1.

2. KATINE COMMUNITY PARTNERSHIPS PROJECT

3 . ANNUAL NARRATIVE REPORT FOR YEAR TWO

October 2008-September 2009

1 . Submitted to: The Guardian and Barclays

Project
duration:
Three
years:
October
2007
–
September
2010

Prepared by:
KCPP
Team,
AMREF
Uganda

Contact person in AMREF Uganda:
Joshua
Kyallo,
Country
Director,
AMREF
Uganda

Email:
Joshua.kyallo@amref.org


Contact person in AMREF UK:
Claudia
Codsi,
Uganda
Partnerships
Manager,
AMREF
UK

Email:
c.codsi@amrefuk.org


Page 1 of 23
 Ta bl e o f C o n t e n t s

1.0

1.......................................................................................................................................................1
2.KATINE COMMUNITY PARTNERSHIPS PROJECT.....................................................................1
3.ANNUAL NARRATIVE REPORT FOR YEAR TWO.......................................................................1
1.Submitted to: The Guardian and Barclays..............................................................................................1

Katine
is
one
of
17
sub-counties
in
Soroti
district
with
the
worst
indicators
for
poverty
and
underdevelopment
compounded
by
periods
of
cattle
rustling
and
insurgency.
The
project
takes
an
integrated
and
community
based
development
approach
and
addresses
the
causes
of
ill
health
and
poverty.
The
project’s
goal
is
to
improve
the
quality
of
life
for
the
people
living
in
 Katine.
 The
 objectives
 aim
 to
 improve
 community
 health,
 access
 to
 quality
 education,
 access
 to
 safe
 water,
 hygiene
and
sanitation
increased
income
generating
opportunities
and
aims
to
build
the
capacity
of
communities
to
engage
in
local
governance
to
be
more
involved
in
decision
making.

A
mid-term
review
(MTR)
was
conducted
in
July
2009.
The
findings,
which
were
fed
back
to
partners
in
a
workshop
in
Soroti
 highlighted
 that
 AMREF
 was
 more
 or
 less
 on
 track,
 however
 could
 enhance
 some
 activities
 to
 achieve
 its
objectives.
 
 An
 additional
 year
 and
 more
 resources
 were
 recommended
 to
 embed
 behaviours,
 hand
 over
 responsibility
and
 exit
 from
 Katine.
 Recommendations
 were
 made
 to
 strengthen
 the
 community
 empowerment
 and
 livelihoods
component,
 increase
 access
 to
 water
 and
 sanitation,
 provide
 more
 desks,
 books
 and
 support
 to
 teachers,
 school
management
committees
and
promote
school
feeding.
 The
impact
in
health
depended
a
lot
on
continued
support
to
the
village
health
teams
(VHTs),
more
training
of
health
workers
and
renovation
to
the
operating
theatre
at
Tiriri
health
centre.
It
was
also
recommended
that
AMREF
strengthens
the
management
support
to
project
implementation
team.


AMREF
has
taken
on
board
the
recommendations
into
its
third
year
plans
and
is
proposing
additional
funding
to
enhance
project
activities
with
a
special
focus
on
community
identified
priorities.
With
additional
funding,
AMREF
aims
to
increase
safe
water
coverage
from
66%
currently
to
meet
the
85%
national
target.
An
additional
48
farmer
groups
would
be
rolled
out
 to
 achieve
 100%
 coverage
 across
 the
 whole
 sub-county.
 In
 schools,
 all
 children
 would
 have
 access
 to
 desks,
 text
books,
 better
 classrooms
 and
 management
 committees
 would
 know
 how
 to
 manage
 and
 govern
 their
 schools.
 Work
would
continue
to
support
village
health
teams
to
increase
hygiene
and
sanitation
coverage
from
39%
currently
to
75%
and
 the
 capacity
 of
 local
 government
 and
 community
 groups
 would
 be
 built
 to
 own
 and
 manage
 their
 development
process.
 AMREF
 agrees
 that
 more
 time
 is
 need
 to
 gradually
 phase
 out
 from
 Katine
 and
 effectively
 hand
 over
 roles,
responsibilities
and
infrastructure
of
the
project
to
the
community
and
local
government.
 
An
additional
year
would
allow
AMREF
to
capture
and
document
lessons
learnt
in
Katine
in
order
to
share
best
practice
within
Soroti
and
advocate
for
the
scale
up
and/or
replication
at
national
level
by
government
and
bilateral
donors
in
Uganda.



As
 of
 September
 2009,
 results
 show
 that
 progress
 is
 being
 made
 towards
 meeting
 the
 overall
 goal
 and
 objectives.
 A
summary
of
key
achievements
are
highlighted
below
with
detailed
progress
against
planned
activities
in
section
of
2.0
of
the
report.

2
In
 h e a l t h,
the
project
has
contributed
to
a
reduction
in
illness.
Health
centre
reports
show
that
diarrhoea
incidences
for
children
below
the
age
of
five
have
reduced
from
6.8%
in
September
2008
to
3.7%
in
September
2009.
 
Immunisation
coverage
 for
 children
 against
 the
 eight
 killer
 diseases
 has
 exceeded
 the
 Government
 of
 Uganda
 target
 of
 90%
 and
increased
 from
 89.3%
 in
 2008
 to
 95.9%
 in
 2009.
 AMREF’s
 support
 to
 Village
 Health
 Teams
 (VHTs)
 has
 contributed
 to
these
 results
 since
 VHTs
 refer
 patients
 to
 the
 health
 clinic,
 support
 health
 workers
 in
 community
 outreach
 health
provision,
 and
 promote
 household
 health,
 hygiene
 and
 sanitation.
 Additionally,
 the
 project
 provided
 2800
 Insecticide
Treated
bed
nets
to
those
most
vulnerable
to
malaria
including
1000
pregnant
mothers,
60
people
living
with
HIV/AIDS
and
1740
children
under
5
years
of
age.

In
 e d u c a t i o n
the
project
has
contributed
to
increased
enrolment,
retention
of
pupils
in
higher
classes
and
increased
the
number
of
children
sitting
and
passing
Primary
Leaving
Examinations
(PLE),
resulting
in
more
children
being
able
to
join
secondary
school.
Enrolment
has
increased
since
the
start
of
the
project
by
17%
(from
7,531
to
9,071
pupils)
due
to
an
improved
teaching
and
learning
environment.
The
pass
rate
at
Primary
7
(last
year
in
primary
school)
improved
slightly
from
 83%
 to
 84%
 from
 2007
 –
 2008.
 To
 date
 4,025
 textbooks
 have
 been
 procured
 and
 delivered
 to
 all
 15
 schools
 in
Katine.
Consequently,
10
of
these
schools
are
meeting
the
district
and
national
standard
of
textbook
to
pupil
ratio
of
3:1
and
1:1
respectively.
School
latrine
coverage
has
improved
from
91:1
at
baseline
to
43:1
to
date
in
all
15
schools.

Access
 to
 s a f e w a t e r
 h a s
 i n c r e a s e d
 from
 42%
 at
 the
 start
 of
 the
 project
 to
 66%
 due
 to
 the
 drilling
 of
 new
boreholes,
the
rehabilitation
and
repair
of
existing
boreholes
and
testing
of
water
quality
in
34
water
sources.
Currently
50.2%
of
households
are
able
to
access
a
safe
water
source
at
an
average
walking
distance
of
1.5km
from
their
home
compared
 to
 2.5km
 at
 the
 start
 of
 the
 project.
 Sanitation
 coverage
 has
 increased
 to
 39%
 from
 7%
 at
 baseline
 in
households
and
to
75%
from
25%
at
baseline
in
schools.

To
 achieve
 i m p r o v e d i n c o m e g e n e r a t i n g o p p o r t u n i t i e s,
the
project
continues
to
support
540
farmers
in
18

farmer
groups.
To
date
the
groups
have
harvested
the
first
drought
resistant,
high
yielding,
quick-maturing
cassava
that
was
introduced
by
the
project.
This
harvest
has
helped
the
farmers
to
mitigate
the
effects
of
the
severe
drought
that
was
experienced
in
2009.
The
groups
also
double
up
as
Village
Savings
and
Loan
Associations
(VSLAs).
Most
of
the
groups
have
completed
their
first
cycle
of
savings,
with
some
saving
up
to
Ush
3.4
million
(£1,054).
These
groups
have
shared
out
their
savings
and
profits
with
some
individual
members
getting
between
Ush
50,
000-300,000
(£16
–
£93)
each.

T o
 e m p o w e r c o m m u n i t i e s t o e n g a g e i n l o c a l g o v e r n a n c e,
 the
 project
 supported
 parish
 development

committees
to
generate
plans
based
on
community
priorities.
These
have
already
been
integrated
into
the
three
year
sub-
county
development
plan
to
enhance
better
planning
and
service
delivery
for
communities.

While
there
have
been
achievements,
there
were
also
challenges
in
the
implementation
process
and
gaps
still
exist
that
need
to
be
addressed.
Water
coverage,
for
example
has
reached
66%
from
42%
at
the
start
of
the
project,
but
it
is
still
below
 the
 national
 target
 of
 85%,
 gender
 equity
 and
 participation
 in
 some
 community
 groups
 is
 still
 a
 challenge
 due
 to
cultural
and
educational
barriers.
Challenges,
lessons
learnt
and
recommendations
are
highlighted
in
section
1.1
of
the
report.


Page 3 of 23
OBJECTIVE PLANNED PROGRESS TOWARDS MEETING TARGET RAG STATUS
ACTIVITIES
AND TARGET R E D = n o t a c h i eve d
FOR THE AMBER=below
REPORTING t a r g e t GREEN =on
PERIOD track

I M P RO V E D 8 2
 c o m m u n i t y Conducted
72
out
of
82
planned
outreach
sessions.

