the 2014 Annual Report


year in review: 2014
Letter from the Executive Director
Dear Friends,
"
Our hope is that these pages bring to life the profound impact you are making for the 20,000 people who
directly benefit from our work in Kenya.
"
As you read through the 2014 year in review, I would like to highlight three identifiers that make the work
of the Lwala Community Alliance unique:
"
Holistic Approach: We believe that care for the whole person is most transformative. This is why
we deliver integrated programming in healthcare, education, and economic development.
"
"
"
Local Adaptation: We believe that locally-based organizations, rooted in the communities
they serve, are uniquely positioned to adapt programming to meet the challenges in their
communities. This is why we maintain our Kenyan roots and purposefully employ more than
180 Kenyan nationals in various roles across our programs.
Targeted Impact: We believe that focusing on an acutely affected population leads to
measurable results. This is why our programs target the 3,800 families in and around the North
Kamagambo location, which is in Migori County, Kenya. This area has particularly high rates of
HIV, maternal, infant, and child mortality, and very low rates of educational and economic
attainment for women. By focusing our impact in this rural region, we are tangibly reducing the
burden of HIV, increasing child survival, and helping girls and women succeed. And, we are
proving this by tracking our results.
This year, we are indebted to hundreds of individuals and two dozen partner organizations that have
supported our approach. To each of you, we want to say thank you. In particular, I want to publicly thank
the Segal Family Foundation, Ronald McDonald House Charities, Blood:Water Mission, Vanderbilt
University, Health eVillages, Izumi Foundation, PPFA, Watsi, Real Medicine Foundation, and various
ministries of the government of Kenya for their sustaining support. "
"
"
"
In mission,
James Nardella
Executive Director
Our Mission
To build the capacity of the people
Our Vision
Wholeness of life in Lwala and beyond.
of Lwala, Kenya to advance their
own comprehensive well-being.
Who We Are
Lwala Community Alliance is a Kenyan health, education and development agency.
The organization was founded by Kenyan brothers Milton and Fred Ochieng’, subjects
of the documentary film “Sons of Lwala.” While the brothers were in college in the
United States, they lost both of their parents to AIDS. Milton and Fred took this as a
call to action to provide access to primary care in their home village and opened the
Lwala Community Hospital, where more than 30,000 patient visits are provided
each year. The hospital now sits at the center of a multi-dimensional program, which
includes ongoing public health outreach to 3,800 homes, auxiliary education projects
reaching 6,000 students at government schools, and micro-enterprise activities
training hundreds of local people. This body of work has grown significantly since 2007
to serve a population of more than 20,000 people and employ 180 Kenyans. Lwala
Community Alliance is geographically focused in the Lake Victoria region because
the location is known for its challenges. The HIV prevalence rates along the lake are
triple the national average for Kenya. Though the project is locally focused, the lessons
have importance well beyond rural Kenya. Lwala documents evidence and processes
and purposefully shares these lessons with peer organizations to foster
transferability to other similar settings. In short, Lwala aims to be a Kenyan innovator,
focused on community-based change in a region with acute development needs and
promoting this type of grassroots change in other parts of rural Africa.
Our 2030 Goals
1. Promote physical health through the provision of wellness, preventative, and
medical care. 2. Prepare the next generation of local leaders through universal quality
education. 3. Build self-reliance by growing the local economy. 4. Advance equal rights
and opportunities for women and men. 5. Foster sustainable and ethical use of natural
resources. 6. Engage the local faith community as a partner in strengthening
individuals and families. 7. Create and share a replicable model in community-led
development. 8. Collaborate with Kenyan and international partners to move from
dependency to ownership.
Our model
Economic
Development
Clinical Care
Multi-Dimensional
Education
Public Health
2014
Clinical Care
Accomplishments
1,582
Health is at the center of our programs in Kenya. In Migori County,
where Lwala is located, HIV rates are 16-20%, triple the national average.
In addition, rates of infant and maternal mortality in the region are high.
Out of every 1,000 births, 95 babies will die before their 1st birthday,
more than 10 times as many in the U.S. Due to the threats of HIV,
malaria, other infectious diseases, and poor sanitation, life expectancy in
the region hovers around 45 years. In order to combat these threats to
well-being, our programs focus both on treatment at the hospital and
prevention through health education and outreach in the community.
