Ace Africa CtC ClubsCase study 1ACE AFRICA KENYA (SIAYA)CASE STUDY OF CTC SCHOOLName of school: Liganwa Primary School When school trained: July, 2008 When case study updated: November 2013 Project Site: Central Alego A

Liganwa school gate with the CtC logo marked on the left.

Background Liganwa primary school is one of the 49 CtC schools trained on Child to Child learning methodology in July 2008, a methodology that was never known to them before. The school was identified by the Area Education Officer for this training because it was one of the schools with high population (690 children) and 80% of them are either orphaned or vulnerable and living in difficult situation, moreover high cases of diarrheal infection outbreak was reported as a result of poor hygiene. The child to child movement aimed to encourage and enable children to actively improve and promote their own health and that of their families and community worldwide. 2(1m, 1f) teachers from guidance and counselling department were trained on child to child to child learning methodology. To strengthen service delivery, the teachers were later trained in 2010 on CtC HIV and AIDS education as a refresher course to enable them adopt the child to child concept in teaching HIV and AIDs.

2 teachers from Liganwa among the teachers undergoing CtC HIV and AIDS training in 2010

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CtC club formationAfter the training, the child to child health club was initiated in 2008 and the club has remained strong up to date, the teachers recruit the new members annually upon exit of the candidates each year. Currently the club dubbed ‘Yes We Can’ has a membership of 65 members considering gender balance, there are 32 boys and 33 girls especially from class 4 to 8, their age ranges from 10 to 16 years. This club has been instrumental in hygiene promotion in the school. They are meeting once in the month to discuss progress with the guidance of the club officials.CtC club participation in rights and health related activitiesChild rights advocacy and lobbying This club has been instrumental in implementing the child to child activities within the school and beyond. The club members have been actively in the forefront to advocate for the rights of children through songs, narratives, poems during organized public forums such as child related days (Day of the African child, World Aids Day, World Orphan Days, Global hand washing days among other global events.

CtC club chairperson (Daniel Odhiambo) giving a speech on need to provide quality care to children during Day of the African child.

Gardening activities The club is actively taking part in gardening activities and to this end Liganwa CtC school is one of the schools within ACE Africa areas of operation with the most active demonstration school kitchen garden that supports the school lunch programme. The children were provided with start up farm tools as well as seeds, both exotic and indigenous seeds for planting. The club children have been able to maintain their school kitchen gardens by working on the plot during their free periods.

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CtC club children working on their school demonstration garden

Hygiene promotionThe club children have taken a lead role to promote hygiene both in school and outside by helping in establishing simple and environmental friendly leaky tins within the school, and are teaching the other children on how and why to embrace usage of the hand washing dispensers to eliminate cases of infection outbreaks in and outside the school. An initiative that has seen the children to be good community health educators.

A child from CtC club demonstrating for other younger Leaky tin installed in one of the household, a concept from ones on how to wash hands from the improvised dispenser. Acquired from school

Skills acquired as a result of the child to child learning methodology.With the help of the CtC teachers, the children have developed problem solving skills by brainstorming on the best mechanisms to solve the emerging issues during their periodic meetings and this has actually promoted child participation in issues that affects them and their families unlike before when every problem could be reported to the teachers for a solution and this has been evidenced during in school guidance and counseling as well as CtC participatory assessment sessions.