 GREEN:
 The
 project
 has

COMMUNITY outreach
 services exceeded
 the
 national
H E A LT H Immunisation
coverage
for
children
 
increased
from
89.3%
last
year
p r o v i d e d
 b y t a r g e t
 o f
 90%
community
 health to
95.9%
this
year
for
children
 (Source: Soroti Health centre records immunisation
coverage
centres
 2009)

Train
 142
 VHTs 142
VHTs
trained.
Malaria
cases
for
under
fives
reduced
from
75.5% GREEN: On
track

on
 management in
 2008
 to
 72.9%
 in
 2009.
 For
 adults
 malaria
 cases
 have
 reduced
o f
 c h i l d h o o d from
57.7%
in
2008
to
54.9%
by
September
2009.

illness;
 malaria,
d i a r r h o e a
 a n d Diarrhoea
cases
in
children
under
five
reduced
from
6.8%
in
2008
to
hygiene 3.7%
 and
 for
 children
 over
 5
 from
 1.45%
 to
 0.9%
 in
 2009.
 (Source:
promotion. Soroti health centre records 2009)

Train
 45
 health 45
 HUMC
 members
 trained
 and
 resulted
 in
 improved
 resource GREEN: On
track
unit
 management mobilisation
 at
 Ojom
 Health
 Centre
 II,
 an
 initial
 contribution
 of
 £46
committee was
 made
 by
 community
 members
 for
 the
 installation
 of
 a
 solar
members
 (HUMC) powered
system
for
example.

on
 management
processes
 The
committee
are
now
advocating
to
the
district
for
health
workers
to
 be
 posted.
 As
 a
 result,
 the
 district
 posted
 two
 health
 workers
 to
Ojom
Health
Centre
II.

R e n o v a t i o n
 o f Consultations
 have
 already
 taken
 place
 with
 the
 Ministry
 of
 Health AMBER: Delays
 due
 to
Tiriri
 health
 centre and
the
bidding
process
is
in
progress. lengthy
 consultations
 with
theatre the
Ministry
of
Health.


I M P RO V E D 102
 teachers
 to Trained
 102
 teachers
 and
 gained
 child
 centred
 skills
 that
 have GREEN:
on
target

ACCESS TO
be
trained
on
child improved
 the
 quality
 of
 their
 teaching
 reflected
 in
 the
 improved
QUALITY
centred methods
 of
 teaching
 and
 class
 arrangements
 for
 participatory 

E D U CAT I O N
methodologies
 to learning.
improve
 academic
performance


Provide
 2000
 text Distributed
 2000
 textbooks
 to
 schools
 to
 improve
 teaching
 and GREEN:
on
target
books
 to
 facilitate learning.
10
of
the
15
Katine
schools
now
meet
the
1:1/3:1
textbook
t e a c h i n g
 a n d to
pupil
ratio
by
national/district
standards.

learning
 (including
m a t e r i a l s
 f o r This
has
improved
pupil
and
teacher
motivation,
eased
pupil-teacher
reproductive class
management
and
improved
daily
school
attendance.
health)

Rehabilitate
 13 Rehabilitated
 16
 classrooms,
 3
 offices,
 3
 stores
 and
 1
 library. GREEN:
 m o n e y
 w a s

existing Teaching
and
learning
environment
has
improved.
 saved
 using
 local
 masons
classrooms r a t h e r
 t h a n
 e x t e r n a l
Classroom
 hygiene
 and
 sanitation
 has
 improved,
 the
 cement
 floors contractors
 enabling
 more

4
 do
 not
 harbour
 fleas
 and
 jiggers
 that
 were
 rampant
 and
 affecting c l a s s r o o m s
 t o
 b e
child
 participation
 and
 attendance
 in
 previous
 schools
 (made
 from r e h a b i l i t a t e d
 t h a n
mud
and
wattle) budgeted.


Provide
 290
 extra Distributed
290
desks
to
schools
and
pupil
desk
ratio
improved
to
an GREEN:
on
target


desks
to
schools average
 4:1
 for
 Katine
 schools,
 with
 a
 third
 of
 the
 schools
 meeting
the
standard
ratio
of
3:1.


Class
 arrangement
 and
 teacher–pupil
 contact
 has
 improved
 thereby

enhancing
child
centred
teaching.


Conduct
 3
 events Held
3
events.
15
schools
received
sets
of
music,
dance
and
drama GREEN:
on
target


in
 music,
 drama, (MDD)
 equipment
 to
 strengthen
 school
 health
 clubs’
 to
 carry
 out
s p o r t s
 to health
 promotion
 in
 personal
 hygiene
 and
 sanitation
 education
 in
strengthen
 school schools
and
communities.
health
 clubs
 in
hygiene
promotion

C o n d u c t
 3 Female
role
models
visited
all
schools,
encouraged
pupils
to
stay
in GREEN:
on
target

advocacy
 forums school
 and
 gave
 career
 guidance.
 An
 anticipated
 increase
 in
 pupil
w i t h
 f e m a l e retention
is
expected.
teachers
 to
 be
role
 models
 for
girls

C o n d u c t
 3 Strengthened
 all
 15
 SMCs
 and
 15
 PTAs.
 This
 has
 increased GREEN:
on
target

s e s s i o n s
 f o r accountability,
 ownership
 and
 management
 of
 school
 affairs
school including
 reducing
 teacher
 absenteeism.
 PTAs
 have
 been
 able
 to
management improve
 community
 participation
 in
 school
 development
 evident
 in
committees the
parents
constructing
teachers’
houses
in
7
schools.
( S M C s )
 
 a n d
parents
 teachers
associations
(PTAs)

I M P RO V E D W a t e r
 q u a l i t y Tested
samples
from
34
water
sources.
All
the
water
sources
met
the GREEN:
on
target
ACCESS TO surveillance
 and national
&
WHO
standards.
SAFE WATER,
t e s t i n g
 o n
 3 4
HYGIENE
water
 sources
 in
AND
S A N I TAT I O N Katine.

Improving Constructed
 13
 new
 four-stance
 VIP
 latrines
 and
 5
 ecological A M B E R:
 Materials
 for
personal
 hygiene sanitation
 latrines
 in
 15
 schools
 in
 Katine,
 thereby
 reducing
 the Obyarai
school
were
stolen
a n d
 s a n i t a t i o n pupil
 /stance
 ratio
 from
 91:1
 at
 the
 start
 of
 the
 project
 to
 43:1
 at and
reported
to
the
police.
p r a c t i c e s
 i n present.
communities
 and
in
schools

Page 5 of 23
 Support
 to
 VHTs The
 latrine
 coverage
 has
 improved
 from
 7%
 at
 baseline
 to
 39%. GREEN:
on
track
a n d
 Parish There
 are
 now
 312
 ideal
 homesteads
 in
 the
 community,
 which
Sanitation includes
 hand-washing
 facilities,
 drying
 rack,
 latrine,
 rubbish
 pit,
Committees
 on clean
compound,
bath
shelter,
and
animal
house.
Total
 Sanitation
a n d
 H y g i e n e
p r o m o t i o n
 a t
household
 level,
creation
 of
 Ideal
homesteads.

Improved Trained
 11
 water
 and
 sanitation
 committees
 of
 other
 water
 sources GREEN:
on
track
operations
 and not
 built
 by
 AMREF,
 on
 their
 roles
 and
 responsibilities
 in
 managing
maintenance
 of and
maintaining
water
sources.


w a t e r
 and
sanitation
facilities As
a
result,
functionality
of
existing
water
sources
has
improved
from
70%
at
baseline
to
97%
this
year.


INCREASED T r a i n i n g
 1 8 Trained
 all
 groups
 alongside
 the
 District
 Community
 Development GREEN:
on
track
INCOME farmers
groups
on Department
 in
 group
 management,
 resulting
 in
 the
 formulation
 of
 a
GENERATING
group farmer’s
 group
 constitution
 that
 governs
 their
 operations.
 There
 is
OPPORTUNI
management improved
 record
 keeping,
 and
 equal
 participation
 from
 men
 and
TIES
women.

C o n d u c t
 4 4
 meetings
 held,
 resulted
 in
 community
 contribution
 for
 the GREEN: on
track
quarterly construction
 of
 the
 farmers’
 produce
 store
 to
 
 ensure
 food
 security
m e e t i n g s
 w i t h and
increased
income
through
collective
marketing
of
their
produce.
livelihoods
stakeholders
forum


Establishment
 of Held
 11
 demonstrations.
 
 Farmer
 groups
 have
 already
 harvested GREEN: on
track
fa r m e r
 l e d
 o n - their
cassava
and
replanted
for
multiplication.

farm
 trials
 and
demonstrations
a m o n g
 t h e
 1 8
farmers
groups

Training
of
7
para- Trained
7
para-vets
which
included
a
study
visit
to
Oxfam
in
Kotido. GREEN: on
track

vets
 This
 empowered
 the
 para-vets
 with
 the
 necessary
 knowledge
 and
skills
to
deliver
quality
community
based
animal
health
services.

Provide
 drug
 kits Drug
kits
procured
(assorted
veterinary
drugs
and
instruments).
 A M B E R : D e l a y s
 i n

for
7
para-vets procurement.
 Distribution
in
the
next
quarter.

