MERCY ORPHANS SUPPORT GROUP PROGRAM C/O ST.CAMILLUS DALA KIYE CHILDREN WELFARE HOME P.O BOX 119 – 40401 KARUNGU mercyorphanstcb@gmail.com OVC Project ANNUAL REPORT October 2013 – September 2014 1 Acronyms AIDS Acquired Immunodeficiency Syndrome ART Antiretroviral Therapy CBO Community Based Organization CHW Community Health Worker CRS Catholic Relief Services HBC Home Based Care HHVA Household Vulnerability Assessment HIV Human Immunodeficiency Virus CIG Common Interest Group MOA Ministry Of Agriculture MOPHS Ministry Of Public Health and Sanitation MOH Ministry Of Health MOSGUP Mercy Orphans Support Group Program OVC Orphans and Vulnerable Children PLWHA People Living With HIV Aids TCB The Children Behind VCT Voluntary Counseling and Testing SILC Savings and Internal Lending for Communities PTA Parent Teachers Association JFFLS Junior Farmer Field and Life Schools 2 I. Introduction This report presents an overview of program activities implemented by MOSGUP in Migori County during the period October 2013 to September 2014. The report presents a general operational context, background of MOSGUP and its programme areas institutional development, performance monitoring framework detailing activities that were implemented and what was achieved in relation to output and results; achievements and challenges encountered. Mercy Orphans Support Group Program (MOSGUP) is a Community Based Organization that is keen on integrating community based care and support for OVC through livelihood approach. MOSGUP is registered as a CBO with the department of Gender and social services. The OVC being measured to get school uniforms The organization implements the six plus OVC core service areas as stipulated in the Kenya National OVC guidelines. These include Health Care, Shelter and Care, Child Protection, Education and Skills Training, Food and Nutrition, Psychosocial Support and Economic Strengthening in Migori County, Nyatike Sub County. MOSGUP therefore works to assist the communities to realize meaningful and sustainable development through a number of community-driven interventions. The organization beneficiaries are listed among the poorest households in Nyatike Sub County due a myriad of factors. These factors include children headed households, widowed caregivers and caregivers infected or affected by HIV/AIDS. Vision To be an organization that promotes improved livelihoods and equal opportunities to the OVC and community Mission To initiate an effective community response to bring about holistic development of the OVC to participate in community development 3 Program Area 1:- Health Care Through health education by the Social Workers and the CHWs, the organization was able to reach the community with disease preventive messages i.e. prevention of malaria, preventing and managing diarrhea through WASH education, prevention of HIV and providing care and support to Orphan and Vulnerable Children. Referral of OVC and caregivers for treatment to the health facilities, follow up with health facilities for referred cases and promoting the health seeking behavior of these households. The CHWs managed to refer 856 OVC (382 Males and 474 Females) and 379 caregivers (70 Males and 309 Females) for treatment of various ailments to the health facilities and made follow ups to ensure they access the services at the facilities. Through partnership with St. Camillus mission hospital, 52 (3 Males and 49 Females) caregivers received health education on prevention of pneumonia. 400 OVC (Females) received hygiene talk on menstruation. Through station days, the project also reached children and their caregivers with health education and treatment. During the year, 212 people (99 Males and 113 Females) were reached with different health messages HIV and AIDS prevention, care and support The organization intervened in areas of HIV/AIDS prevention through referral of caregivers and OVC for voluntary counseling and testing, HIV prevention education and had drug adherences sessions with caregivers on ART through PLHAs support group meetings and household visits. In charge methodology was also implemented in schools targeting children in school with HIV preventive messages. During the year all the OVC and caregivers registered under the ART program underwent drug adherence sessions with the social workers. 4 Program Area 2: Education and Vocational support Within the reporting year 2014, MOSGUP supported the OVC through Secondary sponsorship, Vocational training sponsorship, special education sponsorship, ECD levies payment, payment of KCPE levies and supported needy OVC with school uniforms. All these were done through need based assessment through household and school. The education support is aimed at ensuring that the OVC access quality education and promote regular school attendance among the OVC. The Vocational training empowers the OVC to develop skills that promote self reliance among the OVC which in turns enables them to support their households after the trainings. Secondary sponsorship is pegged on the annual academic performance of the OVC in school. Hence the social workers engage the students through a rigorous process and guidance and counseling during the holidays by reviewing their report forms and during the last holiday of the year in December have a meeting with the caregivers to brief them of the performance of their children in school and the number who will benefit from the secondary and vocational sponsorship. The secondary sponsorship this year reached a total of 155 OVC (103 Male, 52 Females). Through partnership with the county government of Migori and the National government, a total of 50 OVC (28 Males and 22 Females) received CDF bursary, ward bursary and presidential award bursary. Through needs assessment, a total of 902 OVC (488 Males and 414 Females) received school uniforms. These scholastic materials help the OVC to attend school regularly. The organization also promotes early childhood development through supporting the ECD requirements of the children between 6-7 years. 