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REPUBLIC OF KENYA

NAROK DISTRICT

DISTRICT STRATEGIC PLAN 2005 - 2010

for IMPLEMENTATION OF THE NATIONAL POPULATION POLICY FOR SUSTAINABLE DEVELOPMENT

National Coordinating Agency for Population and Development

NAROK

DISTRICT STRATEGIC PLAN 2005 - 2010

for IMPLEMENTATION OF THE NATIONAL POPULATION POLICY FOR SUSTAINABLE DEVELOPMENT

NAROK District Strategic Plan 2005-2010 for Implementation of the National Population Policy for Sustainable Development Any part of this document may be freely reviewed, quoted, reproduced or translated, provided the source is acknowledged. It may not be sold or used in conjunction with commercial purposes or for profit.

Published by: National Coordination Agency for Population and Development Ministry of Planning and National Development Chancery Tower ­ 4th Floor Valley Road at 5th Ngong Avenue PO Box 48994-00100 Nairobi Tel 254-20-271-1600/01 Fax 254-20-271-6508 Email [email protected]

Review, Editing and Design:

Robinson Kahuthu, Thomas Muchoki, Catherine Nyaga HSK Consulting Ltd Summit House University Way PO Box 530 Nairobi 00618 [email protected]

August 2005

Contents

Contents........................................................................................................................................................... i List of Abbreviations.....................................................................................................................................ii Foreword .......................................................................................................................................................iii Acknowledgement ........................................................................................................................................ iv CHAPTER 1 BACKGROUND................................................................................................................ 1 1.1 Justification of the District Specific Strategic Plan........................................................................ 1 1.2 Methodology ................................................................................................................................... 1 1.3 Organization of the District Strategic Plan .................................................................................... 2 CHAPTER 2 DISTRICT PROFILE ....................................................................................................... 3 2.1 Demographic and Population Profile............................................................................................. 5 2.2 Welfare Indicators .......................................................................................................................... 7 2.2.1 Education.................................................................................................................................... 7 2.2.2 Labour Force.............................................................................................................................. 7 2.2.3 Poverty Analysis ......................................................................................................................... 7 2.2.4 Health ......................................................................................................................................... 8 CHAPTER 3 POPULATION AND DEVELOPMENT....................................................................... 10 3.1 Main Issues/Problems................................................................................................................... 10 3.2 Analysis of Institutions Involved in Population Programmes....................................................... 11 3.3 Proposed Programmes (Outputs) ................................................................................................. 11 CHAPTER 4 GENDER PERSPECTIVES IN DEVELOPMENT...................................................... 15 4.1 Main Issues/Problems................................................................................................................... 15 4.2 Analysis of Institutions involved in Gender Issues ....................................................................... 15 4.3 Proposed Programmes (Output)................................................................................................... 16 CHAPTER 5 REPRODUCTIVE HEALTH (RH) ............................................................................... 17 5.1 Main Issues/Problems................................................................................................................... 17 5.2 Analysis of Key Institutions involved in RH Services .................................................................... 17 5.3 Proposed Programmes (Outputs) ................................................................................................. 18 CHAPTER 6 STI/HIV/AIDS ................................................................................................................. 19 6.1 Main Issues/Problems.................................................................................................................... 19 6.2 Analysis of Institutions involved in STI/HIV/AIDS Issues ............................................................ 19 6.3 Proposed Programmes (Outputs) .................................................................................................. 20 CHAPTER 7 MONITORING AND EVALUATION .......................................................................... 21 7.1 Monitoring..................................................................................................................................... 21 7.2 Evaluation...................................................................................................................................... 22 ANNEXES I - IV: IMPLEMENTATION PLAN OF ACTION ............................................................. 23 ANNEX 1: POPULATION AND DEVELOPMENT............................................................................ 24 ANNEX II: GENDER PERSPECTIVE ................................................................................................. 30 ANNEX III: REPRODUCTIVE HEALTH.............................................................................................. 31 ANNEX IV: STI'S/HIV/AIDS............................................................................................................. 32 ANNEXES V - VIII: MONITORING AND EVALUATION FRAMEWORK ...................................... 33 ANNEX V: POPULATION AND DEVELOPMENT............................................................................. 34 ANNEX VI: GENDER PERSPECTIVE ............................................................................................. 42 ANNEX VII: REPRODUCTIVE HEALTH......................................................................................... 43 ANNEX VIII: STI/HIV/AIDS ............................................................................................................... 44

i

List of Abbreviations

ACK AIDS ARV DDC DDO DEC DECO DFO DHMT DIDC DPHN DPHO DPM DPO DSDO DSO DSP DTDO FBO FGM/FGC FP FPAK HIV IEC IGA KDHS KSPA KWFT LA LT/MT/ST MCH MLHRD MOENR MOEST MOH MOHA MOL&S MOVs MPND MYWO NACC NASCOP NCAPD NGOs NPA NPPSD OP OVIs PHC PLWHA PWD RH STI SWOT VCT Anglican Church of Kenya Acquired Immuno Deficiency Syndrome Anti Retro Viral District Development Committee District Development Officer District Executive Committee District Environment Conservation Officer District Forestry Officer District Health Management Team District Information and Documentation Center District Public Health Nurse District Public Health Officer Directorate of Personnel Management District Population Officer District Social Development Officer District Statistical Officer District Strategic Plan District Trade Development Officer Faith Based Organization Female Genital Mutilation/Cut Family Planning Family Planning Association of Kenya Human Immuno Deficiency Virus Information Education Communication Income Generating Activities Kenya Demographic and Health Survey Kenya Service Provision Assessment Kenya Women Finance Trust Local Authorities Long Term, Medium Term, Short Term Maternal and Child Health Ministry of Labor and Human Resources Development Ministry of Environment and Natural Resources Ministry of Education Science and Technology Ministry of Health Ministry of Home Affairs Ministry of Lands and Settlement Means of Verification Ministry of Planning and National Development Maendeleo Ya Wanawake Organization National Aids Control Council National Aids & STDs Control Programme National Coordinating Agency for Population and Development Non Governmental Organizations National Plan of Action National Population Policy for Sustainable Development Office of the President Objectively Verifiable Indicators Primary Health Care People Living with HIV/AIDS People with Disabilities Reproductive Health Sexually Transmitted Infections Strengths, Weaknesses, Opportunities and Threats Voluntary Counseling and Testing

ii

Foreword

This district-specific Strategic Plan is a localization of the National Plan of Action (NPA) for the implementation of the National Population Policy for Sustainable Development (NPPSD) contained in Sessional Paper No. 1 of 2000. The Plan was prepared by key representatives in the population and health sectors from the various ministries, non-governmental organizations, faith-based organizations and other stakeholders in the district. This exercise was coordinated by District Population Officer (DPO) assisted by members of the District Development Committee (DDC). The Plan preparation involved addressing all the critical issues as identified in the NPPSD, pinpointing problems associated with each issue and prioritizing them according to the needs of the district. These issues include: Population and Development; Gender Perspectives; Reproductive Health (RH); and, STI/HIV/AIDS. In this regard, the stakeholders proposed the activities that need to be undertaken to address the identified issues/problems in a draft plan. The draft plan was then discussed with the members of the District Executive Committee (DEC) and approved by the DDC. The Logical framework matrix approach was used to develop the indicators for the identified activities that will be used to monitor and evaluate the implementation of the Plan. Its successful implementation is an onerous task and requires joint effort, hard work and dedication from all stakeholders in the district. The districts must therefore dedicate themselves towards fully implementing the activities stipulated in this document.

