 but the distribution could not happen until November, 2015 due to the national Teachers’ strike in Kenyan schools from September-October, 2015. 4 Including Equity’s Wings to Fly, Jomo Kenyatta Foundation (JKF), and Kenya Commercial Bank (KCB). Family Bank, Micato Safaris, HOPE worldwide Kenya

After the sessions, some caregivers reported to have noted that many of the OVC adhered to drugs and had improved interpersonal skills. Additionally, the facilitators reported positive attitudes among the children, increased self-worth and motivation to succeed in life due to influence from their peers who also attend the sessions. The feedback on the progress of the children is shared by the caregiver to the facilitating team in a separate micro-session after the support group session. v. Health literacy: During regular household visits, CHWs continued to sensitize OVC and their caregivers on sound hygiene and health practices including water treatment, hand washing with soap, use of pit latrines, mosquito nets and clearing of bushes to reduce breeding of mosquitos. vi. Support groups for care givers taking care of children with HIV: Capacity was built of members of Parent Clubs of OVC living with HIV in the areas of parenting skills, income generating activities, drug adherence, nutrition and care for HIV positive children. They were encouraged to continue with Village Savings & Loans (VS&L) and Savings and Internal Lending Communities (SILC) activities to enable them to be economically sustainable at households’ level. vii. Child Counselling and Testing: During the review period, the project referred 1,531 OVC (834 male, 697 female) from different community based organizations for counselling and testing services. Referrals were made to Dandora 1 and Dandora 2 health centers in addition to outreaches. The outreaches were conducted by Aids Health Care Foundation who tested children from the Kenya Network of Women with AIDS (KENWA) and the Redeemed Gospel Church of Kenya (RGC). Progressive Care Coalition (PCC) and Community Health Information Link (CHIL) are the two CBOs that made referral of their OVC both to Dandora 1 & Dandora 2 Health facilities for counselling and testing. None of the children counselled and tested were found to be HIV positive. Most of the care givers were reached with HIV care and management information during the outreaches. Caregivers consented for testing of their children, and were sensitized on HIV prevention and the importance of access to care treatment for the infected.

Support referral and linkage mechanisms viii. Coordinators Meeting: The project held 15 meetings to review the general performance of the LIPs. The meetings were held in five clusters in Nairobi with a cluster holding one meeting per month during the quarter. Challenges discussed included: drop out of CHWs, uncooperative caregivers due to lack of direct provisions and vocational support for those who did not transition to secondary schools among others. This challenges will be addressed as Nilinde rolls out it’s project including exploring a potential PPP with Kenya Commercial Bank Foundation (KCB Foundation) ix. Support Sub-County Children Offices/ Sub-county quality Assurance Offices to coordinate child assemblies and stakeholder meetings: During review period, the Nilinde project supported 4 Area Advisory Council (AACs) meetings in Mombasa and Kilifi Counties as well as in Langata and Kamukunji Sub counties. The meeting discussed the scale up of the OVC cash transfer, one of the strategies used by Nilinde to create linkages with the government. Also discussed were guidelines on registration of Charitable Children Institutions (CCI) and CCI compliance issues. Nilinde Project facilitated transport costs for participants of the meeting in Langata. Through these AACs, specific sub- county concerns on child welfare were addressed.

Social Mobilization for Health x. Celebration of World AIDS Day (WAD): The US Embassy in Nairobi, in collaboration with Pathfinder International, IMA World Health and Nilinde Project, organized community service activities at St. Francis Community Hospital to mark the WAD activities. Staff from the US Embassy, PEPFAR and USAID participated in weeding the community garden and interacted with children living positively at the facility. The day culminated with the planting of a fruit tree to signify the fruits of success achieved in the fight towards a HIV free generation. The event was graced by the US ambassador to Kenya, Robert F. Godec who planted the tree. Figure 1: The US Ambassador to Kenya, Robert Godec plants a tree at St. Francis community hospital farm during the 2015 WAD celebrations.

Several LIPs participated in the celebration of World AIDS Day. The buildup activity in Njiru Sub-County was the mobilization for Child testing supported by IMA and University of Maryland. Stigma reduction and adherence was key among various speakers who addressed a gathering of over 400 community members and children. The event began with a procession from Mwiki to the hosting venue. The idea was to show solidarity with the rest of the world that HIV/AIDS is no longer a disaster and that there Figure 2: Sr. Esther of St. Francis addresses are possibilities for survival and positive living if one children during the 2015 WAD event tests positive. The caregivers appreciated the efforts that have been put to ensure there is free care and treatment of opportunistic infections and access to ART drugs. xi. Growth monitoring, deworming and Vitamin A supplementation: During the “Malezi Bora” week in November 2015 within the quarter under review, seven LIPs conducted deworming and community growth monitoring outreaches in collaboration with the MOH. A total of 6,307 (2,832 male and 3,475 female) children benefitted. The care givers of the OVC also benefited from health talks to increase their knowledge on how reduce childhood illnesses.

At community level, CHVs continued to sensitize OVC and their caregivers on hygiene and good health practices including water treatment, hand washing with soap, use of pit latrines, and clearing of bushes to reduce breeding of mosquitos. Output 2: Capacity of households and community strengthened to protect and care for OVC Several activities were initiated during the quarter to address this output area. The main activity was preparations to undertake the household vulnerability assessment (HVA) to lay groundwork for age- appropriate services and appropriate HES interventions. Household economic strengthening (HES) aims to implement and track activities that progressively transfer, protect and build economic assets of target households and communities so as to gradually meet the critical needs of OVC. The focus of HES during the reporting period was on initiating a household verification process for the estimated 50,000 OVC households transitioned from the Pathfinder International coupled with monitoring of VSLAs previously trained and being supported by community based trainers (CBTs) operating within the community.

(i) Initiation of Household Verification Exercise During the period under review, the project begun the process of verifying the number of households that accommodate the estimated 150,000 OVC transitioned from Pathfinder International. The project reviewed and refined various tools to contextualize them to the project’s area of operation. These tools included the household vulnerability assessment (HVA) tool used by APHIAplus Western Kenya, the USAID Poverty Assessment Tool (PAT) and the Progress out of Poverty Index (PPI) tool among others. From these reviews the project prepared a household classification tool for collecting quantitative data at household level and a participatory wealth ranking tool for collecting qualitative data within focused group discussion meetings at community level. The project then held 3 focused group discussion and met with select 20 CHVs from Nairobi County to get their input on the Household Verification Tool and to incorporate it into the household classification tools. The estimated number of OVC households by county that the project aims to validate and classify through this exercise is shown in the table below. Table 1: Estimated number of OVC households by County

%-age of all Estimated # of County # of OVC OVC HHs

Kilifi 46,158 31% 15,386 Mombasa 12,876 9% 4,292 Nairobi 75,185 50% 25,062 Saturation Counties (Total) 134,219 89% 44,740 Kwale 4,482 3% 1,494 Lamu 3,378 2% 1,126 Taita Taveta 7,921 5% 2,640 Maintenance Counties ( Total) 15,781 11% 5,260 Grand Total 150,000 50,000

(ii) Monitoring of Village Savings and Loans Associations During the quarter 714 VSLAs reaching 9,929 households were monitored and reported on. These included 9 groups of caregivers supporting 290 children with disabilities. Through these VSLAs, marginalized and vulnerable households previously trained under APHIAplus project have been mobilizing their own savings and loaning each other money for business and personal use. The figure below shows the status of saving and loaning activity at the end of the reporting period for the 714 VSLAs that were trained under the APHIAplus project. The amount of cash in terms of savings that was easily available to these OVC households on a daily basis stood at Ksh.50 million ($ 441,804 USD) at the end of the quarter under review