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The CtC club children from Liganwa have acquired modern gardening skills and as a result, a very active school demonstration garden with a variety of nutritious vegetable crops have been established and the children are indeed learning and embracing the same skills at household level for food security purposes and selling the surplus from their own initiated plots to meet other scholastic needs. Through child to child, the children have learnt that each and every child regardless of gender, health status disability, race have equal rights and it is on this basis that the club members are advocating for and promoting the rights of children by sensitizing the parents, care takers on the need to provide quality care to the children during public gatherings.As a result of the club participation, the children have learnt to show love to their peers regardless of their status as depicted during child to child participatory assessment, it is on this reason that the club members have organized to visit their bereaved peers at homes, actively participating in organized jiggers campaign among other events that promotes self esteem and value in children. Impact of the child to child programme in Liganwa school and community at large.Through the club, the school has established active school demonstration garden where the children have learnt various skills and techniques on kitchen gardening and through this 70% of the children have embraced the techniques at household level, a sure way of preparing them for future tasks and responsibility.The children have become community health educators by actively participating in health promotion initiatives both in school, home and in the community at large. Through the clubs advocacy on child rights, the children are more aware on their rights and responsibilities, and it is on this ground that the children are taking a lead role in reporting child abuse cases to their teachers and other relevant authority for action. The parents are not left out in the promotion of the rights of the children; they have recognised the roles of the CtC teachers, children and other child rights defenders and referring cases to them as well for possible solution. The club children have been more actively engaged in education events beyond the classroom through innovative CTC approaches that have enable children participate in activities promoting self esteem, environmental sanitation, hygiene and enabling schools to move closer to achieving the goals of inclusive education as depicted from school and community feedback ‘’……..The CtC programme I would say is a very interesting child friendly concept, since the initiation of this learning methodology ,the children have acted as good community change agents Madam Judith, CtC teacher Liganwa primary school.

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CtC teachers conducting participatory assessment with the children.

ConclusionLiganwa is one of the schools that can act as the ambassador CtC schools in the area and to this end the programme in the school can run with less support from ACE Africa.

Case Study 2ACE AFRICA KENYA (BUNGOMA)CASE STUDY OF CTC SCHOOLName of school: Mwiruti CtC Primary School When school trained: July, 2006 When case study updated: December 2013 Project Site: KabulaBackground Mwiruti CtC Primary School is one of the 120 CtC schools trained on Child to Child (CtC) learning methodology in 2005. The school was identified with the support of the Area Education Officer, Ace Africa Child Rights and Welfare team and the school head. The child to child movement aimed to encourage and enable children to actively improve and promote their own health and that of their families and community worldwide. 2(2m, 0f) Mr. Richard Wasike and Geoffery Wasike from guidance and counseling department were earmarked and trained in 2005 on the Child to child (CtC) approach to assist establish the CtC club and serve as patrons . To strengthen service delivery, the teachers received additional training on 2007 on HIV and AIDS, Guidance and counseling, peer education and organic kitchen gardening. Where Mrs. Topister Wafula, was inducted as a CtC club patron due to Mr. Geoffrey’s retirement.

CtC club formationAfter the training, the Mwiruti CtC Primary School club was initiated in 2005 with a group of 35 (15m; 20f) children and the club has remained strong up to date, the teachers recruit an average of 35-40 new members annually upon exit of the candidates each year. To date the CtC club has had a total of 350 involved in annual community tree planting events in school and community markets, public sanitation outreach events and installing simple leaky tins, conducting and participating in jigger removal and eradication campaigns both in school and affected households. As a result of their activities 750 households in the adjoining areas have installed leaky tins and dish racks in their homesteads. 1n 2013, at the onset of the rains have

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begun cultivating their school kitchen garden, 11 club members have established their own kitchen gardens supporting the school and 2 households. CtC club participation in rights and health related activitiesChild rights advocacy and lobbying The club has held 144 participatory sessions where the patrons and ACE Africa staff interact with children and hold discussions on various topics such as Child Rights, HIV/AIDS ,alcohol and substance abuse ,agriculture and nutrition, hygiene and sanitation promotion activities. All of which have placed club members at the forefront to advocate for the rights of children through songs, narratives, poems during organized public forums such as child related days (Day of the African child, World Aids Day, World Orphan Days, Global hand washing days among other global events.Gardening activities The club is currently undertaking land preparations exercise for their kitchen garden and to date remains one of the most active Kitchen gardening CtC school. The children were provided with startup farm tools as well as seeds, both exotic and indigenous seeds for planting. The club children have been able to maintain their school kitchen gardens by working on the plot during their free periods.

CtC club members in their kitchen garden CtC club children working on their school demonstration gardenHygiene promotionThe club children have taken a lead role to promote hygiene both in school and community by helping in establishing 700 simple and environmental friendly leaky tins within the school, and are educating others on how and why to embrace usage of the hand washing dispensers to eliminate cases of infection outbreaks in and outside the school.