Prof. Peter Anyang Nyong'o, MP, EGH Minister for Planning and National Development

iii

Acknowledgement

The National Coordinating Agency for Population and Development (NCAPD), wishes to acknowledge with gratitude, the contributions of all those who have been involved in the development of this district-specific strategic plan. Special thanks goes to district-level stakeholders who got together and through consensus building, brought out the issues pertinent to their district and likely solutions. Officials from the Ministries of Planning and National Development and Health at the district level (DDO, DSO, DMOH and DPHN) contributed significantly through supporting the stakeholders' proposals with factual information and consolidating the ideas into a preliminary draft. Notably important to acknowledge is the team of officers from the NCAPD who participated in providing technical expertise, and, coordinated the field activities as needed to make the process of plan development successful. These include Dr. Paul Kizito and Michael Mbaya (Policy), Kimeli Chepsiror (Finance and Administration), George Kichamu and Sam Ogola (IEC) and of course all the District Population Officers. The role of Karugu Ngatia in overall coordination of the exercise is acknowledged. Lastly, the whole exercise would not have been possible without the financial support from the United Nations Population Fund (UNFPA) through the 5th and 6th Country Programme of Assistance. Its the efforts of all those above that the districts now have a blueprint for reference while implementing the National Population Policy for Sustainable Development over the next five years. The challenge therefore remains with the implementers to actualize the contents and accomplish the objectives of the Policy.

Dr Richard O. Muga, MBS Director/CEO National Coordinating Agency for Population and Development

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Implementation of the National Population Policy for Sustainable Development

NAROK DISTRICT STRATEGIC PLAN 2005-2010 CHAPTER 1 BACKGROUND

The National Population Policy for Sustainable Development (NPPSD) was officially adopted by Parliament in May 2000. The policy supersedes the 1984 Sessional Paper No. 4 on population policy guidelines. The policy, apart from building on the achievements of the Population Policy Guidelines also addresses new and emerging issues like HIV/AIDS, gender, the youth, the elderly, persons with disabilities and the environment. The NPPSD outlines a wide range of strategies and actions that need to be undertaken to meet the set goals, objectives and targets through a multi sectoral and multi dimensional integrated approach involving all stakeholders in the population and health sector. 1.1 Justification of the District-specific Strategic Plan.

In order to implement the NPPSD, it was found necessary to develop the National Plan of Action (NPA). The NPA gives direction to implementing

agencies and donors on the needs of the population and how to monitor and evaluate on-going population projects and programmes. The NPA is a document that spells out the activities to implement the NPPSD for the whole country. However, given the regional differentials, it was of necessity to develop District Strategic Plans to address specific population and development needs of various districts. Each district has peculiar

problems and hence mechanisms to address these identified problems and needs should be different. 1.2 Methodology

The District-specific Strategic Plan (DSP) for Narok District was developed through consensus building. First, a workshop was held for key persons in the District to come up with the content and format of the plan. Attending this workshop were officers from the Ministry of Planning and National Development (DDO, DSO, DPO) and Ministry of Health (DMOH, DPHN). It

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was agreed that the DSP should address all the central issues identified in the NPPSD and use the NPA to develop the District Implementation Plan. The log frame approach was then used to develop monitoring and evaluation indicators for the identified activities. In preparation for the development of strategic plans for the Nairobi region, the first step was to hold a seminar to disseminate the National Plan of Action on which the DSP were to be based. This involved stakeholders in the The

population and health from Nairobi, Narok and Kajiado districts.

participants included DDO, DSO, DPO and MOH personnel from these districts. Background documents provided to the participants included the NPPSD, NPA, District Development Plans and RH strategy. During the

workshop, presentations were made on the NPPSD, NPA, SWOT Analysis, strategic planning and monitoring and evaluation. The participants then formed district teams and undertook SWOT Analysis of the existing implementers of the population and health programmes and projects in their respective districts. Later, the teams identified priority problems/issues that need to be addressed by various implementers of programmes. Activities to be undertaken to

address the identified issues were then agreed upon by the workshop. The NCAPD secretariat, using the workshop outputs, later prepared a draft of DSP that was later developed into this document. 1.3 Organization of the District Strategic Plan

This chapter provides the background to the District Strategic Plan, namely ­ the rationale for the plan and the methodology used. The second chapter provides a profile of district for issues pertinent to this Plan. The next four chapters focuses on broad themes of the Strategic Plan, that is; Population and Development, Gender Perspectives, Reproductive Health and HIV/AIDS. A strategy for monitoring and evaluating the implementation of this Plan is presented in the last chapter. The annexes provide the implementation plans of action and the monitoring and evaluation framework.

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CHAPTER 2

DISTRICT PROFILE

Narok District is situated in the southwestern side of the country and lies in the southern part of Rift Valley Province. It borders the Republic of Tanzania to the south, Trans-Mara District to the west, Bomet and Nakuru Districts to the north and Kajiado District to the east. It lies between latitudes 00 50' and 20 05' south and longitudes 350 58' and 360 0' east. The District occupies a total area of 15,087.8 km2 and is divided into eight administrative divisions. The total area has been revised from 17,128km2 to 15,087.8km2 due to the modern mapping techniques used in 1999 Population Census. Table 1 shows the area of the district by divisions and their respective population sizes and density. Table 1: Administrative Units, Areas and Population Size and Density

DIVISION AREA (SQ. KM) POPULATION DENSITY LOCATION

Central Mau Osupuko Mara Loita Ololulunga Mulot Olokurto

TOTAL

943 2,602.9 1,891.5 4,496.4 1,711.3 1,510.5 723.9 1,208.3

15,087.8

45,446 85,170 25,167 46,331 48,939 75,553 59,430 17,176

403,812

44 30 12 9 9 36 95 37

24

5 12 5 6 5 7 5 9

54

Source: District Commissioner's Office, Narok, 2001

The District's six divisions were further subdivided into eight during the last plan period. These are presented sub-divided into fifty-four locations and one hundred and three (103) sub-locations. Mau Division has the highest number of locations while Loita, Mulot and Central Divisions have the least as shown in Table 1. During the last plan period, the number of divisions increased from six to eight. The two local authorities namely, Narok County Council and Narok Town Council are divided into fifty-eight electoral wards with Narok County Council having forty-two wards while Narok Town Council has sixteen wards.