Nilinde continued to work with Figure 3: Savings and Loaning Activity for 714 VSLAs the CBTs who had been trained by APHIAplus on the VSL 60 50 methodology. These CBTs 50 44 continued to provide technical 40 support to existing and emerging 30 24 27 savings groups within their respective communities’ thus 20 12 14 promoting stability and 10 5 5 1 2 1 1 1 2 sustainability within this - intervention. AMOUNT IN MILLIONS OF KSH OF MILLIONS IN AMOUNT Nairobi Kilifi Mombasa Kwale Lamu Taita TOTAL Taveta Outstanding Loan Balance Aggregate Savings

Improved food security and nutrition for marginalized, poor and underserved populations (iii) Nutritional support for Children with HIV (CLWH): The project provided a food basket to 4,915 (2,673 male, 2,242 female) in support groups during the month of December. The basket was composed of 2Kg rice and 2kg beans. This was to supplement food at the household level and ensure that the HIV+ children adhere to drugs. Increased Access to Safe Water, Sanitation and Improved Hygiene (iv) Support OVC/PLWHIV Households with clean drinking water at point of use: A total of 87,0005 OVC household benefited from 150ml water purifiers during the quarter. The purifiers treated an estimated 29,800,000 liters of water for domestic use by OVC and PLHIV households. Household were encouraged to adopt safe household water treatment practices especially those in slum areas, in order to mitigate against potential water contamination that could lead to waterborne diseases due to the El-Nino rains that were experienced in the country during the October – December period. (v) Sensitization of Adolescent girls on Menstrual Management During the reporting period, the project supported sensitization of 20,800 girls during home visits after which they were issued with sanitary pads. Topics covered during the sessions included: phases of menstrual cycle, use of sanitary towel and their disposal, personal hygiene during menstrual period, ASRH/FP/HIV/AIDS and GBV. This is to minimize misconception caused by myths, peer influence, school drop outs or even sexual exploitation. Strengthened systems, structures and services for protection of marginalized, poor and underserved populations (vi) Create awareness on child rights and protection: During the quarter, CHVs reached out to the caregivers and household heads with information on child participation and protection to equip them with relevant skills that would help protect children. The focus was on how to create safe environments for children during the December school holidays. Through this one on one meeting with CHVs, their capacity for responding to child protection issues through responsive and remedial action was built. (vii) Sensitization of OVC caregivers on children’s rights: This was done during community meetings. Topics discussed included child rights, gender based violence, and handling of rape cases. The sessions also involved sharing information on the importance

5 This figure represents 37,000 extra households supported with water purifiers in response to the cholera outbreak and the anticipated El Nino rains

of education and opportunities for bursaries by the county governments and private sponsors such as Equity Bank’s “Wings to Fly” Scholarships and KCB Foundation. Caregivers were encouraged to ensure they applied for birth certificates for the children under their custody. During the quarter, a total of 616 (299 boys and 317 girls) children received birth certificates. The CHVS reached out to 3,494 children (1,575 boys and 1,919 girls) with child protection information during their home visits. In partnership with NCPWD, 10 caregivers from Reuben Centre were trained during world disability day as part of an awareness campaign for protection of people living with disabilities. The focus of the training was on the need for parents to treat children with dignity and on how to provide social services, psychosocial support, education and health. At Nairobi Integrated Project (NIP), 30 caregivers were trained for three days by volunteer children officers (VCOs) on provision of psychosocial support and child protection skills for children with special needs. They are expected to form their support group in order to enhance their skills in supporting the OVC. Output 3: Strengthened child welfare and protection systems at the national level, and improved structures and services for effective responses (i) Strengthening MIS at county level As a first step to strengthening MIS at County level, Nilinde engaged with the APHIAplus Nairobi- Coast team in reviewing their OLMIS implementations in the 6 counties of Nairobi and Coast. This culminated in a reconnaissance visit of 9 sites currently implementing in the APHIAplus zones visited. In ensuring that Nilinde MIS strategies are in sync with the National OVC Management Information System, the project started engagements with MEASURE Evaluation/Pima who are supporting the National Child Protection Management Information Systems. Synchronization of work plans with the MEASURE Evaluation/Pima team are set for the next quarter; this was as a result of a meeting between Nilinde M&E team, the project’s Chief of Party and USAID Strategic Information (SI) team during the quarter. The meeting provided an in depth understanding of the National OVC MIS vision and potential areas of collaboration with other USAID funded partners. (ii) Develop MoU between DCS and Nilinde During this quarter Nilinde initiated discussions with DCS at the National level to inform the elaboration of a MoU between DCS and Plan International. It was subsequently decided that the MoU will cover all the projects that Plan Kenya has in place with DCS including Nilinde. (iii) Assess capacity of Local Implementing Partners As reported above, an RFA was issued to invite 80 Service Delivery partners to submit proposals for Nilinde’s consideration. Nilinde anticipates finalizing this process in March/April 2016. Nilinde will thereafter plan for capacity assessments of its Local consortium partners and organizations who are successful in their response to the Nilinde RFA that was issued in December 2015. (iv) Develop Knowledge and Learning Framework The M&E team embarked on drafting of a Project Management Plan framework that was submitted to USAID for feedback and concurrence. USAID has since then provided substantive feedback on the same and a revised M&E plan has since subsequent been submitted with a robust M&E framework in place. The proposed LKM framework was submitted as part of the PMP. (v) Review, adapt, develop and disseminate data collection and reporting tools and template The M&E team during the quarter reviewed the data collection tools mainly; the HVA tool, Monthly summary reporting tool and the OVC bio data tool. These will be adopted and finalized during the next quarter.

(vi) Submit quarterly performance and financial reports One quarterly performance and financial report covering Aug-Sept 2015 was submitted in early October covering start up activities for that period.

III. ACTIVITY PROGRESS (QUANTITATIVE IMPACT) This section of the report provides quantitative data on key project indicators as presented in the projects’ work plan and performance monitoring plan (PMP). (i) Numbers of OVC Served: During the October – December, 2015 period, a total of 157,510 OVC (76,870 male, 80,640 female) were served in the six counties across the two regions. The three saturation counties of Nairobi, Kilifi and Mombasa together accounted for about 90% of the total OVC reached with services (Figure 4). Four sub-counties, Langata (35,374) and Njiru (12,387) in Nairobi and Kilifi North (15,556) together with Kaloleni (15,360) in Kilifi County accounted for 50% of all OVC served by the project in the two regions. Details of OVC served in the project area by County and sub-county is presented in Table 2.

