Monday 23 Oct 2017

NILINDE Project - Mombasa County

AMURT under Nilinde will work with at least 6,576 households (including 19,775 OVC) to reduce economic vulnerability at Household level. This family centred approach aims at addressing the different types of vulnerability across and within households and using an evidence-based model for household economic strengthening, with the ultimate objective of building the ability of the caregivers/guardians to sustainably provide basic needs of the OVC under their care.

Initial engagement with stakeholders in Mombasa and Kilifi counties highlighted various vulnerabilities affecting children in the two areas. Child Vulnerability ranges from neglect, child labour, violence against children including sexual violence and exploitation, physical and emotional violence. Other emerging threats to children in the two counties include radicalization and child trafficking. The growing numbers of street families and street children in Mombasa and numerous anti-social behaviour in children is an indication of increased vulnerabilities among children. The effects of these challenges among others have a magnified effect on children affected by HIV and AIDS.

AMURT in collaboration with the other consortium partners will contribute to Nilinde’s goal: To improve the welfare and protection of children affected by HIV/AIDS. AMURT’s efforts will support the following Nilinde’s strategies:

a) Build the capacity of, and empower, each HIV affected households to effectively provide for children under its care.

b) Strengthen the supply response of social service systems and structures at the county and community levels.

Geographic coverage

AMURT will operate in a total of 7 sub-counties; 6 sub counties in Mombasa County, that is: Changamwe, Kisauni, Nyali, Mvita, Likoni and Jomvu and Malindi Sub County in Kilifi County. Nyali, Mvita, Likoni and Jomvu which are largely urban, are characterised by informal settlements where the majority of the OVC families reside, with some rural population in parts of Kisauni and Changamwe sub counties.   Malindi on the other hand has the wider population in the rural areas and a few in the urban settlements within Malindi Township.

Scope of Work
AMURT’s role under Nilinde is to provide a range of essential services to OVC in select counties in Coast. Working in close collaboration with Plan international, AMURT will provide technical leadership for Output 1 with a specific focus on Health and HIV/AIDS services.  These efforts will support Nilinde’s strategy of:- 

•    Increasing access to age appropriate health and social services for OVC and their families;
•    Strengthening the capacity of households and communities to protect and care for OVC;
•    Increasing access to social welfare and protection systems and quality services for target OVC and their households.
•    Mentorship and technical capacity building of CSO, FBOs and LIPs in specific technical approaches, including but not limited to mentorship support in data management;

Task 1
AMURT will deliver of a range of critical services based on, but not limited to findings from a Nilinde led Household vulnerability assessment (HVA):- These services will include:-

•    Increasing access to HIV and AIDS services for OVC and their households, including testing;
•    Implement the mentor mother model post capacity building by Mothers2 Mothers;
•    Health education and promotion of health seeking behaviors;
•    Strengthen support and increase range of services for OVC and their caregivers accessing services through ECCD centers;
•    Increasing access to child protection services for OVC, households and target communities; Increasing access to Sexual Reproductive Health services to Adolescents;
•    Increasing resilience and capacity of households caring for OVC through support to improved caregiving practices and participation in household economic strengthening activities;
•    Increased access to education services;
•    Provide oversight and supervision of a cadre of CHVs to ensure support to household visits and reporting through agreed upon procedures
•    Support case management and referral systems.

This task contributes to Activity Areas 1.1, 1.2 and 1.3

Task 2

In collaboration with Plan and other consortium partners, AMURT will support Nilinde activities designed to strengthen the capacity of households and communities to care for OVC. Activities to be supported include but are not limited to;

•    Support to delivery of household economic activities;
•    Increasing knowledge and skills of households and communities on OVC care and protection;
•    Linking households to social safety net programs.

This task contributes to Activity Areas 2.1, 2.2 and 2.3

Task 3

In collaboration with Plan and other consortium partners, AMURT will support Nilinde activities designed to strengthen the capacity of households and communities to care for OVC. Activities to be supported include but are not limited to;

1.    Advocacy and linking households to social safety net programs;
2.    Strengthening and/or Operationalization of quality improvement processes;
3.    Support strengthened county coordination processes.