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The electoral constituencies are two namely Narok North and Narok South and whose boundaries do not correspond to the divisional administrative boundaries. The Narok North Constituency comprises of Central, Olokurto and Mau Divisions whole Narok South Constituency comprises of Mulot, Ololulunga, Osupuko, Mara and Loita Divisions. Map 1 below shows the location of the greater Narok that includes part of present day Trans Mara District, administrative units and illustrates the population density pattern. Map 1: Location, Administrative Areas and Population Density Pattern

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2.1

Demographic and Population Profile

The Narok district population density for 1989 was 14 persons per km2, while in 1999 it was 24 persons per km2, registering about double the density within a span of ten years. Mulot Division has the highest population density due to fertile soils and favourable climate while Loita and Mara Divisions have least population densities due to unfavourable climate and unfertile soils. Central Division has 44 persons per km2 and Olokurto with 37 person per km2 while Mara and Loita Divisions had the least density of 9 persons per km2. Over the Plan period, the leading divisions in terms of population density will continue to have high population while the ones with low population densities will maintain the trend. The high population densities for Mulot, Central and Olokurto Divisions are attributed to immigration from the neighboring districts especially Bomet. The low population densities of Mara and Loita Divisions are attributed to the fact that these divisions have unfavorable weather conditions and infertile soils, which do not attract agricultural activities. The area has more poor people than the high potential areas of the district. Table 2 below summarizes some of the demographic indicators of the district while table 3 shows the age/sex projections for the period 1999 to 2008. Table 2: Demographic Indicators

Population (2002) Number of Males Number of Females Female/Male Sex Ratio Number of Youthful Population (15 ­ 25) years Primary school population (6 ­ 13) years Secondary School Population (14 ­ 17) years Labour Force (15 ­ 64) years Dependency Ratio Population Growth Rate Rural Population at start of Plan Period 2002 Urban Population at start of Plan Period 2002 Source: District Statistic Offices, Narok, 2001 403,812 203,403 200,409 100:101 118,982 150,539 107,799 166,901 100:142 3.3 358,366 45,446

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The 1979 and 1989 recorded the district population at 140,109 and 262,066 persons respectively and according top the 1999 census, Narok had a population of 365,750 persons made up of 181,519 females and 184,231 males. It is projected to rise to 493,812 and 498,786 persons in the year 2002 and 2010 respectively. The 1999 Population and Housing Census results indicated that males outnumbered females. The female/male ratio is estimated at 100:101. The population is also predominantly young, with the population less than 20 years comprising 61.3% of the population and is projected to remain so over the plan period. Table 3 provides population projections for year 2002 and for the plan period 2050 to 2010 for various age groups by sex. Table 3: Population Projections by Age-Groups and Sex over Plan Period

2000 Age Group 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80+ Total Males 32106 29765 27175 23347 18434 14792 11222 8799 6787 5299 4049 3080 2157 1638 1276 1071 3854 194852 Fem 30854 28789 26519 23227 19329 15616 11371 8693 6473 4964 3772 2923 2235 1740 1338 1028 3536 192408 Males 33930 32911 31410 27502 21868 17558 13112 10200 7813 6084 4698 3530 2314 1739 1398 1291 5600 222958 2005 Fem 31992 31504 30552 27286 22650 18420 13644 10432 7555 5748 4441 3408 2470 1908 1498 1240 4997 219745 Males 34191 33487 32249 28341 22566 18121 13490 10478 8016 6238 4827 3618 2339 1754 1420 1337 5982 228454 2006 Fem 32104 31986 31348 28103 23317 18987 14109 10788 7771 5904 4576 3505 2513 1938 1528 1284 5315 225076 Males 34439 34066 33105 29201 23281 18698 13878 10762 8222 6395 4959 3707 2364 1769 1442 1383 6378 234048 2007 Fem 32196 32469 32159 28940 23999 19567 14587 11154 7993 6063 4714 3604 2556 1967 1558 1329 5644 230501 Males 34673 34648 33978 30081 24015 19289 14274 11053 8432 6555 5093 3798 2389 1783 1463 1431 6789 239744 2008 Fem 32270 32951 32986 29796 24697 20162 15077 11529 8219 6225 4856 3705 2600 1997 1589 1375 5985 236020 Males 34893 35233 34869 30981 24766 19895 14679 11349 8647 6718 5231 3891 2412 1796 1485 1480 7215 245540 2009 Fem 32324 33432 33830 30672 25411 20770 15580 11914 8450 6390 5001 3809 2644 2027 1620 1422 6339 241635 Males 35098 35821 35778 31903 25536 20515 15092 11651 8865 6884 5371 3986 2436 1808 1507 1530 7657 251439 2010 Fem 32358 33913 34689 31567 26141 21393 16096 12309 8686 6559 5149 3914 2688 2057 1652 1471 6704 247347

Source: Population and Housing Census 1999, Vol. IV

Through the effect of HIV/AIDs pandemic taking its toll, the population of the age groups might dramatically change in the years to come and therefore altering the projected figures. This means that the much needed development resources for the Plan might have to be re-directed to the fight against the scourge.

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2.2 2.2.1

Welfare Indicators Education

Narok district has a total of 376 Pre-Primary schools, 275 Primary Schools, and 19 Secondary schools. Drop out rates for primary school is 2.7% for females 1.7% for males while in secondary schools it increases to 17% and 13% respectively. The pupil teacher ratio is 1:32 in primary schools and 1: 21 in secondary schools. Enrolment of boys in Pre-Primary and Primary is higher for boys than girls while it is the reverse in Secondary Schools. The population of primary school going children is projected to increase from 150,537 in 2002 to 183,499 in year 2008. This will necessitate investments in educational facilities and services. For the secondary going children, population is projected to increase from 107,799 in 2002 to 131,403 in 2008. 2.2.2 Labour Force

According to 2002 estimates, the District had a labour force of 166,901 people. It is projected to increase to 203,446 persons in 2008. This implies that during this period some 37,045 persons would be added to the labour force. This calls for the creation of job opportunities to match growth. Most of the labour force is unskilled which necessitates investment in institutions for training them in income earning skills. 2.2.3 Poverty Analysis

Approximately 64% (258,440 people) of the district's total population live below poverty line and 70% of these are women without significant sources of income. The causes of poverty in Narok include lack of employment opportunities, unemployment for youth who are out of school, cultural practices like moranism and forced marriages, lack of water, insecurity, lack of basic services such as health, education and lack of credit facilities. Women and children, unemployed and elderly people form segments of the most affected members of the society. It should be noted that traditions/culture of the Maasai people has played a major role in the current state of poverty.

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Loita Division has the highest number of poor people mainly due to infertile soils and low amounts of rainfall which cannot allow good farming and subsequently the population density. Olokurto has the least number of people below poverty line because of fertile soils and reliable rainfall which allows both intensive and extensive farming. Table 4 below provides a summary of some of the District's social-economic indicators. Table 4: Socio-Economic Indicators, 2002

Total number of Households Average Households size Number of female headed households Number of children headed households Number of disabled Children needing special protection Absolute Poverty (Rural & Urban) Income from Agriculture/livestock Income from Rural Self employment Wage employment Urban self-employment Number of unemployed

Source: District Statistical Office, Narok

76,450 5 15,566 none 18,288 122,226 64% 90.3% 1% 5.2% 1.5% 155,313

2.2.4

Health

Narok District has 70 health facilities that are spread all over the district. The doctor to patient ratio is 1:100,953 and average distance to the nearest health facility is 30 kilometers. 50% of the households have adequate access to health facility. The most prevalent diseases are Malaria, Respiratory Diseases and Skin diseases. Various programmes including Primary Health Care (PHC); and STI/STD including HIV/AIDS are running in the District. Narok District Hospital started screening patients for HIV admitted to the hospital in 1988. By December 2001, about 1, 7250 people had been diagnosed with HIV/AIDs in the District. About 7,670 people have already died from HIV/AIDs related complications. At the moment close to 40% of all hospital beds are occupied by patients with AIDs related illnesses The HIV/AIDs prevalence stands at 10% presently.