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A simple demonstration on how to use a leaky tin by CtC club member and patron

With the help of the CtC teachers, the children have developed problem solving skills by brainstorming on the best mechanisms to solve the emerging issues during their periodic meetings and this has actually promoted child participation in issues that affects them and their families unlike before when every problem could be reported to the teachers for a solution and this has been evidenced during in school guidance and counselling as well as CtC participatory assessment sessions. Impact of the child to child programme in Mwiruti CtC School and community at large.Through the club, the school has established active school demonstration garden where the children have learnt various skills and techniques on kitchen gardening and through this 70% of the children have embraced the techniques at household level, a sure way of preparing them for future tasks and responsibility.The children have become community health educators by actively participating in health promotion initiatives both in school, home and in the community at large. Through the clubs advocacy on child rights, the children are more aware on their rights and responsibilities, and it is on this ground that the children are taking a lead role in reporting child abuse cases to their teachers and other relevant authority for action. The parents are not left out in the promotion of the rights of the children; they have recognised the roles of the CtC teachers, children and other child rights defenders and referring cases to them as well for possible solution. The club children have been more actively engaged in education events beyond the classroom through innovative CTC approaches that have enable children participate in activities promoting self esteem, environmental sanitation, hygiene and enabling schools to move closer to achieving the goals of inclusive education as depicted from school and community feedback

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The Noting Hill School Project

The Noting Hill School Project (NHP) is a joint collaboration with Noting Hill preparatory school in the United Kingdom and a scale up of the CtC programme. Its main purpose is to facilitate the exchange of materials, experiences and information on various activities conducted between 2 selected CtC schools and build computer literacy among its members.

Mwiruti CtC club members amazed at the marvels of technology

ConclusionMwiruti CtC Primary School is an exemplary example of a sustainable and more enduring intervention that is child friendly with positive knock on effects to the community. Case study 3Title of Case Study: CHILD HEADED HOUSEHOLD Name of Beneficiary: Brian Owino Omondi, 15 years old boyDate of case study: 13/11/2013 Date first identified: April 2012Project Area: Central Alego B Village: GongoTarget group: Orphan.BackgroundBrian is 15 year old boy living in Gongo village; he was a class 7 pupil at Agulu primary school then, one of ACE schools rolling out the child to child programme. His parents died in 2005. Brain is a total orphan living alone in their home stead. He is the last born in a family of six, (4m 2f). His two sisters got married following hardship life they were going through; His brothers took off to town where they went to seek for jobs to sustain themselves living Brian to feed for himself. Brian lives in a single roomed house made of mud, grass thatched roof. Brian could often go to school on empty stomach. Brian was compelled to engage in child labor for a living and at the same time go to school; this actually affected his performance. Brian’s case was identified by child welfare mentor who referred his case for any possible action.

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1) Brian on his way from school.2) Brian fetching water to wash his school uniform

ACE INTERVENTIONBrian was linked up to the child to child health club in his school which he became an active member and was able to get some food from the club demonstration garden, he has been provided with school uniforms and receiving regular technical support from both the child rights and counseling officer, Through the skills acquired from school, Brian has established active kitchen garden with variety of nutritious vegetable crops for food security purposes. Brian has been linked to a support group working with ACE for any kind of support. Ace supported him with exam levies.

OUTCOMEBrian has established a kitchen. He attends school during week days and works on his farm during the week ends in order to make ends meet. Brian is one of the active CtC club members at Agulu primary school. Through CtC programme, he has known how to establish own kitchen garden for sustenance, he has learnt to cope up with the situation through peer counseling sessions. He is optimistic and dedicated in his academics. He did his final primary examination this year and now waiting for the result to be released in December 2013.

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Case study 3

ACE AFRICA - KENYA SIAYA PROJECT PROGRESIVE CASE STUDY.NAME: MARVIN OTIENO. AGE: 16YEARS. SEX; MALE.DATE IDENTIFIED: FEBRUARY 2010 , DATE CASE STUDY REVISED; AUGUST 2013 PROJECT SITE: SATELLITE, AWELO VILLAGETARGET GROUP: OVC /PLWA.