This task contributes to Activity Areas 3.2 and 3.3

Task 4
Through its full time Nilinde staff and other senior staff as appropriate, AMURT, along with all the core Nilinde partners, will participate in routine project functions during start up, such as work plan development and project launches, as well as those that occur during life of project implementation, such as; partner coordination meetings and GOK/Nilinde meetings, quarterly performance reports and other technical outputs that are relevant to AMURT’S technical areas of expertise; and annual work plan development.

AMURT will expand reach in Mombasa County and ensure saturation in all 5 of sub-counties by Year 5, through a staggered approach characterized by service delivery in the current 3 sub counties where AMURT already has presence and a year on year expansion into the remaining 2 sub-counties which will be agreed upon with Plan international.

Key Programmatic Strategies
Family Centred approach to HH graduation

AMURT aligns itself to the Nilinde’s evidence based approach to strengthen the abilities of households and the communities to provide for their children and eventually graduate out of program support. Findings from the HVA which classifies HH as (a) Marginalized, (b)Struggling To Make Ends Meet or (c) Ready To Grow will be used to deliver appropriate interventions based on the level of vulnerability of the HH. AMURT will work with Plan international to match each level of households with specific economic strengthening interventions to enable them build resilience overtime.
Changes at the household level will be tracked so as to obtain critical information needed to adjust the level of support provided to each household. Subsidies will only be considered based on vulnerability assessment and tracking of HH ability to sustain assets. Efforts will be directed to measuring progress toward sustainability, with a particular focus on the household’s ability to sustain and grow their assets, income and expenditures as well as improve the family’s overall health and well-being.
Supporting OVC and their HH to access HIV services
AMURT will actively mobilize and support OVC and their HH to access HIV Testing services (HTS) in line with the 90-90-90 objectives. This will involve collaborating with health facilities through MOUs to clarify roles and responsibilities to support testing, complete referrals and retention.  AMURT will also work with Community Volunteers to mobilize Nilinde –supported households to participate in HTS services including sensitization to obtain consent for testing. 
The project will support case management (including data capture) to ensure OVC and family members with HIV are linked to treatment and care and to Nilinde’s family centred response and support groups at community level.  Depending on the HH vulnerability, AMURT will work with trained volunteers, including support group members to provide targeted support such as accompaniment, appointment reminders and transportations where necessary, to ensure adherence and retention in care.

Delivering and linking OVC to age appropriate services
The following services will be prioritised: provision of specific Health services, Child Protection, education, Psycho social support and Economic Strengthening. In some cases this will involve delivering the services through community volunteers while in some other it will be through linkages.

Key Programmatic Strategies

Family Centred approach to HH graduation

AMURT aligns itself to the Nilinde’s evidence based approach to strengthen the abilities of households and the communities to provide for their children and eventually graduate out of program support.

Findings from the HVA which classifies HH as (a) Marginalized, (b)Struggling To Make Ends Meet or (c) Ready To Grow will be used to deliver appropriate interventions based on the level of vulnerability of the HH. AMURT will work with Plan international to match each level of households with specific economic strengthening interventions to enable them build resilience overtime.

Changes at the household level will be tracked so as to obtain critical information needed to adjust the level of support provided to each household. Subsidies will only be considered based on vulnerability assessment and tracking of HH ability to sustain assets. Efforts will be directed to measuring progress toward sustainability, with a particular focus on the household’s ability to sustain and grow their assets, income and expenditures as well as improve the family’s overall health and well-being.

Supporting OVC and their HH to access HIV services

AMURT will actively mobilize and support OVC and their HH to access HIV Testing services (HTS) in line with the 90-90-90 objectives. This will involve collaborating with health facilities through MOUs to clarify roles and responsibilities to support testing, complete referrals and retention.  AMURT will also work with Community Volunteers to mobilize Nilinde –supported households to participate in HTS services including sensitization to obtain consent for testing. 

The project will support case management (including data capture) to ensure OVC and family members with HIV are linked to treatment and care and to Nilinde’s family centred response and support groups at community level.  Depending on the HH vulnerability, AMURT will work with trained volunteers, including support group members to provide targeted support such as accompaniment, appointment reminders and transportations where necessary, to ensure adherence and retention in care.

Delivering and linking OVC to age appropriate services

The following services will be prioritised: provision of specific Health services, Child Protection, education, Psycho social support and Economic Strengthening. In some cases this will involve delivering the services through community volunteers while in some other it will be through linkages.