Total number of family
planning visits
(3% increase from 2013)
656
Number of
long-term family planning
method visits
(33% increase from 2013)
967
Total number
of HIV clients on care
(22% increase from 2013)
429
Number
of babies delivered
227
Number of children
fully immunized
Contraceptive Prescriptions Compared to Adolescent Delivery Rate
250
100%
Implants (Long-Term)
HIV Care (7,574)
Prenatal Care (1,454)
Inpatient (1,114)
% Adolescent Delivery Rate
150
60%
100
40%
50
20%
0
0%
Jan-15
Dec-14
Oct-14
Nov-14
Sep-14
Jul-14
Aug-14
Jun-14
Apr-14
May-14
Mar-14
Jan-14
Feb-14
Dec-13
Oct-13
Nov-13
Sep-13
Jul-13
Aug-13
Jun-13
Apr-13
May-13
Mar-13
Jan-13
Feb-13
Dec-12
Oct-12
Nov-12
Sep-12
Jul-12
Aug-12
Jun-12
Apr-12
Deliveries (429)
May-12
Post-Natal Care (465)
Mar-12
Clinical Outreach (1,064)
Jan-12
Patient Visits
Family Planning (1,582)
80%
Pills (Short-Term)
Feb-12
30,970
Well-Child Visits (5,885)
Injections (Short-Term)
200
% of Total Deliveries by Adolescents
Primary Care (11,413)
Count of Contraceptive Prescriptions
I.U.C.D (Long-Term)
Hospital Expansion
I
n November 2014, we broke ground
on our hospital expansion. With this
new wing, we will accommodate 16
in-patient beds and additional rooms for
well-child and prenatal visits. We are
also equipping the facility for transition
to electronic medical records and
strengthening our diagnostics with a
new laboratory.
New Staff Housing
W
e are also adding staff housing to
provide our clinical staff with living
quarters close to the hospital, so
they can quickly respond to emergencies on
nights and weekends.
2014
Public Health
Accomplishments
In 2014, we announced a new Clinton Global Initiative Commitment to Action called
"Thrive thru 5," an all-out effort to reduce under-5 mortality by the end of 2016. In this
program, local community health workers conduct door-to-door outreach in order to
identify all pregnant women and families with children under 5 in our service area,
provide them with home-based health education, and link them to health services.
We address the main threats to child survival:
• Malnutrition
• Birth complications
• Acute respiratory infections • Childhood accidents
2,223
Number of families enrolled
in Thrive thru 5
87
• Malaria
• HIV
• Water borne diseases
Number of Community
Health Workers
67%
of Thrive thru 5 families
with a latrine
(16% increase from 2013)
Pregnant Women Delivering at a Health Facility
92%
96%
94%
47%
47%
26%
Pre-2011
2011
2012
2013
2014
County
Average
Beneficiary Spotlight: Alvince
“A year ago, Alvince could not stand, let alone play with
children. He was unable to eat and talk, always crying, and was
just very thin and weak. I thought he was going to die. I’M
GRATEFUL FOR LWALA. With the support, counseling, and
follow-ups we received, I’m confident that my family won’t have
any more deaths related to malnutrition. I want Alvince to go to
school and have a BETTER STANDARD OF LIVING.”
-Florence, Alvince’s mother and a client of Thrive thru 5
2014
Economic Development
Accomplishments
We promote self-reliance and sustained livelihoods for the people of the region through...
"
• MICRO ENTERPRISES like the New Visions Sewing Cooperative.
10
Number of women
employed as tailors
• AGRICULTURAL SKILLS BUILDING in partnership with Development in Gardening.
72
• EMPLOYMENT OPPORTUNITIES for 180 Kenyan nationals in our various programs.
• MICROLOANS AND SAVINGS in partnership with KIVA.
Number of people who
received a microloan
93%
Repayment rate
on microloans
83
Number of people active
in farming groups
Individuals Receiving Skills Training
393
311
1,234
Total Individuals
Attending Training
General skills-building
Sustainable agriculture
Farming as a business
530
Beneficiary Spotlight: Beldine
As a participant in our Development in Gardening
agricultural training program, Beldine learned how to
grow vegetables to supplement the wages of her
husband. “Before we were completely dependent
upon sugarcane production, which are in decline, but
now I CAN FEED MY FAMILY WITHOUT IT.”
2014
Education
Accomplishments
We work with 13 local public schools to...
"
PROMOTE STUDENT HEALTH by providing clean water and latrines to schools,
running health clubs, developing school gardens, and deploying youth health workers
to provide sexual and reproductive health information to their adolescent peers.
"
ACHIEVE GENDER EQUITY by providing locally made school uniforms and reusable
sanitary pads to all middle school age girls and mentoring small groups of at-risk girls.
