Facilitator's Training Manual
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Internal Ex-Post Evaluation for Grant Aid Project the Project for The
Internal Ex-Post Evaluation for Grant Aid Project conducted by Kenya Office: March 2018 Country Name The Project for the Reinforcement of Vaccine Storage in Kenya The Republic of Kenya I. Project Outline In Kenya, provision of medical service focusing more on prevention was a key issue to improve the situation under which many people have suffered from preventable diseases and more expenses for their treatments were required. In particular, according to the WHO mortality country fact sheet 2006, the main causes of death for children under 5 years were pneumonia (20%), diarrhea (16%) and measles (3%) which were diseases Background preventable by immunization. Therefore, the government of Kenya had been implementing vaccination under “the Kenya Expanded Programme on Immunization” (KEPI) since 1980. However, there was insufficient storage capacity for vaccines and transportation of vaccines from the National Vaccine Depot to the Regional Vaccine Depots was not smoothly carried out, which hampered efficient immunization services. To enable more efficient stock management and delivery of vaccines by construction of the Central and Objectives of the Regional Vaccine Depots and procurement of equipment for adequate storage of vaccines, thereby contributing to Project improvement for the full immunization coverage in Kenya 1. Project Site: Nairobi (later moved to Kitengela), Kakamega (Western Province), Meru (Eastern Province), Garissa (North Eastern Province), Nyeri (Central Province), Nakuru, Eldoret (Rift Valley Province), Kisumu (Nyanza Province), Mombasa (Coast Province)1. 2. Japanese side Consultant services: Design of facilities, equipment, and supervision of construction Construction: Nairobi Central Vaccine Depot, Kakamega Regional Vaccine Depot, Meru Regional Contents of the Project Vaccine Depot, and Garissa Regional Vaccine Depot Equipment: Cold rooms, freezer rooms, freezer, pallet lifts, tool boxes etc. -
AGRICULTURAL TRANSFORMATION in NYAMIRA COUNTY, KENYA; 1945-2002 ISAAC MOTANYA a Thesis Submitted to School of Humanities And
AGRICULTURAL TRANSFORMATION IN NYAMIRA COUNTY, KENYA; 1945-2002 ISAAC MOTANYA A Thesis Submitted to School of Humanities and Social Sciences in Partial Fulfillment of the Requirements for The Award of Master of Arts Degree in History of Kenyatta University. 2019 i DECLARATION AND RECOMMENDATION ii DEDICATION To my parents Mzee Isaboke and Mum Kwamboka for their devotion in farming through which all my siblings were able to acquire their education. Their selfishlessness and hardworking will always be remembered by our family. iii ACKNOWLEDGEMENT I am grateful to Kenyatta University for offering me a chance to realize my academic dream. On the same note, I am indebted to specific persons, though I will not mention all of them, for their moral and material support during the time of my study. First and foremost, the completion of this work would not have been complete, without the exemplary guidance and advice from my supervisors, Dr. Felix Kiruthu of the Department of History Archaeology and Political studies of Kenyatta University, Professor Mildred A.J. Ndeda of Jaramogi Oginga Odinga University, Bondo and Dr. Gimode who patiently took me through correctional work. I would also like to extend my appreciation to Dr. Lazarus Ngari, Dr. Wafula Wekesa, Dr. Kakai, Dr. Kis’angani, Professor Mwanzi, Dr Susan Mwangi, Dr. Ndiiri, among others whose support and guidance towards this study was immeasurable. Much thanks to the staff of Kenya National Archives, for providing us with all relevant records for our use. I also acknowledge with much appreciation, the assistance from various institutions such as Kenyatta and Kisii Universities and Kisii National Library. -
County Urban Governance Tools