Figure 4: Number of OVC served by County disagregated by gender

Female Male

50,000 45,000 39,610 40,000 43,095 35,000 30,000 24,965 25,000 20,000 25,117 15,000

Numbersofserved OVC 10,000 5,066 5,000 2,484 3,189 5,426 2,369 1,5491,556 3,084 - Nairobi Mombasa Kilifi Kwale Lamu Taita Taveta Project Counties

Table 2: Number of OVC served by County and Sub-county disaggregated by Gender

County Sub-county Number of OVC Served Male Female Total Kilifi Bahari 89 75 164 Ganze 2236 2379 4615 Kaloleni 7843 7517 15360 Kilifi North 7390 8166 15556 Kilifi South 4004 3715 7719 Magharini 282 225 507 Rabai 3121 3040 6161 Sub-Total (Kilifi) 24,965 25,117 50,082 Kwale Msambweni 669 621 1290

Lungalunga 333 488 821 Kinango 703 604 1307 Matuga 779 656 1435 Sub-Total (Kwale) 2,484 2,369 4,853 Lamu Lamu West 1301 1221 2522 Lamu East 255 328 583 Sub-Total (Lamu) 1,556 1,549 3105 Mombasa Changamwe 1431 1537 2968 Jomvu 599 675 1274 Kisauni 1194 1320 2514 Likoni 1067 1138 2205 Nyali 775 756 1531 Sub-Total (Mombasa) 5,066 5,426 10,492 Nairobi Dagoreti 1351 1450 2801 Embakasi 4232 4325 8557 Kamukunji 4201 4727 8928 Kasarani 3604 4421 8025 Langata 17000 18374 35374 Makadara 2033 2160 4193 Njiru 5991 6396 12387 Starehe 964 910 1874 Westlands 234 332 566 Sub-Total (Nairobi) 39,610 43,095 82,705 TaitaTaveta Mwatate 1531 1526 3057 Taveta 787 750 1537 Voi 267 233 500 Wundanyi 604 575 1179 Sub-Total (TaitaTaveta) 3,189 3,084 6,273 TOTAL 76,870 80,640 157,510

(ii) Services Provided to OVC: During the quarter, the project provided several services to the OVC and OVC support groups. The services provided include: education, health, nutrition, child protection and shelter. The other services were psychosocial support, economic empowerment, social protection and promotion of OVC support group activities. Psychosocial support (PSS), received by 88.7% of all the OVC served (139,806) reported the highest, followed by education (114,427), health services (104,047) and child protection (96,153). Fewer OVC were reached with social protection (14,926), economic empowerment (47,994) and nutrition (73,543) services. The age cohort of 10-14 years reported the highest number of OVC served during the period, accounting for 30.2% of all the OVC served. Together with the second placed 5-9 years, the two age cohorts contributed nearly 55.4% of all the OVC served (Figure 5) with slightly more females (44,747) served compared to males (42,505) within the two age cohorts.

Figure 5: Number of OVC served by age category and gender

652 25 and above 740 7,377 18-24 yrs 7,394 15,758 15-17 yrs 14,850

10-14 yrs 24,569 23,011 Female

Agecohort 20,177 5-9 yrs 19,494 Male 11,192 1-4 yrs 10,589 915 Less than 1 yr 792

- 5,000 10,000 15,000 20,000 25,000 30,000 OVC reached by gender

(iii) LIPs supporting service provision: During the reporting period the Nilinde project continued to facilitate service provision to OVC through the LIPs that had delivered services under Pathfinder International. Services were provided by more than 178 Umbrella organizations representing 516 LIPs across the six counties. Kilifi with 77 had the highest number of LIPs. Despite the large number of LIPS and ECCDE, just about 20 of them provided services to about 34% of all the OVC served. St John’s Community Centre (SJCC) in Nairobi County supported the highest number of OVC during the quarter, providing services to about 10,000 OVC while several LIPS provided services to less than 500 OVC and less than 100 OVC got services from several ECCD centers. Table 3 presents a list of 20 LIPs who provided services to OVC. All the 20 LIPs serving the highest numbers of OVC were either in Nairobi (15) or Kilifi counties (5).

6 This data represents OVC beneficiary data transition from PI to Nilinde, Nilinde will embark on a verification exercise to be concluded in the next quarter

Table 3: Top twenty high performing LIPs providing OVC services in Nairobi and Coast based on case load Number of OVC Served Local Implementing Partner County Male Female Total 1. St. John’s Community Centre Nairobi 4526 5118 9,644 2. KISEP Nairobi 1981 2043 4,024 3. YDF Nairobi 1768 1859 3,627 4. CSA Nairobi 1668 1626 3,290 5. RGC Nairobi 1113 1909 3,022 6. PCC Nairobi 1488 1477 2,965 7. Shangia Kilifi 1471 1206 2,677 8. St. Francis Nairobi 1153 1269 2,422 9. KOPLWA Nairobi 1188 1222 2,410 10. Sacoden Nairobi 1045 1158 2,203 11. MwabayaNyundo Kilifi 1064 1008 2,072 12. MIP Nairobi 1000 998 1,998 13. Kipotec Nairobi 907 1006 1,913 14. Matsangoni Kilifi 822 992 1,814 15. CII Nairobi 849 836 1,685 16. NIP Nairobi 768 881 1,649 17. KENWA Nairobi 800 842 1,642 18. Kahobaca Nairobi 804 824 1,628 19. Weruni SHG Good Hope Kilifi 753 805 1,558 20. AIC Kisumu Ndogo Kilifi 618 842 1,460 Total 25,786 27,921 53,703

Table 4: Nilinde Project’s year 1 October – December 2015 Achievements against work plan Target

ACTIVITIES FOR START UP

ACTIVITY TARGET Quarterly

Timelines

GOK/ Oct- Dec, Nilinde Comments County 2015 OUTPUTS 8

AWP ACTIVITY REF: ACTIVITY AWP REF INDICATOR Source (Ministry/Other) PARTY RESPONSIBLE

------Mobilization of key personnel -- 5 Plan 5

------Recruitment of staff -- 40 Plan 35 ------M&E tools for data capture and Develop key project planning & management tools 15 Plan 2 project operational tool

------Set up project offices -- 7 Plan 5

------Develop public-private partnership (PPP) strategy -- 1 Plan 0 ------Represents 3 county level Meet with key stakeholders 45 Plan 4 meetings and 1 meeting at DCS National level ------Orientation and training of project staff 40 35 ------Plan, Danya, Review key policies, technical guidelines, tools 19 20 M2M, Childline

8 The Nilinde project shall be aligning its annual targets with those of the Counties to inform the broader USAID contributive analysis framework to OVC programming and service provision

ACTIVITIES FOR START UP

ACTIVITY TARGET Quarterly

Timelines

GOK/ Oct- Dec, Nilinde Comments County 2015 OUTPUTS 8

AWP ACTIVITY REF: ACTIVITY AWP REF INDICATOR Source (Ministry/Other) PARTY RESPONSIBLE Transition OVC Beneficiaries & Households to Subject to verification of ------50,0009 Plan 50,0000 Nilinde households/beneficiaries ------Conduct household vulnerability assessments (HVA) -- 50,000 Plan 0 Planning has commenced 10 Danya ------Selection of Implementing Partners -- 5011 Plan 0 Ongoing, sub grants manual and procedures developed, RFA issued LIPs -- 50,000 OVC_SERV Enrolment and orientation of OVC Households Plan 0 12 Danya Plan Childline ------Launch the project 7 0 M2M Danya

9 This figure represents the estimated number of households communicated by Pathfinder International (APHIAplus Nairobi & Coast Counties). The number will be confirmed during the Household Vulnerability Assessment (HVA). 10 This figure represents the estimated number of households communicated by Pathfinder International (APHIAplus Nairobi & Coast Counties). The number will be confirmed during the Household Vulnerability Assessment (HVA). 11 This figure is an estimate of the number of LIPs to be recruited in Year 1, subject to the response to the RFA, and efforts to cluster LIPs. 12 This figure represents the estimated number of households communicated by Pathfinder International (APHIAplus Nairobi & Coast Counties). The number will be confirmed during the Household Vulnerability Assessment (HVA).

