MEDICAL MISSIONARIES OF MARYST MARY’S MEDICAL CENTRE JANUARY TO DECEMBER 2012

ST MARY’S MEDICAL CENTRE, KAPSOYAP.O. BOX 5255 – 30100Tel 0722-538762ELDORET – KENYA

E-mail stmaryskapsoya@gmail.com (i)

ABBREVIATIONSAIDS - Acquired Immune Deficiency SyndromeHIV - Human Immune VirusARVS - Anti-RetroviralIGA - Income Generating ActivitiesKEMSA - Kenya Medical Supply Authority

MEDS - Mission for Essential DrugsSOS - Save our SoulsOVC - Orphans and vulnerable childrenPMTCT - Prevention of Mother to Child TransmissionTOWA - Total War against AIDSVCT - Voluntary Counselling and TestingKAPTLD – Kenya Association for Prevention of Tuberculosis and Lung DiseaseDPNO -District Public Nursing OfficerDNO - District Nursing OfficerCACC - Constituency AIDS Control CouncilQA - Quality AssuranceGOK - Government of KenyaQC - Quality ControlUTI - Urinary Tract Infection RTI - Respiratory Tract InfectionSTI - Sexual Transmission InfectionsTT - Tetanus Toxoid ESR - Erythrocyte Sedimentation RateHB - Haemoglobin

VISIONThat the communities in this area of Eldoret East will be equipped with quality basic medical services, and holistic care be provided to those infected and affected by HIV/AIDS pandemic.

MISSION STATEMENTTo provide quality basic medical and holistic care to the sick in Kapsoya/Chepkoilel locations and their environs including families infected & affected by HIV & AIDS

St. Mary’s Medical Centre Core ValuesCommitment, Honesty, Respect, Stewardship, Trust, Equity, Quality of Work & Consideration

Broad ObjectivesTo ensure a better quality of life for the people of the target area and to ensure that the community, including families infected/affected by HIV/AIDS, have access to quality basic medical and holistic care.

Specific Objectives• To provide affordable quality basic medical and holistic care to the sick• To provide holistic healing to HIV infected/affected families through provision of

medical, social, spiritual, emotional and psychological support.• To sensitize the community through creation of awareness on the cause, mode of

transmission, signs/symptoms and disease progress of HIV infection• To reduce stigma and discrimination through AIDS education and Education for Life

process workshops/seminars, thereby encouraging positive living.• To provide care, assistance and educational support to orphans and vulnerable children • To empower the community through active participation and ongoing education in the

care of children • To promote self sustainability of families to care for their children • To empower the communities in Kapsoya and Chepkoilel locations and enable the

households become independent and self reliant.

St Mary’s management team comprises of the business administrator, dispensary coordinator, social unit coordinator, and the director. The team meets monthly to discuss the day to day running of the centre and respond to issues at its level.

ST MARY’S MEDICAL CENTRE ORGANOGRAM

MMM LEADERSHIPCATHOLIC DIOCESE OF ELDORET

MANAGEMENT TEAM DIRECTORBUSINESS ADMINISTATOR

SOCIAL WORKERS CHWSCARE GIVERS

UNIT INCHARGE, STAFF NURSESLABORATORY TECHNOLOGISTS RECEPTION STAFF

SECRETARY, ACCOUNTANT, COOK, DRIVER, WATCHMANGROUNDSMAN

SOCIAL UNIT MEDICAL UNITCOORDINATOR COORDINATOR

MEDICAL DEPARTMENT

St Mary’s dispensary offers basic curative services at a low and affordable cost to the local community . The cost sharing from the dispensary helps to offset some of the running expenses.

The following are the services offered by the dispensary:Curative - Monday to SaturdayChild welfare clinic - Mondays and TuesdaysPMTCT/ANC - Wednesday, Thursdays and when necessary Laboratory - Monday to SaturdayOutreach clinic - First Wednesday of the MonthHIV/TB programme - Thursdays and when necessaryMobile VCT - Once a month 2nd SaturdaySite VCT - Monday to FridayHome based care - Once a week

CWC4398 under 5 years of age attended well baby clinic 432 were attended for the first time

Vitamin A supplement Below 1 year 100,000 IU- 281Above 1 year 200,00IU -171Lactating mothers - 83