County Urban Governance Tools This map shows various governance and management approaches counties are using in urban areas Mandera P Turkana Marsabit P West Pokot Wajir ish Elgeyo Samburu Marakwet Busia Trans Nzoia P P Isiolo P tax Bungoma LUFs P Busia Kakamega Baringo Kakamega Uasin P Gishu LUFs Nandi Laikipia Siaya tax P P P Vihiga Meru P Kisumu ga P Nakuru P LUFs LUFs Nyandarua Tharaka Garissa Kericho LUFs Nithi LUFs Nyeri Kirinyaga LUFs Homa Bay Nyamira P Kisii P Muranga Bomet Embu Migori LUFs P Kiambu Nairobi P Narok LUFs P LUFs Kitui Machakos Kisii Tana River Nyamira Makueni Lamu Nairobi P LUFs tax P Kajiado KEY County Budget and Economic Forums (CBEFs) They are meant to serve as the primary institution for ensuring public participation in public finances in order to im- Mom- prove accountability and public participation at the county level. basa Baringo County, Bomet County, Bungoma County, Busia County,Embu County, Elgeyo/ Marakwet County, Homabay County, Kajiado County, Kakamega County, Kericho Count, Kiambu County, Kilifi County, Kirin- yaga County, Kisii County, Kisumu County, Kitui County, Kwale County, Laikipia County, Machakos Coun- LUFs ty, Makueni County, Meru County, Mombasa County, Murang’a County, Nairobi County, Nakuru County, Kilifi Nandi County, Nyandarua County, Nyeri County, Samburu County, Siaya County, TaitaTaveta County, Taita Taveta TharakaNithi County, Trans Nzoia County, Uasin Gishu County Youth Empowerment Programs in urban areas In collaboration with the national government, county governments unveiled -
A Social Constructionist Approach to Health and Wellbeing of Young People in Kenya
International Journal of Environmental Research and Public Health Article Bleeding Bodies, Untrustworthy Bodies: A Social Constructionist Approach to Health and Wellbeing of Young People in Kenya Elizabeth Opiyo Onyango 1,2,* and Susan J. Elliott 1 1 Department of Geography and Environmental Management, University of Waterloo, Waterloo, ON N2N 1N2, Canada; [email protected] 2 School of Nursing and Midwifery, Masinde Muliro University of Science and Technology, Kakamega 50100, Kenya * Correspondence: [email protected] or [email protected] Received: 23 September 2020; Accepted: 9 October 2020; Published: 17 October 2020 Abstract: The Sustainable Development Goals provide a global development agenda that is meant to be inclusive of all people. However, the development needs for vulnerable populations such as youth are not reflected within the policy agenda of some developing countries. One of the reasons for this is that research that explores health and wellbeing concerns for young people are sparse in the region and where they exist, the focus has been on marginalized subgroups. To address this gap, this cross-sectional study explored the health and wellbeing of youth in Kenya. We conducted 10 focus group discussions and 14 in-depth interviews with youth ages 15 to 24 years. A thematic analysis of the data revealed that structural factors are important influencers of youth perceptions and their social constructions of health and wellbeing. Kenyan youth are concerned about the health status and healthcare services in their communities, as well as issues of community trust of youths and perceived risks of political misuse and emotional suffering. Our findings suggest that youth transitioning into adulthood in resource-constrained areas experience feelings of powerlessness and inability to take charge over their own life. -
KENYA POPULATION SITUATION ANALYSIS Kenya Population Situation Analysis
REPUBLIC OF KENYA KENYA POPULATION SITUATION ANALYSIS Kenya Population Situation Analysis Published by the Government of Kenya supported by United Nations Population Fund (UNFPA) Kenya Country Oce National Council for Population and Development (NCPD) P.O. Box 48994 – 00100, Nairobi, Kenya Tel: +254-20-271-1600/01 Fax: +254-20-271-6058 Email: [email protected] Website: www.ncpd-ke.org United Nations Population Fund (UNFPA) Kenya Country Oce P.O. Box 30218 – 00100, Nairobi, Kenya Tel: +254-20-76244023/01/04 Fax: +254-20-7624422 Website: http://kenya.unfpa.org © NCPD July 2013 The views and opinions expressed in this report are those of the contributors. Any part of this document may be freely reviewed, quoted, reproduced or translated in full or in part, provided the source is acknowledged. It may not be sold or used inconjunction with commercial purposes or for prot. KENYA POPULATION SITUATION ANALYSIS JULY 2013 KENYA POPULATION SITUATION ANALYSIS i ii KENYA POPULATION SITUATION ANALYSIS TABLE OF CONTENTS LIST OF ACRONYMS AND ABBREVIATIONS ........................................................................................iv FOREWORD ..........................................................................................................................................ix ACKNOWLEDGEMENT ..........................................................................................................................x EXECUTIVE SUMMARY ........................................................................................................................xi -