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It is important to note that even with the provision of many health facilities in the District, a large section of the population still relies on traditional health remedies. The Maasai people also have strong cultural beliefs and practices that are harmful in the context of the prevailing HIV/AIDs situation and this makes them particularly vulnerable to the effects of HIV/AIDs infection. Circumcision, early girl marriage, FGM and wife sharing amongst age mates pose a serious problem because it has negative health implications for STI and HIV/AIDs. The District borders Nakuru, Tanzania and Kajiado where there is high mobility of young people seeking employment and the implied possibility of getting infected. Selected health indicators are given in Table 5 that also reveals that life expectancy in the district is 61 years. This is slightly above the National life expectancy at birth of 55 years. The under 5 mortality is 89/1000 for males and 82/1000 for females while infant mortality is 55 per 1000. Table 5: Selected Health Indicators Crude Birth Rate (CBR) Crude Death Rate (CDR) Life Expectancy Under 5 Mortality Rate Infant Mortality Rate (IMR) Total Fertility Rate HIV Prevalence Rate Doctor/Patient Ratio

Source: Ministry of Health Nakuru, 2001

50/1000 15/1000 61 years for both sexes 89/1000 for males and 82/1000 for females 55/1000 5.9 10% (2001) 1:100,953

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CHAPTER 3

POPULATION AND DEVELOPMENT

The population of Narok District is estimated to be 403,812 (2002) with a growth rate of 3.3% per annum. By the year 2008 this population is expected to increase to 492,232. Clearly the high population growth rate has serious effect on social and economic development. This is manifested in increased unemployment, high dependency ratio, increased demand for health services, increased demand for agricultural land, more need for fuel and forest products, over-crowding in educational facilities, more demand for better housing, high levels in poverty indices. If viewed against the limited resources, clearly population growth is a major challenge. It means that development must outstrip population growth rate, otherwise the present rate of poverty, which stands at 64%, is likely to worsen. 3.1 Main Issues/Problems

The main issues/problems concerning population and development in the District include the following are: Population and development. The issue here is weak integration of population concerns into development planning mainly due to lack of information dissemination, lack of training leading to misinterpretation of data, unreliable and outdated data due to immigration and lack of a mechanism to localize the data for better understanding, inadequate facilities at the District Information and Documentation Centre (DIDC). Population and environment: A major cause of concern of the district is Deforestation (economic/herbal), Pollution of rivers, soil erosion and human and wildlife conflicts Youth and Children. Problems facing children and youth include

unemployment rate, high infant mortality rates, negative attitudes towards formal education, retrogressive cultural practices and child labour

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Family: The following issues affect families in Narok District; increased instability in marriages; increased numbers of single parenthood; aaccess, ownership and control of family resources and domestic violence Elderly and People with Disabilities: Problems facing elderly people and people with disabilities include increased poverty, lack of care and frequent cases of abandonment of elderly persons and PWDs, inadequate shelter and health for the elderly and PWDs. 3.2 Analysis of Institutions Involved in Population Programmes

The following institutions were identified as involved in programmes to address the population and development issues raised above; Ministry of Planning and National Development (DDO, DSO), Ministry of Home Affairs (DSDO), Office of the President, Ministry of Health (DHEO, DPHO), Ministry of Education, Science and Technology, Ministry of Environment and Natural Resources (DECO/DFO) and various NGOs, CBOs and FBOs. The table next page outlines the results of the SWOT analysis of respective institutions best suited to undertake programmes to address population and development issues for each main issue/problem. 3.3 Proposed Programmes (Outputs)

The following outputs were identified as key to addressing issues/problems affecting population and development in the district: Institutions and their capacity to integrate Population and Environment issue into Development identified and strengthened at all levels. Balance between Environment, Population and Development enhanced. Rights of Children and their basic needs enhanced. Rights of Elderly and Persons with Disabilities to participate in sociocultural, economic and political spheres promoted. The set of activities to enable achievement of the above outputs have been derived and are appended as Annex I which also includes the Implementation Plan of Action.

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1. Integration of Population variables in development process

INSTITUTION

Ministry of Planning and National Development (DSO)

STRENGTHS

- Well trained staff - Reliable transport - Well defined organizational structure - Adequate office accommodation - Adequate users of available data

WEAKNESSES

- Inadequate funds - Poor Scheme of Service - Understaffing - Inadequate office equipment

OPPORTUNITI ES

- Donor support - Government support - Networking and collaboration with other agencies

THREATS

Retrenchment

Ministry Planning and National Development (DDO)

- Adequate office equipment - Adequate means of communication

- Inadequate staff - Lack of means of transport - Poor office accommodation - Inadequate training - Inadequate funding - Poor office security - Poor Terms of Service

- Donor support - Government support - Networking and collaboration with other agencies

- Retrenchment - Programme sustainability

2. Population and Environment

Ministry of Environment and Natural Resources - Well trained staff - Adequate office accommodation - Inadequate technical staff on environmental issues - Inadequate funds, poor - Government and donor support - Collaboration and networking with other agencies - Unpredictable climatic conditions - Retrenchment

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Scheme of Service - Poor community participation

3. The Family

INSTITUTION STRENGTHS

Trained personnel, Wide coverage Favored by Donor community

WEAKNESSES

- Inadequate staff, - Inadequate logistical support

OPPORTUNITI ES

- Good networking and collaborations - Donor and community support

THREATS

- High staff attrition - Transfer of staff

Ministry of Culture and Social Services

4. Children and the Youth

Department of Education - Well trained personnel - Existing ECD Centres and Schools - Understaffing - Inadequate means of transport - Low enrolment - Lack of children's rights awareness - Inadequate educational facilities - Government support - Donor support - Local authorities support - Collaboration and networking with other agencies - High school drop out rates - Teenage pregnancies - High turnover rates among teaching staff - Poor infrastructure - Lack of sustainability mechanisms

Ministry of Health

- Qualified staff at all levels - Adequate facilities - Adequate rural health facilities - Fair means of transport at District HQ level - Availability of drugs and STI kits

- Inadequate staff - Inadequate transport at rural health facilities - Drug distribution is not regular at rural health facilities - Underutilization of health facilities - Poor Scheme of

- Cost sharing programme - STI/condom supply - Donor support - Collaboration and networking with other agencies - Local community support

- HIV/Aids - Inadequate immunisation coverage - Negative attitude to modern health services - Lack of sustainability mechanisms

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Service (low morale)

Ministry of Planning and National Development (DSDO)

- Staff at all levels - Adequate office accommodation - Community support Well trained staff

- Lack of transport - Inadequate funds - Inadequate support staff - Poor Scheme of Service

- Collaboration and networking with other agencies - GOK support - Local Government support

- Retrogressive cultural practices - Retrenchment - General apathy towards development

6. Elderly and People with Disabilities

INSTITUTION

NGOs, CBOs and FBOs

STRENGTHS

- Well established network - Existing facilities - Grass root support

WEAKNESSES

- Difficulty to adopt to change - Lack of collaboration among religious organizations