Therapeutic Vitamin ABelow 1 year - 13 Above 1 year -343

Measles CampaignVitamin A was given to -900

Nets issued -378

Immunization B/dose 1st 2nd 3rd 4th 5th Total

BCG 365 00 00 00 00 00 365OPV 291 466 469 447 00 00 1673Pentavalent 00 466 471 451 00 00 1388PCV10 00 467 471 458 00 00 1396Measles 00 473 00 00 00 00 473Measles camp 850T.T. for ANC 00 143 107 37 26 12 325T.T. for Trauma

00 96 10 03 04 02 115

TOTAL 656 2111 1528 1396 30 14 5735

LOCATION St. Mary’s Medical Centre Kapsoya is situated in Kapsoya Estate next to Kapsoya secondary school along Elgeyo Marakwet Road 5 km from Eldoret town – Eldoret East district of Uasin Gishu county -Rift Valley province – Kenya.GEOGRAPHICAL AREA/POPULATIONST. Mary’s covers 10 villages within Eldoret – Kapsoya, Munyaka, Kenya Service, Kambi Nyasi, Cyrus, Illula, Border farm, Kimumu, Cheburus, and Chepkoilel. Most people here are women and have no meaningful regular source of income. For these women to access medical care when they are ill or support for their children with the basic needs becomes extremely difficult as the majority are widowed or single. This also impacts on the HIV transmission. Most often some give in to casual sex in order to provide for their children, others engage in risky behavior that contribute towards HIV progression and transmission. Teenagers, especially girls need a lot of support. They are more vulnerable to early pregnancy and sexually transmitted infections. Many of the families that we care for live in a one roomed rented mud house. Children of all ages share the same sleeping space. This causes both boys and girls to leave the family early and this sometimes results in an increase in street children. General information on HIV/AIDS countrywide

In 2011No of Kenyans living with HIV 1,600,000New infections adult & children 104,000Annual AIDS death 62,000 Information from NAC 19th October 2012: No of Kenyans living with HIV dropped from 13% 2000 to 6.3% 2012 with namber of new infections remaining high at about 100,000 people 100,000 people living with HIV are on ARV drugs82% of all pregnant mothers are accessing PMTCT services countrywide1.2 million children are orphans of HIV/AIDs in Kenya The relative cost reduction of ART in 2005 and 2009 made it possible for people living with HIV to receive ART free of charge from the government institutions. This has led to the improvement of their health status and reduction in number of bed ridden clients but the hidden cost of care and support services has remained an obstacle to accessing adequate health care. National HIV/AIDS (MoT 2009)Source of incidence % NationallyHeterosexual (sex within union/regular partnership

44.1%

Casual sex 20.3%MSM and prison 15.2%Sex workers 14.1%Injecting drugs use 3.8%Health facility related 2.5%

ANC/PMTCT 822 mothers attended antenatal clinic 265 were attending for the first time 240 were counseled and tested for HIV 08 were positive for HIV and were referred to the District for ART prophylaxis. 02 couples were counseled and tested for HIV. They tested negative 407 Were given fansidar for the prevention of malaria in pregnancy. 335 were given T.Toxoid. 159 mosquito nets were supplied 271 had information on family planning.

TB/HIV/HBC TB22 were new enrollment.90 were repeat visit on weekly and fortnightly collecting TB drugs.14 finished TB treatment and were cured

HIV 13 were new enrollments385 were repeat visit collecting medicine for prevention of opportunistic infection.

HBC 46 home were visited ,mainly HIV clients and TB follow up. 03 support groups (whose most members are HIV clients) were also visited

VCT1628 Clients were counseled and tested for HIV. 50 were HIV positive. Site Mobile

positive Positive TotalMale 125 07 820 10 945Female 144 13 539 20 683Total 269 20 1359 30 1628

VCT SERVICES

Outreach clinics244 clients were attended208 were under 5 yrs for immunization and weighing 15 were antenatal mothers 19 were for treatment (curative) 02 were for VCT

LABOROTARY TESTSTest done 1st Qrt 2nd Qrt 3rd Qrt 4th Qrt TotalMalaria 860 545 645 566 2616Widal 246 140 214 214 814Urinalysis 142 144 159 128 573HB 117 93 94 90 394VDRL 100 91 97 65 353

Blood grouping 92 79 88 57 316Brucella 44 23 75 51 193PITC 61 23 28 42 154Stool 49 36 30 38 153Pregnancy test 37 23 32 33 125Sputum 21 24 33 21 99Blood sugar 24 10 15 11 60Rheumatoid factor 07 04 06 07 24ESR 15 00 04 04 23Total 1815 1235 1528 1327 5898