Phenotypic Characteristics and the Factors Causing Effects on the Phenotypes of Capra Hircus Populations in Kajiado and Makueni Counties, Kenya
IOSR Journal of Agriculture and Veterinary Science (IOSR-JAVS) e-ISSN: 2319-2380, p-ISSN: 2319-2372. Volume 10, Issue 12 Ver. I (December 2017), PP 43-56 www.iosrjournals.org Phenotypic Characteristics And The Factors Causing Effects On The Phenotypes Of Capra Hircus Populations In Kajiado And Makueni Counties, Kenya 1George Otieno Okello; 2J.O Jung’a; 3 M.S Badamana; 4J.O Amimo; 1Department of animal production: University of Nairobi 2Department of animal production: University of Nairobi 3Department of animal production: University of Nairobi 4Department of animal production: University of Nairobi Summary :The aim of this project was to study the phenotypic characteristics and the factors causing effects on the phenotypes of Capra hircus (Galla and Small East African goats) populations in Kajiado County in Rift valley province and Makueni County in Eastern province. Data were obtained through personal observations of the goats between 1st September, 2013 and 2nd December, 2013. This study covered characteristics of goats majorly quantitative and qualitative traits. The Galla goats weighed more than the Small East African goats as least square mean for the Galla goats was 46.33 ± s.e 0.36 kg while the Small East African goats had 32.41 ± s.e 0.41 kg. The males were superior in weight than the females as the males had a least square mean of 45.75 ± s.e 0.43kg while the females had a least square mean of 32.99 ± s.e 0.30 kg. Breed and sex had high significant effect on weight. County also had high significant effects on weight and heart girth length while flock size had significant effects weight. -
Devolution in Kenya: an Opportunity for Increased Public Participation, Reduced Corruption, and Improved Service Delivery
DEVOLUTION IN KENYA: AN OPPORTUNITY FOR INCREASED PUBLIC PARTICIPATION, REDUCED CORRUPTION, AND IMPROVED SERVICE DELIVERY by HAYLEY ELSZASZ Ngonidzashe Munemo, Advisor A thesis submitted in partial fulfillment of the requirements for the Degree of Bachelor of Arts with Honors in Political Science WILLIAMS COLLEGE Williamstown, Massachusetts MAY 11, 2016 Table of Contents Introduction…………………………………………………………………………..1 Chapter I: History of Local Government in Kenya………………………………..32 Independence and the Kenyatta Presidency The Moi Era Period of Democratization Constitutional Reforms Chapter II: Participation and Corruption in Post-Devolution Kenya……..……...61 Participation in Kenya’s Local Governments Disengagement Corruption Post-2010 Actions to Counter Corruption Perceptions of Corruption Chapter III: Healthcare Delivery in Post-Devolution Kenya……………………..94 Constitutional Framework Financing Local Healthcare Healthcare in Counties Healthcare System Post-Devolution Health Sector Explanations and Predictions Conclusion………………………………………………………………………….120 Bibliography………………………………………………………………………..137 ii Figures and Tables Figure 2.1 Voter Turnout 1992-2013 69 Table 0.1: Vote Margins in County Elections 24 Table 0.2: Party in Power: County Government 25 Table 0.3: Presidential Outcomes 2013 27 Table 0.4: Centrality of Counties 29 Table 1.1: The Provincial Administration: Kenyatta 36 Table 1.2: The Provincial Administration: Moi 46 Table 1.3: Devolved Local Government 57 Table 2.1: Voter Turnout 1992-2013 by Province 70 Table 2.2: Members of County Assemblies 77 Table 2.3: Qualities of the Most Corrupt Counties 83 Table 2.4: Bribes in Exchange for Services 91 Table 3.1: Tiers of Health Services 95 Table 3.2 Local Revenue & Central Government Grants 100 Table 3.3 Central Government Grants to the Counties 102 Table 3.4: Vaccination Rates by Province 113 Table 3.5: Births Delivered in a Health Facility by Province 114 Table 3.6: Infant Mortality by Province 115 Table 3.7: Antenatal Care by Province 116 Note on currency usage: All figures are given in Kenyan Shillings (KSh). -
Aflatoxin Exposure in Children Age 6–12 Years: a Study Protocol of a Randomized Comparative Cross-Sectional Study in Kenya