Output 1: Increased access to health and social services for OVC and their families.

ACTIVITY

TARGET Quarterly Timelines

GOK/ Oct-

Nilinde Comments OUTPUT County Dec

AWP ACTIVITY ACTIVITY AWP REF: REF INDICATOR Source (Ministry/Other) RESPONSIBLE PARTY -- Mobilize and engage county leadership in OVC -- OVC_SERV 1.1 613 Plan 3 Nairobi, Mombasa, Kilifi and service delivery & scale-up. -- Map services, coordination mechanisms & capacity to 614 Ongoing discussions with -- 1.1 Plan 0 accept referrals. APHIA Jijini -- -- Develop case management approach (ages & stages) 1 1.1 Plan 0 to highlight critical services for HH with OVC. -- -- Mobilize community support for OVC through 4,00015 LIPs, These were CHVs provided 1.1 2912 volunteer recruitment and management. M2M, Plan services during the quarter -- OVC_SERV -- 50,00016 LIPs, 1.1 Conduct home visits to vulnerable households. 50,000 Subject to validation OVC_NUT M2M, Plan -- Support OVC/HH advocacy to reduce stigma and 7617 -- 1.1 0 discrimination in service accessibility and delivery. -- -- 50,00018 LIPs, OVC_SERV Build capacity of community members to identify and 3494 (3494 OVC representing 1.1 Childline OVC_SICK respond to child protection issues. (1165) approx. 1165 Households) Plan

13 This figure represents each of the six project counties. 14 This figure represents each of the six project counties. 15 This figure represents the estimated number of Community Health Volunteers/Household Economic Strengthening Mentors who will assist households. 16 This figure represents the estimated number of households communicated by Pathfinder International (APHIAplus Nairobi & Coast Counties). The number will be confirmed during the Household Vulnerability Assessment (HVA). 17 This figure represents two outreach activities in each of the 38 project sub-counties. 18 This figure represents the estimated number of households communicated by Pathfinder International (APHIAplus Nairobi & Coast Counties). The number will be confirmed during the Household Vulnerability Assessment (HVA).

Output 1: Increased access to health and social services for OVC and their families.

ACTIVITY

TARGET Quarterly Timelines

GOK/ Oct-

Nilinde Comments OUTPUT County Dec

AWP ACTIVITY ACTIVITY AWP REF: REF INDICATOR Source (Ministry/Other) RESPONSIBLE PARTY -- OVC_SERV -- 1,00019 LIPs, 4915 1.1 Establish support groups for marginalized households. OVC_NUT M2M, Plan (1638) -- -- Develop SBCC messages to promote desired 620 Plan, OVC_SERV 1.1 behaviors for care, reduce risky behavior, and 0 Childline protection of children at risk. -- -- 21 Plan, Support and strengthen access to birth certificates 33,800 OVC_BCERT 1.2 LIPs, 616 for OVC. M2M -- -- 76,747 LIPs, OVC_HIVST Promote HIV testing of OVC and adolescents and 1.2 M2M, 1531 OVC_ACC link to treatment and care services as appropriate. Plan -- OVC_HIVST -- 25,58322 LIPs, OVC_ACC Support OVC households to access critical health 1.2 M2M, 8,678 OVC_SCHATT services. Plan OVC_SICK -- OVC_HIVST -- LIPs OVC_PRGS Support OVC households to access education Plan 1.2 105,00023 114,427 OVC_ACC services. OVC_SCHATT

19 This target refers to the estimated number of households to reach in Year 1 with support group services. 20 This target refers to the dissemination of unique messages for improved care practices, reduction of risky behaviors and protection of children at risk. 21 This target refers the number of OVC to be supported in Year 1; it represents 30% of the estimated number of OVC who require birth certificates. 22 This figure represents the estimated number of households served by Pathfinder International (APHIAplus Nairobi & Coast Counties). The number will be confirmed during the Household Vulnerability Assessment (HVA). 23 This target represents the estimated number of OVC who will receive education support.

Output 1: Increased access to health and social services for OVC and their families.

ACTIVITY

TARGET Quarterly Timelines

GOK/ Oct-

Nilinde Comments OUTPUT County Dec

AWP ACTIVITY ACTIVITY AWP REF: REF INDICATOR Source (Ministry/Other) RESPONSIBLE PARTY -- -- Provide psychosocial support to OVC and their LIPs OVC_HIVST 1.2 139,806 households. 150,00024 Plan -- Increase school readiness through parent/ caregiver 50,00025 Plan, OVC_PRGS 1.2 620 education. AMURT -- 750026 Plan, OVC_SERV 1.2 Expand/support ECCD services. 10,000 AMURT -- OVC_PRGS -- Assist communities to develop and implement School 7627 LIPs, 1.2 0 OVC_SCHATT Improvement Plans. Plan -- Conduct awareness and advocacy campaign on girls’ 4428 LIPs, 1.2 0 enrolment & retention in school. Plan -- -- 4429 LIPs, Organize men's meetings to promote and model OVC_HIVST 1.2 M2M, 0 desired behaviors. Plan -- -- 30 Plan, Support community and clinical collaboration for 6 1.3 M2M 0 Ongoing in Nairobi complete referrals for OVC and their households. Childline

24 This target represents all OVC supported in Year 1. 25 This figure represents the estimated number of households communicated by Pathfinder International (APHIAplus Nairobi & Coast Counties). The number will be confirmed during the Household Vulnerability Assessment (HVA). 26 This target refers to 50% of the number of OVC that are under age five. 27 This target represents two schools in each of the project’s target 38 sub-counties. 28 This target represents one campaign in each of the 38 sub-counties and 6 counties. 29 This target represents one men’s meeting in each of the 38 sub-counties and 6 counties. 30 This target represents the number of counties.

Output 1: Increased access to health and social services for OVC and their families.

ACTIVITY

TARGET Quarterly Timelines

GOK/ Oct-

Nilinde Comments OUTPUT County Dec

AWP ACTIVITY ACTIVITY AWP REF: REF INDICATOR Source (Ministry/Other) RESPONSIBLE PARTY -- -- 3831 LIPs Strengthen AACs through targeted capacity building Childline, 1.3 0 initiatives. Danya Plan -- 32 LIPs Provide support to GoK to provide training and tools 44 1.3 Childline, 0 to strengthen case management at the county level. Plan

31 This target represents support to one AAC in each of the 38 sub-counties covered by the project. 32 This target represents support to each of the 6 Counties and 38 Sub-counties.

Output 2: Capacity of households and community strengthened to protect and care for OVC.