6
 Train
 18
 farmers Held
 training
 for
 18
 groups;
 improved
 farmer’s
 business
 skills
 as GREEN: on
track
g r o u p s
 in demonstrated
 by
 increased
 borrowing
 of
 VSLA
 funds
 and
business engagement
 in
 alternative
 income
 generating
 activities
 by
 the
management
 and farmers.
agricultural
marketing

C o n s t r u c t
 a Construction
 ongoing.
 The
 use
 of
 the
 community
 participatory A M B E R:
 below
 target.
central
 produce approach
 to
 construction
 has
 increased
 skills
 and
 ownership
 in Work
is
still
in
progress.
s t o r e
 f o r
 t h e Katine.

farmers

Establish
 farmer Held
 11
 demonstrations
 and
 the
 farmer
 groups
 have
 already GREEN:
on
track
led
 on-farm
 trials harvested
their
cassava
and
replanted
for
multiplication.
and
demonstrations
a m o n g
 t h e
 1 8
farmers
groups

On-farm
trial
open Preparations
in
progress,
to
be
done
in
the
next
year. RED:
 Prolonged
 drought

days
 for
 farmer destroyed
 much
 of
 the
innovations: crops
 provided
 as
 seeds
Public in
2009.

presentation
 and
displays

Communities Hold
5
sub
county 3
 meetings
 held
 and
 IEC
 (Information
 Education,
 Communication) A M B E R:
 Issues
 resolved
empowered consultative parish
 committees
 have
 been
 formed
 for
 dissemination
 of
 relevant in
 3
 meetings,
 saving
to engage in
meeting
 on
 IEC messages
in
communities.


 money
 for
 procurement
 of
local
m e s s a g e s
 o n extra
IEC
materials.
governance
governance/
rights
to
services

Carry
 out
 7
 local 9
 radio
 talk
 shows
 broadcast
 thereby
 increasing
 access
 to GREEN:
 
 2
 extra
 talk
radio
 programmes information
about
health
and
other
development
issues
 shows
 broadcast
 at
 no
t o
 inform extra
cost
communities
about
VHTs


Conduct
 1
 parish 2
 training
 sessions
 and
 4
 PDC
 meetings
 held
 to
 support GREEN:
On
track
development decentralised
 planning.
 Lower
 level
 plans
 now
 reflected
 in
 sub-
committee
 (PDC) county
plans.
t r a i n i n g
 a n d
 4
PDC
 Follow
 up
meetings




Page 7 of 23
 Conduct
 1
 Rights Both
 groups
 had
 a
 2
 day
 in-house
 training
 on
 the
 Rights
 Based AMBER:
 training
required
Based
 Approach Approach
 (RBA)
 which
 has
 helped
 the
 project
 team
 to
 mainstream more
time
than
the
number
(RBA)
 orientation rights
issues
in
their
work.


 of
 days
 allowed.
 Planned
training
 for
 KCPP for
next
quarter
s t a f f
 a n d
 s u b
county
 extension
w o r k e r s
 a n d
leader

Conduct
 monthly The
 project
 organised
 7
 PMC
 meetings
 and
 3
 PSC
 meetings.
 The A M B E R : Not
all
meetings
project meetings
 at
 both
 levels
 discussed
 project
 progress,
 reviewed
 and t o o k
 p l a c e
 a s
 M T R
management contributed
 to
 the
 MTR
 adjustments
 and
 recommendations
 for
 the process
 took
 up
 time
committee
 (PMC) project.
 scheduled
for
meetings
m e e t i n g s
 a n d
quarterly
 
 project
steering
committee
 (PSC)
meetings


2.0 PROGRESS OF PLANNED ACTIVITIES

2 . 1 D e s c r i p t i o n o f p e r fo r m a n c e

2 . 1 . 1 I m p r ov e d C o m m u n i t y H e a l t h

i) VHT training, facilitation and community health action

The
project
conducted
five-days
of
training
for
142
Community
Medicine
Distributors
(CMDs),
who
are
comprised
of
VHT
members,
on
Home
Based
Care
(HBC)
management
of
childhood
illness
as
well
as
collecting
household
population
data
relevant
to
health
activities.




During
the
training,
they
learnt
how
to
treat
fever,
pneumonia,
diarrhoea,
ear
infections,
eye
and
skin
infections
at
home.
Strategies
to
reduce
malaria
and
diarrhoea
in
the
communities
were
also
covered
including
training
in
the
correct
use
of
long
lasting
insecticide
treated
mosquito
nets
(LLINS),
the
use
of
Fansidar
in
pregnant
mothers,
and
environmental
control
measures.

As
 a
 result,
 diagnosis
 of
 diseases
 at
 community
 level
 and
 referral
 of
 patients
 to
 the
 health
 centres
 for
 treatment
 has
increased.
 Health
 centres
 have
 reported
 a
 drop
 in
 malaria
 for
 children
 under
 five
 from
 75.5%
 in
 2008
 to
 72.9%
 in
September
2009.

For
children
above
the
age
of
five
and
adults,
the
incidence
of
malaria
has
reduced
from
57.7%
in
2008
to
 54.9%
 by
 September
 2009
 (Soroti District HMIS, 2009). Improvements
 in
 hygiene
 practices
 and
 treatment
 at
 the
household
level
have
led
to
a
reduction
in
the
number
of
diarrhoea
cases
being
reported
to
health
centres
as
shown
in
the
table
below.

Ye a r D i a r r h o e a c a s e s fo r < 5 D i a r r h o e a c a s e s fo r ≥ 5

Oct
2007
to
Sept
2008 6.8%
 (501
 cases
 of
 diarrhoea
 out
 of 1.45%
(162
cases
of
diarrhoea
out
of
11,653

8
 9,245
 patients
 who
 visited
 the
 health patients
who
visited
the
health
centre)
centre)

Oct
2008
to
Sept
2009 
 3.7%
 (313
 cases
 of
 diarrhoea
 out
 of 0.9%
 (136
 cases
 of
 diarrhoea
 out
 of
 14,819
8,544
 patients
 who
 visited
 the
 health who
visited
the
health
centre)
centre)

(Source; Soroti District HMIS, 2009)

There
 was
 improved
 coordination
 and
 referrals
 as
 project
 and
 health
 centre
 staff
 held
 four
 monthly
 VHT
 coordination
meetings
 involving
 all
 VHTs
 in
 all
 six
 parishes.
 
 These
 coordination
 meetings
 involved
 discussions
 on
 VHT
 general
performance,
 giving
 feedback
 on
 previous
 reports/activities
 challenges,
 tracking
 and
 the
 replacement
 of
 two
 VHTs
 who
had
died.

Of
the
272
VHTs
from
the
66
villages,
85
were
selected
and
trained
on
family
planning.
The
trained
VHTs
are
responsible
for
 sensitising
 communities
 on
 the
 benefits
 of
 family
 planning,
 dispelling
 myths
 and
 misconceptions,
 promoting
 family
planning
 uptake
 and
 making
 referrals
 to
 the
 health
 facilities.
 As
 a
 result,
 the
 contraceptive
 acceptor
 rate
 has
 increased
from
1%
in
the
previous
year
(63
women
accessing
family
planning
of
the
5,909
of
reproductive
age)
to
4.3%
this
year
(251
women
now
accessing
family
planning).

As
 a
 result
 of
 training
 VHTs
 to
 support
 communities
 and
 households
 in
 HIV/AIDS
 counselling
 and
 testing,
 a number
 of
clients
referred
by
the
VHTs
to
the
health
centre
for
HIV
counselling
and
testing
have
increased
as
per
the
table
below:

Category Oct 2007 to Sept 2008 Oct 2008 to Sept 2009

Pregnant
mothers 1,340 1,814

Children
under
5
years 2 23

5-<
18
years 118 217

18
years
and
above 818 2,303

Total
tested
for
HIV 1,278 4,357

Integrated
treatment
of
HIV/AIDS
and
TB
has
improved
due
to
specific
training
to
health
workers
that
encourages
testing
and
treating
diseases
holistically.
This
means
that
patients
who
test
positive
for
HIV
are
also
tested
for
TB
and
malaria
because
these
are
some
of
the
common
opportunistic
infections.
 
As
a
result,
a
total
of
472
clients
(217
males
and
255
females) with
 TB
 have
 been
 monitored
 during
 home
 visits
 (Soroti District HMIS, 2009).
 No
 patient
 has
 defaulted
 from
treatment
so
far,
which
will
increase
chances
of
recovery,
reduce
drug
resistance
and
ultimately
improve
quality
of
life.

In
order
to
motivate
VHTs
in
their
voluntary
role,
the
project
 provided
 350
pairs
of
gumboots
which
AMREF
procured
and

gave
to
the
272
VHTs
and
78
TBAs
in
Katine.
This
was
in
addition
to
the
272
bicycles
given
in
the
first
year
of
the
project.
A
 total
 of
 350
 T-shirts
 have
 also
 been
 procured
 and
 distributed
 to
 the
 VHTs
 and
 TBAs,
 with
 a
 message
 on
 the
 back
encouraging
the
community
to
support
the
work
of
VHTs
in
promoting
health
activities.

Page 9 of 23
The
project
procured
and
distributed
2,800
long
lasting
insecticide
treated
nets
(LLINs)
to
1,740
children
under
five,
1,000
pregnant
mothers
and
60
people
living
with
HIV/AIDS
(PLWHAs)
this
year.
Health
workers
through
antenatal
clinics
and
VHTs
in
the
community
raise
awareness
on
the
proper
use
of
LLINs
and
have
handed
out
adult
sized
treated
bed
nets.
Most
households
have
more
than
one
child
under
five
who
share
a
bed;
so
one
bed
net
has
been
given
per
household.
It
is
expected
that
if
properly
and
consistently
used,
the
number
of
malaria
cases
will
continue
to
reduce.


i i ) I m p r ov i n g t h e q u a l i t y o f h e a l t h i n f r a s t r u c t u r e

The
project
aims
to
strengthen
the
health
system
to
improve
the
quality
of
preventive
and
curative
health
services.

The
project
 constructed
 and
 provided
 essential
 equipment
 and
 reagents
 for
 a
 new
 laboratory
 at
 Ojom
 Health
 Centre
 II
 to
This
improve
the
diagnosis
and
management
of
patients
with
malaria,
TB
and
HIV,
the
three
killer
diseases
in
Uganda.

has
helped
to
improve
patient
care
and
management.

i i i ) I n c r e a s i n g t h e c a p a c i t y o f h e a l t h wo r k e r s

AMREF
facilitated
technical
support
supervision
to
improve
the
ability
and
performance
of
the
laboratory
technical
staff
for
proper
diagnosis
of
HIV,
tuberculosis,
syphilis,
blood
parasitic
infections
and
other
routine
laboratory
tests.
This
involved
the
district
laboratory
focal
person,
senior
laboratory
technicians
from
Soroti
regional
referral
hospital,
and
project
staff
in
all
three
health
centres
in
Katine
sub-county.
The
support
provided
has
enabled
lab
staff
to
produce
reliable,
reproducible
and
quality
laboratory
results
that
are
critical
for
early
diagnosis
of
health
conditions.
With
this
intervention
many
patients
have
accessed
reliable
laboratory
test
e.g.
3153
malaria
tests
and
4357
HIV
tests
were
performed
this
year
compared
to
340
malaria
tests
and
540
HIV
tests,
reported
6
months
ago
in
the
first
quarter
of
2008.
The rise in the latter part of
the year was due to increased mobilisation of communities and the availability of permanent laboratory staff posted
to Ojom Health Centre II.
Additionally,
the
project
facilitated
two
joint
technical
support
supervision
visits
by
the
district
health
team
and
project
staff.
The
 aim
 was
 to
 improve
 capacity
 of
 health
 workers
 to
 assess
 and
 treat
 using
 integrated
 management
 of
 childhood
illnesses
(IMCI)
guidelines
to
improve
patient
care
and
management.