OPPORTUNITI ES

- Ability to mobilize resources - Ability to operate within existing structures

THREATS

Conflict that can interfere with programme

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CHAPTER 4

GENDER PERSPECTIVES IN DEVELOPMENT

Gender can be defined as being a male or female and translated into the opportunities enjoyed by either of the two sexes as prescribed by the societal values and norms. The society has put restrictions on these opportunities thus causing disparities between males and females. Gender pre-determines different expectations about appearances, qualities, behaviors and roles appropriate for males and females in the society. Violence occurring in the family and within the general community is a gender concern. The common violence includes wife battering, sexual abuse to girl child, rape, sexual harassment and intimidation at work. Despite women playing a major role in provision of food, men are mainly the major decision maker which is an impediment to development. Discriminatory socio-cultural practices, low level of illiteracy and education among women has led to low participation and representation of women in decision making and economic activities. 4.1 Main Issues/Problems

The following Issues/Problems were identified as important in the District; Biased property ownership Inadequate representation of women in decision making at all levels Bias in provision of education Disparities concerning division of labour Biased cultural practices on women Early marriages Prevalence of moranism that denies the boys the right to education 4.2 Analysis of Institutions involved in Gender Issues

The key institutions that can deal with the gender issues mentioned above are MOH, MOHA, NGOs and other lobby groups. A SWOT analysis of Ministry of Health (MOH) and Ministry of Home Affairs (DSDO) identified as the major

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institutions that can address gender concerns in the district revealed the following;

INSTITUTION STRENGTHS WEAKNESSES OPPORTUNITIES THREATS

Ministry of Health - Qualified staff at all levels - Adequate facilities - Adequate rural health facilities - Fair means of transport at District HQ level - Availability of drugs and STI kits - Staff at all levels - Adequate office accommodation - Community support - Well trained staff - Inadequate staff - Inadequate transport at rural health facilities - Drug distribution is not regular at rural health facilities - Under-utilization of health facilities - Poor Scheme of Service (low morale) - Lack of transport - Inadequate funds - Inadequate support staff - Poor Scheme of Service - Cost sharing programme - STI/condom supply - Donor support - Collaboration and networking with other agencies - Local community support - HIV/Aids - Inadequate immunisation coverage - Negative attitude to modern health services - Lack of sustainability mechanisms

MOHAH&S

- Collaboration and networking with other agencies - GOK support - Local Government support

Retrogressive cultural practices Retrenchment - General apathy towards development

4.3

Proposed Programmes (Output)

The following outputs were identified as key to addressing the main issues related to gender in the District: Equality in participation and representation of women and men at all levels and sectors enhanced Harmful cultural practices eradicated (FGC/FGM and Early Marriages) The set of activities to enable achievement of the above outputs have been derived and are appended as Annex II which also includes the Implementation Plan of Action.

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CHAPTER 5

REPRODUCTIVE HEALTH (RH)

Reproductive Health (RH) as defined by World Health Organization (WHO), is generally a state of complete physical, mental, and social well-being in all matters related to the RH system, and not merely the absence of disease or infirmity. RH care system therefore is inclusive of all promotive, preventive and curative services that will be conducive to the well being of the individual in human reproduction and sexuality. The population of females of reproductive age (15-49 years) in Narok District in 2002 was 75,101(22% of the total population) in 2002 is projected to rise to 91,545 by the year 2008. The challenge is therefore to provide MCH/FP services to cater for the health needs of the expanding number of women of reproductive age. Nevertheless, In Narok District, different aspects of provision of reproductive health services were found to be wanting. 5.1 Main Issues/Problems

Despite Narok District having 70 health facilities, several problems affecting reproductive health were highlighted. These include: Unwanted pregnancies due to reluctance to acceptance of modern family planning methods. Inadequate information education on child care and nutrition Inaccessibility to family planning services High rate of infant mortality rate Low male involvement in family planning 5.2 Analysis of Key Institutions involved in RH Services

An analysis (SWOT Analysis) of the key institutions involved in RH services and STI/HIV/AIDs identified the Ministry of Health as the key institutions that deal with the Reproductive Health Services in Narok District. Other groups that deal with RH are the FBOS and NGOs. The SWOT analysis of MOH as the main provider of RH services is a follows:

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Reproductive Health (RH)

Institution

Ministry of Health

Strengths

- Qualified staff at all levels - Adequate facilities - Adequate rural health facilities - Fair means of transport at District HQ level - Availability of drugs and STI kits

Weaknesses

- Inadequate staff - Inadequate transport at rural health facilities - Drug distribution is not regular at rural health facilities - Underutilization of health facilities Poor Scheme of Service (low morale)

Opportunities

- Cost sharing programme - STI/condom supply - Donor support - Collaboration and networking with other agencies - Local community support

Threats

- HIV/Aids - Inadequate immunisation coverage - Negative attitude to modern health services - Lack of sustainability mechanisms

5.3

Proposed Programmes (Outputs)

Various outputs were identified in this Plan that needs to be achieved if reproductive health needs of Narok District that include lack of access to quality RH services, low level of male involvement in RH services, existence of harmful cultural practices and low condom use are to be addressed. The propose outputs are; Enhanced access and utilization of RH services Enhanced skills of reproductive health providers Increased male participation in FP s.

For each of the above outputs, a number of activities have been proposed. These are articulated by the matrices in Annex III that also outlines the proposed implementation Plan of Action.

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CHAPTER 6

STI/HIV/AIDS

One of the RH concerns that have continued to affect a large population of Kenyans in their reproductive ages is STI/HIV/AIDS. In Narok District HIV prevalence is of great concern. In year 2000, HIV prevalence rate was

reported to be 10%. The impact of the scourge has been felt at all levels of the district's economic and social circles. At the village level orphans are been taken care of by the old, while some of the young people are forced to take care of the siblings. 6.1 Main Issues/Problems

Issues/problems that require urgent and concerted efforts in the district are; High rates of infection Inadequate information on use and disposal of condoms Inadequate data on STI, HIV/Aids Inadequate data on the infected and affected 6.2 Analysis of Institutions involved in STI/HIV/AIDS Issues

The Ministry of Health, National AIDS Control Council (NACC), religious organizations Local authority, CBO's, Provincial Administration, Business community and PLWHAS were identified as institutions involved in the fight against HIV/AIDs. A SWOT analysis on MOH and NACC as the major players revealed the following;

STI/HIV/AIDs

INSTITUTION

Ministry of Health and NACC

STRENGTHS

- Trained personnel - Wide coverage Favoured - Existence of infrastructure

WEAKNESSES

- Understaffing - Inadequate logistics - Lack of testing kits - Low staff morale (MOH)

OPPORTUNITIES

- Government and donor support - Networking/collaboration - Community participation

THREATS

- Staff attrition - Dwindling funds - Retrogressive cultural practices.

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6.3

Proposed Programmes (Outputs)

To address the main issues/problems affecting Narok District, the following broad outputs were identified as very important: Rates of STI & HIV/AIDS infections decreased Promote behavior change Establish support and care for the infected and affected with HIV/AIDS

To achieve the above outputs, a number of activities have been proposed. These are articulated by the matrices in Annex IV that also outlines the proposed implementation Plan of Action.

