Mildmay Kenya works to empower communities to deliver HIV health care services through support, education and training. We work to reach key affected and at-risk groups including young women, children, adolescents, MSM, and sex workers
HIV in Kenya
There are 1.5 million adults and children living with HIV in Kenya
4.5% adult HIV prevalence (ages 15-49)
42,000 new HIV infections
21,000 AIDS-related deaths
75% of adults on antiretroviral treatment*
63% of children on antiretroviral treatment*
*All adults/children living with HIV
Source: UNAIDS Data 2020
Thankfully, the small Mildmay Kenya team had no COVID-19 cases and retained its core staff, keeping it's programmes on track, sometimes exceeding projections.
Thankfully, the small Mildmay Kenya team had no COVID-19 cases and retained its core staff, keeping it's programmes on track, sometimes exceeding projections. This is good news for the people we work for as last year, the Kenyan Red Cross, which administers the Global Fund grant for Kenya, of which Mildmay Kenya is a beneficiary, doubled the size of the area to which Mildmay provides its HIV services.
This is testament to the achievements of the Mildmay Kenya team and the many community health volunteers (CHVs) it supports. Sadly, with no increase in budget for this increased activity, the small head office team, which run operations out of Kisumu, continues to try to do more with less.
There continue to be disruptions caused by striking health workers across Kenya, exacerbated by the impact of COVID-19. Amongst other structural challenges, ongoing drug supply issues also continue to affect the ability of health workers to provide even basic healthcare.
According to the Kenya AIDS Indicator Survey,
Siaya County, one of the principal areas where Mildmay Kenya operates, has 109,140 people living with HIV/AIDS out of a population of 963,007, with 3,824 people becoming infected every year.
The survey further states that 1,116 people died of HIV/AIDS related complications in 2019 while the mother-to-child transmission of the disease stands at 9.1%, way above the national target of 5%. This county alone contributed 21% and 10.8% of the total new HIV infections in Kenya among children and adults respectively.
The Tuk-tuk Ambulance your donations so generously allowed us to purchase, continues to earn its keep on Mageta Island. It is clear that a second vehicle on the island would bring further benefits as the ambulance has made such a difference to the work that Mildmay is doing to support the local team of two nurses and twenty-five CHVs in providing HIV and maternity support services to an island population of over 12,000 people. We continue to work with the County Health Services to provide essential health equipment to the island and across Kisumu and Siaya counties.
Volunteer youth workers on World AIDS Day 2020 in Ukwala, Siaya County
Refurbishment of the Health Centre on Mageta Island in Lake Victoria
Mageta Island has the highest HIV and AIDS prevalence and child mortality rates in Kenya. Mildmay has been working with communities to deliver HIV-healthcare through support, education and training in remote, impoverished rural areas like Mageta in Western Kenya for over 15 years.
The aim of this project is to refurbish the only health centre on Mageta Island to improve healthcare standards and encourage use of the clinic.
The health centre is the only one for all 12,000 inhabitants of the island.
What we are doing
We are refurbishing the health clinic on Mageta Island to increase its use by the Island's inhabitants, leading to improved health of the population.
Why we need to do it
The health centre is not well equipped or in good condition, and is not a welcoming place.
A large proportion of the island’s population avoid using it - except for the poorest residents, who don't have a choice.
We still need to raise £11,900 but that will complete the project.
The Safe Motherhood Project
Improving maternal and child health on Mageta Island
Your donations funded the purchase of this emergency ambulance Tuk-tuk to support the 12,000 inhabitants of Mageta Island
Healthcare for pregnant women on Mageta Island was basic and struggled to cope with emergency complications. The result of this was an unnecessary loss of life to both newborn babies and mothers.
For pregnant women on Mageta, healthcare was very difficult to access, as there are no roads or cars on the island, and the health centre is some distance from where most people live.
In 2018, we appealed to you for help to purchase a Tuk-tuk ambulance to provide emergency obstetric and maternity support to for the Island and thanks to your overwhelming support, we were able to purchase a 3-wheeled vehicle (a 'Tuk-tuk') which was outfitted as an emergency ambulance.