The
project
conducted
a
joint
training
of
VHTs
and
health
centre
staff
on
improving
the
referral
system
and
VHT
supply
system,
in
order
to
support
the
continuity
of
health
care
provision.
Participants
developed
a
VHTs
referral
form
which
is
now
being
used,
and
this
has
improved
the
system
for
referring
clients
from
the
community
to
health
centres.


The
 project
 conducted
 training
 for
 members
 of
 the
 three
 health
 unit
 management
 committees
 (HUMC)
 of
 Tiriri
 Health
Centre
IV,
Katine
Health
Centre
II
and
Ojom
Health
Centre
II.
The
training
covered
the
roles
and
responsibilities
of
the
HUMC,
 how
 to
 enhance
 supervisory
 skills
 and
 staff
 motivation,
 quality
 assurance
 techniques
 and
 better
 financial
management:
 planning,
 budgeting,
 accountability
 and
 reporting
 of
 health
 services.
 As
 a
 result,
 due
 to
 lobbying
 at
 the
district
 level,
 the
 supply
 of
 drugs
 has
 improved
 from
 once
 in
 four
 months
 to
 twice
 in
 the
 same
 period.
 Community
members
 have
 been
 mobilised
 by
 the
 HUMCs
 to
 make
 contributions
 towards
 the
 development
 of
 health
 centres,
 for
example,
the
community
contributed
Ush
600,000
(£106)
for
the
roof
of
Katine
Health
Centre
II
which
was
blown
off
by
strong
 winds
 and
 a
 further
 Ush
 150,000
 as
 contribution
 for
 the
 installation
 of
 a
 solar
 powered
 system
 for
 Ojom
 Health
Centre
II.
The
HUMC
has
lobbied
for
4
new
health
staff
to
be
posted
to
Katine
health
centres.

10
i i i ) I m p r ov i n g h e a l t h s e r v i c e s fo r c h i l d r e n a n d p r e g n a n t m o t h e r s

The
project
has
supported
155
immunisation
outreach
services
and
also
advocated
through
the
district,
to
acquire
a
fridge
for
immunisation
supplies
which
has
been
installed
at
Ojom
Health
Centre
II.
The
project
has
provided
gas
for
the
fridge,
facilitated
the
cold
chain
technician
and
transportation
and
now
the
cold
chain
services
are
fully
operational
at
the
health
centre.
The
project
also
supported
child
health
days
in
October
2008
and
April
2009
with
the
support
of
trained
community
vaccinators
and
parish
 mobilisers.
As
a
result,
health
centre
records
(HMIS),
show
immunisation
coverage
has
increased
from
 89.3%
 last
 year
 to
 95.9%
 this
 year
 for
 children
 immunised
 against
 measles,
 polio,
 tuberculosis,
 whooping
 cough,
hepatitis
B,
tetanus,
haemophilus
influenza
and
diphtheria.

Health
workers
were
trained
on
Prevention
of
Mother
to
Child
Transmission
of
HIV/AIDS
(PMTCT)
and
following
this,
a
total
of
1,814
mothers
have
accessed
counselling
and
testing
through
the
PMTCT
programme.
41
mothers
tested
positive
and
 only
 17
 HIV
 positive
 mothers
 received
 ARVs
 for
 prophylaxis
 (ARV
 coverage
 of
 41.5
 %).
 ( Soroti District Health
Management Information Systems, 2009). In
 an
 ideal
 situation
 every
 positive
 pregnant
 mother
 would
 be
 given
 ARV
treatment
as
labour
sets
in
while
at
the
health
facility.
However
in
Katine,
many
pregnant
women
still
deliver
at
home
and
therefore
do
not
have
access
to
the
drug,
despite
health
facilities
having
the
necessary
drugs
in
stock.



Due
to
the
inadequate
number
of
midwives
in
the
sub-county
and
other
barriers
to
access
and
utilisation
of
health
facilities
during
pregnancy
and
birth,
many
women
in
Katine
continue
to
rely
on
on
Traditional
Birth
Attendants
(TBA)
for
delivery.
The
 project
 staff
 and
 midwives
 held
 11
 monthly
 sensitisation
 meetings,
 one
 at
 the
 end
 of
 every
 month
 with
 78
 TBAs.
These
 coordination
 meetings
 involved
 discussions
 on
 how
 to
 identify
 high
 risk
 pregnancies,
 pregnancy
 danger
 signs,
prevention
 of
 mother
 to
 child
 transmission
 of
 HIV/AIDS
 (PMTCT),
 record
 keeping,
 immunisation,
 referral
 of
 mothers
 for
ANC
 and
 delivery
 at
 the
 health
 facility.
 Health
 centre
 records
 show
 to
 date
 119.5%
 new
 ANC
 coverage
 of
 mothers
attending
antenatal
clinics
(the
percentage
is
high
because
the
health
centre
also
serves
the
neighbouring
sub-counties).
The
percentage
of
women
who
deliver
from
health
facilities
has
increased
from
33%
at
baseline
to
53%
as
of
September
2009.

2 . 1 . 2 I m p r ove d a c c e s s t o q u a l i t y e d u c a t i o n

1.......................................................................................................................................................1
2.KATINE COMMUNITY PARTNERSHIPS PROJECT.....................................................................1
3.ANNUAL NARRATIVE REPORT FOR YEAR TWO.......................................................................1
1.Submitted to: The Guardian and Barclays..............................................................................................1
2 . 1 . 3 Improved access to safe water, sanitation and hygiene

i) Water quality surveillance and testing

AMREF
 supported
 water
 quality
 surveillance
 and
 testing
 for
 34
 water
 sources,
 which
 were
 sampled
 and
 tested
 for
bacteriological
 and
 physical
 chemical
 parameters.
 From
 the
 findings,
 all
 of
 the
 water
 sources
 met
 WHO
 acceptable
standards
of
water
quality.


The
 project
 conducted
 an
 assessment
 on
 all
 the
 water
 sources
 constructed
 by
 the
 project
 in
 a
 bid
 to
 reassure
 the
community
that
the
water
sources
were
sustainable
and
that
they
were
able
to
withstand
the
severe
drought
experienced
in
Katine
in
2009.
Page 11 of 23
From
 the
 findings,
 all
 the
 water
 sources
 were
 found
 to
 have
 sufficient
 water
 for
 the
 communities.
 However
 there
 were
cases
of
over
extraction
in
some
communities
where
AMREF
realised
that
one
water
source
meant
to
serve
at
least
250
people,
was
being
used
by
over
600
people
(the
water
source
was
being
shared
by
four
villages).


i i ) I m p r ov i n g t h e r a t e s o f p e r s o n a l hy gi e n e a n d s a n i t a t i o n p r a c t i c e s i n c o m m u n i t i e s a n d i n
schools; construction of hygiene and sanitation facilities in schools

The
project
has
been
able
to
construct
13
four-stance
ventilated
improved
pit
(VIP)
latrines
in
15
schools
of
Katine
sub-
county.
The
pupil/stance
ratio
has
improved
from
91:1
at
the
start
of
the
project
to
43:1
to
date.
The
learning
environment,
especially
for
the
girls
has
greatly
improved,
as
most
of
the
separate
fully
equipped
facilities
for
boys
and
girls
have
been
constructed.



A
 new
 technology
 for
 animal
 excreta
 disposal
 has
 been
 introduced,
 particularly
 targeting
 school
 children
 as
 community
change
 agents
 to
 help
 in
 the
 replication
 and
 uptake
 of
 the
 technology
 by
 the
 wider
 Katine
 community.
 As
 a
 result
 the
project
has
been
able
to
construct
five
ecological
sanitation
(ECOSAN)
latrines
in
schools
this
year.
The
latrines
are
for
demonstration
purposes
and
learning
so
that
with
time
the
technology
can
be
rolled
out
to
the
wider
community.

In
 addition
 to
 erecting
 ECOSAN
 facilities,
 awareness
 and
 sensitisation
 meetings
 with
 school
 pupils
 have
 been
 held,
 as
well
 as
 distribution
 of
 health
 promotional
 (IEC)
 materials
 to
 the
 schools
 where
 the
 facilities
 have
 been
 constructed
 to
increase
understanding
and
uptake
of
ECOSAN
technology.

iii) Support to VHTs, Water and Sanitation Committees (WSC), Parish Sanitation Committees
( P S C ) a n d c o m m u n i t y m e m b e r s o n hy gi e n e a n d s a n i t a t i o n p r o m o t i o n a t h o u s e h o l d l eve l

Sanitation
 has
 improved
 in
 households
 helped
 by
 the
 increased
 local
 production
 and
 use
 of
 sanplats
 (sanitation
platforms).
 Local
 skills
 and
 sale
 of
 sanplats
 have
 been
 developed
 for
 future
 sustainability.
 During
 the
 first
 project
implementation
 year,
 24
 masons
 were
 trained
 in
 sanplats
 production.
 The
 Parish
 Sanitation
 Committees
 (PSCs)
 were
charged
with
the
responsibility
of
supervising
the
work
of
the
masons;
monitoring
sanplats
production
and
sales.