ACTIVITY TARGET Quarterly Timelines

Oct- Comments GOK/ Dec

ONSIBLE ONSIBLE

Source Source Nilinde

PARTY

OUTPUTS County

RESP

(Ministry/Other)

AWP ACTIVITY ACTIVITY AWP REF: REF INDICATOR -- -- LIPs OVC_Money 2.1 Integrate merry-go-rounds into existing support groups 10,00033 0 Plan -- -- LIPs OVC_Serv 2.1 Transfer of productive assets to marginalized households. 5,00034 0 OVC_Money Plan -- -- LIPs OVC_Money 2.1 Support new and existing VSLA groups. 15,00035 9,929 Plan -- -- Train ready-to-grow households in entrepreneurship & LIPs OVC_Money 2.1 5,00036 0 small business management. Plan -- -- LIPs OVC_Money 2.1 Promote linkages to suitable products and services 10,00037 0 Plan -- -- LIPs OVC_Money 2.1 Targeted economic strengthening for youth. 10,00038 0 Plan -- -- Train youth on entrepreneurship and small business LIPs OVC_Serv 2.1 5,00039 0 OVC_Money management skills Plan -- -- Promote and support apprenticeships and vocational LIPs OVC_Serv 2.1 3,00040 0 OVC_Money training for youth. Plan

33 This figure refers to the estimated number of households that will benefit from the integration of MGRs in support groups. This target will be reviewed during the HVA. 34 This figure refers to the estimated number of households receiving a one-time asset transfer. This target will be reviewed during the HVA. 35 This figure refers to the number of households expected to participate in the VSLA groups. This target will be reviewed during the HVA. 36 This figure refers to the estimated number of households in the ‘ready to grow’ category. This target will be reviewed during the HVA. 37 This figure refers to the estimated number of households in the ‘ready to grow’ category. This target will be reviewed during the HVA. 38 This figure refers to the number of vulnerable youth to be reached in Year 1. 39 This figure refers to the number of vulnerable youth to be reached in Year 1. 40 This figure refers to the number of vulnerable youth to be reached in Year 1.

Output 2: Capacity of households and community strengthened to protect and care for OVC.

ACTIVITY TARGET Quarterly Timelines

Oct- Comments GOK/ Dec

ONSIBLE ONSIBLE

Source Source Nilinde

PARTY

OUTPUTS County

RESP

(Ministry/Other)

AWP ACTIVITY ACTIVITY AWP REF: REF INDICATOR -- -- LIPs OVC_STIM 2.2 Promote positive parenting practices. 50,00041 Plan 0 M2M

-- -- LIPs OVC_SERV 2.2 Establish low-cost childcare services. 750042 0 OVC_STIM Plan -- -- LIPs OVC_STIM 2.2 Continued support to Family Days 3843 Plan 0 M2M -- -- Support household and community-level outreach to 5,00044 LIPs OVC_Serv 2.3 0 promote links to safety nets. Plan -- -- 50045 LIPs 2.3 Provide links to adult literacy projects 0 Plan

41 All year 1 households. One of the activities during monthly visits 42 This target refers half of the number of OVC who are under 5 years of age who will be reached through low-cost childcare services. 43 One in each of the 38 sub-counties. 44 This target refers to the estimated number of households who will be linked to safety net projects. 45 This target refers to the estimated number of caregivers who will be supported to join adult literacy projects; it is demand-driven activity.

Output 3: Strengthened child welfare and protection systems at the national level, and improved structures and services for effective responses in targeted counties.

ACTIVITY TARGET Quarterly Timelines

TY TY REF: GOK/ Nilinde Oct-

OUTPUTS County Dec

AWP ACTIVI AWP REF INDICATOR Source (Ministry/Other) PARTY RESPONSIBLE -- -- 3.1 -- Strengthen MIS at the County Level 6 Danya 0 MIS specialist recruited. OLMIS reconnaissance visit conducted in 4 counties. -- -- 3.2 -- Develop MOU between the DCS and Nilinde 1 Plan 0 Discussions initiated with DCS and county teams -- -- 3.2 -- Provide targeted capacity building to local institutions to 3846 Child-line, 0 improve quality services through referrals Plan, AMURT -- -- 3.2 -- Sponsor annual County Child Forums 647 Plan, 0 AMURT -- -- 3.2 -- Assess capacity of local implementing partners 5048 Plan 0

-- -- 3.2 -- Strengthen capacity of local implementing partners 5049 Plan 0

-- -- 3.2 -- Prepare Transition Plans for Maintenance Counties 3 Plan 0 Danya

46 One per sub-county on average 47 Partial sponsorship of some activities during the child forums 48 The total number of LIPs will depend on the response to the RFA and clustering of LIPs; this figure is an estimate. 49 The total number of LIPs will depend on the response to the RFA and clustering of LIPs; this figure is an estimate.

Output 3: Strengthened child welfare and protection systems at the national level, and improved structures and services for effective responses in targeted counties.

ACTIVITY TARGET Quarterly Timelines

TY TY REF: GOK/ Nilinde Oct-

OUTPUTS County Dec

AWP ACTIVI AWP REF INDICATOR Source (Ministry/Other) PARTY RESPONSIBLE -- -- 3.3 -- Support the AACs, LIPs, and county institutions to improve 4450 Danya 0 OVC wellbeing through use of data to improve quality of services. -- -- 3.3 -- Develop learning and knowledge management framework 1 Danya 0 LKM specialist recruited. Nilinde conducted a technical strategy and review workshop as part of adopting best practices to the development of knowledge management framework

-- -- 3.3 -- Establish and identify learning platforms for knowledge sharing 6 Danya 0

50 38 sub-counties and 6 counties

MONITORING AND EVALUATION

ACTIVITY TARGET Quarterly Timelines

GOK/ Oct- Nilinde Dec OUTPUTS County

AWP ACTIVITY REF: ACTIVITY AWP REF INDICATOR Source (Ministry/Other) PARTY RESPONSIBLE 1. Household classification tool 2. OVC registration form 3. Form 1A (Assessment and Service provision form) Review, adapt, develop and disseminate data collection and 4. Departure Form ------15 Danya 6 reporting tools and templates. 5. Monthly summary From 6. Monthly narrative template

------Conduct quarterly data review & learning meetings. 44 Danya 0 Bi-annual PMP review and M&E refresher for staff and local ------1 Danya 0 partners.

------Strengthen data quality. continuous Danya 0

PROJECT MANAGEMENT

ACTIVITY TARGET Quarterly Timelines

GOK/ Oct- Nilinde Dec

OUTPUTS County

AWP AWP REF: ACTIVITY REF INDICATOR Source (Ministry/Other) RESPONSIBLE PARTY Plan Danya Hold quarterly partner coordination meeting and GOK ------2151 Childline 0 meetings in each county LIPs M2M Plan Danya Submit quarterly performance and financial reports. ------4 Childline 1

LIPs M2M Develop and issue RFA and/or APS for Implementing Partners, Ongoing; RFA issued December ------issue sub-awards to IPs based on established criteria and 1 Plan 1 23rd findings from pre-award assessments. Monitor, provide technical assistance and ensure capacity Plan ------5052 0 building to Local Implementing Partners. Danya Plan Danya ------Develop Year 2 work plan 1 Childline 0 LIPs M2M

51 This figure represents three county-level quarterly meetings, and three national-level quarterly review meetings with the DCS. 52 The total number of LIPs will depend on the response to the RFA and clustering of LIPs; this figure is an estimate. (Note: this activity is linked to 3.2.6 Strengthen the capacity of local implementing partners.)