254 OVC (135 Males and 119 Females) received ECD levies. To enable the OVC complete primary education, the project support payment of KCPE enrolment for the OVC who proceed to class eight. 233 OVC (137 Males and 96 Females) in class eight received KCPE registration fee. 5 Program Area 3: Psychosocial Support This is the provision of emotional, spiritual, mental and physical needs of the OVC and their household to promote their holistic growth and development. It aims at ensuring that the emotional needs of the OVC are met to enable them relate well with their peers and adults. The project participated in the international days for the OVC e.g. World Orphans Day and the day of African Child which was used to promote child participation. Guidance and counseling was also done to the OVC both at home and at school to help the OVC understand their environment and be able to promote assertiveness among the OVC. During the year in report, 1812 OVC (852 Males and 960 Females) received guidance and counseling services through home visits, school visits and through OVC/caregivers meetings to openly share the problems faced by OVC in the community. Through the joint meetings with the OVC and their caregivers, the social workers discussed school academic performance and child delinquencies among the OVC. 239 Caregivers (118 Male and 121 Female) received counseling services. Program Area 4: Food and Nutrition Support Through food and Nutrition support, the project aims at strengthening the capacity of the caregivers and the community to provide regular and adequate food to the OVC and their families and ensuring that the food is of good quality and of required quantity that promotes the desired child growth and development. Through partnership with the MOA, the project promotes extension services to the CIGs and households to promote establishment of kitchen gardens, promote farming of local and sustainable vegetables which are easily accessible to the households. Through knowledge on horticulture disseminated to the caregivers support groups by the MOA extension officers, 1411 caregivers ( 92 Males and 1319 females) were involved in horticultural production at individual level were visited to check on their progress and to offer technical support. One of the caregivers support group which had 6 planted water melon was visited. Another caregiver support group rearing poultry was also visited and found to have only 9 chickens remaining after selling 27 of their stock raising Ksh 9,500. One caregiver group is also involved in bee keeping. Program Area 5: Economic Empowerment SILC Economic empowerment is aimed at enhancing the capacity of the vulnerable households to mobilize their own resources to engage in business through savings and internal lending community. These are aimed at enabling the households to meet the basic needs of the OVC and the members of the households hence becoming self reliance. The project implements SILC through the support of 10 PSPs and 8 apprentices. They train the groups on the SILC methodology and gets money for service. The project currently has a total of 341 SILC groups with a total membership of 9016 people (2019 Males and 6987 Females). The percentage profit for the year stands at 89% with accumulative savings of Kshs. 19,824,865. Objective 1: 3,644 OVC and their families demonstrate enhanced medical and psychological well being I.R 1: OVC and their households have access to regular and adequate food in order to ensure desired growth and development (Food and Nutrition) Planned Activities Achieved Gender Males 12 Months target Remarks Females Essential Action : Conduct ongoing assessments of the community's food and nutrition needs Conduct household need assessment on food and nutrition 316 Sensitize caregivers on importance of proper food and nutrition 1414 42 274 1,462 95 1,319 1,462 7 I.R 1: OVC and their households have access to regular and adequate food in order to ensure desired growth and development (Food and Nutrition) Planned Activities Achieved Gender 12 Months target Remarks Essential Action : Map and link stakeholders and resources available for food and nutrition services Conduct community mapping of stakeholders on resources available for food and nutritional support - 1 1 I.R 1: OVC and their households have access to regular and adequate food in order to ensure desired growth and development (Food and Nutrition) Planned Activities Achieved Gender 12 Months target Remarks Essential Action: Institute effective referral and linkage services with institutions involved in food and nutrition support services. Facilitate agricultural extension support visits by M.O.A extension workers. 