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Health, Food & Water Insecurity in Northeastern Kenya PHM experience in Masalani & Garissa

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

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Health, Food & Water Insecurity in Northeastern Kenya PHM experience in Masalani & Garissa

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  1. PHM Kenya: case study Context of health Health, Food & Water Insecurity in Northeastern KenyaPHM experience in Masalani & Garissa

  2. PHM Kenya: case study Geographic location Ethiopia South Sudan Masalani Division, Garissa County, Kenya Tanzania

  3. PHM Kenya: case study Context of health in Masalani • Repeated droughts & famine 2006-2012 • Close to Somali border and refugee camps • Neglected by government • Oversaturated with NGOs with relief and dependency approach

  4. PHM Kenya: case study Garissa: Dadaab refugee camp Third largest Somali city (pop. 500,000) located in Garissa, Northeastern Kenya

  5. PHM Kenya: case study Poor housing and insecurity

  6. PHM Kenya: case study Drought and famine risk Emaciated livestock at risk due to drought and famine

  7. PHM Kenya: case study Many, many NGOs Encourage dependency, not empowerment

  8. PHM Kenya: case study Relief and Advocacy project • 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

  9. PHM Kenya: case study Results of relief work • 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

  10. PHM Kenya: case study Masalani – aerial view

  11. PHM Kenya: case study Advocacy • 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

  12. PHM Kenya: case study Advocacy training toolkits Constitution of Kenya People’s Charter for Health

  13. PHM Kenya: case study Advocacy results • 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

  14. PHM Kenya: case study Stories and perspectives from the Masalani communities

  15. PHM Kenya: case study Masalani – road conditions

  16. PHM Kenya: case study Road impassable for ambulance

  17. PHM Kenya: case study Babies at risk without health care

  18. PHM Kenya: case study HIV - PLHA stigmatization

  19. PHM Kenya: case study HIV - PLHA stigmatization

  20. PHM Kenya: case study Summary of findings • 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

  21. PHM Kenya: case study Challenges • 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

  22. PHM Kenya: case study Lessons for PHM country circles • Unite around one cause • Use your differences • Don’t wait to grow …members join through action • Grassroots desire for advocacy

  23. PHM Kenya: case study Context of health Health, Food & Water Insecurity in Northeastern KenyaPHM experience in Masalani Asanteni Sana PHM Kenya Dan Owalla, Omondi Otieno, Khadija Yussuf and Ravi Ram the people of Masalani, Garissa County, and many others With support from Medico International

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