CONSULTATION (MOBIDITY)Malaria 2365 Hypertension 33Resp. tract infection 1236 Epilepsy 29Skin and wound 456 Brucellosis 22Intestinal worm 231 Burns 15Diarrhea 202 Mumps 15Urinary tract infection 166 Dental 11Eye infection 94 Anaemia 09Injuries 51 Bites 08Joint pains 47 TB 04Ear infection 44 Abortion 04Chickenpox 36 Malnutrition 02S.T.I 35 Dysentry 02Pneumonia 33

Others 809Referrals 83: These were Dental, DVT, retention of urine, severe malnutrition, ? fracture, dog bites, severe dehydration, severe anaemia, abortions, hypertension, TB defaulters, respiratory distress, hemorrhoids, foreign body in the nose and swollen neck.

SUMMARY OF THE SERVICESSITE Outreach

New Revisit New Revisit TotalOver 5 years Male 898 459 04 00 1361Over 5 year Female 1450 915 07 01 2373Under 5 year Male 451 320 00 01 772Under 5 year Female 429 332 05 02 768CWC 433 3199 04 210 3846ANC 265 582 02 13 862TB 22 90 00 00 112HIV 13 528 00 00 541VCT 265 00 1371 00 1636TOTAL 914 1527 1393 227 12271

Capacity building2 nurses and 1 subordinate staff from medical unit attended trainings

• Basic concepts of management & appropriate medicine use/pharma convigilance• Improving quality of health care services• Auxiliary staff (client support) course

Achievements• Two new outreach clinics were opened at Kapsoen and Kapkei• We have 5 days measles and Vit. A campaign organized by the Kenya Ministry of health • St Mary’s won Kshs 75,000 Miconazole competition award

Challenges• Low turn up of clients in Kipkorgot outreach clinic which brought about the decision of

its closure• HIV programme attendance dropped with no clear reason • Vaccine stock out • Nets stock out

SOCIAL DEPARTMENTThrough clear defined goals and objectives, activities aimed at empowering clients were well executed as support and networking with other agencies proved vital. Activities home visits,

school visits, psychosocial support, workshops, networking meetings, education support, Income generating activities ensured clients were adequately catered for.

Social Assistance: Through the social office we were able attend to 932 clients (697 female and 235 males). The issues they presented were dynamic in nature. The issues were education support, medical support, social support, psychosocial support, domestic issues, I.G.A support, and house rent support.

Table 1Social assistance

Issues Presented V/s Gender

Male Female

Education 43 121Medical 36 110Social 37 111Psychosocial 28 33Domestic 19 68I.G.A 36 105House Rent 16 83Others 20 66Total 235 697

Psychosocial Support: In ensuring clients cope well in life and avoid stress, 61 clients were helped to overcome challenges that were bothering them. The social workers were able to offer psychosocial support to both OVCs and their guardians for the following issues domestic violence, child negligence, unemployment, lack of food, school fees, house rent problem and Indiscipline at school

Table 2 Psychosocial support

Psychosocial Issues V/s Gender

Male Female

Domestic violence 03 03Child negligence 02 04Unemployment 05 03Food problem 03 06School fees 05 09House rent 04 07Ovc Indiscipline 02 05Total 24 37

Home Visit: 236 home visits were conducted by social workers and one nurse in various areas i.e. Munyaka, Illula, Syllus K/service, Kimumu, Marura, Juniorate, Kambinyasi,Mwitirithia and

Ngomongo to assess clients health status, social status, and economic status. Intervention that deemed necessary in assisting the clients after assessment of their needs was provided.

Table 3 Home visits

Areas Covered V/s Visits Made

No. of Visits Subseq. Visits

Munyaka 40 13Illula 21 09Syllus 24 10Kenya Service 17 07Kimumu 22 05Marura 02 01Juniorate 06 02Kambi Nyasi 13 03Mwitirithia 16 08Ngomongo 03 01Others 09 04Total 173 63

School Visit:. 64 visits were made in various schools by the social workers to identify various needs of the OVCs and take appropriate approach in solving them. This visits also entailed subsequent visits to some schools. The schools visited were Kapsoya primary, Munyaka primary, Central primary Chebarus primary, Illula primary, GK Magereza primary, Border primary, Wareng high school, Hill school, Kapsoya secondary, R.V.T.T.I and Ancilla vocational training.