Mavin on his way home after visiting ACE officeBACKGROUNDHistory and BackgroundMarvin Otieno is a partial orphan who lives with his maternal grandmother, his mother died to HIV related complications, when he was four years old. Since the demise of the mother who was the sole bread winner, Marvin’s only sister eloped and got married at an early age, while Marvin trekked 20kilo meter distance to come and live with his 80 year old grandmother since there was no other close relative who was willing to stay with them.The old granny who frequently suffers from old age sickness has no one to look after as well, neither does she have a source of earning to put food on the table. This compels her to sale part of indigenous vegetables she gathers from neighbor’s farms for a living. On a good day, she can manage to earn utmost 100/= (equivalent of a dolor) to buy kerosene for lighting and 1 kg of maize flour for a meal of porridge or ugali. During their stay, Marvin frequently got sick and looked weak and withdrawn, his health condition worsened, his condition prompted the grandmother to take Mavin to the hospital, the nurses advised the grandmother to subject the young boy for HIV test, he was tested for HIV and was found reactive in 2009. From then he was put on Septrin and multivitamin medication. Marvin’s has been linked to the support center at Siaya District hospital, where he gets his medication.The frequent ailments made him stay at home more frequently as other children went to school. During such situations, his health could deteriorate drastically and he could be bedridden for some time. He could perform poorly in his class by being the last 15. He could not afford to walk to the patients’ support centre for health care and instead well wishers could hire bicycle to ferry Marvin. Upon recovery he could look so dull in the dirty torn school uniform, withdrawn and in deep thoughts most of the time when he could get to school.

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Occasionally the granny could save some coins from her daily sales to buy for Marvin pain killers to relieve the pain. In most times, these would be fruitless and instead react with Marvin’s health to cause him more harm.

ACE INTERVENTIONHis plight was highlighted to ACE Africa by a community volunteer who once cared for Marvin for 3 months but could not put up with the frequent illnesses.ACE-Africa has been able to offer him the following services, His school fees and examination fee to enable him to stay in school, his medication has been taken care of at any time he falls ill. School uniform provided and home clothes as well. He was put on nutritional supplement for 6months, the agriculture and nutrition introduced kitchen gardening and also provided startup seeds to the household, from this provision to date The household is able to harvest, cow peas, and kales amongst other vegetables from the kitchen garden. He has been provided with a solar lamp as well to enable him do his remedial classes. Mavin received regular psychosocial support from ACE counselor

Mavin in his kitchen garden doing the hand weedingOutcome and ImpactMarvin looks strong and he is healthy, he has gained strength to do some activities he could not do before, like tilling the land. Through ACE-Africa intervention, Marvin sat for his end year exams (KCPE) in 2011. Mavin performed as indicated in his primary final exams:-Mathematics 40%, English 45%, Kiswahili 40%, Science 63%, and Social studies 40% he had a total of 228/500 marks. Marvin was not happy with his results to a point that he requested if he could repeat class 8.

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Mavin in class with other classmates during revision periodMarvin has been helping his granny during his holidays, he would sell maize grains at the local market with his granny, and on his own when the granny falls ill. To this end an aunty has offered to provide care and protection to Mavin, they have relocated to a nearby village where they are currently staying; Mavin is enjoying the company of other children from this household.

Follow ups still being made to the household, Mavin who is determined to become a doctor went back to class seven in Kogelo Nyangoma primary school, one of ACE CtC schools, he has been linked to the child health club for more psychosocial support by the teachers responsible. He is one of the best performers in his current class. He health condition is stable and never withdrawn. Marvin’s CD4count has gone up to 850, and he currently weighs 41 kilos he takes his ARVs in time which is seven in the morning just before he goes to school and seven o’clock in the evening when from school. The whole of this year he has only missed school three consecutive days when he was sick with malaria, and once every month when he goes to pick his ARVs and to attend children’s club functions at the health facility together with other children from the same area. Marvin’s kitchen garden has a variety of vegetables including clot aralia, black night shed, kales and cow peas. They have planted sweet potatoes and cassava for their meals. The vegetables they get from the kitchen garden they use for their household meals for five people

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Mavin milking after school and he currently enjoying the nutritious milk in his new residence.