Wangia et al. Pilot and Feasibility Studies (2019) 5:141 https://doi.org/10.1186/s40814-019-0510-x STUDY PROTOCOL Open Access Aflatoxin exposure in children age 6–12 years: a study protocol of a randomized comparative cross-sectional study in Kenya, East Africa Ruth Nabwire Wangia1,2* , David Peter Githanga3, Jia-Sheng Wang1 and Omu Aggrey Anzala2,3 Abstract Background: Aflatoxins (AFs) are naturally occurring fungal metabolites produced by the Aspergilla species of fungi. The staple food grain, maize (Zea mays), is highly susceptible to AF contamination. In Kenya, contamination of maize supplies by AFs is a recognized public health problem which has resulted in over 600 human deaths. Human exposure to AFs can occur in utero, via breast milk, through weaning foods, and throughout an individual’s lifetime. Recent epidemiological studies have shown that exposure to AFs in early life through diet is a contributing factor to immune suppression, micronutrient deficiency, possible vaccine interference, and impaired growth in children. However, these results remain inconsistent and inconclusive due to lack of randomized controlled studies. Methods: A randomized school-based cross-sectional study was designed to study AF exposure levels and associated health effects in children between ages 6 and 12 years. Participants were recruited from primary schools within Siaya and Makueni Counties of Kenya, East Africa. The Joint Ethics Committee of the University of Nairobi and Kenyatta National Hospital in Kenya approved the research protocol and procedures for the study. Both parental consent and child assent were obtained before enrollment in the study. Parents were requested to provide household grain samples and fill out questionnaires detailing their sociodemographic information, household dietary patterns, farming practices, and knowledge of AF contamination. -
Chapter One County Background Information
CHAPTER ONE COUNTY BACKGROUND INFORMATION 1.0 INTRODUCTION This chapter gives the background information on the socio-economic and infrastructural information that has a bearing on the development of the county. The chapter provides description of the county in terms of the location, size, physiographic and natural conditions, demographic profiles as well as the administrative and political units. In addition, it provides information on infrastructure and access; land and land use; community organizations/non-state actors; crop, livestock and fish production; forestry, environment and climate change; mining; tourism; employment and other sources of income; water and sanitation; health access and nutrition, education and literacy, trade, energy, housing, transport and communication, community development and Social Welfare. Detailed data is presented in the fact sheet which is given in Annex I. 1.1 Position and Size Nyamira County is one of the forty seven counties in Kenya. The County borders Homabay County to the north, Kisii County to the west, Bomet County to the south east and Kericho County to the east. The County covers an area of 899.4km2. It lies between latitude 00 30‘and 00 45‘south and between longitude 340 45‘ and 350 00‘ east. Map 1 Location of Nyamira County in Kenya First Nyamira County Intergrated Development Plan 2013– 2017 1 1.2 Physiographic and Natural Conditions 1.2.1 Physical and Topographic Features The county‘s topography is mostly hilly “Gusii highlands”. The Kiabonyoru, Nyabisimba, Nkoora, Kemasare hills and the Manga ridge are the most predominant features in the county. The two topographic zones in the county lie between 1,250 m and 2,100 m above the sea level. -
Female Genital Mutilation/Cutting in Kenya- Examining Progress Or Lack of Progress at National and Subnational Levels
Female Genital Mutilation/Cutting in Kenya- Examining Progress or Lack of Progress at National and Subnational Levels Robert P Ndugwa PhD1 and Dr Edward Addai2 1Global Urban Observatory, Research and Capacity Development Branch, United Nations Human Settlements Programme, Nairobi, Kenya. 2UNICEF ESARO, Nairobi, Kenya Abstract Female genital mutilation or cutting (FGM/C) is widely outlawed globally, but continues to be practiced in selected communities across the globe. In Kenya, this practice is common among selected communities, and recent national trends show that the prevalence of the practice is declining. Using Multiple Indicator Cluster Surveys data collected in 2011 from 6 counties from the Western region of Kenya, we demonstrate that while national figures conspire to show that the prevalence of FGM has declined but among certain communities the practice remains almost universal. Underlying factors favouring the continuation of the practice