Table 4 School visitsSchools V/s Visits Made

No. of Visits Subseq. Visits

Kapsoya Primary 06 00Munyaka Primary 11 05Central Primary 03 00Chebarus Primary 04 01Illula Primary 02 00GK. Primary 01 00Border Farm Primary 07 03Wareng High school 05 02Kapsoya Secondary 02 00R.V.T.T.I 04 01Ancilla Vocational 03 01Others 03 00

Total 51 13

Medical Support: We ensure the health of the clients we support is taken care thus enabling them to continue with their daily activities. Some clients were assisted to meet their medical fee; others were assisted in purchasing of drugs. A total number of 110 clients were supported as follows,102 clients were treated at our clinic and 8 clients were referred to others hospitals like Sabatia, MTRH and Kenyatta for specialized treatment.

Table 5 Medical supportHealth Facility V/s Referred Cases

Male Female

St. Mary,s 31 71Sabatia Hospital 03 02MTRH 02 03Kenyatta Hospital 00 01Total 36 77

Educational Support: The success of future generation in life highly depends in education excellence. OVCS support was as follows 45 OVCs in secondary was, 45 nursery school, 35 primary , 12 vocational training 9 special school . 40 OVCs were supported with uniform/learning materials and 27 with back to school shopping from different families were Visits to various schools

Table 6 OVCS Education supportStage in education Support NumberNursery school Fees 45Primary one/cl. 8 Registration fees 35Special school Fees 09Secondary school Fees 45Vocational training Fees 12Scholastic materials Uniforms, learning materials 40Scholastic materials Back to school shopping 27Total 213

Below picture - Nursery school children in class

NUTRITIONAL SUPPORT

Lunch feeding Program/food basketTo maintain OVC in school to improve in their academics and minimizing absenteeism 110 were supported with lunch during school days.15 families who were either on TB/ARVS drugs, malnourished and very weak had food items and 8 were given porridge flour (food basket)

Table 7 Feeding program Type of feeding OVCs Clients AD)Lunch 110 00Food basket 00 15Porridge flour 06 02Total 116 17

Picture below shows children washing their plates after lunch

Table 8 Food basket

Family Kgs/ Kgs/ Kgs/

Kgs

No NAME of

Maize

Rice

Beans

Gr.Grms

1 Jacob Odhiambo 04 40 16 12 122 Margaret Khayeri 10 96 40 24 243 Rose W. Ngare 05 48 24 12 124 Lucy Anam 04 40 16 12 125 Jecinta Karori 03 40 16 12 126 Regina Lokiyi Lola 06 64 32 18 187 Maximilla Masyo 03 32 16 12 128 Irine Shikotsi 04 40 16 12 129 Tereza Williams 05 48 24 12 1210 Joyce Kipkeu 03 24 08 12 1211 Felistus Mutakhale 04 04 08 03 0312 Hassan Golicha 01 01 03 01 0113 RosemaryAnyango 07 130 00 52 0014 Selpha Oside 05 84 00 48 0015 Caroline Mugore 04 20 00 08 00

TOTAL 68 711 219 248 130

Picture below clients receiving food portions

I.G.AWith the aim of reducing dependency, 74 clients were empowered with different small businesses for them to be self reliant. The businesses were: selling of charcoal, firewood, kiosk, small shops, renting of land and provision of seeds/fertilizers. To ensure proper utilization of support given 33 supervisory visits were conducted in various places

Table 9 Different IGA supported Type of I.G.A Male FemaleCharcoal 01 00Firewood 01 00Food Kiosk 00 01Shop 00 01Seeds & Fertilizer 03 64Green Grocery 00 01Boutique 01 00Shoe business 01 00Total 07 67

The pictures below capture some of those that were supported

MEETINGS

• St Mary’s social workers collaborated with caregivers in reaching community. The care givers were empowered with skills on how they can carry out their work effectively. This was done in their meetings throughout the year

The picture below shows Caregivers in a meeting:-

• 12 CHW’s meetings in which vital information i.e. health talks, behavior change, social support, drug adherence, strategies in reaching clients were passed to them. They also shared strengths, challenges and strategies for improvement. The CHW helped the social workers to have easy access to clients

. The picture below shows CHWs in a meeting:-

• We had Guardians’ meeting for OVCs supported by St. Mary’s where the following issues were shared: parental responsibility, support groups, OVCs education support and feedback giving.

The pictures below shows guardians in attendance:-

WORKSHOPS• One day youth workshops were organized during their holidays in August and December

at Pastoral Centre in Langas. The workshops focused on youth empowerment, discipline issues, relationships, performance at school and the importance of getting good pass marks.