The project has provided:
The modified Tuk-Tuk ambulance, which has enabled vulnerable pregnant woman to deliver their babies at Mageta‘s community health facility. The ambulance can navigate the difficult terrain of the Island safely and is also equipped to deal with on-the-road emergencies.
Vital postnatal care, including testing for HIV.
Training for 30 community health volunteers (CHV) in emergency obstetric care. (Each CHV can reache around 100 households.)
Education for households on the importance of dedicated maternity services.
Emergency Ambulance Appeal: help us to purchase a much-needed second ambulance for the people of Mageta Island
In 2018, your generous donations funded the purchase of our first Tuk-tuk ambulance for the residents of Mageta Island.
We need to purchase a second ambulance for the island's residents because one ambulance for 12,000 people is simply not enough.
Having seen the number of lives potentially saved by this simple, efficient and versatile access to medical care, we know that a second vehicle would greatly increase the reach and impact of the services the health centre could be providing.
To purchase, equip and deliver the ambulance will cost £12,000
Mock-up of the proposed new ambulance
Added to this, your donations will help us to continue funding the Safe Motherhood Project, as well as related programmes to ensure that levels of education and training, information and awareness among CHVs is maintained.
Schoolgirls in Mageta during a cervical cancer screening and vaccination outreach where we gave out Information, Education and Communication materials (IEC), which are designed to provide useable information about HIV and other healthcare issues
When not in demand for emergencies, the Mageta ambulance is in constant use delivering healthcare services all over the island
Magnet Theatre Project
The Magnet Theatre Project, working with the local community in Siaya County, was envisaged to bring together young people to be able to discuss, access and contribute to the dialogue of HIV, SRHR (sexual and reproductive health rights) and demand creation and utilisation of the services related to HIV/SRHR.
Magnet Theatre intervention is designed to not only entertain and educate, but to involve audience members in the action and encourage the kind of participation and reflection that is key to sustained behaviour change. Magnet Theatre is a form of community theatre that typically takes place in outdoor, public spaces.
The hour-long performances explore issues affecting a community and encourage discussion and problem solving with audience members. The actors perform a drama that presents a dilemma based on community issues. The audience participates by offering suggestions to the characters or by taking the place of an actor and acting out solutions to the dilemma.
Magnet Theatre encourages audience members to discuss solutions and allows them to experiment in a safe environment, to encourage individual and community-wide change.
Magnet Theatre is different from other forms of community theatre because it targets and attracts a specific and repeat audience, takes place at a regular time at a specific venue, and serves as a forum for magnification of behaviour change.
Magnet Theatre has produced some of Mildmay Kenya’s most visible examples of behaviour change.
Global Fund HIV Programme
The Global fund HIV Programme, administered in Kenya through the Kenya Red Cross Society, undertakes to expand universal access to care and treatment services.
Mildmay Kenya is a sub-recipient of the fund and is working with Community Health workers in Samia, Teso South, Siaya and Bondo to advance care and support of the chronically ill, prevention of parent to child transmission, HIV testing and counselling as well as enhancing quality leadership and governance.
About Mageta Island
Lying off the eastern shores of Lake Victoria adjacent to Siaya, Mageta Island is about 8km from end to end and about one kilometre wide at its widest. Its total surface area is around 6.6 square kilometres. It is located in Bondo district, one of the poorest districts in Kenya.
The main economic activities are fishing and small-scale subsistence farming.
Despite social, economic and political advances elsewhere in Kenya, the island community feels isolated and there is little development in infrastructure, health and education. The island is not connected to the electricity grid and inefficient solar power cells generate barely enough power to light 40w light bulbs.
*Mildmay UK works with our sister NGOs overseas
Mildmay KENYA and Mildmay UGANDA operate independently - they are locally registered with their own Boards of Trustees and constitutions. Although they undertake fundraising and partnership work locally, they rely on Mildmay's supporters in the UK to fund their work.
Mildmay UK needs to raise funds for these and other projects