EWOI PROGRAMME

ANNUAL REPORT FOR 2007

 

Introduction.

The aim of the Ewoi programme, to assist the poor elderly, who are abandoned by family and community, is still put in practice, because they are on their own; unable to take care of themselves. In particular, they suffer from malnutrition and cannot access medical facilities. 

Since 1999 the programme is part of the Diocesan Pastoral Plan and it is continuing part of the Pastoral Plan 2007 – 2012.

 

 

Clients.

The programme has an intake of 160 participants in Lodwar town.

The programme also deals with self-help groups in Lokitaung, Katilu, Kataboi, Kaikor, Kalokol, Nasiger, and Kangatotha with about 800 getting help through the programme. The intake of new clients in Lodwar is carried out by the social worker and the home-visitor. In the other villages the intake is the task of volunteers in the parishes.

In Lodwar 8 clients died and we had an intake of 15 new clients.

 

Staff.

The programme is staffed by:

1 coordinator

1 assistant coordinator

1 informal social worker

1 full-time home visitor/community worker

2 part-time home visitors

1 part-time home visitor/office worker

1 WET member (Work Experience Training)

1 part-time cleaner

3 watchmen, 2 full time and 1 part-time.

 

- 5 staff members attended on a course about Home Based Care and the assistant coordinator attended a 5 day course on Management. Both courses were organized by MEDS in Nairobi

- 2 Staff members also attended a course on Home Based Care organized by the Medical

   Coordinator of the diocese of Lodwar.

- 2 Staff members finished a driving course and they got their driving licenses, 1 for a car

   and 1 for a motorbike.

- 1 former home visitor, sponsored by the Ewoi programme for a nursing course is

   finishing her first year. From the second year of the course she will be sponsored

   by Anna Poot Foundation from the Netherlands.

- The informal social worker is still doing her course; she did her exams but the results are not yet out.

 

 

The office.

One staff member is engaged in office work. She takes care of the store and the food supply. She also attends the records of the store and what is going out.

Three times a week she also teaches 3 young handicapped clients

During 2007:

536      came to the office for general assistance and special reasons

424      Medical assistance.

4194    Food assistance, the office gave out:

-         Maize/beans                                                     3781 packets (1.3 kg)

-         Posho                                                               2965 packets (1.3 kg)

-         Unimix                                                  267 packets   (1.3 kg)

-         Biscuits                                                 869 pieces

-         Others  (soap/oil/mats/cloth/mats etc.)   2420                           

 

After getting a donation the gate was extended and the fence renewed.

During the last month of 2007 it was sometime difficult/dangerous to be in the office. People came from the market, used alcohol and were fighting and shouting to the employees who were in the office. After elections the office was closed for some time.

 

Home visits

Through home visits a lot of information about the need of the old and handicapped people comes to the staff. Many people know the home visitor who is active in a certain village and they give her information about the needy in their community.

The home visitors continue trying to motivate the relatives and community to assist the old ones in fulfilling their needs.

After reporting to the office, decisions of helping can be made.

The clients appreciate the home visits very much. Sometimes the home visitors are the only ones the clients can talk with.

Total Home visits:         Social worker     736

                                    Home visitors   5,221

                                    Others                  36   

 

 

Medical department

Until June the programme had a full-time nurse. She finished her job after becoming pregnant. From July one of the staff members accompanies the sick clients to the hospital or the nearby dispensaries. She is carrying out the follow-ups and gives information to the responsible home visitor about the situation of the client.

When there is a sick client who is not capable of going to the hospital or dispensary, we can call a nurse from the hospital who visits the sick granny at home.

The way of treating the old sick ones is in this way working well and it is cheaper for the programme, because the salary of a nurse is very high. 

 

Mobile clinics.

The mobile clinic to Kalokol is still successful. Sick old ones are coming up in a good number. A part-time home visitor is doing the follow ups and monitors them and their relatives. Since May we don’t get assistance from the sisters in Kalokol, they have other jobs to do. Every month the clients got food and occasionally clothes, soap, mats, etc.

The mobile clinics in the villages failed. People were demanding free assistance, were harsh to the staff and the leaders did not give the messages to the community. The time came to stop three mobile clinics.

 

 

Eye camp.

Three eye camps were held. Two in Lodwar District hospital and one in Kakuma hospital.

A total of44 attended the eye camps with results as follows:.

- 16 got an operation

- 14 got treatment

-  8 needed follow-ups

-  6 could not be treated.

After the cataract operations13 lients got back their vision.

 

Prevention.

-  During celebrations, mobile clinics and other group activities the clients were taught

   about hygiene, how to use medicine, assisting each other, income generating etc. These

   workshops were successful.

-  During home visits the clients were taught about personal and environmental hygiene. When it is necessary, the home visitor cuts nails and hair of the client and assists with bathing.

- Mosquito nets were donated by the hospital and from a sponsor abroad. The office is

   still distributing these nets. The impression is that, already, the malaria cases of the

   clients have reduced.

 

Activities of the medical department.

- 590    clients got medical treatment in the office, hospital, dispensary, or at home (home

            visits from nurse)

-     8    where admitted in the hospital

- 217    home visits carried out by the nurse or the medical assistant

-   79    visits to the different health facilities ( hospital, dispensaries, clinics) .

- 673    clients attended the mobile clinic, 59 cost sharing treatments.

- 271    Home visits carried out by the nurse or medical assistant about special medical reason/follow-ups.

 

Handicapped.