The picture below captures OVCs during the workshop

• A five days T.B/ART Adherence workshop was held at Kapsoya Parish hall. Attendance was satisfactory 84% 21 participants (8 male and 13 female) of the expected participants attended out of 25. Out of 16% (4) of those who did not attend one was admitted in hospital and 3 were not feeling well.

The pictures below shows the participants in the training:-

• Quality Improvement Training was held in St Mary’s in September. It was organized by Ampath. It focused on ensuring quality services are rendered to OVCs by all networking organizations. It was attended by location chief, DCO, Child helpline, SOS, St. Mary’s, Morning Star, CHW’s, Kapsoya Police and Village elders.

The pictures below shows representatives from different agencies in attendance:-

PARTNERSHIP

Locational OVCs stakeholders meetings were held to address issues affecting children in the Kapsoya Location. The stakeholders were: St. Mary’s, SOS, Christ the Redeemer Catholic church, Queen of Angels street children’s home, special need children representative and, DCO Eldoret East. The issues discussed were: school dropout, child labor, networking, child abuse, sensitization in schools and children’s rights.

The picture below captures children during sensitization at one school:-

• Six contact teachers meetings were held ,three for Nursery teachers and three for primary teachers. The meetings focused on the progress of OVCs in different schools, networking, children rights, children self awareness, teachers challenges and their roles.

• St Mary’s partners with Uasin Gishu Children Forum. It is the only forum of its kind in Uasin Gishu County with three districts. Eldoret East district , Eldoret West and Wareng. The chair person and the assistant are from Moi university. The forum discusses issues children in all levels: Orphans and vulnerable children, street children, children in orphanages, the procedure for starting orphanages, children’s rights and children’s discipline. District Children Officers (DCOs)from the three districts attend the meetings

1. U.G forum organized a forum week of different activities: 1st day media, 2nd day cleaning of street in Eldoret town, 3rd day sports day 4th day was planting trees in Open Arms International orphanage/school and the 5th day was fundraising day.

2. Different staff and OVCs from St Mary’s participated in three days of the activities: media day Business administrator participated, sports day social worker with 15 OVCs participated in soccer game, sack race, spoon race and balloon blowing. They emerged number 4 out of 13 homes that participated. The tree planting day the director and one staff participated

Below pictures show OVC participating in different games

.

CELEBRATIONS

• St Mary’s participated in the day of the African Child at Eldoret Special School where the ceremony. The theme was: “The Rights of Children with disabilities, the duty to respect, to promote, to protect and to fulfill”. The theme coincides with the venue where the students are mentally and physically challenged.

The pictures below shows OVCs who represented St Mary’s

• St Mary’s celebrated World International Peace Day on 21st September with the theme of “Amani Yawezekana”. (Peace is possible)

Priest, OVCs, clients, location chief, village elders, CHW, caregivers and St. Mary’s staff at the celebration

• We also celebrated world’s AIDS day in December 7th with clients, OVCS, guardians,

care givers, Community Health workers and St Mary’s staff. The theme of the day was “Zero HIV, Zero AIDS and Zero Stigma”. More than 60 people attended

1. The OVCs presented poems and songs about clients not taking care of their health instead of taking nutritious food the take alcohol, quarrels in families and showing bad examples to children and the importance of trusting in God’s mercy and forgiveness.

The pictures the people who attended and OVCs singing poems at the celebration

EXCHANGE VISITS

• On 10th Dec we had an exchange visit between St Mary’s social workers and SOS social workers. Information pertaining caregivers and CHW’s was shared with an aim of giving quality services to the communities we serve

• On 28th February 4 of St. Mary’s staff, 4 Community Health Workers and 3 Caregivers went to Nyabondo on exchange visit to learn from one another on the HIV/AIDS service delivery.

The pictures below shows St. Mary’s being shown around the hospital:-

SUPERVISION, MONITORING AND EVALUATION

AMREF Maanisha: - 1. Supervisory visits for implementation of the activities funded for 2. Monitoring the progress/performance in implementing AMREF Maanisha grant3. Evaluation of objectives set for the funding at the end of funding period 3oth of June 12.