7 203 12 14 Visits The extension officer visited the CIG- 210 caregivers (7 Males and 203 Females) were reached I.R 1: OVC and their households have access to regular and adequate food in order to ensure desired growth and development (Food and Nutrition) Planned Activities Achieved Gender Males 12 Months target Remarks Females Essential Action: Increase access to nutritious food by OVC and their households Strengthen of JFFLS 48 25 5 1 Facilitate linkages of OVC with food and nutrition needs There was no incidence referred for food and nutrition 0 Facilitate establishment of kitchen gardens among caregivers 26 1475 900 16 403 3 This is Cumulative throughout the year 1501 Caregivers with poultry 419 8 I.R 2: OVC and household member are facilitated to access preventive, promotive, curative and rehabilitative health care services( Health) Planned Activities Achieved Gender 12 Months target Males Remarks Females Essential Action: Prevent childhood illnesses in OVC, as per KEPH age groups Sensitize caregivers on childhood illnesses during community meetings Link OVC under 5 to THRIVE for ECD 900 414 27 387 40 18 22 Linkages with MOH for provision of ITN Linkage with MOH for de-worming of OVC - - 340 - 3,611 By the time of reporting the MOH had not concluded the distribution of ITNs hence we could not get the data 3,611 1088 561 527 I.R 2: OVC and household member are facilitated to access preventive, promotive, curative and rehabilitative health care services( Health) Planned Activities Achieved Gender Males 12 Months target Remarks Females Essential Action: Enhance access to appropriate services for OVC and their households Referral of CGs for treatment Referral of OVC for treatment Facilitate enrollment of OVC HHs to NHIF 1,040 379 70 309 856 382 474 2,600 300 118 11 107 I.R 2: OVC and household member are facilitated to access preventive, promotive, curative and rehabilitative health care services(Health) Planned Activities Achieved Gender Males 12 Months target Remarks Females 9 Essential Action: Promote safe water, hygiene and sanitation practices and in OVC households Educate CGs and OVC on water and sanitation 480 149 331 240 Conduct hygiene talks to girls during menstruation/ sanitary towels 400 - 400 935 I.R 3: OVC and household members are provided with emotional, social, spiritual, mental and physical support (Psychosocial support) Planned Activities Achieved Gender 12 Months target Remarks Essential Action: Conduct community mobilization and sensitization activities to create awareness of the PSS needs of OVC and their households Conduct field events to inform the community on PSS(WAD, DAC, WOD) - 3 3 I.R 3: OVC and household members are provided with emotional, social, spiritual, mental and physical support (Psychosocial support) Planned Activities Achieved Gender Males 12 Months target Remarks Females Essential Action: Build capacity of OVC to recognize, understand and meet their PSS need Guidance and counseling for OVC 1812 852 960 1,342 72 51 21 200 Home visits by staff 1142 33 1,109 1,462 These were the households visited by the SWs in the year Home visits by CHWs 59346 113 1,349 62,786 Some of the households were visited more than once. Hence the number is cumulative Hold annual OVC graduates congress Conduct station day 4 99 113 4 10 Objective 2: 3,644 OVC and their family members gain necessary skills to reduce the risk of HIV/AIDS infection Planned Activities Achieved Gender 12 Months target Males Remarks Females Essential Action: Enhance access to HIV prevention, treatment, care and support for OVC Counseling and testing of OVC 86 37 49 500 HIV prevention using In Charge methodology 06 81 59 10 Counseling and testing for CGs 239 118 121 450 Conduct drug adherence session for PLHA/TB Clients 2 2 Conduct PLHA support group meetings 15 08 49 45 24 Objective 3: Targeted local communities prioritize needs of the OVC households and carry out activities to care for and support them I.R. 3: OVC are provided with structured age appropriate teaching and relevant learning process provided by registered educational and/or training institutions (Education) Planned Activities Achieved Gender Males 12 Months target Remarks Females Essential Action: Sensitize and mobilize the community, especially key stakeholders, to support age appropriate education and training for OVC Conduct stakeholders meeting to address barriers to education 01 - - 1 Linkage of OVC with devolved funds and financial institutions 50 28 22 25 Conduct OVC quarterly meetings to review OVC performance 236 Planned Activities 3 116 Achieved 120 Gender 12 Months target Remarks 11 Males Females Essential Action: Develop and implement appropriate mechanisms that address education barriers and enable OVC to enroll, continuously attend and complete school and/or training. Conduct school visits 201 Visits N° of OVC visited in School 3177 Payment of secondary fees 420 70 schools were visited in the year (we work with 70 schools in the target area) 1242 1726 1451 155 103 52 120 Payment of KCPE levies 233 137 96 239 Payment of special education fees 6 1 5 10 Payment of ECD levies 254 135 119 250 Provision of school uniforms 902 488 414 800 Payment of vocational levies 11 11 15 I.R. 4: OVC reside in a structure which is safe, secure, adequate and