Sanplats
have
been
produced
in
all
parishes,
however
there
are
differences
regarding
production
and
sales.
Some
of
the
challenges
 experienced
 include
 poor
 leadership,
 lack
 of
 coordination
 by
 the
 parish
 chiefs,
 better
 and
 lucrative
opportunities
 for
 the
 masons
 and
 the
 dwindling
 market
 for
 the
 sanplats
 as
 community
 priorities
 changed
 to
 addressing
more
 pressing
 issues,
 as
 a
 result
 of
 drought
 and
 subsequent
 crop
 failure.
 However
 after
 a
 series
 of
 meetings
 with
 the
relevant
structures
this
activity
is
now
on
track.
The
project
identified
masons
from
Olwelai
to
produce
the
sanplats
and
in
Ochuloi
and
Ojama
parishes
two
people
were
identified
to
spearhead
the
production
exercise.
The
project
now
has
over
367
 new
 sanplats
 made
 by
 the
 masons,
 and
 over
 185
 sanplats
 sold
 and
 used
 by
 the
 communities
 in
 their
 household
latrines.

iv) Support to VHTs and PSCs on total sanitation and hygiene promotion at household
l eve l fo r t h e c r e a t i o n o f i d e a l h o m e s t e a d s

Through
working
with
the
VHTs
and
PSCs,
the
latrine
coverage
has
improved
from
7%
at
baseline
to
39%
in
this
reporting
period.
To
date,
over
2,048
households
in
Katine
have
latrines
in
their
homesteads
out
of
a
total
of
5,221
households
in
the
sub–county
(Soroti District HMIS October, 2009).

12
This
 progress
 has
 been
 reached
 due
 to
 the
 efforts
 of
 the
 people
 involved
 in
 community
 based
 management
 structures
(VHTs,
 WSCs,
 PSCs,
 Sub-county
 Sanitation
 Sub-committees),
 who
 on
 a
 regular
 basis
 move
 through
 the
 villages
conducting
awareness
campaigns
and
community
meetings
on
the
importance
of
sanitation
and
hygiene,
and
the
benefits
of
a
decent
latrine
in
disease
prevention
and
the
issues
around
contamination
of
water
sources.

To
date
there
are
312
ideal
homesteads
(based
on
a
community-led
total
sanitation
and
social
marketing
approach.)
The
components
 of
 an
 ideal
 homestead
 include
 hand-washing
 facilities,
 dry
 rack,
 latrine,
 rubbish
 pit,
 clean
 compound,
 bath
shelter,
and
animal
house.
We
expect
the
numbers
to
rise
when
we
acquire
the
promotional
materials
that
will
help
the
community
structures
do
their
work
better.

v ) P r o m o t i o n o f Pe r s o n a l H y gi e n e a n d S a n i t a t i o n E d u c a t i o n i n s c h o o l s

The
 Water
 and
 Sanitation,
 and
 Education
 project
 officers
 and
 assistants
 worked
 with
 teachers
 and
 pupils
 to
 promote
Personal
Hygiene
and
Sanitation
Education
in
schools
in
Katine.
The
project
set
up
school
health
committees
in
all
the
15
primary
 schools
 in
 Katine,
 which
 are
 now
 responsible
 for
 passing
 on
 messages
 on
 sanitation
 and
 hygiene
 to
 pupils
 in
schools
through
health
parades,
the
erection
of
tippy
taps
and
promotional
materials
amongst
others.
This
has
contributed
to
increased
rates
of
personal
hygiene
in
children.


The
project
provided
behaviour
change
communication
materials
on
the
use,
operation,
maintenance
and
application
of
by-products
(excreta
used
as
fertiliser
and
pesticide)
and
held
advocacy
meetings
on
ecological
sanitation
in
10
schools
where
the
ECOSAN
latrines
have
been
constructed.

The
component
installed
three
rain
water
harvesting
tanks
in
Amorikot,
Kadinya
and
Obyarai
primary
schools
to
promote
hand
washing
at
critical
times
and
to
save
the
provision
of
safe
drinking
water
to
the
pupils.


The
project
trained
teachers
on
hygiene
and
sanitation
promotion
in
schools,
as
well
as
introducing
them
to
promotional
materials
that
could
be
helpful
to
them
and
the
pupils
during
awareness
meetings,
and
also
during
personal
hygiene
and
sanitation
lessons.

v i ) I m p r ove d o p e r a t i o n s a n d m a i n t e n a n c e o f w a t e r a n d s a n i t a t i o n f a c i l i t i e s ; t r a i n i n g o f
Water and Sanitation Committees

There
 has
 been
 improved
 functionality
 of
 water
 sources
 constructed
 by
 other
 actors
 besides
 AMREF
 since
 the
 project
trained
 11
 additional
 Water
 and
 Sanitation
 Committees
 (WSCs)
 raising
 the
 figure
 to
 97%
 from
 87%
 functionality
 at
baseline.
 The
 training
 covered
 roles
 and
 responsibilities,
 sanitation
 and
 hygiene
 promotion,
 introduction
 to
 simple
 book
keeping
and
records
management
as
well
as
operations
and
maintenance
of
their
water
and
sanitation
facilities.


v i i ) S u p po r t t o h a n d p u m p m e c h a n i c s , w a t e r a n d s a n i t a t i o n c o m m i t t e e s

Hand
pump
mechanics
(HPMs)
set
up
and
trained
by
the
project
have
repaired
and
maintained
water
sources.
They
have
addressed
sanitary
risks
around
water
sources
to
prevent
stagnation
and
mosquitoes
breeding
by
allowing
the
percolation
of
spillage
water
back
into
the
water
cycle.
The
water
and
sanitation
committees
have
been
supported
on
how
to
mobilise
and
manage
water
user
fees.


2 . 1 . 4 I m p r ov e d i n c o m e g e n e r a t i n g o p p o r t u n i t i e s
Page 13 of 23
i ) I n c r e a s e c a p a c i t y o f r u r a l i n n ov a t i o n g r o u p s ( R I N G S ) t o m a n a g e t h e m s e l ve s fo r i m p r ove d
and sustainable livelihoods

Training
 was
 provided
 to
 18
 farmers
 groups
 on
 group
 dynamics,
 management,
 gender,
 planning,
 visioning
 and
participatory
monitoring
and
evaluation.
Group
leaders
were
trained
in
needs
assessment
where
36
group
representatives
(18
women
and
18
men)
participated.
Training
on
leadership,
conflict
management,
and
financial
management
was
also
conducted
and
54
leaders
(20
women
and
34
men)
participated,
with
each
group
represented
by
three
key
people
(i.e.
the
chairperson,
 secretary
 and
 treasurer).
 As
 a
 result,
 the
 farmers
 groups
 have
 become
 more
 responsive
 to
 their
 group
operations.
The
group
members
are
now
more
aware
of
their
roles
and
responsibilities
as
well
as
those
of
their
leaders.
Some
 groups
 (e.g.
 Ajonyi
 “B”)
 have
 prompted
 their
 representatives
 to
 improve
 on
 their
 leadership.
 The
 groups
 are
capable
of
holding
their
weekly
VSLA
meetings
and
resolving
internal
issues
without
support
from
the
project
team.




ii) Livelihoods stakeholders’ forum meetings for co-ordination of livelihoods

interventions

A
 livelihoods
 stakeholder’s
 forum
 was
 established
 in
 the
 first
 year
 of
 the
 project.
 This
 is
 composed
 of
 development
partners
 working
 in
 Katine,
 including
 other
 NGOs,
 local
 government,
 farmers,
 the
 private
 sector
 and
 persons
 with
disabilities.
 The
 forum
 was
 established
 with
 the
 purpose
 of
 coordinating
 and
 sharing
 livelihoods
 interventions
 by
 the
various
 players
 within
 Katine
 to
 minimise
 duplication
 of
 effort
 and
 resources
 and
 create
 synergy
 for
 sustainable
transformation.



In
one
of
the
many
meetings
held,
the
forum
discussed
and
agreed
on
establishing
a
farmers'
produce
store.
The
Katine
sub-county
 local
 government
 donated
 land
 for
 the
 store
 and
 the
 18
 groups
 offered
 to
 contribute
 materials
 and
 labour
towards
the
construction.
Discussions
on
the
management
structure
of
the
store
are
still
on-going.

i i i ) S u p p o r t i n g f a r m e r s t o i m p r ov e c r o p p r o d u c t i o n

As
a
means
of
boosting
production,
farmers
were
provided
with
inputs.
A
total
of
7.3
tons
of
groundnut
seed,
1.2
tons
of
upland
 rice
 and
 108
 50g-tins
 of
 vegetable
 seeds
 were
 distributed
 to
 farmers.
 The
 seeds
 were
 used
 to
 establish
 group-
managed
 nurseries
 from
 which
 the
 farmers
 would
 transplant
 the
 seedlings
 to
 plant
 in
 their
 own
 home.
 Each
 farmer’s
group
also
received
nursery
bed
management
implements
including
wheelbarrows,
spades,
watering
cans,
forked
hoes,
rakes,
sisal
string
and
measuring
tape.

AMREF
facilitated
a
training
of
trainers
in
collaboration
with
the
district
natural
resources
department
on
natural
resources
management
 with
 emphasis
 on
 nursery
 bed
 establishment
 and
 management.
 It
 involved
 10
 extension
 workers
 (two
women)
and
18
farmers
(six
women).
The
trainers
then
trained
members
of
the
18
groups.
As
a
result,
some
groups
have
started
to
set
up
the
nursery
beds
at
group
and
individual
member
levels.


The
livelihoods
team
set
up
a
study
visit
to
Serere,
one
of
the
National
Agricultural
Research
Stations
located
within
Soroti
District.
 It
 involved
 18
 farmers’
 group
 representatives
 (11
 women;
 11
 men),
 one
 sub-county
 extension
 worker,
 the
 sub-
county
secretary
for
production,
and
the
district
woman
councillor
for
Katine.

Farmers
were
exposed
to
various
improved
technologies
 for
 crop
 and
 livestock
 production
 including
 soil
 improvement
 technologies.
 As
 a
 result
 of
 the
 visit,
 farmers
appreciated
the
technologies
that
were
being
promoted
under
the
project
especially
the
improved
cassava
varieties.


