HELLEN SALISI

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Hellen  Salisi’s background history.

Hellen is a 24year old lady,  fifth born in a family of eight; four boys and four girls, though one girl passed on. Hellen is a single mother of two pretty girls- Harriet (5years)and Hazel (1 ½ years) with whom she stays with at her paternal home. Her parents are not employed though the father used to be a high school teacher but got fired due to excessive alcoholism. Helens’ mother has been suffering from stroke ever since her husband got fired. Life has not been any easier since the mother cannot work and the father only looks for money to buy alcohol and so Hellen and her siblings have to find a way of surviving and supporting their parents. Hellen has four elder siblings who engage in manual work and use the money for food. At least all her siblings got educated past primary school level even though they did not perform well. Only two of her siblings did not complete secondary school education; one-Hellen’s younger sister, who got pregnant when in form two and her younger brother who dropped out of school one year ago  (2012)due to complete lack of school fees. This happened after Hellen stopped her work as an Untrained Teacher as a result of stigma by fellow staff and students she taught, and so she could not afford to pay her brothers school fees.

“My education was just by the grace of God…, I cleared my primary education in 2005 and was called in Butere girls (a provincial school), but could not make it because of lack of school fees.” Hellen explained.  She was taken to a nearby local school where she schooled for one term and was sent back home for school fees. She was lucky to get an individual sponsor, a young man from a rich family. He sponsored her education for two years and then asked her to befriend him so that he could marry her after she completed school. The man threatened to stop sponsoring her education and so she gave in. Hellen realized she was expectant with the man’s child as she got to form three, but on informing the man, he denied it and disappeared. She went on schooling and was lucky to get another sponsor organization (SWAK)before the school administrators realized she was expectant. By the time it was realized she had already  registered for her National examination for Secondary education( KCSE).She pleaded with the management until she was allowed to go deliver and come back to sit for her examination. She attained a C+ in that exam.

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Hellen with her two daughters, Harriet (left) and Hazel on her laps

After school, Hellen had a responsibility to nurse her child and parents as well as younger siblings. She did different manual work for people mainly farming as she managed some food for her family and school fees for her younger siblings. Once in a while her elder brothers would send her some money to buy food for the family. She then met a man and they started dating. They had dated for a couple of months when the man asked her to organize so that they could get married.

“‘He had agreed marry me and accept to stay with my firstborn child. But when I realized that I was pregnant with his child before we got married, he denied the pregnancy and went on to marry another girl…’She explained as she tried to hide the tears that were starting to form  in her eyes. I got so annoyed and stressed up that I ran away from home to some old  woman’s home who  was not even a relative because my father is very harsh. I delivered there and only came back home when the child was six months old. It is after this delivery that I realized I could not control my bladder. Urine passed uncontrollably and I had o start using rags to nap myself so as to avoid embarrassment.’” Hellen narrated to the counselor. This period during her second pregnancy made develop stomach ulcers since she was so stressed up with what was happening in her life.

Hellen and a field officer in a session at her home

Hellen and a field officer in a session at her home

 

We managed to identify ad reach Hellen through one of our organizations CHW, and took her for treatment courtesy of One By One our sponsors in the Fistula Treatment. Hellen is currently in our reintegration programme and she wishes to be empowered in hairdressing and computer packages. These, she says, will enable her work from home or even get employed in as an office assistant with computer knowledge and raise some money to care for her two daughters, parents and send her brother back to school. She still has hope that one day she will further her studies in Teaching or Mass Communication, but this she will do after her brother has completed high school.

“Am so grateful to WADADIA Organization. They have taken away my shame and are still helping me more. May God bless all those who are dedicated in reaching out to people like me through WADADIA.”

 

HELLEN SALISI’S REINTERGRATION

Hellen arrived in Mumias at about 10 am on 23rd Jan 2014 after her treat and was received by one of the organizations counselors at the main stage. They arrive at the office and she was taken through a brief therapy session that included measuring her self esteem at the moment. She was there after taken to her host family where she met her host father and mother, Mr. and Mrs.  Gregory Wamwee . She was received warmly and the counselor led the session where the host family oriented Hellen to know the home well. They there after expressed their expectations on her and she was also allowed to do the same. The counselor also expressed the organizations expectations to both the host family and client.

Hellen being received by her host parents Mr. & Mrs. Gregory

Hellen being received by her host parents Mr. & Mrs. Gregory

 

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Left to Right: Hellen, host mother and father conversing after her arrival.

Left to Right: Therapist, Hellens host mother, Hellen and her  host father.

Left to Right: Therapist, Hellens host mother, Hellen and her host father.

 

Left to Right: Therapist, Hellen's host mother, Hellen and her  host father.

Hellen and her host mother in a room prepared for her stay within their house.

