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P.O. Box 527 BUSIA - 50400, Kenya, East Africa, Tel: 055 22428 or 0722976238 Email: [email protected]

JANUARY - JUNE 2009 ATIVITY REPORT: OPA: 09-01-02-01

Dear Stichting Oud in Africa, Greetings from Grace and Compassion Mundika Complex. Indeed it isour pleasure to present to you our six monthly activity report with hopes that all of you are keeping well. Since the year began up to date a lot has taken place with the aim of improving on older persons' living standards. Although some incidents took place unexpectedly, e.g. deaths, drought, hunger and sickness,with the help and support from the Stitching Oud in Africa, we have been able to cope. and life still goes on. The report shall be tackled under the three main areas of operation in regard to the care for elderly. These headings are as follows:- 1. Old Peoples' Home (OPH) 2. Home Based Care (HBC)clients. 3. Abakofu Belinda Self Help Group (ABSHG). After these, each of the seven volunteers will report on what is taking/ has taken place in her/hls department. The departments with their stakeholders are as follows; 1. 2. 3. 4. 5. 6. 7.

Daniel Barasa: Gilbert Omojong: Eunice Makokha: Anasfansia Akumu: Robert Pamba: Kennedy Langiri: Helen Nekesa:

Co-ordinator, Building/ construction department. Transport and Communication department. Nutrition and Hygiene Clothing, Bed/beddings and Furniture. Last offices (funeral) department. Farm. Finance department.

1. OlO PEOPlES' HOME (OPHl At present there are 28 older persons at the residential home, of which 19 are female and the rest are male. Their ages ranges between 55 and 95 years old. AHthese residents are completely destitute in that they have no JAN-JUN'09

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property of their own hence, are fully dependant on Sistersof Grace and compassion for their livelihood. Recently one of them died, her short story will be mentioned in the obituaries. For the up-keep of the home the congregation relies on the support from England, weil-wishers from around, these includes businessmen as weil as some religious organizations. These support the home by giving some donations in form of material, mainly second hand clothes and sometimes the businesspeople offer food. Thisimplies that, every little gift counts and it is helpful to those that receive and use it. With that in mind, we don't chose what should be donated to us; any form of donation is utilized with care. For the past few years the home for elderly has existed at Mundika, had not received much support trom the Government officials. The only NGO that took interest in the care for elderly as trom the year 1996is Helpage international, now has a branch in Kenya known as Helpage Kenya. The Sistersof G & C, (whose main charism isto cater for the needs of elderly) have been in Kenya BusiaMundika, since 1990.Withthe support trom the HAl/HAK, we have been able to reach few more destitute older persons and give them a better home to stay and a happy dignified death! In other words, most of the residents at OPH are sponsored by HAl/HAK. As from 2004 up to date, the work for caring and support of the elderly has also been complimented by another NGO trom the Netherlands known as 'the Stichting Oud In Atrica'. Hence, the Sistersof G & C, HA and OIA, all support each other in the care for elderly destitute. Having said that, HAKsupports many older persons in the developing countries, and as a result of the increase of older persons worldwide, there is a shortage of finance to meet all the needs for an older person. Thisyear (2009) the OPH has been blessed to receive some support trom the government via the Social Service department branch in Busia District. Hunger was declared among the national disasters by Hon. President Mwai Kibaki in March 2009. To that connection the home received a cheque of KSH.15,000/-and 17 bags of maize to help combat hunger among the older people at the OPH. With the KSH.15,000/- the mattresses + covers were purchased for the older persons ' use at the OPH. These are of great help especially for the residents that are incontinent and bed-ridden. For the 17 bags of maize was a fair supply of food for our older persons at OPH. In a month, our older persons at OPH consume at least 4 bags of maize grinded for both ugali (stabie food) and porridge. Although for porridge maize is mixed with millet and soya beans before it is grinded into flour. At present a bag of maize costs Ksh.