within these communities are discussed, including examining the role of cultural traditions, tribe and religion. The study demonstrates the value of collecting data at lower levels, and highlights the need to step up the responses and engagement of communities who continue practicing FGM even after outlawing this practice. Introduction Female genital mutilation or cutting (FGM/C) has continued to dominate the discourse in women’s health and empowerment as well as remaining a dominate subject for human rights violations today. Female genital mutilation or cutting (FGM/C) is a procedure or practice where the parts of the female genitals are removed, and it is practiced in over twenty countries within sub-Saharan Africa. FGM/C practice has been widely documented to interfere with the natural functioning of the body, in addition to causing many short-term and long-term health and psychological consequences (Behrendt et al. -
Sources and Levels of Human Exposure to Aflatoxins in Makueni
SOURCES AND LEVELS OF HUMAN EXPOSURE TO AFLATOXINS IN MAKUENI COUNTY, KENYA OUKO ELIZABETH OMOLO (BVM, University of Nairobi) A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Veterinary Epidemiology and Economics (MVEE) Department of Public Health, Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Nairobi. 2014 DECLARATION This thesis is my original work and has not been presented for a degree in any other university. Signature _____________________________ Date____________________ DR OUKO ELIZABETH OMOLO (BVM) J56/75134/09 This thesis has been submitted for examination with our approval as university supervisors: PROFESSOR KANG’ETHE E. K. (BVM, MSc, PhD) Department of Public Health, Pharmacology and Toxicology Signature_______________________________ Date____________________ PROFESSOR KITALA P. M. (BVM, MSc, PhD)s Department of Public Health, Pharmacology and Toxicology Signature _______________________________Date___________________ DR. KANJA L. (BSc, MSc, PhD) Department of Public Health, Pharmacology and Toxicology Signature _______________________________Date__________________ ii DEDICATION I would like to dedicate this thesis to my late Father Wilson Otok Wanyang’, late mother Leah Were Otok who passed on during this project, to my husband Dr Tom Sangoro and to my children Dr Mike Sangoro, Susan Sangoro, Leah Sangoro and George Sangoro. iii ACKNOWLEDGEMENTS I sincerely thank my supervisors, Professor Kang’ethe E.K., Professor Kitala P. M. and Dr. Kanja L. W. for their guidance and encouragement from the development of the project proposal through fieldwork, laboratory work and eventual preparation of this thesis. My sincere thanks go to Mr Njoroge H.M., Mr Joseph Nderitu who guided me through laboratory analysis, Miss Esther Wanjiru Mwangi and Mr Joseph Munga’tu who helped with data entry and analysis. -
Kitui County Climate Information Services Strategic Plan January 2015
Kitui County Climate Information Services Strategic Plan January 2015 Kenya Meteorological Department REPUBLIC OF KENYA THE MINISTRY OF ENVIRONMENT, WATER AND NATURAL RESOURCES STATE DEPARTMENT OF ENVIRONMENT, AND NATURAL RESOURCES KENYA METEOROLOGICAL SERVICE Kitui County Climate Information Services Strategic Plan A Vision 2030 implementing Agency December 2015 Page 2 of 37 Index Forward by KMS Director Forward by Kitui County Government Executive summary 1.0 Background and Context 1.1 Background 1.2 Context 1.3 Climate in Kitui County 2.0 Proposed framework for developing the Kitui County Climate Information Services Plan (KCCISP) 2.1 Aims 2.2 Principles 2.3 Roles and Responsibilities of County Directors of Meteorological Services 2.4 Linkages with related CIS initiatives 2.5 Situational Analysis of the County’s observational network 2.6 Proposed strengthening of the County’s observational network 2.7 Process of providing CIS 2.8 CIS intermediaries 2.9 Awareness raising and promoting uptake of CIS 2.10 Monitoring and evaluation 2.11 Planning and budgeting Annexes Annex 1 CIS intermediary key contacts Annex 2 Proposed CIS intermediaries and Training Annex 3 Timetable of activities for Ada CIS and CAF activities in Kitui Annex 4 Summary baseline of current use of CIS in Kitui County Annex 5 Summary KMS Forecasts Skill Scores Annex 6 References Figures Figure 1: Population in Kitui County by Principal Livelihood groups Figure 2: Average rainfall distribution in Kitui over March April May and October November December rainy seasons Figure