5,155
Number of students with
access to safe water
at 13 local schools
"
EQUIP the NEXT GENERATION of leaders through linking 40 talented high school
students to high school sponsorships.
2,871
Number of students
with access to latrines
at 6 local schools
786
Number of girls
receiving uniforms
and/or pads
Ratio of Boys to Girls
2010$Primary School (Class
2014%
Completing
8)
2010$
37%
46%Boys%
63%
Girls%
54%
Boys
2010
Girls
2014
183
Number
of girls mentored
Boys%
Girls%
40
Number of students
sponsored
for secondary school
Beneficiary Spotlight: Masline
“The girls mentoring program has really IMPROVED MY CONFIDENCE – I
am glad to report that I feel comfortable sharing with peers about my own life,
and I now encourage them to join the girls mentoring group at our school.”
"
- Masline, a class 7 student at Kuna Primary School who was
recruited to join our in-school girls’ mentoring program after
teacher noted she often had a sad and gloomy demeanor.
Finance
Revenue
(Numbers all in $000s)
INDIVIDUALS
229
ORGANIZATIONAL PARTNERS
897
OTHER REVENUE & GIFTS-IN-KIND
TOTAL REVENUE
203
1,329
Expenses
(Numbers all in $000s)
PROGRAM SERVICES
DEVELOPMENT
1,130
124
MANAGEMENT / ADMINISTRATION
80
TOTAL EXPENSES
1,334
CHANGE IN NET ASSETS
13
NET ASSETS AT THE BEGINNING OF THE YEAR
1,776
NET ASSETS AT THE END OF THE YEAR
1,771
These figures have been audited in Kenya and are currently being audited in the U.S.
* All figures are combined U.S. and Kenya
Our Program Services
Our Spending Efficiency
9%
6%
Clinical Care Activities
85%
33%
Program Services
28%
BREAKDOWN
OF PROGRAM EXPENSES
Development
Management/
Administration
25%
4%
3%
7%
Public Health Activities
Education Activities
Economic Development
Activities
Program Salaries &
Benefits
Program Operations &
Management
“As an organization, RMHC knows that we can’t be everywhere, so it is our commitment to invest in
organizations that provide culturally relevant, sustainable program services that address the critical needs
of children. And, by all measures, Lwala Community Alliance is leading on that front.”
"
– J.C. Gonzalez-Mendez, CEO, Ronald McDonald House Charities
Organizational Allies
THE
CONSERVATION, FOOD
& HEATH FOUNDATION
T&J Meyer
Family Foundation
Individual Allies
$10,000 and above
Cole and Christen Barfield
Lee and Mary Barfield
Scott and Michele Butler
Elizabeth and Stephen Carr
Emily Deschanel and David Hornsby
Melkus Family Foundation
Merck Corporation
The Wiggins Foundation
$5,000 -$9,999
Phil and Linda Andryc
Anthony Dibona
Chris and Kirstin Hobday
Brock and Corinne Kidd
Thad and Suzanne King
Eric and Rebecca Klindt*
$2,500 -$4,999
Bert and Kim Bailey
John and Sallie Bailey
Harry and Jeanne Baxter*
David Morgan and Karen Bloch
Bill and Anita Cochran
Anonymous
Hunter and Leigh Atkins
Jeff and Melinda Balser*
Kelley Barnaby
Russell and Jane Bethoney
Bill and Ann Brine
Frank and Ann Bumstead
Judson and Carol Burnham
Paul and Carol Caldron
Karen Callahan
Judith Chaffee and Pete Wishnok
William Danforth
Reagan and Alice Demas
David and Bettina Eilers
Senator William Frist
Cuong Do
Susan Douglas and Felix Dowsley
John and Carole Ferguson
John Glazer
Sarah and Peter Lanfer
Robert and Bonnie Miller*
Mark and Kaye Nickell
William and Shelley Mason*
McKesson Foundation
Medpresso Inc.