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3000/-, a bag of Soya beans costs Ksh. 9000/- and a bag of kidney beans Ksh. 6,750/-. (A bag is equivalent to 90kgs). The Sisterstogether with the residents appreciated for the support and wrote a letter to thank the District Officer and his team for their thoughtfulness. Some farming is also done at OPH's grounds, of which most of it to do with crops wil! be reported on by Mr. Kennedy Langiri, since that falls under his department. Apart from thct. there are dairy animals at the OPH grounds. These produces milk enough for our older persons' consumption and the Sisters.With the help and support of OIA program in the Netherlands, we we re given these cows via Heifer International program as one way of reducing poverty among the people. The agreement with the Heifer international is that, atter the cows have calved down, we are expected to pass on those calves to other needy persons/ person. The first passing on of five calves trom us to other needy persons took place on 29/05/2009, of which I hope Sr. Beatrice (Srin-charge of farm) has reported about. Besides the cows, there are also local chickens reared at the OPH for resident's consumption. Recently some of the chickens we re coughing. When the Sr in-charge for elderly inquired what could be the cause, she was told by Kennedy (a volunteer) that it was typhoid for birds. He advised on what medicine to buy, it was bought and he treated the chickens. Coughing ceased within a period of 3 days post-treatment. Now the chickens are fine, two of them have hatched with eight chicks each. We also have 2 guard dogs at OPH. One of the dogs has 3 puppies: they have been booked to be bought by 3 business men in Busia town. Now the puppies can't be released because they are still too young to leave their mother. They are usually sold out after a period of 6 weeks of their birth. Both the mother and puppies are doing weil! On the other side of the coin, Grace (one of our dairy cows) is unwell for over 3 weeks now. The vets have been in and out to see her and they say she is suffering from anaplaxis (disease that attack the larger joints of an animal) among the five cows that we have, Grace has been producing plenty of milk more than the rest, now that she is unwell, it an implication that milk production has dropped! AII in all, we still manage and hope that she will be weil soon. On the side of the residents, since Felister died on 10thJun '2009, it was suggested by the Sistersthat we consider taking Mariana Nekesa in place of Felister R.I.P. Therefore, with effect trom 13thJun'2009, Mariana is a resident at OPH. Below is a short story of Mariana Nekesa' 67 years old. Mariana lived alone at her house (built by the project) at Igero village, Central Busia District. She is one of the HA beneficiaries that never had the opportunity of enjoying family life with her husband due to lack of children. In summary, Mariana was not blessed to bear children for her husband: this resulted into her

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being chased away from her marital home by her brothers' in-Iaw af ter the death of her husband. In March 2008 Mariana developed 2 nasty wounds; on her leg and on top of her left leg. The wounds became necrotic with debris around them. For the wounds to progress weil and not cause more harm/ infection to other parts of the body, it was important that they are cleaned and dressed at least 3 times daily. Since Mariana lived approximately 10 km away from the convent, it became difficult for Sr to be visiting Mariana x3 daily with regard that she has other older persons besides Mariana to cater for. Therefore, Sr in-charge decided to bring Mariana to OPH to be treated and nursed from there. The wound dressings that were sent to us by ship from Holland have really done a wonderful job on Mariana's foot and the rest! Mariana has been to OPH for over a veer. the foot is progressing weil although slowly, while the leg part has healed and left a scar. Previously Mariana received HBC support, but now she receives residents' support. She is pleased about it. now that she is unable to walk around and do things for herself as she used/ would like to. At OPH Mariana has learnt how to weave baskets and make mats using palm leaves. Thisskill she has been taught by Teresa and other residents. She seems to get on weil with other residents and she is grateful for the care and support she receives.

2. HOME BASED CARE (HBC). HBC comprises of 86 older persons that are beneficiaries of the project and receive care and support from their own home environment. For the sufficient delivery of the services to the older persons. Sr in-charge of the elderly work hand in hand with the volunteers and ensure th at most of the needs of beneficiaries are addressed and met. HBC is the area whereby most of the financial support sent to us by the stichting oud in Afrika is fully utilized. It covers salaries for volunteers and for nurse services th at assist to care for older persons. nutritional values and healthcare for older persons and volunteers, building/ construction (shelter provision and toilets) for older persons. The money sent by stichting oud in Africa is also used to purchase bed/ beddings, clothing for older persons and to meet many other needs for the elderly. A summary of all these needs will be reflected in the financial report. Besides what will be mentioned in the financial report, a sum of money also goes to home visits. guiding and counseling of older persons and offering moral and financial support when needed. For that reoson. some cash goes to vehicle maintenance, petrol and transport. OIA also supports the training of volunteers e.g. computer skilts. driving/ riding a rnotorcvcle. agricultural seminars, etc.

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As said in the introduction, every volunteer is to report on her/hls department: A) DANIEL BARASA: Report on Buildinq and Construction Department.