Ewoi programme is still dealing with handicapped. The social worker is concerned about them. During home visits the staff meets the handicapped, mostly children, or parents ask assistance because they don’t know what to do or where to go. The programme tried to refer them to John Paul II home in Lokichar. For “simple cases” the programme organized attention in cooperation with the orthopedic technician from Kitale.

Liliane foundation is assisting in sponsorship. At the moment we gave attention to 10 handicapped most children. Seven are on the waiting list.

The office handed over 13 handicapped children to John Paul 2nd  Home for physically handicapped at Lokichar.

 

Food.

For the poor weak old people getting food is still a problem. The only source of food is the food distributed by the relief organizations. If there is relief food it is difficult for them to get it. Some old ones are begging daily in town.

For a group of about eighty clients, the programme provided food every week except during June and July.

This food contains 1.3 kg maize/beans 1.3 kg flour, two times a month ¼ lt. of oil and a small packet of salt. The programme also offers extra food for clients with special needs. This includes those who are on strong medicines e.g. ARV’s and to clients who have to take care of grandchildren (aids orphans).

 

During the year the programme got some food from the diocese. It did not get food from any relief organization.

A few times the programme supplied some food to Lokitaung and Kataboi and food was given to the clients in Kalokol during the monthly mobile clinic.

 

Transport

The programme is using a Hilux Pick-up. The staffs are using bicycles when they go to the field. The nurse took driving lessons for riding the motor bike but unfortunately she left the programme before she finished the course.

The day watchman is doing the repair of the bicycles and every four months a mechanic is carrying out the general service.

 

Income generating Project.

One staff member is doing the income generating activities. She helps clients to get some income through a small loan and guide them how to do the business. The old ones can spent the profit for their daily live.

Also the staff members stimulate the clients to make mats, brooms, sticks, collecting firewood. etc. But this is never enough to buy the most necessary food and household items.

59 Of the clients are doing an activity for sustaining their lives and 5 are in the income generating project.

These IGP activities consume a lot of the staff members time and need a patient and committed attitude.

 

Finance.

The sustenance of the programme still depends on well-wishers. Through their kind help the programme has been able to carry out their activities according to the aim of the programme. The Board of Management and the Staff of Ewoi programme are very grateful for all the donations from abroad to run the programme.

The programme is still looking for a long-term sponsor.

Cost-sharing is working well in some areas. But the staff members have to continue to motivate the clients.

 

Building houses.

To build houses for the old people who need a better house is one of the aims of the programme. But by experience we learnt that the relatives and community left every thing to the staff of the programme. Therefore the staff made the decision to stop this activity for a while and made clear to the relatives and the community that they have to participate. This was successful because several clients got new houses build by their relatives and community members. On these occasions the programme had given assistance and provided some food for work.

 

Activities.

-         The Board of management held two meetings.

-         The programme organized a Easter celebration for the clients in Kalokol and celebrated the “International Day for the Elderly”.

-         Weekly food distribution for about 80 clients.

-         Several times homeless people were picked from the street, their homes were found and staff members brought them back home, after bathing, cutting hair/nails and putting on clean clothes.

-         During the mobile clinic in Kalokol the clients got some food, soap and if necessary the programme gave out clothes, bedding, utensils etc.

-         Through the activities of the Orthopedic Technician some clients and non clients got orthopedic equipment as calipers, artificial legs, polio boots.

-         Through a sponsor from the Netherlands the programme was provided with 6 wheelchairs and 20 pair of crutches. One wheelchair was stolen during the transport.

-         A total of 8 workshops were organized. Nasiger (2x) Kangatotha (2x) Kaikor (2x) Kataboi and Katilu. Attendants were members of Small Christian Communities.

-         The programme continues teaching 3 handicapped youngsters, because “Adult education programme” has no staff to give attention to them.

-         Clients are more used to pay cost sharing. The clients don’t complain about it.

-         Two staff members are doing a distance course for management and one former home visitor is doing nursing in KMTC Lodwar.

-         Five staff members went to down country to attend a workshop about Home based Care and the assistant coordinator attend a 5 days workshop about management. Both courses were organized by MEDS.

The programme organized several work shops for the staff .

Regularly the programme kept in contact with:

Chancellor of the Diocese, District Officer, Forestry office, Chiefs, Social Ministry, Social Service, Hospital, Liliane Foundation, Help Age, Dispensaries, Police, Justice and Peace, Children’s Officer and other public organizations.

-         One outing for the staff was organized.

 

 

 

 

 

Problems faced by the programme.

-         Involving the members of the Small Christian Community is still a problem. But through the workshops held in different parishes we see improvement.

-         Transport is expensive because of the bad roads. Car and bicycles needs repair frequently.

-         Through the campaigns and political rally’s it was dangerous for the home visitors to do their activities in the field.

During the election time the office was closed for some weeks.

-         People outside Lodwar expect that the programme can give food and other goods to the elderly in their parish. This is not always possible.

 

Planning 2008.

-         Continuing the activities of 2007

-         Continuing the workshops for the Small Christian Communities and extending them.

-         More activities to teach the clients about health and social issues organized by the Community Health worker and the social worker.

-         Appoint Wet members in Katilu, Kataboi and Kaikor to assist the old and  motivate the community.

-         Trying to find a long-term sponsor(s)

 

Finally the Board of the programme and the management are very grateful to all the well-wishers who made it possible to sustain the Ewoi programme. Without them it was not possible to assist the poor needy old people in Lodwar and surroundings.

Also thanks to the staff. They are hardworking. They showed a responsible attitude and were always willing to assist the poor. They are a good example for the whole community.

 

Lodwar, 31 December 2007.

 

 

 

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