Frank and Susan McGinty
Marilyn Paganucci
Laurie Phelan
Tom and Ashley Pierce
Dorothy Porter
Annabel Raebeck
David and Kay Raybin
Daniel and Sheila Riesel
Cathryn Rolfe*
Kenneth and Dina Russell
1% Alliance Members
Susan Glick*
Justin and Karen Hill
Larry and Kay Litten*
Robert and Bonnie Miller*
Katherine Mueller*
"
David Saff
Jamie and David Sauerburger
John and Kirstin Scott*
Clay and Dorothy Sifford
Elizabeth B. Stadler Foundation
Katharine Sterling
Tina and Aaron Swenson*
Brad Thomason
Lindsey and David Toomey
Stephen and Lucy Tshuka
Sten Vermund and Pilar Vargus*
Eric and Laurie Wadsworth
Erik Wang
Eileen Waters
Bill and Sarah Young
Don and Lisa Nehrig*
John and Kirstin Scott*
Joel and Hilary Stanton*
Tina and Aaron Swenson*
Other Monthly Allies
Dionne Gayle
John and Rosemary Gitau
Caitlin and Nic Glover
Natasha Halasa
Edana Hough
Michelle Kiger
Michelle Kingsbury
Christine Knippenberg
Thrill Hill Foundation
Lynne McFarland and Newell Anderson
Sanjay Pingle
Christopher Reiner and Kathleen Kilbride
Sam Taylor
Reed and Rosie Trickett
$1,000 -$2,999
Wilford and Cathey Fuqua
Barbara Fildes and Keith Quinton
Russell and Dinah Fitzgerald*
Bonnie Leber and Thomas Folan
Andy and Katie Friedland
Waldon and Renee Garriss*
Kevin and Kristin Harney*
Justin and Karen Hill
Kairos Church (Atlanta)
Hunter King
Eric and Becky Lee
Gus and Diane Lee*
Valerie Leitman
Rick Majzun
Brian and Jocelyn Mason*
Oran Aaronson and Shannon Snyder*
Harry and Jeanne Baxter*
Randy Brothers*
Ross and Autumn Carper*
Rebecca Cook
Bo and Sarah Bartholomew
Jim Brown, III
Sylvester and Roxanne Brown
Jane Easdown
Stephanus Eman
Nathan Empsall
Geoffrey and Amy Fleming
Kristen Foery
Linda and Don Norman
David and Susan Pyke
Joel and Hilary Stanton*
Tangela Lauderdale
Jessica Lyon
Bettina McKay
Leigh Ann Michaels
Mark and Erin Miller
Vanessa Moldovan
Curry Moore
Jim and Allie Nardella
Frances Niles
Mindy Scibilia
Girija Shinde
Renee Tevelow
Lauren Welsh
"
* Denotes also Monthly Allies
“The Ochieng’ brothers’ accomplishment in forming the Lwala Community Alliance is a well-known
and inspiring example to everyone in the United States and abroad who is involved in global health.”
"
Dr. Jim Yong Kim, President of the World Bank
OUR TEAM
Our Kenya team makes up 97% of our organization.
We invest heavily in local leaders.
US STAFF:
James Nardella, MEd, Executive Director
Katherine Falk, MEd, Partnerships & Communications Manager
Mindy Scibilia, Field Operations Officer
Kelli Ross, MS, Development Associate /
Assistant to the Executive Director
Liz Chamberlain, MA, Partnerships & Reporting Officer
Kevin Chamberlain, MS, Systems Officer
BOARD OF DIRECTORS:
Elizabeth Carr, MBA (Chair)
Dave Eilers, MBA (Vice Chair)
Chris Hobday, MBA (Treasurer)
Caitlin Glover, MPH (Secretary)
Cole Barfield, MD, MBA
Susan Douglas, PhD
Fred Ochieng’, MD
Milton Ochieng’, MD
Craig Parker
Joel Stanton
Lindsey Toomey, MPA
Richard Wamai, PhD
KENYAN STAFF LEADERSHIP:
Robert Kasambala, Kenya Program Director
Mercy Owuor, MPH, Deputy Program Director
Wycliffe Okoth Omwanda, Head Clinician
Trizer Kemuma, Nursing Officer in Charge
David Adipo, Community Nurse Supervisor
Emily Mbolo, Education Coordinator
Edith Ingutia, Economic Development Coordinator
Mark Barasa, Operations Coordinator
Mackenzie Opiyo Okun, Finance Manager
Vincent Okoth, Monitoring & Evaluation Officer
ADVISORY BOARD:
Senator Bill Frist, MD
Joel Vikre, MS
Alison Kelley, MBA
Larry Trabue
Sten Vermund, MD
LWALA VILLAGE
DEVELOPMENT COMMITTEE:
Gervasse Nyakinye (Chair)
Shem Ooko (Vice Chair)
Charles Obong’o (Treasurer)
David Odwar Solo (Secretary)
Perpetua Okong’o (Assistant Secretary)
Charles Obunga
John Obunga
Rose Onyango
Samson Mbori
Robinson Mbori
Musa Odhiambo Oloo
www.LwalacommunityAlliance.org