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PHM Kenya: case study Context of health. Health, Food & Water Insecurity in Northeastern Kenya PHM experience in Masalani & Garissa. PHM Kenya: case study Geographic location. Ethiopia. South Sudan. Masalani Division, Garissa County, Kenya. Tanzania. PHM Kenya: case study - PowerPoint PPT Presentation
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Health, Food & Water Insecurity in Northeastern Kenya
PHM experience in Masalani & Garissa
PHM Kenya: case studyContext of health
PHM Kenya: case studyGeographic location
Masalani Division,Garissa County, Kenya
Tanzania
South SudanEthiopia
• Repeated droughts & famine 2006-2012
• Close to Somali border and refugee camps
• Neglected by government
• Oversaturated with NGOs with relief and dependency approach
PHM Kenya: case studyContext of health in Masalani
PHM Kenya: case studyGarissa: Dadaab refugee camp
Third largest Somali city (pop. 500,000) located in Garissa, Northeastern Kenya
PHM Kenya: case studyPoor housing and insecurity
PHM Kenya: case studyDrought and famine risk
Emaciated livestock at riskdue to drought and famine
PHM Kenya: case studyMany, many NGOs
Encourage dependency, not empowerment
• PHM Kenya began work in the drought-affected, famine-risk area
• Started with relief (food, water treatment, nets) to build trust
• Proceeded to advocacy training for rights-based empowerment
PHM Kenya: case studyRelief and Advocacy project
• 110 households provided with nutrition supplements, water treatment, and bed nets
• Trained 10 CHWs and 3221 community members on hygiene, referral of malnourished children
• Trust established with community
PHM Kenya: case studyResults of relief work
PHM Kenya: case studyMasalani – aerial view
• Trained 50 community leaders in health rights and advocacy (20 women, 30 men)
• Shared Alma Ata Declaration,People’s Charter for Health,Constitution of Kenya
• Community-led evaluation of health and social determinants
PHM Kenya: case studyAdvocacy
PHM Kenya: case studyAdvocacy training toolkits
People’s Charter for
Health
Constitution of Kenya
• Community members know their rights and have examined social determinants of health in Masalani
• Trained human rights advocates began their own advocacy work, including a peaceful protest
PHM Kenya: case studyAdvocacy results
Stories and perspectives
from the Masalani communities
PHM Kenya: case study
PHM Kenya: case studyMasalani – road conditions
PHM Kenya: case studyRoad impassable for ambulance
PHM Kenya: case studyBabies at risk without health care
PHM Kenya: case studyHIV - PLHA stigmatization
PHM Kenya: case studyHIV - PLHA stigmatization
• Local advocacy is a strong tool in drought/famine emergencies
• PHM Kenya established partnership with Masalani community, first by meeting the community expectations
• PCH & Bill of Rights are foundations for rights to health and health care
PHM Kenya: case studySummary of findings
• Some factors cannot be predicted:Kenyan military invaded Somalia
• Our own PHM Kenya partnership has been a learning process for all - managing expectations and assets
• Communities assume dependant status; extra effort for empowerment
PHM Kenya: case studyChallenges
• Unite around one cause
• Use your differences
• Don’t wait to grow …members join through action
• Grassroots desire for advocacy
PHM Kenya: case studyLessons for PHM country circles
Health, Food & Water Insecurity in Northeastern Kenya
PHM experience in Masalani
PHM KenyaDan Owalla, Omondi Otieno, Khadija Yussuf and Ravi Ramthe people of Masalani, Garissa County, and many others
With support from Medico International
PHM Kenya: case studyContext of health
Asanteni Sana
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