habitable while receiving love and protection from at least one adult caregiver (Shelter and Care) Planned Activities Achieved Gender Males 12 Months target Remarks Females Essential Action: Conduct household needs assessments determine and support appropriate community shelter and care initiatives for OVC households. Conduct household needs assessment 710 58 652 680 Support shelter improvement through linkages with IGAs, support groups and SILC groups 359 29 330 250 These were caregivers sensitized to identify and support shelter improvement 12 I.R. 4: OVC reside in a structure which is safe, secure, adequate and habitable while receiving love and protection from at least one adult caregiver (Shelter and Care) Planned Activities Achieved Gender Males 12 Months target Remarks Females Educate OVC and communities on Child Rights, responsibility and protection Support procession of birth certificates for OVC 128 69 59 450 Sensitization of OVC on child rights, responsibilities and protection 1,232 531 701 602 Support children's participation in Children Assemblies 03 02 01 10 I.R. 4: OVC reside in a structure which is safe, secure, adequate and habitable while receiving love and protection from at least one adult caregiver (Shelter and Care) Planned Activities Achieved Gender 12 Months target Males Remarks Females Essential Action:- Build the capacity of and strengthen household and local community structures to enhance OVC protection and maximise utilization of available resources. Training of Sub County AAC members 01 Holding quarterly meetings with AACs 2 10 10 - 1 - 4 I.R. 4: OVC reside in a structure which is safe, secure, adequate and habitable while receiving love and protection from at least one adult caregiver (Shelter and Care) Planned Activities Achieved Gender 12 Months target Remarks Essential Action: Establish and strengthen data collection and documentation mechanisms on child protection that build into a national data bank. Conduct support supervision by the DCO 03 - - 01 Data sharing with the DCO 01 - - 01 13 I.R. 4: OVC reside in a structure which is safe, secure, adequate and habitable while receiving love and protection from at least one adult caregiver (Shelter and Care) Planned Activities Achieved Gender 12 Months target Males Remarks Females Essential Action: Advocate for the protection of the OVC at all levels Conduct visits to the county government to share data on child protection issues 01 - - 01 Objective 4: Targeted households and their families demonstrate improved quality of life Planned Activities Achieved Gender 12 Months target Males Remarks Females I.R. 5: Vulnerable household members are assisted and their capacity built to mobilize and manage resources as to meet basic needs of OVC and members of household( Household Economic Strengthening) Essential 2.7.3 Initiate and facilitate successful economic strengthening interventions for OVC households, informed by the community action plans. Training of PSPs on business skills Postponed to next financial year Conduct supervision visits of SILC groups 27 11 583 Conduct meetings with PSPs 9 13 5 12 Objective 5: Strengthen the capacity of local implementing partners to deliver quality care and support to OVC and their families Planned Activities Achieved Gender 12 Months target Remarks I.R. 6: Support creation of a structured, systematic and monitored process that enhances service providers’ networking and essential services to OVC ( Coordination of Care) Essential Action: Establish and/or strengthen new coordination units for the integration and/or harmonization of OVC service provision at all levels to avoid duplication and encourage prudent utilization of resources Establish and train QI teams 2 - - 2 QI team meetings 6 - - 24 Conduct monthly CHW meetings 12 29 60 12 Conduct monthly staff meetings 12 3 6 12 14 Staff training on finance and grant management 4 1 3 Bi-annual and annual review meetings 1 - - 1 Objective 5: Strengthen the capacity of local implementing partners to deliver quality care and support to OVC and their families Planned Activities Achieved Gender 12 Months target Participate in SMILER review meeting - - - 4 Participate in M and E working group meetings - - - 4 Participate in project evaluation data collection. 2 - - 1 Remarks Monitoring and evaluation Partnerships Partner Ministry of Health Ministry of Education Ministry of Agriculture Department of Children services Civil Registration Nyatike CDF Dala Kiye Migori County government Areas of support Referral and treatment of OVC and caregivers Health education and immunization Enrolment of OVC into normal learning Agricultural Extension services Presidential bursary award Promotion of child right activities Registration & provision of birth certificates to OVCs Secondary sponsorship to deserving OVC Referral of HIV+ OVC for institutional care Ward Bursary for OVC Challenges 1. Implementing some of the issues on Child protection especially registration for birth certificate because there is very scanty information available from their next of kin, making the process very slow. 2. Constant migration of OVC to other areas to stay with relatives and changing of households and schools. This makes it difficult to monitor their progress in school. 3. SILC groups reported theft of money from the box or disappearance of the box. 15