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CHAPTER 7

MONITORING AND EVALUATION

Monitoring and Evaluation will provide a wealth of information derived from the project staff and beneficiaries. The information gathered will be analyzed and used to improve the quality of programme implementation at every stage.

7.1

Monitoring

Monitoring will be undertaken in all the projects/programmes and will be done regularly to ensure that activities are being carried out as planned. If there will be any hindrances to the implementation of the activities this regular monitoring will assist in identifying and getting solutions for them. Different agencies already have their own ways of monitoring, but during the implementation of the DPA, these will be agreed upon depending on the activities agreed being implemented. This will be at different levels, because different agencies already report to their District Headquarters, Provincial Headquarters and others direct to their National Office. The following will be some of the ways that will be applied. (a) Quarterly Meetings: There will be quarterly meetings by the

stakeholders to review the progress made in the planned quarter. At the district level there are already District Meetings e.g. DEC, DDC, DHMT, DP&HC. (b) Quarterly Reports: These will be produced on quarterly basis with a format to be agreed upon by all the stakeholders. These reports will serve as a checklist for activities that are planned to be accomplished in the given quarter. What has actually been carried out and what has not and reason for not accomplishing the activities. (c) Annual Reports: These will monitor progress of the programme per given year.

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(d)

Field Visits:

A team to be agreed upon by the stakeholders will

undertake the field visits. They will state what the team is to check and observe as they do their field visits. The reports prepared from all the above will be forwarded to a higher level and feedback will be given so that action can be effected. The reports are to be checked against the programme work plans so that progress is monitored alongside what was planned to be achieved.

7.2

Evaluation

Evaluation will be used to assess the relevance, the impact and success of the programme. The DPA will utilize the National sampled surveys (KDHS and KSPA) to evaluate their programmes. The individual projects will do their own internal and external evaluation. The results will be used to modify the planned activities or to recommend for extension of the programmes. Depending on which type of evaluation is used the monitoring reports will serve as an input to the evaluation process. The Monitoring and Evaluation framework for the planned activities are shown in Annexes V to VIII

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ANNEXES I - IV:

ANNEX I

IMPLEMENTATION PLAN OF ACTION Population and Development

ANNEX II Gender Perspective

ANNEX III Reproductive Health

ANNEX IV STI/HIV/AIDS

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ANNEX 1:

POPULATION AND DEVELOPMENT

1. Integration of Population in Development

OUTPUT

Integration of Population into Development enhanced

ACTIVITIES

Conduct a needs assessment on institutions dealing with population programmes Carry out dissemination activities

TIME FRAME

Short term

RESPONSIBLE PARTIES

Ministry of Planning and National Development Ministry of Planning and National Development Ministry of Planning and National Development Ministry of Planning and National Development Ministry of Planning and National Development

INPUTS

Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics

Continuous

Training manpower

Continuous

Carry out routine baseline surveys

Continuous

Equip the DIDC with updated and relevant materials

Continuous

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2. Population and Environment

OUTPUT ACTIVITIES TIME FRAME RESPONSIBLE PARTY RESOURCES/ INPUT

Reduced use of wood fuel Sensitize the community on planting of trees. Short Term Continuous Teach community on the use of energy saving Jikos Medium Term DFO Community Home Economic Department (Ministry of Agriculture) Funds Personnel Funds Personnel Funds Personnel Funds Personnel

Establish more tree nurseries

Short Term Continuous

DFO Local Authorities, Community MOH Ministry of Water Resources Ministry of Local Government

Increased levels of sanitation

Discourage digging of pit latrines near River Banks

Short Term Continuous

Improved urban planning process

Provide sewerage system in major urban centers Set up proper urban planning systems

Long Term Medium Term

Local authorities MOH MOL & S, Local authorities OP

Funds Funds

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3. Youth and Children

OUTPUT

Reduced infant mortality rates

ACTIVITIES

Mobilize target group

TIME FRAME

Continuous

RESPONSIBLE PARTIES

MOH Traditional herbalists (Laibon) MOH Traditional herbalists (Laibon) MOH Traditional herbalists (Laibon) MOEST MOH Local Government MOEST MOH MH&S Local Government MOEST MOH MH&S Local Government

INPUTS

Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics

Carry out routine immunization programme Treat STIs of the pregnant mothers

Continuous

Continuous

Rights of the child enhanced

Advocate for the rights of the child

Continuous

Set up community based care centres for children in difficult circumstances

Continuous

Strengthen non-formal education for school drop outs

Continuous

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Reduced unemployment rate

Sensitize the youth and, community on self employment through local Barazas and local media Mobilize the youth into viable groups

Short Term

Short Term Short Term, Continuous Train the youth on the entrepreneurship skills Long Term Mobilize funds locally and internationally. School drop out rate reduced Strengthen bursary funds Set up IGA's in schools Short Term, Continuous Short Term Continuous Long Term, Continuous Long Term, Continuous

DSDO DDO OP DSDO DSDO DTDO WEDCO DSDO DC's Office MOE Communities MOE ANPPCAN Community MOE MOE, ICS, Community

Logistics Transport Personnel Logistics Funds

Funds

Funds Personnel Funds

Train head teachers on financial management Support & strengthen school feeding program Provide non-formal education.

Funds Personnel Funds Personnel Funds Personnel

Long Term, Continuous

MLHRD Labour

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4. Family

OUTPUT

Reduced rate of polygamy Reduced levels of poverty

ACTIVITIES

Sensitize community against polygamy

TIME FRAME

Long Term Continuous Short Term

RESPONSIBLE PARTY

OP Community leaders Churches DSDO Financing Institutions

RESOURCES/INPUT

Personnel

Sensitize the community on how to address poverty Set up IGA's

Funds Logistics

Reduced prevalence of child/elderly headed families

Sensitize the community on the right of the child. Promote income generating activities

Medium Term Continuous Short Term Continuous Short Term Continuous Short Term Continuous Long Term Continuous Long Term Continuous

" DSDO, OP, Churches

" Funds

DSDO, Churches Churches Churches

Reduced rate of divorce or separation Reduced prevalence of children born out of wedlock

Counsel and sensitize communities on family values Promote moral values of the society

Personnel Funds Personnel Personnel

Promote education, Guidance and counseling session at community level

MOE, Churches

Personnel

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5. The Elderly and People with Disabilities

OUTPUT ACTIVITIES OVI'S MOV'S TIME FRAME RESPONSIBL E PARTY

Rights of Persons with Disabilities to Participate in Social, Cultural, Political and Economic sphere promoted Provide Rehabilitative and supportive facilities e.g. Braille, Sign Language/Rump No. training institutions established Records/ Inventory Long term DPM Personnel and Funds

RESOURCES /INPUTS

Sensitize the family and general public on the needs of people with disabilities

No. of sensitization fora held No. of w/shops held No. of people reached

Reports/recor ds

Medium Term

Ministry of Home Affairs

Personnel and Funds

Enhance Socio ­ Economic participation

Involve PWD's in development initiatives and IGAs

No. of IGAs started No. PWD's benefiting No. of PWDs financed

Reports Records Reports Records

ST Continuous MT Continuous

DSDO

Funds

Provide financial support for PWD's

NGO's DSDO

Funds

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ANNEX II:

OUTPUT

GENDER PERSPECTIVE

ACTIVITIES

Sensitize women and men on civic and economic rights

TIME FRAME

Continuous

RESPONSIBLE PARTIES

MOH, MOEST, MOHA, LA, MYWO, Female networking organizations

INPUTS

Funds Personnel Logistics

Equality in participation and representation of women and men at all levels and in all sectors enhance

Sensitize and campaign for support from local leaders and policy makers on women representation in Parliament and local authority Educate and advocate against retrogressive cultural practices Disseminate gender and development policies

Continuous

MOH, MOEST, MOHA, LA, MYWO, Female networking organizations

Funds Personnel Logistics

Continuous

MOH, MOEST, MOHA, LA, MYWO, Female networking organizations MOH, MOEST, MOHA, LA, MYWO, Female networking organizations MOH, MOEST, MOHA, LA, MYWO, Female networking organizations

Funds Personnel Logistics Funds Personnel Logistics Funds Personnel Logistics

Continuous

Develop district action plan to implement gender policies

Continuous

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ANNEX III:

OUTPUT

REPRODUCTIVE HEALTH

ACTIVITIES

Provide user friendly RH services and integrate this with other health services

TIME FRAME

Continuous

RESPONSIBLE PARTIES

MOH, NGOs, FBOs FPAK, Community

INPUTS

Personnel Funds Logistics

Enhanced access and utilization of RH services

Enhanced skills of reproductive health providers

Train service providers on RH service

Continuous

MOH, NGOs, FBOs FPAK, Community

Personnel Funds Logistics

Harmful RH Practices in the district

Advocate and mobilize the community to accept an alternative rite of passage for girls and boys

Long Terms

MOH, NGOs, FBOs FPAK, Community

Personnel Funds Logistics

Increased male participation in FP

Counsel male to participate in FP

Continuous

MOH, NGOs, FBOs FPAK, Community

Personnel Funds Logistics

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ANNEX IV: STI'S/HIV/AIDS

OUTPUT

ACTIVITIES

Advocate for sexual behaviour change

TIME FRAME

Continuous

RESPONSIBLE PARTIES

MOH, NGOs, FBOs FPAK, Community

INPUTS

Personnel Funds Logistics

Rates of STI & HIV/AIDS infections decreased

Distribute IEC materials

Continuous

MOH, NGOs, FBOs FPAK, Community

Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics

Provide VCT services and strengthen the existing ones Access ARVD to patients

Continuous

MOH, NGOs, FBOs FPAK, Community

Continuous

MOH, NGOs, FBOs FPAK, Community

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ANNEXES V - VIII: MONITORING AND EVALUATION

FRAMEWORK ANNEX V Population and Development

ANNEX VI

Gender Perspective

ANNEX VII

Reproductive Health

ANNEX VIII

STI/HIV/AIDS

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ANNEX V:

POPULATION AND DEVELOPMENT

Integration of Population into the Development Process

OUTPUT ACTIVITIES OVIS

No. of seminars & barazas held

MOVS

Reports , List of participants

TIME FRAME

RESPONSIBLE PARTY

Ministry of Planning and National Development Ministry of Planning and National Development Ministry of Planning and National Development Ministry of Planning and National Development

INPUT

Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics

Integration of population into enhanced development

Carry out dissemination activities

Continuous

Train manpower

No. of persons trained

Reports , Training manuals

Continuous

Carry out baseline surveys

No. of surveys conducted Researches conducted No. and type of equipment procured and installed No. of institutions and individuals utilizing the facility

Data collected, Survey reports

Continuous

Equip the DIDC with updated and relevant materials

Inventory Distribution lists

Continuous

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2. Population and Environment

OUTPUT

Reduced use of wood and fuel

ACTIVITIES

Sensitize the community on planting of trees. Teach community on the use of energy saving jikos Establish tree nurseries

OVI'S

No. of barazas held No. of people reached No. of seminars held No. of participants attending No. of trees nurseries started

MOV'S

Reports

TIME FRAME

ST, Continuous

RESPONSIBLE PARTY

DFO Community Tobacco farms Home Economic Department (Ministry of Agriculture) DFO Local Authorities Community Tobacco farms (BAT) MOH Ministry of Water Resources Ministry of Local Government Local authorities MOH MOL & S Local authorities OP

RESOURCES/ INPUT

Personnel Funds Logistics Funds Personnel Funds Personnel

Reports

MT, Continuous

Reports

ST, Continuous

Increased levels of sanitation

Sensitize community not to construct pit latrines near riverbanks.

No. of Barazas held No. of persons reached

Reports Records

ST, Continuous

Funds Personnel

Improved urban planning

Provide sewerage system in major urban centers Set up an effective planning process

No. of sewerage's provided No. of Plans approved

Personnel Report. Records

LT MT

Funds Funds

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Implementation of the National Population Policy for Sustainable Development

3. Youth and Children

OUTPUT

Infant mortality rates reduced

ACTIVITIES

Mobilize target groups

OVIS

No. of seminars held

MOVS

Reports

TIME FRAME

Continuous

RESPONSIBLE INPUT PARTY

MOH Traditional herbalists (Laibon) MOH Traditional herbalists (Laibon) MOH Traditional herbalists (Laibon) MOH Traditional herbalists (Laibon) Personnel Funds Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics Personnel Funds Logistics Logistics

Train service providers

No. of participants trained

Reports

Continuous

Carry out immunisation programme Treat STIs of pregnant mothers Rights of the child enhanced Advocate for the rights of the child

Reports on number of immunization programmes conducted No. of cases treated

Reports

Continuous

Reports

Continuous

Set up community based care centres for children in difficult circumstances Strengthen non-formal education for school drop-outs

No. of children/people sensitized on the rights of the child No. of care providers trained on children issues No. of community based centres established No. of children who have benefited from community based centres established - do -

Seminar reports and records

Reports Records

- do -

MOEST MOH MH&S Local Government MOEST MOH MH&S Local Government MOEST MOH MH&S Local Government

Personnel Funds

Logistics

Personnel Funds

Logistics

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Implementation of the National Population Policy for Sustainable Development

Enhance partnership with all key players in protection of the rights of the children Reduced unemployment rates Sensitize the youth and community on self employment through barazas and media (print and electronic)

No. of stakeholders networking and levels of participation No. of barazas held No. of advertisements on local media aired

Inventory of who is who Reports received Reports Copies of advert

MOEST MOH MH&S Local Government ST

Personnel Funds

Logistics

DSDO DDO OP

Logistics Transport Personnel Logistics

Mobilize the youth into groups

No. of Youth groups established No. of youth reached

Records List of attendants

ST

DSDO

Train youth on the entrepreneurship spirits

No. of seminars/workshop held

Training reports

ST

DSDO DTDO WEDCO

Funds

Mobilize funds locally and internationally

No. of proposals written and forward to donors

Copies of proposal

LT

DSDO DC's Office

Funds

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Implementation of the National Population Policy for Sustainable Development

School drop out rate reduced.