Table 5: Nilinde Project Performance Monitoring Plan (PMP) – Project Year 1, October – December 2015

Indicator Reporting Baseline Achievements Target Year Remarks Frequency 1(FY2016) (deviations # Title Year 1 from planned targets) Disaggregati Q 1 Q2 Q3 Q4 on

1 Number of active 157,510 beneficiaries served by Sex: <1 <1 Male (792) PEPFAR OVC projects for Male, <1 <1 Female (915) children and families affected Female, 1-4 Male (10589) by HIV/AIDS Age: 1-4 1-4 Female Male, 1-4 (11192) Female, 5-9 Quarterly 150,000 5-9 Male (19494) Male, 5-9 5-9 Female Female, 10- (20177)

14 Male,10- 10-14 Male 14 Female, (23011) 150,000 15-17 Male, 10-14 Female 15-17 (24569) Female, 18- 15-17 Male 24, Male, (14850) 18-24 15-17 Female Female, 25+ (15758) Male, 25+ 18-24, Male Female (7394) 18-24 Female (7377) 25+ Male (740) 25+ Female (652) 2 Percent of (OVC) children Sex Biennially 40% 50% whose primary caregiver knows the child’s HIV status Age (0-4, 5- 9, 10-14, 15- 17 yrs.

3 Number of youth who Gender Biennially 0 10,000 received youth friendly

services through USG County supported projects Type of service

4 Percent of OVC who Sex Biennially 45% 60% progressed in school during the last year Age (5-9 yrs., 10- 14yrs, 15- 17yrs)

5 Number of active beneficiaries Sex: <1 Quarterly TBD 8,768 76,747 receiving support from Male, <1 <1 Male (51) PEPFAR OVC projects to Female, <1 Female (64) access HIV services Age: 1-4 1-4 Male (411) Male, 1-4 1-4 Female (517) Female, 5-9 5-9 Male (1,123) Male, 5-9 5-9 Female Female, 10- (1,075) 14 Male, 10- 10-14 Male 14 Female, (1,462) 15-17 Male, 10-14 Female 15-17 (1,558) Female, 18- 15-17 Male (757) 24, Male, 15-17 Female 18-24 (857) Female, 25+ 18-24, Male (388) Male, 25+ 18-24 Female Female (401) 25+ Male (42) 25+ Female (62) 6 Percent of children under 5 Sex Biennially 45% 50% who have a birth certificate County

7 Number of target institutions County Biennially 0 54 that have improved capacity as a result of USG assistance Sector

8 Number of service providers County Semi-annually TBD 4,000 trained in referring OVC to necessary services Sector

9 Number of OVC accessing Age (0-4, 5- Quarterly 159,996 157,510 150,000 essential services 9, 10-14, 15- <1 Male (792) 18yrs) <1 Female (915) 1-4 Male (10589) 1-4 Female Sex (11192) 5-9 Male (19494) 5-9 Female (20177) County 10-14 Male (23011) 10-14 Female (24569) 15-17 Male (14850) 15-17 Female (15758) 18-24, Male (7394) 18-24 Female (7377) 25+ Male (740) 25+ Female (652)

10 Percent of OVC households County Every 2 years TBD 30% able to access money to pay for unexpected household expenses

11 Proportion of OVC caregivers County Annually 15% 60% involved in saving & loans groups Sex

12 Percent of children <5 years of Sex TBD 50% age who recently engaged in stimulating activities with any household member over 15 Age (0-11 Biennially years of age months; 12- 23 months; 2-4 years)

13 Number of households who County Biannually TBD 50,000 have been trained in parenting and caregiving skills

14 Percent of youth who Gender Annual TBD 30% demonstrate critical life skills following a USG supported County training Age (10-18; 18-35)

15 Number of eligible households County Biannually TBD 5,000 taking care of OVC linked to safety net projects

16 Availability of a strong County Biannually 0 30% management information system for OVC

17 Number of partnerships County Annually 0 7 supported by USG between the national and county levels Sector

18 Use of information to inform County Annually 0 30% project planning Sector

19 Number of CSOs receiving County Biannually 0 50 USG assistance that are engaged in service delivery and Type advocacy as a result of USG support.

IV. CONSTRAINTS AND OPPORTUNITIES During this period, Plan International swiftly worked to address challenges brought about by three key Personnel retracting their candidacy; including the CoP, Finance Manager and M&E Specialist. In the absence of a CoP, a greater level of effort was put in place by Plan Kenya and Plan USNO to minimize the impact on the management of Nilinde start-up activities. Last quarter, a temporary arrangement was put in place through Nilinde’s nomination and USAID’s approval, to have Danya’s Regional M & E Advisor, Mr. Gilbert Aluoch serve as the Interim M&E Specialist. During this reporting, Gilbert was subsequently proposed as Nilinde’s full time M&E Specialist and concurrence was obtained from USAID/Kenya on 13th November, 2015. Similarly, on receipt of communication that the proposed Finance Manager had withdrawn his candidacy, Plan International swiftly moved to identify suitable candidates to take up the role. As a result of these efforts, Ms. Janepher Rugutt was proposed as the new Finance Manager, and concurrence was obtained from USAID on 3rd November, 2015 An unrelated challenge related to the partial transfer of OVC data from APHIAplus Nairobi/Coast continues. Due to the differing levels of use of the USAID commissioned OLMIS database by the APHIAplus projects including the relative low level of use by APHIAplus Nairobi-Coast, comprehensive data transfer characterized by names of OVC and household size, among other critical data sets continues to be a challenge. To mitigate this, Nilinde is verifying beneficiary information through the on-going service provision under the Transition Plan with support from former LIPs under the APHIAplus Nairobi-Coast project as a short term measure, pending the roll out of Nilinde’s beneficiary verification exercise which will commence in the next quarter. This verification exercise will set the stage for service delivery based on the Nilinde design and for supporting the alignment of the OLMIS database to the national level CPMIS database under development by Measure Evaluation’s PIMA project. Security threats in parts of the project area especially in Lamu County delayed some project activities including engagement with DCS at the county level and data collections from LIPs.

V. PERFORMANCE MONITORING During the quarter Plan International received some of the data from Pathfinder International regarding APHIAplus Nairobi-Coast OVC and information on Local implementing partners, Community Health volunteers /workers and OVC beneficiaries through a series of meetings between Pathfinder International and Nilinde project’s M&E team. Plan International developed and submitted to USAID the project’s M&E plan and received preliminary feedback on the draft in December 2015. A revised M&E plan was due for resubmission to USAID by 18th January 2016.

OVC data verification: This was done through review of DATIM data handed over to the project and field visits to LIP sites. So far, Nilinde has individual records for about 87,000 OVC among the aggregate data of 160,834 OVC transitioned from Pathfinder in October, 2015. Nilinde M&E team will continue with data verification exercise during the next quarter with the hope of having a detailed individual OVC data within the next two quarters.

Review and development of Data collection tools: The project’s M&E team initiated the process of developing an Internal M&E plan. This plan will have a detailed list of all indicators to be used for monitoring project activities besides the 19 indicators submitted to USAID. The team also initiated identification and assembling of all relevant OVC and child protection data collection tools used by past USG implementing partners including APHIAplus Nairobi-Coast. The information so far collected will be used in finalizing the project’s internal M&E plan during the next quarter.

VI. PROGRESS ON GENDER STRATEGY Plan has begun developing a model to mainstream gender in Nilinde that makes it possible:

1. For all interventions and activities to be assessed for their gender sensitivity 2. For gender-sensitive programming to be designed through a vibrant participatory process to ensure implementers’ full ownership of both activity design and outcomes 3. For Nilinde to build the capacity of project implementers to apply a gender lens not only to current issues, but also to future challenges as they arise.