He has been linked to Kogelo child rights club, a club composed of children who are HIV positive. He is currently one of the top pupils in his class. He has been enrolled for Soya milk provision that he is getting at ACE-Africa resource center on a weekly basis. His health has changed as well as his academic performance so far Last term he was position three with 359/500marks comprising of English 59% Kiswahili66%, Math’s 86% Science72% and Social/CRE 75%. A part from academics, Marvin is a members of Nyangoma kogelo primary school football club where he plays number 11 for the school team and a member of ACE-Africa Child to child club, he is also a member of Sauti Kuu and kogelo children’s club in which operates in their region in this club they are taught on life skills, assertiveness and they are involved in several activities including drama, dances camping among others. He has done his final examination and he is waiting for the results which will be released in December 2013. Next step ACE Africa is looking forward to sponsor Marvin through his secondary course to enable him realize his dream of becoming a doctor.

Case study 4NAME OF BENEFICIARY: Hellen Nekesa MukhebiVILLAGE: RanjeSUB LOCATION: West Sang’aloLOCATION: East BukusuDATE IDENTIFIED: 3rd Jan 2013AGE: 11 yearsGENDER: FemalePROJECT AREA: BulondoCASE HISTORYHellen Nekesa Mukhebi aged 11 years old. She lives with her mother Carolyn Sifuna Mukhebi in Ranje village. Hellen has 2 brothers and 2 sisters; Kevin Mukhebi aged 4 years old, Mike Mukhebi Sifuna aged 4 years old and Margaret Mukhebi aged 7 years old. Their father (the late Sifuna Koi Mukhebi) died in April 2012 in a road accident which brought a big challenge to the family since he was the bread winner of the family.

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Hellen is a pupil at Ranje primary school in class 4 while Margaret has joined ECD at Ranje this year as both Mike and Kevin have not joined school. Their mother dropped out of school while in class 3 due to domestic issues. Currently Hellen’s family lives in a two roomed house with old iron sheets that leaks at times when it heavily rains with mud floor and walls. Carolyn their mother is currently the bread winner since the death of their father last early last year. She works on peoples farms to fend for her family and cultivate her small garden where she gets little food to support her family. THE PROBLEM AND ACE INTERVENTION Hellen and her brothers case was identified the child to child teacher which was ten raised to Alex Lumwagi, child rights and welfare officer who conducted home visits to capture the history of the case. During their identification, the health of children in the above household was not good as Kevin and Mike were malnourished, Hellen was not attending school on frequent basis due lack of fees and school uniforms. Her sister Margaret was not at school during identification.ACE Africa intervened this case by recruiting the above children in the Aphia plus OVC program under CHV Praxides Oparah who conducts monthly visits to the household where she provides psychosocial support to these children and advising their mother on better ways she can make good use of the 1/3 acre of land to support her family.

From left; Hellen Mukhebi with her mother Carolyn Mukhebi, her 2 sisters Margaret Mukhebi and Joan Mukhebi outside their house. Hellen receiving her new school uniform finally Hellen and her mother receiving a blanket at Bulondo project site. OUTCOME AND IMPACTFollowing the frequent home visits conducted by CHV Praxides Oparah Carolyn lifestyle is changing due to the advice and mentorship she gets from the CHV. She currently cultivates her small piece of land that produces Local vegetables, kales and maize that supports the family. The health status of Kevin and mike has improved as their weight has appreciated from 10kg to 13.5kg and 11kg to 13.8kg respectively according to their medical records. The above children were sleeping on old sacks on the floor. Currently this household received a mattress donated by Aphia+. Hellen has now joined the PSP (primary school program) club at school that has enabled get support from teachers and other club members. This has made her to attend school on daily basis. On 3rd May Hellen was issued with a pair of school uniform and one blanket at Bulondo project site.“Sikuizi nalala vizuri pamoja na ndunguzangu,hatulali kwa matambara ya gunia nawashukuru ACE Africa kutupatia godoro” Now days I sleep comfortably with my brothers and sisters, we no

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longer sleep on rags and old sacks I really thank Ace Africa for giving us the mattress and blanket. Hellen Mukhebi appreciating the field officer during the household visit.RecommendationFrequent follow ups should be carried to the household to ensure Carolyn is empowered with more information on Kitchen garden management.Carolyn should be encouraged to consider high level of hygiene in her household to prevent outbreak of disease.

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