Strengthen bursary funds through Harambees and community contribution. Set up of IGAs in schools to reduce levies paid by parents

No. of Harambees held Amount of funds raised No. of school drop outs reduced No. of IGAs started in schools No. of schools with IGAs No. of inspection/supervision undertaken No. of schools with feeding programme No. of drop-outs attending non-formal education

Financial reports Lists of beneficiaries School Records Inventory

ST Continuous

MOE Communities

Funds Personnel

ST Continuous

MOE ANPPCAN Community

Funds

Improved management of schools to attain better performance through close supervision Start school feeding programmes in primary schools Provide non-formal education to school drop-outs

Inspection report Performance records Report Records Records

LT Continuous

MOE

Funds Personnel

LT Continuous LT Continuous

MOE Community MLHRD Labour

Funds Personnel Funds Personnel

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Implementation of the National Population Policy for Sustainable Development

4. Family

OUTPUT

ACTIVITIES

OVI'S

MOV'S

TIME FRAME

L.T Continuous

RESPONSIBLE PARTY

OP, Community leaders, Churches

RESOURCES /INPUTS

Personal

Reduced Polygamy rates.

Sensitize the community against polygamy through barazas, church meetings tc

No. of Barazas held No. of church meetings held

Report List of participants

Reduced levels of poverty

Sensitize the community on self employment through Barazas and workshops

No. of Barazas held No. of workshops held

Reports List of participants Reports

ST

DSDO Financial Institution (WEDCO,ADT, KWFT)

Funds Logistics

Promote (IGA's) for self employment

No. of self help projects started (IGAS)

MT Continuous

DSDO, Financial Institution (WEDCO,ADT, KWFT)

Funds Logistics

Reduced prevalence rates of child/elderly headed family

Sensitive the community on the rights of the child through Barazas and church meetings

No. of Barazas held No. of church meetings held No. of participants attending

Reports List of participants

ST Continuous

DSDO OP CPK Church

Funds

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Implementation of the National Population Policy for Sustainable Development

Promote income generating activities

No. of IGAs established No. of people involved

Reports

ST Continuous

DSDO

Personal Funds

Reduced rate of divorce and separation

Counsel and sensitize the community on family values through community groups and individuals Promote moral values to society through churches

No. of barazas, held No. of couple family counseled No. of Church meetings held

Reports

ST Continuous

Catholic Church ACK Church

Personal

Reduced prevalence of children born out of wedlock

Reports

LT Continuous

Catholic Church ACK Church

Personal

Provide education, guidance and counseling through church meetings and barazas

No. of church meetings held No. of barazas held

Church reports Reports

LT Continuous

MOE Catholic Church ACK Church

Personal

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Implementation of the National Population Policy for Sustainable Development

5. The Elderly and People with Disabilities

OUTPUT ACTIVITIES OVI'S MOV'S TIME FRAME RESPONSIB LE PARTY

Rights of Persons with Disabilities to Participate in Social, Cultural, Political and Economic sphere promoted Provide Rehabilitative and supportive facilities e.g. Braille, Sign Language/Rump No. training institutions established Records/ Inventory Long term DPM Personnel and Funds

RESOURCES /INPUTS

Sensitize the family and general public on the needs of people with disabilities

No. of sensitization fora held No. of w/shops held No. of people reached

Reports/rec ords

Medium Term

Ministry of Home Affairs

Personnel and Funds

Enhance Socio ­ Economic participation

Involve PWD's in development initiatives and IGAs

No. of IGAs started No. PWD's benefiting

Reports Records

ST Continuous

DSDO

Funds

Provide financial support for PWD's

No. of PWDs financed

Reports Records

MT Continuous

NGO's DSDO

Funds

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Implementation of the National Population Policy for Sustainable Development

ANNEX VI: GENDER PERSPECTIVE

OUTPUT

Equality in participation and representation of women and men at all levels and sectors enhanced

ACTIVITIES

Sensitize women and men at the grass root level on civic and economic rights

OVIS

No. of sensitization seminars/barazas conducted No. of participants sensitized No. of women representatives in political bodies (Civic and Parliament) No. of seminars/barazas held No. of seminars held No. of participants

MOVS

Seminar reports Progress reports

TIME FRAME

Continuous

RESPONSIBLE PARTY

MOH, MOEST, MOHAS, LA, MYWO, Female networking organizations MOH, MOEST, MOHAS, LA, MYWO, Female networking organizations MOH, MOEST, MOHAS, LA, MYWO, Female networking organizations MOH, MOEST, MOHAS, LA, MYWO, Female networking organizations MOH, MOEST, MOHAS, LA, MYWO, Female networking organizations

INPUT

Funds Personnel Logistics

Sensitize and campaign for support from leaders and policy makers on women representation in Parliament and local authority Educate and advocate against retrogressive cultural practices

Seminar reports Records

Continuous

Funds Personnel Logistics

Seminar reports

Continuous

Funds Personnel Logistics

Disseminate gender and development policies

No. of dissemination seminars held No. of participants

Seminar reports

Continuous

Funds Personnel Logistics

Develop district plan of action to implement gender policy

Workshops held

District Plan of Action

Continuous

Funds Personnel Logistics

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Implementation of the National Population Policy for Sustainable Development

ANNEX VII:

OUTPUT

REPRODUCTIVE HEALTH

ACTIVITIES OVIS MOVS TIME FRAME RESPONSIBLE PARTY

MOH, NGOs, FBOs FPAK, Community

INPUT

Enhanced skills of reproductive health providers

Train service providers in RH services

No. of providers with basic training

Training records inventory and records

Continuous

Personnel Funds Logistics

Enhance access and utilization of RH services

Provide user friendly services integrated with other health services

No. of health facilities offering integrated affordable and quality RH service No. of community based RH outlets

Service delivery records

Continuous

MOH, NGOs, FBOs FPAK, Community

Personnel Funds Logistics

Service delivery records Health facility records

Increased male participation in FP

Counsel males to participate in FP

No. of males taking up FP methods

FP records

Continuous

MOH, NGOs, FBOs FPAK, Community

Personnel Funds Logistics

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Implementation of the National Population Policy for Sustainable Development

ANNEX VIII:

OUTPUT

STI/HIV/AIDS

ACTIVITIES OVIS MOVS TIME FRAME RESPONSIBLE PARTY

MOH, NGOs, FBOs FPAK, Community

INPUT

Personnel Funds Logistics

Decreased rates of STI/HIV Aids infections

Advocate for behaviour change

No. of people seeking treatment at recognized health facilities

Records

Continuous

Distribute IEC materials

No. of CDs distributed

Records

Continuous

MOH, NGOs, FBOs FPAK, Community

Personnel Funds Logistics Personnel Funds Logistics

Provide VCT services and strengthen the existing ones

No. of workshops/seminars on sensitization

Records

Continuous

MOH, NGOs, FBOs FPAK, Community

Provide treatment for opportunistic diseases

No. of clients visiting facility

Records

Continuous

MOH, NGOs, FBOs FPAK, Community

Personnel Funds Logistics

Provide ARVs to the patients

No. of patients accessed

Inventory

Continuous

MOH, NGOs, FBOs FPAK, Community

Personnel Funds Logistics

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Production of this Strategic Plan was made possible with financial support from United Nations Population Fund (UNFPA) through the 5th and 6th Country's Programme of Assistance

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