This approach makes use of USAID’s Five Domains of Gender Analysis53, to identify gender-specific and gender-differential barriers to access and participation in the Nilinde project, a process that enables the staff and partners to understand the gender impact of proposed interventions and activities to avoid exacerbating gender inequalities that may exist. At this stage in the process, members of the consortium are reviewing existing literature and best practices for girls’ and women’s empowerment to inform the technical standards and strategies which will be deployed under Nilinde. During the next quarter, Plan International’s Senior Gender Expert will work with the consortium staff and partners to: 1) Assess the Portfolio: examining the interventions and primary activities through a gender lens to determine if/how gender issues are at play; 2) Articulate the desired results: focusing specifically on gender equality and equity, the team will clarify the expected outcomes through a gendered lens; 3) Define gender obstacles: defining potential obstacles to achieving gender equality and equity that could impede achieving each desired result; 4) Identify solutions: identifying proven responses to the identified obstacles by tapping their own knowledge and that of key informants; and 5) Evaluate and select solutions: considering the level of effort, resource and time, the team will decide how to address gender realities in each activity across its portfolio.

53 This framework includes the following five areas: (1) Access to and control over assets and resources; (2) Gender roles, responsibilities, and time used; (3) Cultural norms and beliefs; (4) Laws, policies, regulations and institutional practices; and (5) Patterns of power and decision making.

VII.PROGRESS ON ENVIRONMENTAL MITIGATION AND MONITORING Table 6: USAID/Kenya SO3 Health, EMMR Reporting form, Oct.-Dec. 2015

List each Mitigation Measure from Status of Mitigative List any Remarks column 3 in the EMMR Mitigation Measures outstanding Plan (EMMR Part 2 of 3) issues relating to required Nilinde-supported households will be No new activities this quarter conditions linked to GOK Agriculture and linking households to Livestock Officers for guidance, Ag/Livestock Officers. ensuring adherence to GOK standards and regulations for smallholder agricultural and small livestock activities.

Training and messages will emphasize: No training conducted or good agricultural practices; organic materials developed this farming principles; use and propagation quarter. of indigenous varieties of crops and animals; promote tree planting & use of energy saving technologies.

Voucher systems may not include land- No voucher systems clearing equipment, PPE, pesticides, fishing implemented this quarter and equipment, irrigation materials, or other planned voucher systems not similar tools that may cause unintended anticipated to include these environmental impacts. items.

Gems sector guidelines are consulted In the RFA that was issued for (http://www.usaidgems.org/sectorGuidelines. Nilinde sub grants, the ERF was htm) in development of sub grants and included for completion, and Environmental Review Forms are application criteria included the completed for each IP. ability “to fully comply with USAID, Nilinde and Government of Kenya environmental requirements”. ER Report (for grantees with activities of If applicable for any sub grant ‘unknown or moderate risk’) produced, applicant, this will occur in implemented by the grantee and monitored upcoming quarters. by Nilinde.

Activities re-designed for any grantee As above. whose activities have potential to cause significant environmental threat. Grantee monitoring is carried out for No sub grants issued yet. grantees with EMMPs. Obtain NEMA permits related to noise No Nilinde public awareness regulations prior to conducting public campaigns conducted this awareness raising campaigns. quarter.

List each Mitigation Measure from Status of Mitigative List any Remarks column 3 in the EMMR Mitigation Measures outstanding Plan (EMMR Part 2 of 3) issues relating to required Provide accurate information about the Information and education on conditions storage, use and disposal of any public menstruation management: health commodity that is discussed, such as Girls receiving sanitary towels condoms. undergo educational sessions that include how to dispose of sanitary towels after use, in order to avoid negative environmental impact. In distribution of Water guard, continuous education on quantity of the product to be used occurs, in order to avoid any negative impact on both health and environment.

VIII. PROGRESS ON LINKS TO OTHER USAID PROJECTS Nilinde and APHIAplus Nairobi-Coast During this period, Nilinde collaborated extensively with Pathfinder International’s APHIAplus Nairobi-Coast Project culminating in the development of a transition plan covering November 2015- Jan 2016 that was shared with USAID by Pathfinder International and a partial transfer of OVC data. A team of Pathfinder APHIAplus Nairobi-Coast Project staff were engaged by Nilinde under an interim arrangement to support the roll out of the transition plan. Nilinde and PIMA A preliminary meeting was held between Nilinde M&E team and Measure Evaluation PIMA projects’ CPMIS lead in December 2015. The meeting was to introduce Nilinde to PIMA and explore potential areas of synergy between the two USAID funded projects. A more structured meeting between the two projects was scheduled for next quarter. Nilinde and USAID ASSIST Project During this period, Plan International engaged in a consultative process with URC’s ASSIST project in planning for a Nilinde Technical Workshop aimed at defining the Nilinde Standard for excellence in service delivery building on the work that URC undertook with the Department of Children Services to develop OVC Minimum service standards. This planning and joint consultation has informed the planning for the aforementioned workshop that is scheduled for January 2016. Nilinde Afya and Jijini Two meetings were held with IMA’s Chief of Party and project staff to explore areas of meaningful collaboration between the two projects. Further work needs to be done after work plan approvals from USAID to map out the specific nature of the collaboration with a focus on index client tracing and linking to HIV/AIDS treatment as well as the strengthening of community and facilities linkages to ensure increased access to services for OVC and their families.

IX. PROGRESS ON LINKS WITH GOK AGENCIES As a follow on to the initial introductory meetings held with the Ministry of Labor, Social Security and Services, Nilinde attended another courtesy meeting organized by USAID Kenya towards the end of the quarter under review. In attendance at the meeting was the USAID HIV/AIDS Deputy Team Leader, USAID OVC Specialist/Nilinde AOR, the Ministry’s Secretary, Administration, Acting Director -Department of Children Services (DCS), two officers from the DCS’s OVC Cash Transfer program and Staff from Nilinde. The meeting addressed a variety of issues ranging from the role of GoK officers in supporting assessments and monitoring of the project and the need for the project to gain a deeper understanding of the Department’s data needs through visits to the counties. The meeting also provided a mandate to Nilinde to begin engagement with the Department of Children Services at the county levels. In response to a request by the Acting Director-Department of Children Services, Nilinde staff met with staff from the Department of Children Services, Headquarters as a first step to conducting further courtesy visits at the county level. Nilinde has since held courtesy visits with the Department of Children Services in Mombasa, Kilifi and Nairobi at the county level. Courtesy visit to Lamu, Taita Taveta and Kwale will be conducted in the new quarter.

X. PROGRESS ON USAID FORWARD Nilinde project initiated engagement with the GoK, especially with the DCS at the County and Sub- County levels with the aim of sharing common areas where the project can assist the capacity building of the ministry. During the quarter, the process of engagement of Service Delivery Partners (SDPs) was initiated. Nilinde will strive to build capacity of these local organizations from the next quarter to ensure sustainability and better working with the government.

XI. SUSTAINABILITY AND EXIT STRATEGY There are multiple dimensions of sustainability within Nilinde – including (1) at the household level to achieve and sustain specific outcomes related to ‘healthy, safe, stable, secure’ through increasing household resiliency; (2) at the community level to sustain the delivery of quality services through service delivery partners and other groups; and (3) at the county and sub-county levels to sustain the use of data to coordinate and advocate for support to OVC. Table 7 provides an overview of these three dimensions. Table 7: Nilinde project’s sustainability and exit strategy dimensions

Dimensions of Sustainability Measuring Capacity & Readiness for Graduation Nilinde Response Household Vulnerability Assessments to monitor Households: changes in resiliency, i.e. moving from a situation of Healthy, Safe, Stable & Secure high vulnerability (destitution) to medium (struggling Households to make ends meet) or low vulnerability (prepared to grow) based on a set of proxy indicators.