14
Farmers
have
continued
to
manage
their
improved
cassava
gardens
of
 Akena and 2,961
varieties
which
are
resistant
to
both
cassava
mosaic
disease
and
brown
streak
virus
disease,
and
are
already
maturing.
As
a
result,
11
farmer
groups
have
already
harvested
their
cassava
crops.
The
tubers
were
consumed
and
helped
to
cushion
the
effect
of
the
recent
drought
 and
 accompanying
 food
 shortage.
 In
 some
 groups
 (e.g.
 Ojemorun),
 some
 non-group
 members
 have
 also
benefited
 through
 adopting
 the
 new
 technology.
 The
 cassava
 experiment
 demonstrates
 that
 the
 technology
 has
 been
appreciated
and
adopted
by
the
Katine
farming
community,
not
only
by
the
farmers
participating
in
the
KCPP
supported
groups
but
even
those
outside
the
groups
and
a
multiplier
effect
is
being
realised.


i v ) S u p po r t fo r c o m m u n i t y a n i m a l h e a l t h s e r v i c e s

During
the
first
year
of
the
project,
seven
(two
female,
five
male
para-vets)
were
selected
in
collaboration
with
the
district
veterinary
 office
 to
 provide
 animal
 health
 services
 in
 the
 community.
 During
 this
 reporting
 period,
 the
 para-vets
 were
trained
on
community
based
animal
health
service
and
general
animal
management.
To-date,
start
up
kits
for
the
para-
vets
including
assorted
veterinary
drugs
and
instruments
have
been
procured.
Discussions
with
FARM-Africa
and
Soroti
District
 Veterinary
 Office
 about
 another
 training
 package
 for
 para-vets
 on
 business
 management
 are
 ongoing.
 On
completion
of
the
training,
the
para-vets
will
receive
the
start
up
kits
and
start
offering
quality
animal
health
services
to
the
Katine
livestock
farmers.
This
service
will
be
rendered
at
an
affordable
cost
to
enable
the
para-vets
to
replenish
their
kits
and
so
ensure
sustainability
of
this
service
beyond
the
project
life.


The
 team
 together
 with
 the
 district
 veterinary
 officer,
 FARM-Africa
 training
 and
 advisory
 unit
 coordinator,
 sub-county
extension
staff
and
KCPP
project
staff
participated
in
a
study
visit
to
Karamoja
(Moroto
and
Kotido)
where
the
practice
of
Community
Animal
Health
Workers
(CAHW)
is
in
place.
The
visiting
team
especially
the
para-vets
learnt
how
the
practice
is
managed
on
a
commercial
basis.

v) Business & marketing skills are enhanced to access better markets for their products

The
project
uses
various
approaches
to
enable
the
Katine
farming
community
to
appreciate
the
concept
of
farming
as
a
business
(FaaB).
The
approaches
involve
technical
training
to
improve
on
the
farmers’
business
skills
and
also
engage
them
 in
 study
 visits
 to
 other
 places
 where
 other
 farmers
 are
 pursuing
 the
 same–adopting
 the
 concept
 of
 learning
 by
seeing.


Two
phases
of
training
on
business
skills
improvement
and
agricultural
marketing
with
emphasis
on
collective
marketing
have
 been
 conducted
 in
 all
 18
 farmers
 groups.
 Both
 training
 sessions
 were
 preceded
 by
 training
 of
 trainers
 that
 was
conducted
in
collaboration
with
Uganda
Women
Effort
To
Save
Orphans
(UWESO)
and
Soroti
district
commercial
office
in
business
management
and
agricultural
marketing
involving
10
extension
staff
(one
woman)
from
Katine
and
other
parts
of
the
district.
These
trainers
then
trained
the
18
farmers
groups.
UWESO’s
nine
community
based
trainers
(four
female;
five
male)
were
part
of
the
second
phase
of
the
business
management
training.

Page 15 of 23
 The
trainings
have
improved
the
farmers
understanding
of
 basic
 business
 principles.
 They
 have
 been
 able
 to
 utilise
 their
 VSLA
 funds
 to
 invest
 in
 different
 income
 generating
activities
 including
 financing
 more
 farming
 activities
 than
 before,
 and
 boosting
 their
 incomes,
 and
 diversifying
 their
incomes
sources
and
options
in
the
face
of
crop
failure
during
disasters
like
drought
and
diseases.


The
project
team
organised
a
study
visit
to
Lira
and
Nakasongola
districts
involving
18
farmer
representatives,
two
sub-
county
 staff,
 two
 district
 staff
 and
 three
 KCPP
 staff.
 In
 Nakasongola,
 the
 team
 shared
 experiences
 about
 cassava
processing
and
marketing
with
the
Nakasongola
District
Farmers
Forum
(NADIFA)
while
in
Lira,
the
team
learnt
from
the
women’s
 group
 how
 it
 has
 evolved
 over
 time
 up
 to
 the
 present
 status
 where
 they
 are
 now
 successfully
 engaged
 in
collective
 marketing
 of
 their
 produce.
 These
 lessons
 will
 give
 confidence
 to
 farmers
 on
 the
 process
 they
 are
 in
 to
ultimately
engage
in
successful
collective
marketing.

Above: Katine farmers breaking ground for the foundation of the produce store construction
vi) VSLA operations within the 18 farmers groups

VSLA
operations
within
the
farmers
groups
have
been
successful.
Six
farmers
groups
have
already
shared
their
first
cycle
(12
months)
of
VSLA
transactions,
and
have
begun
the
second
cycle
without
an
external
facilitator.
The
remaining
groups
are
 still
 running
 their
 first
 cycle,
 and
 progressing
 well.
 At
 the
 time
 of
 closing
 the
 cycle,
 Olwelai
 Farmers
 Group
 had
accumulated
 about
 USh
 3.3
 million
 (about
 £1000)
 with
 other
 groups
 accumulating
 about
 the
 same
 amount.
 There
 are
other
 members
 of
 the
 community
 who
 have
 organised
 themselves
 and
 started,
 on
 their
 own,
 new
 VSLA
 groups
 by
learning
from
the
already
established
and
trained
groups.
The
fact
that
the
old
groups
have
started
on
the
second
round
of
VSLA
operations
without
any
external
technical
facilitator,
and
that
new
groups
are
mushrooming,
implies
that
farmers
have
mastered
the
VSLA
concept,
and
appreciated
the
benefits
associated
with
VSLA
and
its
sustainability.
Money
saved
in
 the
 form
 of
 shares
 bought
 has
 been
 loaned
 to
 individual
 group
 members
 to
 carry
 out
 various
 income
 generating
activities
 such
 as
 trading
 in
 agricultural
 produce,
 livestock,
 fish
 mongering,
 brewing,
 butchering,
 operating
 restaurants,
arts
and
crafts,
buying
fishing
equipments,
among
others.
Loans
have
been
repaid
with
interest
and
there
have
been
no
significant
defaults.
The
money
saved
in
the
form
of
welfare
funds
has
been
loaned
to
individual
group
members
at
no
interest
for
payment
of
medical
bills,
buying
scholastic
materials,
food
and
clothes.

In
 groups
 that
 have
 completed
 their
 first
 cycle
 and
 shared
 money,
 individual
 members
 have
 bought
 cattle,
 paid
 school
fees
and
expanded
their
business.
UWESO
and
CARE
have
supported
the
establishment
of
over
140
VSLAs
in
Katine
of
which
the
18
farmers
groups
are
part.


16
Security
has
become
a
challenge
for
the
VSLA
groups.
Recently,
robbers
targeted
a
group.
The
group
lost
Ush
4.2
million
(£1,300).
The
project
is
currently
having
discussions
with
CARE,
UWESO
and
Barclays
on
safeguarding
the
security
of
money
for
the
groups.

2.1.5 Communities Empowered to Engage in Local Governance

i ) P r ov i d e i n fo r m a t i o n o n c o m m u n i t y ’s r i g h t s t o b a s i c s e r v i c e s s u c h a s h e a l t h , w a t e r a n d
e d u c a t i o n ; c o m m u n i t i e s e m pow e r e d t h r o u g h I E C m e s s a g e s

The
project
has
increased
the
capacity
of
the
Katine
community
to
acquire
information
through
IEC
messages
developed
with
 the
 sub-county
 and
 district
 IEC
 committees.
 The
 messages
 are
 designed
 with
 the
 aim
 of
 changing
 attitudes
 and
creating
awareness
on
rights
and
responsibilities.
When
people
know
their
rights,
they
can
demand
for
better
services
and
hold
their
leaders
and
other
service
providers
accountable.
Examples
include
t-shirts
and
posters
provided
to
communities
reading
‘it
is
your
right
to
be
heard,
speak
out
in
community
meetings’.

ii) Build the capacity of community structures and enhance community planning to better
meet community needs

The
project
conducted
two
PDC
training
sessions
in
Merok
and
Ojama
parishes.
The
training
in
planning
and
budgeting
attracted
 27
 participants
 in
 Merok
 parish
 including
 Parish
 Development
 Councillor
 (PDC)
 village
 representatives,
 Local
Council
I
chairpersons
(LCI),
an
LCII
chairperson,
a
Parish
chief
and
an
opinion
leader.
In
Ojama
parish,
32
participants
attended
including
PDC
village
representatives,
LCI
chairpersons,
LCII
chairperson
and
a
parish
chief.


The
 skills
 acquired
 will
 enable
 the
 PDC
 and
 the
 local
 leaders
 of
 Merok
 and
 Ojama
 parishes
 to
 support
 the
 community
participatory
planning
process,
thereby
empowering
their
communities
to
identify
needs
and
priorities
through
a
bottom
up
participatory
approach
as
per
the
Ugandan
decentralised
system
of
governance.
Four
follow
up
meetings
to
support
the
PDCs
in
all
the
parishes
as
they
developed
their
plans
were
made.
As
a
result,
the
PDC
capacity
was
strengthened
to
facilitate
community
planning;
all
six
parishes
later
managed
to
develop
and
submit
their
parish
plans
to
the
sub-county.
AMREF
intervention
in
regard
to
facilitating
PDC
training
in
general
contributed
to
the
timely
submission
and
integration
of
parish
plans
into
sub-county
plans
for
2009-
2012.