MEDSSupervision of drug use, management and storage

Ministry of health • DMT - supervision of lab organization/set up and performance, TB management,

Immunization and MCH • MSH – Supervision of OPD, pharmacy/drug store and use of bin cards

Constituency representative (CaCC)• Supervision of HIV/AIDS TOWA funded activities implementation• Monitoring the performance in implementing planed activities funded before the end of

funding period May 2012

OVCSs progress: Number of visits by Social workers were made in different schools as a way of monitoring and evaluating OVCs s progress academically and offer quality support. This was

realize by the cooperation from school management and some parents Good cooperation also ensured issues affecting OVCs were well addressed and approached.

Support groups: St Mary7’s through social unit was able to monitor 8 support groups in different areas. Several visits carried out to ensure client interests were at heart in the operation of these groups. Issues like domestic violence, drug adherence, I.G.A, children welfare and health matters were discussed among the group members.

The pictures below shows client in the groups:-

Resource Mobilization

Donations receivedFood items, tooth brush, tooth paste, soap. Toilet tissues and sanitary towels from marketing manager and some staff of Central Naivas supermarket in Eldoret town

The picture below shows Naivas supermarket staff, OVCs and sisters working in St Mary’s

• Food items from Central and K-rep banks as social assistance for OVCs

The pictures below shows:- sisters receiving the donations and bank staff with OVCs

The picture below shows K-rep staff, Sisters working in St Mary’s & OVCs entertaining them

.

• We received twenty sacks of maize and one sack of wheat from Christ the Redeemer Catholic parish Kapsoya and its outstations

The picture below shows sacks of maize donated by Christ the Redeemer Catholic Parish

• 10 sacks of maize from Kenya Ordnce factory company

The picture below chows company staff and St Mary’s’ nurse

ACHIEVEMENT • Most clients are observing our criteria for support and this have made it easy for St Mary’

to give support to genuine clients.• The number of clients receiving food support has reduced substantially which is a clear

indicator that more clients are becoming self reliant.• The clients brought the 20% of the harvest to St. Mary’s as agreed upon which is a clear

sign of growth to clients and ensures OVCs in such families will have enough food.• A latrine was built for a poor family who were using a nearby bush thus preventing the

spread of communicable diseases

SUCCESS STORYSt Mary’s core goal is that of empowering clients, make them take charge of their lives and be self reliant

• To achieve this goal a good number of clients were assisted with renting of land for those who did not have seeds and fertilizers for agricultural reasons.

• This will ensure food security in their homes and consequently be empowered enough to be able to buy their own fertilizer, seeds and lease land for the next cultivating season.

Some clients have already harvested, leased land, bought seeds and fertilizer. They are now waiting to prepare the land for the planting time.

The following pictures shows clients with their harvest. They are among those who have prepared themselves for next year

• Goats project initiated last 2011 is progressing well. clients got offspring of the goats

Capacity building

Two social workers attended trainings: 1 Resource mobilization training and HTC course 2 HTC

CHALLENGES• Reduction on funding ( Constituency funding ended in May 2012 and AMREF ended in

June 12 )• A number of OVCs who cleared class 8 could not continue with education due to limited

funds which led to some to despair in life.• Some guardians are drinking alcohol and as a result they have abandoned their duties to

support OVCs thus forcing some OVCs to collect metals in order to feed.• Due to various stressors of life, most guardians have found it difficult to cope with their

children and as result beating them and denying them basics in life.

APPREACIATION• We appreciate the contribution of drugs/other medical accessories from ministry of health

through ruralhealth project and malaria drugs from KEMSA• Secondment of staff nurses from the government through Edoret East District health

management• AMREF funding St. Mary’s social department for the past 6 years• Kapsoya Catholic parish for their donation of maize and wheat for the feeding program• Fr. O. Barry society of St Patrick for his continuous support of HIV program• McCarthy forndation for funding OVCs fees for a number of years• Conrald Hilton fund for sister for funding OVCs • National AIDS control through CaCC for funding our mobile VCT activities • Kenya Ornce factory company maize the donation of Maize• K-rep and central bank for their donation of food items and clothes to our orphans• Naivas marketing manager and Naivas staff for their donation of food iterms and other

basic needs to our OVCs

Surveys done in St. Mary’s by different organizations.

Type of survey WhoService delivery indicator KIPPRA from Nairobi for MOHPublic expenditure KIPPRA from Nairobi for MOHPETS & SDI KIPPRA from Nairobi for MOHHow FBOs raise funds, funding decisions and staff retention IPSOS –SYNOVATE: General achievements

• Installation of an extra water tank for both rain water and municipal water to overcome shortage of water