Community-level Organizational Capacity Assessment (OCA) services: assessments, and field level monitoring to measure Customized Quality, age-appropriate and track changes in capacity to deliver quality Support & services. services that respond to the needs of OVC. Ongoing Assessment of child protection systems to measuring Mentoring and track progress for case management and complete referrals. County & sub-county systems: coordination of Assessment of existing management information services; child protection. systems and platforms for knowledge management and learning to track changes particularly in the collection, use, and dissemination of data to improve coordination and service delivery.

Across each of these separate but interrelated aspects of the project, Nilinde will conduct assessments to identify baseline data, develop individualized plans with and for local partners, and then deliver customized support and mentoring to address priority needs and gaps, then deliver customized support and ongoing mentoring to foster the knowledge, skills, and confidence for sustainability. Key among each of these dimensions is a focus on strengthening local networks and systems that will remain beyond the life of the project, and clarifying expectations at the outset regarding the time- bound nature of Nilinde and the need to mobilize and reinforce local capacity and plans for ownership and management. Also, partner progress will be periodically quantified and analyzed with partners themselves, so that course corrections and improvements are made. Finally, with programming adapted across the saturation and maintenance counties, Nilinde will begin to develop Transition Plans for each of the Maintenance Counties: Kwale, Taita Taveta, and Lamu to take into account the unique needs of these areas.

XII. GLOBAL DEVELOPMENT ALLIANCE (IF APPLICABLE) Not Applicable.

XIII. SUBSEQUENT QUARTER’S WORK PLAN The approved Year 1 work plan resubmitted in December 2015 provides the details of proposed Jan-Mar 2016 activities, highlights – described further in the Work Plan - will include but are not limited to the following: Start Up: . Project launch . Continued on boarding and orientation of staff . Procurement of capital equipment including 5 project vehicles, motor cycles . Courtesy visit to DS in Kilifi Kwale and Taita Taveta . Continuation of Household Verification exercise . Sub granting to successful RFA Nilinde recipients (including short listing of proposals, pre award assessments, final selection, sub granting packaging submitted to USAID for review and approval, awards issued upon receipt of USAID approval, post award meetings and commencement of implementation) . Development of a PPP strategy . Nilinde Strategy and Review Workshop

Management monitoring and Evaluation . Tracking of verified household and services provided . Project partner meetings . Project database design

Output 1: . Service mapping and coordination mechanisms . Development of a case management approaches (ages and stages) . Development of a volunteer recruitment strategy . Service Delivery including home visits to vulnerable households, capacity building of community members on child protection . Support to critical health services . PSS and education services etc. etc.

Output 2: . Household vulnerability assessment . Targeted economic strengthening for Households and for Youth . Support to family days

Output 3: . Finalization of MoU between DCS and Nilinde . Capacity assessment of service delivery partners . Strengthening county stakeholders in use of data to improve service provision and quality . Operationalize the Learning and Knowledge Management framework

XVIII. SUCCESS STORY Mother and Daughter Living Positively Margaret, one of the many residents of Korogocho, a large informal settlement in Nairobi, begins her days very early to get a head start. She runs a small business, making chapatis (flour pastry) and chips (French fries) for sale. She will be up as early as 4am to prepare the food. Margaret is a parent to 3 children and 2 grandchildren, aged 23, 17, 10, 5 and 4 years respectively. For the last seventeen years, Margaret has been living with HIV. She confirmed her HIV status soon after the loss of her husband to AIDS. Margaret’s second born child Christine is also living positively with HIV/AIDS, having acquired the virus through mother-to-child transmission. Christine, unlike her siblings, is the only HIV positive child. At 17 years old, Christine is excited at completing her final year of high school. She is also very keen to get her national identity card. Despite living positively, Christine has a network of friends and participated in an OVC Life Skills Camp for Children Living Positive in her locale two years ago. “I enjoyed myself and made so many friends. Now I know I’m not alone”. She reflects fondly. Margaret and her family are enrolled with the Kenya Network of Women with AIDS (KENWA) group. She is a member of a support group and through this network of peers, is able to actively participate in a Village Savings and Loan (VS&L) group in her community. Having quick access to small loans has given Margaret comfort in knowing that she can support her family. “I’m glad that I can fully support my family to meet food needs with my small business”, she says. Margaret is proud of her achievements and she is happy that she can take care of her family and see her children live a healthy life. Figure 3: Margaret (left) and Christine (right) at their home in Korogocho

KENWA is currently supporting 1,642 children aged 1 to 18years. 250 of the children are OVC living with HIV who got nutritional support (food baskets) from Nilinde project through KENWA and participated in child forums in the reporting quarter. There are 7 VS&L groups with a membership of 182 members – 28 are male while as 154 are female. KENWA is among many implementing partners in the informal settlement making remarkable efforts in supporting OVC and their families. The continuation of services by Nilinde from the previous project, APHIAplus Nairobi-Coast has been tailor made to ensure that there are no gaps in service delivery. The project worked with the same local implementing partners to ensure that critical services were continued. As such, Margaret has continued to access health messages and material support (food baskets) during this quarter which has enabled her to continue caring for Christine and her siblings.

ANNEX I: BRANDING STRATEGY AND MARKING PLAN

Deliverable Product Submission Date Comments

Year 1 Work plan October 21st Following revisions, final version approved by USAID Kenya on 4 December 2015

Monitoring and Evaluation Plan October 21st Following revisions, USAID was reviewing a second version by the end of the quarter.

EMMP October 21st Following revisions, final version approved by USAID Kenya on 4 December 2015

Marking and Branding Plan October 21st USAID was reviewing the plan as of the end of the quarter.

ANNEX II: OTHERS Guidelines and Policies in Nilinde’s Knowledge Bank: 1. Kenya National Action Plan for Children 2015-2022 2. Kenya National Plan of Action for Sexual Exploitation of Children (2013-2017) 3. Kenya AIDS Monitoring and Evaluation Framework (2005) 4. Inter-Agency Guidelines for Case Management and Child Protection (2014) 5. Kenya Cash Transfer Project (2014) 6. Kenya National Volunteerism Policy (2015) 7. Kenya National Nutrition Action Plan (2012-2017) 8. Kenya HIV County Profiles (2014) 9. Guidelines for the Formation of Area Advisory Councils (AACs) 2006 10. PEPFAR OVC Programming Guidelines (2012) 11. Kenya Violence against Children Study (KVACS) 2010 12. Kenya Fast Track Plan to End Adolescent AIDS 2015 13. Kenya National Social Protection Policy (2011) 14. The Framework for National Child Protection system for Kenya (2011) 15. The National Health Sector Strategic Plan (NSHSSP II) Kenya Community Strategy 16. Paediatric HIV Treatment Toolkit: A Practical Guide to the Implementation of 2009 WHO Paediatric Treatment Recommendations 17. Kenya Guidelines for Antiretroviral Therapy (2011) 18. Kenya Guidelines for the Formation and Management of Support Groups (2013) 19. Change Package for Quality Improvement in Orphans and Vulnerable Children Programming in Kenya (2013) 20. Minimum Service Standards for Quality Improvement OVC Programming in Kenya 2012.