Building and construction is one of the major activities undertaken by the programme to ensure that the elderly have a comfortabie and sensible stay. It entails building of houses and digging and building of toilets (pit latrines). AII will agree with me that shelter is one of the most basic needs in human life, others being food, health and clothing. In the budget of 2009 we proposed to construct 17 houses and 17 toilets, of which we are through with the houses and are preparing to start working on toilets. The following are the names of the beneficiaries that have had their houses built; Arnolda Nyangweso, Angela Namukuru, Awino Owich, Charles Obara, Christine Ajwang', Clementina Nyongesa, Hellena Ochumi, Hellen Adhiambo R.I.P,Vincent Osiba, Eunice Khaseke, Federes Egesa, Kalasina Nabwire, Monica Ogono, Wilbroda Nasirumbi, Rose Arnoit. Sabina Abat and Paskalia Okinei. I take this golden chance to thank the project sponsors and stake holders for their cooperation and hard work! Had it been not for the kindness and generosity of the stichting oud in Africa in the Netherlands for their financial support, we would have lost most of our older persons in an appalling state. With those few remarks, I say 'Long live Oud in Africa'! B) GILBERT OMOJONG:

Report on Transport and Communication:

Thisdepartment holds two main branches; 1. Transport: Under transport the project owns two means, i.e. motorcycle and 7 bicycles used by the 7 volunteers of the project. The motorbike is used by the coordinator for field work purposes and for the quick transportation of Easter and Christmas commodities to the older persons. At times the motorbike is also used for emergencies e.g. transportation of medication to older persons in places where the roads do not exist for piek-ups to access. Also this same motorbike is being used to train the volunteers. At present all the volunteers have known how to ride a motorbike but they still wait for the official testing and issuing of a license. Daniel is due for the test at the end of July'2009, and then the rest will follow. Sr in-charge for elderly bought for volunteers thick jackets as protective clothes when one is using a motorbike. AII volunteers are grateful for the support we receive as being part of OIA programme. Bicycles are used by the volunteers to reach the beneficiaries, to check on how they fairing on and to deliver monthly food and hand out to them.

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The servicing of the motorbike is usually done af ter the allocation of mileage has been covered. As for the bicvetes are usually cared tor and maintained by the service users.

2. Communication: AII volunteers were provided with mobile phones by the OIA project to keep them connected to each other and for easy and efficient communication. Whenever any of the volunteer encounters a problem with his/ her phone. Sister in-charge for elderly is notified and arrangement on how to assist that particular volunteer is made. Either another phone is bought or the old one is repaired according to the state. Generally, the department also covers on how to transport older persons to and from their homes to attend eye-clinic at the Mundika convent every af ter 3 months, i.e. four times a year we do host clinicions from Sabatia Eye Hospital to treat people with eye problems in Mundika and areas around Mundika. Thisyear the clinicians have already been to Mundika twice, i.e. January 10thand April 15th.We are having another eye-clinic on July 9th2009,that will be the 3rd one in this year.

C) EUNICE MAKOKHA: Food/nutrition and hygiene.

Food and other essentially items for older persons are provided on monthly basis by the OIA program me. The food items provided are as follows; 6kg maize fleur. 4kg porridge fleur. 4kg kidney beans, 2kg sugar, lOOg tea leaves, 500g cooking salt and 500g cooking fat. Other food surplus is milk, meat and rlce. fruit juice and fruits. These surpluses are given according to an individual's need. Especially to the older people that are week and sickly, the surplus helps to boost the system. Thisfood hos strengthened our older persons and improved their living standards. May almighty God bless and reward the providers of the OIA programme with good health of body and mind. As a group we also observe the general cleanliness of the beneficiaries including their surroundings. In the month of May'2009, we were privileged to have visitors from Holland. I.e. Jan, Annekke and vilamine. These three witnessed how we normolly remove jiggers from an older person' s toes. Thisis just one example of maintaining body cleanliness. Vilamine taught us how to keep short and tidy the nails of older persons. She also brought us the

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machine to cut, clean and tidy up even the thickest and toughest nails of some of our older persons. We experimented using the machine on the nails of our residents at OPH, and they were thrilled! The project provided the following items for the purpose of cleanliness and hygiene: 4 basins (different sizes), heavy duty gloves, razor blades, disinfectant, detergent, safety pins, nail-cutters, hand tewels. flannels, slashers, pangas and jembes. We clean the surrounding area of older persons by slashing the grass and burning unwanted rubbish. Those that are frail and leave alone we bathe them twice a week, shave them and cut their hair short sweep their houses, air beddings, make beds for them and wash their clothes. D) ANASTANSIA AKUMU: Clothing, Bed! beddings and Fumiture;