 

 

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MR. & MRS. GREGORY WAMWEE

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MR. & MRS. GREGORY WAMWEE

They have been married since 1964 and were blessed with seven (7) children; four boys and three girls. All their children are through with their education and have settled on their own. They stay with six of their grandchildren who are all in primary school level. When approached on the issue of being a host family, Jackline was quite unsure if they can manage. She was concerned about the special diet the client would need and where she will sleep as well as how they will manage to stay with her since she was not at home through out. She also thought she might not be able to be a host family since she was old. After sharing with one of the organizations counselor, she said she was ready to be a host family but needed to share the idea first to her husband- Gregory.

Gregory was afraid at first. “How will we be able to take care of a patient at this old age with no house help around? Who will be watching over her all through and Jacqueline doesn’t stay at home throughout? I also have a lot of commitments that do not allow me to stay home….?” Were some of the questions he asked. He was left to think through it and after two weeks, he agreed that they could host a client.

“They are just ordinary people like us and we wont disagree, and even if we did, ‘ wagombanao  ndio wapatanao’,  He shared with the counselor. It is also a way of giving back to the community. Let her come, we will be glad to learn even in old age.” Gregory assured the counselor.

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WINNY NAKHUMICHA TREATMENT HISTORY

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Winnie is a 20 year old lady from Nzoia sugar area-Lwandeti.  She is the second born in a family of seven and the first born girl. She dropped out of school while in class six when she got pregnant in 2006.Winny is a partial orphan who lived with her mother and later moved to her aunt after the death of her firstborn child during delivery in 2007.She thereafter got married in 2012 but the marriage did not work out well so they separated in mid 2013 just before she went for treatment at Gaenocare centre.

Her mother is a Community Health Worker and a small scale business person. Her husband passed on with HIV/AIDS in 2004 and since then life has been a struggle for the family.  Winnie got fistula in 2007 during delivery. She was tested and confirmed to have VVF and VRF.  Her first treatment was at Webuye district hospital, there after Kakamega general hospital, Kenyatta hospital and finally Gaenocare fistula centre-Eldoret. Throughout the treatments, only RVF was managed since she still leaks urine.  Winnie says that the repair at Gaenocare centre was her fifth repair. It was not very successful also since she left the facility wet, and was asked o go back for another repair on 16th February 2014.

Winnie also has other medical conditions that are of concern. She was diagnosed with Kidney failure and meningitis while at Kakamega general hospital. Her left leg swells at the ankle recurrently where it darkens and makes her feel sharp pain at the ankle. This, she says, has been treated three times but with no specific diagnosis given to her. She was told of a detached vein, high blood pressure and meningitis in different health facilities. She was also diagnosed with a kidney failure, which after sharing with her mother she confirms that that is a condition that runs in her family (mothers family).Winnie has however never sought treatment concerning the kidney failure.

Winny and her mother have not been in good terms ever since Winny got married. She was so annoyed and never wanted to talk to her at all. When Winnie was going through her treatment in different hospitals.  “Mum has never supported me at any point all through when I was undergoing these treatments. Times when I used to call her, she never picked my calls and she could even switch her phone off after realizing I was the one who was calling.” Winnie explained as her eyes filled with tears.

Winnie recalls on an incident when she was at Kenyatta hospital and was about to be discharged from hospital and the nurses tried to contact her mother to send her transport back home. She says her mother promised the nurses that she will send it but she did not, when tried to be contacted, she switched her phone off completely for two days.

Latter on when winnie went to Gaenocare fistula centre, she stayed there for a period of one month but her mother still could not visit he even though the distance from her home and the hospital was not far. This made Winnie very vulnerable and desperate since none of her family members visited her. She really felt neglected and unloved by her family. When she called her mother while at the facility to inform her of her being in the hospital, her mother told her not to bother her and that she should organize on her own how the medical bill will be cleared without involving her. When we introduced the reintegration programme to her it came in just in time to save her from her desperation since she had nowhere to go from hospital. Winnie had already separated with her husband and he had left her in a rental house with no financial nor any form of material support. She had therefore stayed in the house for two months alone without paying rent and the landlord was asking her out of the house when she left for hospital. While at the hospital,

she called a neighbour back in the plot only to be informed that the landlord had taken custody of her belongings and had declared the house vacant. Winnie accepted the programme even though she was not dry completely.

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Winny (Right) with a therapist (left) in different counseling sessions.

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Left to Right: Therapist with Winnies’ mother during her visit to winnie’s host family, therapy session together with Winnie, therapy session with the winnie, her mother and her host mother.

Winnie and her mother have been re-united through the reintegration programme where she was taken through counseling sessions where she was helped to work out the issues she had with her daughter, Winnie. Winnie was so glad to see her mother come all the way to Mumias just to visit her during an introduction session to the host family. She even supported her by buying her a few necessities that Winnie told her that she lacked and left her with some pocket money.

When Winnie was due for her check up back to the Fistula centre, her mother sent her transport and a few shillings for her upkeep during her stay in the facility. She promised to visit her at the facility this time round.

 

 

 

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PICTURES OF VARIOUS ACTIVITIES

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A group of peer educators in a discussion session during the MARPS splash inside out training

WADADIA peer educators with the rest of the participants with a trainer Left and KANCO coordinator far right in red pose for a photo  at completion of splash inside out training.