The
table
below
gives
a
sample
of
parish
priorities
for
Merok
parish
as
per
the
sub
county
records.
This
table
illustrates
a
plan
prepared
by
PDC
as
a
result
of
the
project
training

Local 2009-2010 2010-2011 2011-2012

government
sector

C o n s t r u c t
 1
 n e w Construct
 new
 Boreholes
 in Sink
augured
well
in
Merok
village



Water/ borehole
 at
 the
 new Apuuton
&
Oriechoi
village

sanitation Health
Centre
II

C o n s t r u c t
 
 H e a l t h Purchase
2
bicycle
ambulances
 Construct
staff
houses
in
Health
Centre
II
Health Centre
II


Page 17 of 23
 Construct
 7
 teacher’s Construct
 2
 block
 5
 stance
 pit Complete
 4
 classroom
 block
 office
 and
Education houses
 in
 each
 school latrine
 in
 Oimai
 primary
 school store
in
Oimai
p/s

( O i m a i
 a n d
 M e r o k for
teachers
&
pupils
primary
schools)

Open
 10
 km
 road
 from Road
 maintenance
 
 of
 10
 km Maintenance
 of
 8
 km
 road
 from
 Katine
Wo r k s K a t i n e
 s u b - c o u n t y from
 Katine
 sub-county
 
 to sub-county
 headquarters
 through
 Oimai
t h r o u g h
 A g o r a
 t o Merok
landing
site
 to
Merok

Merok
landing
site


Train
 60
 farmers
 on Purchase
 improved
 bulls
 and Hold
3
meetings
with
farmers
on
modern

Production p e s t s
 a n d
 d i s e a s e improved
he-goats
 farming

control


Purchase
 Serenut
 4
 for Sensitise
 communities
 on
 farm Dig
cattle
dip
in
Merok
parish


10
multiplication
sites
 waste
burning

Train
 10
 fishermen
 on Set
 2
 seedling
 nursery
 sites
 in Train
50
farmers
on
artificial
insemination


modern
farming
 Omolokony
and
ojwinyi
villages


T r a i n i n g
 and Formation
 and
 training
 of
 10 Construction
 of
 permanent
 cruse
 in

Environment m a n a g e m e n t
 o f local
 environmental
 committee Aputon
village

wetland
 management members

committees

W o m e n
 t r a i n i n g
 i n Community
 sensitisation
 of 
 
 Purchase
 of
 4
 exotic
 bulls
 in
 Merok

Community business
skills
 gender
based
violence
 parish
based services
HIV/AIDS
 community Training
 and
 equipping
 4
 FAL Community
 sensitisation
 on
 early
sensitisations
meetings instructors
 marriage


(Source: Extract from Merok Parish Development Plan, 2008)

i i i )
 I m p r o v e d s k i l l o f A M R E F s t a f f a n d P a r i s h & S u b - C o u n t y p a r t n e r s i n R i g h t s B a s e d
A p p r o a c h fo r b e t t e r p r o g r a m m i n g 


Rights
 Based
 Approach
 to
 development
 (RBA)
 concept
 was
 rolled
 out
 in
 this
 reporting
 period.
 The
 project
 trained
 staff
and
 sub-county
 partners
 in
 RBA
 programming.
 RBA
 improves
 on
 current
 development
 approaches
 since
 it
 views
development
as
a
process
to
achieve
rights.
Rights
have
international
standards
and
benchmarks;
governments
and
other
development
partners
can
be
held
accountable
if
they
do
not
reach
those
standards.

iv) Increased community access to internet information and discussion forums

With
the
community
resource
centre
established
with
four
computers
connected
to
the
internet,
the
project
organised
two
three-day
 non-residential
 training
 courses
 in
 basic
 computer
 skills
 for
 local
 community
 members.
 
 14
 local
 community
members
(8
women
and
6
men)
were
trained
in
the
first
batch
and
15
(7
women
and
8
men)
were
trained
in
the
second
batch.
 With
 this
 knowledge
 the
 community
 members
 have
 been
 able
 to
 access
 the
 Guardian/Katine
 website
 at
 the
community
 resource
 centre
 and
 likewise,
 shared/encouraged
 the
 other
 members
 of
 the
 community
 to
 come
 to
 the

18
resource
 centre.
 Throughout
 this
 reporting
 period
 the
 resource
 centre
 was
 overwhelmed
 with
 community
 members
 so
much
that
the
project
had
to
establish
guidelines,
and
formed
a
15
member
supervisory
committee
comprising
mostly
of
community
members
to
coordinate
the
day
to
day
running
of
the
resource
centre.
There
is
regular
attendance
and
local
views
are
being
reflected
on
the
Katine
website
from
time
to
time.

IT
 trainees
 volunteered
 to
 train
 the
 children
 of
 Katine
 primary
 school
 in
 basic
 computer
 skills
 and
 thus,
 these
 pupils
successfully
had
an
online
chat
with
children
from
the
UK
through
the
Guardian/Katine
website,
so
the
use
of
the
centre
by
the
community
is
already
taking
root.

18
local
community
members
received
media
training
on
video
filming
organised
by
UK
Guardian
officials.
Communities
are
 using
 this
 knowledge
 and
 video
 cameras
 provided
 to
 them
 to
 document
 and
 film
 community
 interest
 stories
 for
 the
Guardian
media
and
other
development
partners.

v ) S t r e n g t h e n e d p r o j e c t i n t e g r a t i o n a t c o m m u n i t y a n d o p e r a t i o n a l l ev e l

The
 project
 organised
 a
 partners
 meeting
 aimed
 at
 drawing
 modalities
 for
 harmonising
 work
 among
 different
 local
community
structures.

The
joint
meeting
of
LCs
and
representatives
from
all
the
community
groups
clarified
different
roles
and
responsibilities
specifically
for
VHTs,
PDC,
LCs,
parish
sanitation
committees
and
farmer
groups
and
looked
at
how
these
roles
could
be
integrated
for
effective
project
implementation.
The
meeting
was
attended
by
18
VHTs,
12
PDCs,
six
parish
chiefs,
12
PSCs,
12
LC1
chairpersons,
six
LCII
chairpersons,
six
farmer’s
group’s
members.


vi) Project management structures; co-ordinating monthly project management

committee meetings

The
 project
 organised
 project
 management
 committee
 meetings
 to
 discuss
 the
 MTR
 issues
 together
 with
 external
consultants.
The
project
organised
nine
PMC/PSC
meetings
in
total.
The
PMC
at
sub-county
level
supports
the
day
to
day
running
 of
 the
 projects.
 The
 PMC
 meetings
 discussed
 progress
 on
 KCPP
 activities
 looking
 at
 the
 achievements
 being
realised,
challenges
met
and
recommendations/possible
solutions.
The
meetings
further
 reviewed
 previous
action
plans,
preparations
for
MTR
exercise
and
feedback.
Their
ideas
were
instrumental
in
making
a
justification
for
KCPP
extension.
During
the
MTR,
the
PMC
greatly
supported
the
team
for
community
mobilisation,
providing
their
time
and
information.






vii) Conducting project steering committee meetings

The
project
organised
two
project
steering
committee
meetings
at
district
level.
The
PSC
at
district
level
provides
technical
guidance
to
the
project.
As
in
the
PMC
the
PSC
meetings
discussed
project
progress,
reviewed
and
made
modification
to
existing
KCPP
work
plans
as
a
start
up
process
for
the
MTR.

The
district
partners
also
appreciated
AMREF’s
change
of
approach
from
using
external
contractors
to
using
local
contractors
in
construction
work.

The
project
also
organised
another
consultative
meeting
with
key
members
of
the
district
steering
committee
i.e.
The
LCV
chairman,
 LCV
 Vice
 Chairman,
 Chief
 Administrative
 Officer,
 District
 planner,
 District
 Community
 development
 officer,
Soroti
Resident
District
Commissioner
to
share
with
them
the
MTR
report,
and
get
a
common
understanding
of
the
report
and
its
recommendations
in
preparation
for
the
MTR
workshop
held
in
mid
September.



2.1.6 Unplanned Outcomes in the course of the year

Page 19 of 23
A
 partnership
 between
 AMREF,
 Guardian
 and
 FUFA
 was
 developed
 this
 year.
 The
 aim
 of
 the
 partnership
 was
 to
 use
football
 as
 a
 mobilisation
 strategy
 to
 promote
 messages
 on
 hygiene,
 health
 and
 sanitation,
 life
 skills
 development,
 and
bring
harmony
and
healing
to
a
community
that
has
been
affected
by
conflict.


An
unplanned
outcome
was
this
project’s
support
to
the
Katine
Health
Centre
II,
a
private
not-for-profit
establishment,
to
repair
a
blown
off
roof.
This
centre
serves
Katine
Parish,
a
population
of
approximately
6,000
people.

3.0 PARTNERSHIPS AND COORDINATION WITH OTHER BODIES

AMREF
implements
its
work
through
partnerships
in
order
to
build
their
capacity,
improve
the
reach
of
work
and
ensure
sustainability
in
approaches
by
working
through
existing
structures.
The
project
continued
to
work
alongside
parish,
sub-
county
and
district
counterparts
in
the
departments
of
health,
water
and
sanitation,
livelihoods,
education
and
community
empowerment
in
all
its
activities.
These
included
existing
community
networks,
Government
structures,
NGOs
and
CBOs
(Community
 Based
 Organisations)
 who
 share
 the
 same
 vision
 and
 objectives
 i.e.
 Tran
 cultural
 Psycho-Social
Organisation
(TPO),
TASO
and
UWESO.


The
table
below
outlines
how
each
component
of
the
KCPP
worked
in
partnership
with
a
number
of
stakeholders.


3.1 Health

The
project
partnered
with
the
district
health
team
in
joint
trainings
and
joint
field
supervision.
Also
participated
in
the
district
health
sector
coordination
meetings
to
which
other
NGOs
also
participated.

Participated
in
national
programmes
like
national
child
days
plus
campaigns
and
international
programmes
like

World
AIDS
day


3.2 Education

The
 project
 worked
 closely
 with
 the
 local
 government
 education
 department,
 primary
 teachers
 colleges
 in
 planning
 and
implementation
 of
 activities
 especially
 implementation
 of
 capacity
 building
 activities
 for
 beneficiaries
 through
 primary
 teachers
college
(PTC).