22 beds have already been made @ Ksh. 2,500/- per bed and so far 13, 4" mattresses have been bought. Same more are still needed of which Sr incharge has promised ta buy and supply before the year ends. On the budget we requested for 35 beds and mattresses. The plan for clothing is, to buy material and stitch for all beneficiaries' suitable clothing in the month of August'2009, shoes and cardigans in Sept'2009. Sr in-charge has already provided 7 jackets for volunteers @ Ksh. 700/- each. As for furniture i.e. a table and achair x58 are in pracess. So far Sr has paid Ksh. 10,000/- as deposit to our local carpenter and he has started making them. E) ROBERTPAMBA: Funeral (Last offices) Department;

As from January 2009 I was appainted as the head of the above mentioned department. Since then up to date it is so unfortunate that 3 of our clients (HBC) have died. Their names and sex are as follows; - Crispinus Olwanyi - male. Died in March 2009. - Hendrika Adlkinyi - female. Died in April 2009. - Lucia Auma - female. Died in June 2009.

Crispinus R.I.Pwas appraximately 78 years old. he was wheel chair baund, he lived alone and was the furthest client (HBC) we ever had. From the convent to his home it took 1.45 hrs. We used to visit him as a group twice a month. The amount of cash that was spent for his funeral together with burial arrangement and transport was Ksh. 10,745/-.

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Hendrika was 92 years old when she died. She lived with a grandson who went back to his father offer the death of Hendrika. The sum of money that was spent in her funeral was Ksh.9000/-. Lucia Auma was also 78 years old. She was blind, lived with grandchildren who were of great support to her. Funeral expenditure was ksh. 9000/-. OPH GRAVE YARD.

Thisalso comes under my jurisdiction. The ground was so bushy so we discussed with Sr in-charge what could be done to improve the state. This place used to give us a heli of time whenever a resident died and was to be buried there. That would be time to start clearing the area, preparing a place for buria!. We agreed with Sr to plough the area and plant some maize and beans. Thishos worked out so weil, the place looks decent and respectabie. The expenditure for clearing the grave yard is as follows; 1st ploughing - Ksh.500/2nd ploughing - Ksh. 500/Planting - Ksh. 200/Weeding x2 - Ksh. 400/TOTALSPENT= KSH.1,600/-. In the month of June'2009 one of the residents died, by name and age; Felister Rallo 80 years old. The body was transport and buried at her home in Port Victoria, South Busia District, Rwambua village. Below is a short life story of Mrs. Felister Rallo; Felister had suffered stroke 10 yrs ago at her home in Port Victoria, South Busia District. Most of the time since 1997 she has been in and out of hospita!. In mid 2008 Felister was admitted to OPH as a resident, because she was left alone with no one to care for her at home. She was wheelchair bound and had lost half of her speech as a result of stroke she had suffered. Besides thot. Felister had arthritis, hypertension and she was also type 2 diabetic that had not been discovered for the past few years. At the OPH she was welilooked af ter and received all the necessary medication with proper nutritional intake and the company of others. AII these contributed to the weil being of Felister and within a period of 2 months at OPH, she seemed to have improved drastically. Her family visited her and they were so pleased and amazed to find her looking so weil! Felister took ill on 6thJun'09 and died on 10th Jun'09 at 8.00 pm in the sick bay at OPH. She was buried on 20thJun'2009. May she RESTIN PEACE!AMEN.

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F) KENNEDY LANGIRI:

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Farmingl AgricuHure Department.

Under this department, we do mixed farming for older persons as weil as for our families. Thusmixed farming involves the growing of crops as weil as rearing of animals on the same piece of land. To that relation, there isrearing of chicken. planting crops such as maize, beans, vegetables and bananas for beneficiaries' use. Chicken rearing.

Lastyear five homes were identified to serve as pass on chicks to other households after hatching took place. The projected supported the construction of poultry houses in the identified homes. The OIA also purchased the chickens to be supplied among the 5 beneficiaries. Each household was allocated 4 hens and one cock. We learned the system of Heifer international in that atter the cows calving down, the Sistersare expected to pass on ca Ives to other needy families. Likewise,af ter the hens have hatched, the chicks are passed on to other household of beneficiaries. The chicken project is doing extremely weil and beneficiaries are already passing on chicks to other HBCclients. Cultivation and planting report.

Thisyear we had shortage of rain. Although the lands were prepared in good time, planting was done late. Therefore the crops are not vet ready for harvesting, as aresuit there isa lot of hunger in the country. But thanks to the OIA programme! Our older people are never left without food! The project has cultivated the land for 37 clients for long rain season. Every client received 10kg of DAP fertilizer, 5kg of urea for top-dressing and 2kg of maize seeds for planting. Concerning banana suckers, all HBC clients received and planted a sucker each. Thiswere also purchased and paid for by the project. We hope to get more suckers from the ones planted so as to expand the project amongst the older persons. Besidesassisting HBCclients to cultivate and plant their food crops. as a group of volunteers we do assistSrto cultivate and plant some food crops at OPH. Thisseason we have planted maize, beans and sweet potatoes in the garden at OPH. We also look af ter OPH'S kitchen gardens to ensure that residents get a good supply of greens most of the time. With those few remarks, we say thank you very much to our donors for giving our older persons a life to live.