WADADIA peer educators with the rest of the participants with a trainer Left and KANCO coordinator far right in red pose for a photo at completion of splash inside out training.

One of the peer educators, Florence Wanyonyi  responding to questions and explaining a point to  guests  after a condom demonstration at one of the hot spots

One of the peer educators, Florence Wanyonyi responding to questions and explaining a point to guests after a condom demonstration at one of the hot spots

Part of the mobilization team during a HTC event at one of the hot spots

Part of the mobilization team during a HTC event at one of the hot spots

The WADADIA HTC providers  above with clients at one of the hot spots during a moonlight HTC event

The WADADIA HTC providers above with clients at one of the hot spots during a moonlight HTC event

Trainees having an energizer and above going through the steps of care and nursing a bed ridden patient during the HCBC training for Community Health Workers supported by the Kenya Red Cross.

Trainees having an energizer and above going through the steps of care and nursing a bed ridden patient during the HCBC training for Community Health Workers supported by the Kenya Red Cross.

One of the CHEWs, Gladys Wafula having a session with a client during the monitoring and support supervision visit to HCBC sites

One of the CHEWs, Gladys Wafula having a session with a client during the monitoring and support supervision visit to HCBC sites

WADADIA field officer, Judith Eshitemi  (holding the baby) with a mother and Baby Steve during a monitoring visit to clients in the community. The baby named after the WADADIA program assistant as a result of WADADIA’s consistent support and encouragement for skilled deliveries

WADADIA field officer, Judith Eshitemi (holding the baby) with a mother and Baby Steve during a monitoring visit to clients in the community. The baby named after the WADADIA program assistant as a result of WADADIA’s consistent support and encouragement for skilled deliveries

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PEER EDUCATOR

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PEER EDUCATORS

Wadadia has 20 and active peer educators  trained with Aphia Plus through KANCO targeting Female sex workers, the peer educators are working in different hot spots identified in Mumias, Matungu and Khwisero district, all the peer educators conduct peer education and outreach with the peers that follow national standards in order to be counted as reached, this is to ensure that participants gain knowledge and demonstrate needed skills, and that referrals made are in fact effective, and show specific behavioral outcome

The peer educators also carry out small group HIV prevention interventions typically which include two or more sessions, although each intervention may vary, participants must complete the required number of interventions in order to be counted as reached, this is to ensure that participants gain the knowledge gain and demonstrate needed skills, refferls made are in fact effective and demonstrate specific behavioral outcomes, in small group the peers are taken through a four session series which covers a specific topic in which participants are taken through the 4 steps of the risk reduction cycle

Some of the intervention registered by the peer educators includes,

-HIV prevention                                            -HIV &STIs                                -HIV & Reproductive health

-HIV & Sexual/gender based violence    -HIV &Alcohol & drug              -HIV &Maternal Health

-HIV &Empowerment                                 -HIV & Malaria                        -HIV &Economic strengthening

-HIV & Community activism                  -HIV &Mental Health                  -Care and Support

-PMTCT

Risk assessment helps the peers to determine the discussions that the peer needs to have to arrive at the root cause of the risk, this risk could be behavioral or situational, the risk reduction option and strategy depends on; the most effective or high impact prevention intervention and the contextual issues that might call for structural interventions, the peer educators helps the peers to understand and internalize the sources of their risk and navigate through risk reduction options.

They make their peers understand that they are at risk, what puts them at risk and what they can do to reduce or eliminate these risks factors, risk assessment helps them to conduct risk assessment for HIV, it also helps them to uncover risks arising from sexual and gender based violence, to count the client as being reached, the peers educators ensures that the peers complete risk assessment and have risk reduction plan.

The peers educators makes sure that after initial enrollment and the first risk assessment is done, they conduct a Check in visit or follow up at minimum every 3 months, During a check –in visit, a new risk assessment is carried out and new risk reduction plan developed, the date of the check in visit is recorded, the peer educators ensures that they always discuss the progress of their peers by reviewing the old plan, develop a new plan based on their view of the old plan and current situation

Some of the Risky behaviors identified by the peers’ educators include;

    • Unprotected sex with partner of unknown status
    • Casual unprotected sex(with multiple partners or paying client )
    • Delayed treatment for STIS
    • Alcohol consumption
    • Drug use
    • Occupational hazards or the exposures to bodily fluids
    • Sexual and Gender based violence

PEER EDUCATORS

The peers educators are linked to various health facilities where they refer their peers, and every referral is tracked and recorded, the following are some of the referral being tracked by the peer educators

-HTC-HIV counseling and testing         -STI-Screening for sexually transmitted diseases

-VMMC-Voluntary Male Circumcision       -TB- Tuberculosis screening

-CVCX-Cervical screening                            – EC/FP-Emergency Contraception/Family planning

-GBV-Rape care PEP, Post rape counseling, etc       -A&D –Alcohol &drug counseling

-PSS-Psycho-social support services                             -FSS-Family & social services

-LA-Legal Aid

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