Worked
 with
 the
 district
 education
 working
 group
 comprised
 of
 the
 district
 education
 department,
 SNV,
 Child
 Fund
 International,
World
Vision,
TEDDO,
Right
to
Play,
TEMEDO
and
others.

3.3 WATSAN

The
project
jointly
implemented
some
activities
with
the
district
water
and
sanitation
department
such
as
water
quality
testing
and
surveillance.
The
project
hosted
a
team
from
directorate
of
water
development
who
were
on
a
monitoring
visit
in
preparation
for
the
water
 and
 sanitation
 sector
 performance
 report
 that
 would
 inform
 and
 feed
 into
 the
 discussions
 during
 the
 Government
 of
Uganda/Donor
Sector
plans.

3.4 Livelihoods

The
 project
 worked
 closely
 with
 the
 district
 local
 government
 departments
 especially
 district
 natural
 resources
 department,
 Works
department,
community
development,
production
and
marketing
on
training
of
the
farmers.


20
Planned
and
worked
closely
with
FARM-Africa
on
farming
issues
for
technical
support
and
UWESO/CARE
on
VSLA
activities.
Also
participated
in
the
livelihoods
stakeholders’
forum
to
which
other
NGOs
(SODIFA,
CIDI,
TEMEDO,
and
TPO)
participated.

3.5 Community Empowerment

Activities
were
coordinated
in
partnership
with
relevant
stakeholders
(community
groups,
district
streering
committee
and
the
sub-
county
project
management
committee
who
were
also
involved
in
the
MTR.

4.0 CHALLENGES, SOLUTIONS, LESSONS LEARNT AND RECOMMENDATIONS

4.1 Challenges and Solutions

T h e
 i n a d e q u a t e s u p p l y o f m e d i c i n e s
 (Coartem,
 oral
 rehydration
 salt
 and
 Panadol)
 for
 the
 home
 based
management
of
childhood
illnesses
is
hampering
the
work
of
the
community
medicine
distributors.
AMREF
is
advocating
together
with
other
NGOs
for
government
to
ensure
that
there
is
availability
of
drugs.

S t a f f s h o r t a g e i n a l l t h e t h r e e h e a l t h f a c i l i t i e s
 makes
 conducting
 outreaches
 difficult.
 The
 project
 has

embarked
 on
 advocacy
 of
 health
 workers
 to
 be
 recruited
 by
 the
 district
 to
 add
 to
 the
 few
 available
 staff
 at
 the
 health
centres.
 The
 district
 health
 office
 has
 responded
 by
 recruiting
 and
 posting
 a
 laboratory
 assistant
 for
 Ojom
 laboratory,
 a
health
assistant
to
Ojom
H/C
II
and
two
more
staff
to
Tiriri
H/C
IV
and
the
project
is
optimistic
that
the
government
will
continue
to
recruit
more
staff.

At
 the
 present
 there
 is
 l o w p a r t i c i p a t i o n o f m e n i n r e p r o d u c t i v e h e a l t h
 a c t i v i t i e s.
 The
 project
 is

encouraging
 male
 participation
 through
 IEC
 messages
 on
 behavioural
 change.
 Cultural
 and
 religious
 beliefs
 affect
 HIV
prevention
 efforts,
 PMTCT
 and
 family
 planning.
 The
 project
 is
 promoting
 messages
 on
 behavioural
 change
 through
community
training,
radio
programmes
and
behaviour
change
(IEC)
materials.

The
posting
of
qualified
teachers
to
the
community
schools
is
taking
longer
than
anticipated.
AMREF
continues
to
lobby
for
the
posting
of
teachers
to
community
schools.
 T h e t r a n s f e r o f K a t i n e s u b - c o u n t y t e a c h e r s t o o t h e r
s u b - c o u n t i e s a f f e c t s t h e c o n t i n u i t y o f p l a n n e d p r o g r a m m e s.
 The
 project
 has
 negotiated
 for
 the
retention
of
the
newly
posted
teachers
within
the
sub-county
for
at
least
a
period
of
three
years.
The
project
will
collect
data
 on
 the
 teachers
 who
 were
 transferred
 and
 those
 that
 were
 retained
 to
 ascertain
 the
 extent
 to
 which
 the
 teacher
transfers
will
affect
the
achievement
of
project
objectives.

The
increasing
demand
for
more
safe
water
sources
in
the
community,
and
the
project’s
inability
to
address
the
demand
has
been
a
major
challenge.
AMREF
is
working
with
the
community
structures
to
create
awareness,
manage
expectations
and
maximise
benefits
within
the
available
resources.
The
project
expects
to
increase
the
water
coverage
from
the
current
65.6%
to
85%
by
the
end
of
the
project
if
further
funding
is
availed.

Having
strengthened
a
number
of
structures,
equal
gender
representation
and
participation
in
some
of
the
committees
is
still
 a
 major
 challenge
 due
 to
 cultural
 and
 educational
 backgrounds.
 The
 project
 will
 continue
 to
 promote
 gender
awareness
and
training
in
gender
mainstreaming
and
promoting
affirmative
action
in-group
formation.

Page 21 of 23
4.2 Lessons learnt and Recommendations

 The
project
works
closely
with
Soroti
district
local
government
and
should continue
to
advocate
and
lobby
for
the
placement
of
health
workers,
and
teachers
and
the
timely
supply
of
drugs
to
health
centres.
 Stakeholders’
involvement
and
local
community
leaders
play
an
important
role
in
making
health
activity
promotion
acceptable
and
of
improved
quality.
 Up
to
date
information
dissemination
is
key
in
changing
attitudes,
behaviours,
practices
and
stigma
which
hinder
access
to
health
care
services.
 Partnership
is
crucial
for
sustainability
of
service
provision
and
improves
utilization
of
scare
resources.
 Strengthening
 coordination
 structures
 ensures
 real
 mainstreaming,
 resource
 mobilisation
 and
 harmonisation.
Networking
 and
 information
 sharing
 are
 necessary
 among
 stakeholders
 to
 avoid
 duplication
 of
 activities
 and
 to
build
on
each
others’
strengths
to
enhance
cross-organisational
learning
and
knowledge
base.
 The
use
of
Music
Dance
and
Drama
is
key
in
sanitation
and
hygiene
promotion
at
community
level
as
well
as
in
schools;
this
has
been
demonstrated
in
Kalela
village,
Olwelai
parish
where
the
VHTs
formed
a
drama
group
for
sanitation
and
hygiene
education.

 Exemplary
leadership
and
active
involvement
of
community
opinion
leaders,
politicians
and
reputable
persons
in
development
activities
helps
enhance
ownership
and
sustainability
of
development
interventions.
 Parish
Development
Committees
and
Local
Councillors
have
the
potential
to
support
communities
to
develop
their
village/parish.
 They
 can
 be
 supported
 by
 improving
 their
 skills
 and
 providing
 them
 with
 bicycles
 to
 mobilise
communities
and
monitor
development
work
in
their
areas.

5.0 FINANCIAL REPORT SUMMARY As
 of
 September
 2009,
 2
 years
 into
 the
 project,
 AMREF
 spent
 £1669490,
84.6%
 of
 year
 1
 and
 2
 budgets.
 Below
 is
 a
 breakdown
 of
 key
 reasons
 for
 under/overspend
 against
 the
 budget.
 The
financial
report
is
a
separate
annex
and
should
be
read
in
conjunction
with
the
summary
below.

P r o j e c t a c t i v i t i e s :
All
project
activities
in
line
with
spending
against
budget
apart
from
Water
and
sanitation
and
livelihoods.
The
WATSAN
component
overspent
(107%
against
the
budget)
because
of
higher
than
anticipated
costs
for
drilling
the
production
borehole
for
Atirir
HC
IV.
The
other
reason
is
the
fluctuation
in
prices
of
construction
material
due
to
a
number
of
factors
(such
as
national
fuel
shortages)
beyond
AMREF’s
control.


In
livelihood,
the
budget
is
underspent
(43%
against
the
budget).
This
is
partly
due
to
construction
of
the
produce
store
which
started
late
and
so
the
budget
was
not
used
up
as
was
planned
for
the
second
year.
The
cost
has
been
reallocated
into
the
third
year.
The
delay
was
due
to
the
lengthy
processes
of
generating
a
Memorandum
of
Understanding
amongst
the
stakeholders
including
farmers,
the
Sub-County
staff
and
AMREF.

The
use
of
masons
that
are
already
involved
in
school
construction
has
compounded
the
delay.
The
training
for
paravets
could
not
happen
due
to
the
delays
in
procuring
the
right
supplies
for
the
paravets
so
this
activity
has
been
re-scheduled.

U K m a n a g e m e n t c o s t s : All
fundraising
(donation
processing
and
staff
time)
and
programme
costs
(salary,
travel
and
advocacy)
are
in
line
with
the
budget
and
advocacy
costs
will
be
used
up
in
year
3
as
the
evidence
from
Katine
comes
to
fruition
for
dissemination
through
events.
Communications
costs
are
low
(43%)
as
costs
have
not
been
accounted
for
yet
but
will
balance
in
the
New
Year.
Management
costs
are
higher
than
expected
due
to
legal
costs
in
the
first
year
as
a
result
of
lengthy
contractual
agreement
process.

22

M o n i t o r i n g & E v a l u a t i o n :
The
overspend
of
143%
is
because
in
the
original
budget,
AMREF
had
anticipated
an
internal
evaluation
of
the
project.

In
the
early
part
of
the
second
year,
it
was
decided
by
AMREF
that
an
external
review
by
a
consultant
outside
of
AMREF
could
provide
the
project
with
evidence
on
what
was
working
and
what
needed
to
be
changed
in
order
to
achieve
the
objectives
of
the
project.


6.0 Annexes

6.1 Acronyms

6.2 Background information

6.3 Write up of degree of Integration

6.4 Case studies

6 . 5 Ta bl e o f e d u c a t i o n f a c i l i t i e s i n s c h o o l

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