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G) HELEN NEKESA: Department of finance: Thiswill be tackled by Srin-charge for elder persons. Although we work closely together, she is the one to make the final decision concerning expenditure. Apart from that, I must admit that I hail you people for having sacrificed to support the elderly destitute people of our country. May you be blessed and rewarded for the goed and generous werk you do for God's people.

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For that reason the work of building was delayed. But now I am glad to let you know that the work commenced on 28th Jun'09 and the proceedings are satisfactory. The problem we are facing and might drag the construction work behind a bit islack of sufficient finance. The remaining KSH.240,000/- af ter the land transactions, has been spent on the following:Sand 5 Lorries- ksh. 12,500/Bricks 10,000- ksh. 30,000/-

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Hardcore 4 Lorries - ksh. 10,000/Ballast 3 Lorries - ksh. 18,000/Cement 60 bags - ksh. 54,600/Transport - ksh. 10,000/iron bar 10 pcs - ksh 8000/DPC 10 mtrs - ksh. 1000/Wall pass 25 kg - ksh. 3000/Timber 28 pcs - ksh. 18,660/Nails 15 kg - ksh. 1,960/Iron sheets 3mtrs, 35 pcs - ksh. 24,500/Wood preservative 10 Itrs- ksh 300/R6 X6 PCS- ksh. 1,500/Binding 5 kg - ksh. 750/TOTAL SPENT= KSH. 193,670/BALANCE

=

KSH.46,330/-

Relating to the work plan, we have purchased quite a few things to complete the structure. The group kindly requests for more money to be send so as to enable us forge ahead in terms of construction.

REPORTBYSISTERLYDIA (in-charge for elderly care) And Volunteers.

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FINANClAL REPORT:OPA; 09-01-02-01. NOTE: THIS REPORT COVERS ONLY HOME BASED CARE, 86 CLIENTS I.E. OPA: 09-01-02-01.

FINANClAL

REPORT JANUARY - JUNE 2009. BUDGET FOR 2009. KSH. 1.644,000

ACTUAL EXPENSE TIL JUN'09 745,892

Medical Kerosene Construdion/ Repairs

576,000 92,880 666,753

129,970 37,660 416,920

Beddings/ Clothinq v.maintanence/ petrol/ transport

175,600

83,550

204,000

79,350

30,000 624,000 316,450 61,500 232,000 14,340 108,000 2,570

16,720 312,000 179,860 34,945 10,000 5,100 34,600 1960

MONTH 2009

BALANCE FORWARD KSH.

ACTIVITY/ Items

JANUARY

B/F. 428,304

Food

FEBRUARY OIA.ACC RECEIVED 2.293,272

MARCH

Communication Salaries Farming Last offices Furniture Hvoiene For volunteers stationeries

APRIL MAY

JUNE

BALANCE IN ACCOUNT KSH.

2.171 ,292/-

1.034,018/-

TOTAL SPENT

2.088,527

NOTE: some items that were mentioned on the 2009 budget (HBC) are missing on this financial report because they have not vet been accomplished but we are soon to start working on them.

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We kindly request for more money to be sent. so as to enable the smooth running of the project. We are very grateful to you for your untiring financial support extended to the older persons of mainly western Kenya and Eastern Uganda. On the column of salaries, services delivered by Mr. Juma and volunteers have been merged together. i.e. 444,000/- (volunteers) + 180,000/- (Nurse Services). = 624,000/-. On the other hand, I am totally impressed with the way the finance office is run over there. The system of sending money to this ends has really improved a great deal! Since the year begun our older persons/ beneficiaries have lacked nothing they are entitled to get. Thisis so because there is no single day I went to bank and turned off due to finance shortage. A big thank you to oll our Donors and Sponsors. May your life span be elongated so that you continue supporting our elderly destitute people. BANK DETAILS

BANK NAME

NATIONAL BANK OF KENYA

BANK ADDRESS

BUSIABRANCH

BIC

NBKEKENX828

ACCOUNT NUMBER

0124237092601

ACCOUNT HOLDER

NAME

OUD (OUT) IN AFRICA

ADDRESS

P.O.BOX 527, BUSIA50400, KENYA.

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