Archive for December, 2014

Beyond zero with harm reduction

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This program is an initiative which aims at reducing maternal health problems among women in Kenya. The campaign was initiated by her Excellency MRS Margaret Kenyatta with the purpose of helping mothers during delivery due to the problems of lack of access to maternal health services within the healthcare system by introduction of mobile clinics within the 47 counties which can help them during delivery. This would therefore curb the current mortality rate which is 488 dearth s per 100000 live births.

The 2014 World AIDs Day in Kwale County was commemorated together with the launching of ‘Beyond zero campaign’, on the 3rd December 2014 at Lunga lunga sub-county. The event was graced by Her Excellency the First lady of the Republic of Kenya, MRS. MARGARET KENYATTA, who was the guest of Honour of the occasion.

Reachout centre trust was privileged to participate in this event. As an organization reaching to people who use drugs we have a responsibility to not only reach to male drug users but also the females who are part of the larger population of people who use drugs and experience a lot of challenges which are related to access to maternal health care services .


  • HON. SALIM MVURYA – The GOVERNOR, Kwale County.
  • MR. JAMES MACHARIA – Cabinet secretary for Health.
  • MR. EVANS ACHOKI – The County Commissioner, Kwale County
  • DR. NICHOLAS MURAGURI – Director of medical services.


  • DR. ATHMAN CHIGUZO – Cabinet secretary for health, Kwale County.
  • DANGOTE – Sponsor of The Beyond Zero Campaign
  • DR. REYCHAD ABDOOL – UN Joint programme on HIV & AIDS – UNODC.
  • MRS. CHRISTINE MVURYA – Kwale County first lady.
  • MR. LATIFF SHABAN – Council member, NACC
  • DR. KHADIJAH KASACHOON – The Principal Secretary for Health.
  • DR. AMYN LAKHANI – Aga Khan, Implementing partner.




Female drug users do not access SRH services as a result of fear, stigma and discrimination, for many reasons, women who use drugs are more likely than their male counterparts to acquire HIV. The stigma and discrimination that women who use drugs face increases the likelihood of engaging in behaviors that enhance their vulnerability to HIV and other blood-borne virus (BBV) transmission

Kenya has an estimated IDUs population size of 18,000 and 30,000 sex workers where 70% of the Injecting drug users are sexually active and are engaging in sexual activities without any protection the mobile clinic van will enhance easy accessibility and availability of sexual and reproductive health services to female injecting drug users at their drug using sites hence this will contribute to the universal access to SRH services and maternal health services. This would be through partnership with the local community to ensure that this service is available.

Outcomes of the launch

  • Easing availability of services to the female drug users.
  • Reducing infant and maternal mortality among female drug users.
  • Strengthening network among partners.


We were privileged to exhibit our services to Her excellence on the tent as the first group. We show cased one of the harm reduction package, i.e. Needle and Syringe exchange program (NSP), which is vital when it comes to the high transmission of HIV among the injecting drug users and we also gave a brief testimony on the same to show the importance of NSP to the people who inject drugs where Mr. Abasi Hamisi gave his story as he is former injecting drug user.

Her excellence was very excited and showed her concern and promised to support the NSP program by calling more resources from the National to County level. She was so concern on the women and the young ladies who are injecting drugs in County as we gave him the number ranging from 150 to 200 women and young ladies injecting drugs in the County.


Sustainable Livelihood for recovering Drug users

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The poultry farm was established early this year. The farm is one among the three phase project of the sustainable livelihood program sponsored by the UNODC- United Nation Office on Drugs and Crime. It’s located at the Half Way house which is a two month reintegration program for the recovery drug users. The first phase of the program was the charcoal briquette project. It involved;

  • Construction and installation of sanitary facilities
  • Installation of a water tank and piped water from the well at the premises

The first phase of the project was successfully completed as the water tanks and piped water from the well are all now fully functional. The project played a big role in;

  • Creating opportunities for some recovering drug users to earn some income in their involvement with the construction process of the facilities.
Bakari Ali attending to the chicks

Bakari Ali attending to the chicks

The second phase involved the food program. 60 Beneficiaries received a lunch meal from the DIC as from Monday to Fridays. The project achieved a number of impacts;

  • More beneficiaries turned up at the DIC on a daily basis.
  • Improving of the health status among the beneficiaries as a result of the provided nutrition support.
  • Adherence to HIV and TB medication and treatment among the clients.
  • More beneficiaries received drug addiction counseling as they were engaged one on one and group counseling.

The third phase of the project was the construction of the poultry farm. The farm was established early this year at the halfway house. It started with the construction process which created room for more recovery drug users to be involved in the process. The facility has a capacity of keeping 1000 broilers at a go under the care of an approximated 10 staff:5 in each poultry house . The chicken are sold according to their weight, at a price range of 300-450ksh.It is one of the most successful projects of the organization due to the observed positive impacts to both the organization and the recovery drug users. Through the project, we have been able to archive a number of positive outcomes as a an organization;

  • As an organization working towards harm reduction within the drug users population, we have been able to encourage HIV adheherance and proper nutrition through the Poultry farm among our recovering drug users.
  • The establishment of the poultry farm has ensured social sustainability among recovering drug users and those living with HIV.
  • The organziation has also created job opportunites among the recovering drug users as a result of their involvement in the construction process of the poulrty farm.
  • Through the active involvement of the recovery drug users in with the poultry farm activities, there has been a great support of the benefficieries by their families and the entire community as they are seen to be involved in more productive activities.
  • More beneficiaries have been making progressive to their families since the establishment of the farm. This is evident to the recovery drug users working within the premises through the income earned.

Challenges in working with judiciary

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Reshuffles and Transfer of the police officers makes it difficult since one has to start all over again.

-Demand of cash bails

-The LE/Judiciary base their judgment on the Narcotics bill and therefore do not have an idea on Harm reduction strategies by Reachout.

-PWID/PWUDs aren’t given fair judgments.

Support don’t punish

Stop stigma and discrimination-Fridah Maganga

Addiction is a disease is not criminization

Supports do not harass.

Mraibu ana haki kama mtu mwingine

“Uraibu na upangaji”

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Sexual Reproductive Health is a key component in Reachout Centre Trust Programming, the project aim at bridging the gap of access to Reproductive Health services to female who uses drugs.the project (Innovation Fund) is supported by KANCO.

In order to integrate the Sexual Reproductive Health and other medical services in our programming, on 11th December 2014, Reachout has organized a medical camp in Magongo Santana, dubbed “URAIBU NA UPANGAJI”, starting from 8.00am to 4.00pm. The organization is partnering with other partners such as: Tupange, Family Health Options Kenya, King’orani dispensary and Magongo Dispensary, to render services during the medical camp day.


Kenya has an estimated IDUs population size of 18,000 and 30,000 sex workers where 70% of the Injecting drug users are sexually active and are engaging in sexual activities without any protection Female drug users do not access SRH services as a result of fear, stigma and discrimination, for many reasons, women who use drugs are more likely than their male counterparts to acquire HIV. The stigma and discrimination that women who use drugs face increases the likelihood of engaging in behaviors that enhance their vulnerability to HIV and other blood-borne virus (BBV) transmission

The Services to be provided during the “URAIBU NA UPANGAJI”

    • Drug dependency counselling
    • Harm Reduction Counselling
    • STI screening and treatment
    • Skin infection treatment
  • Wound dressing


  • Urinary Tract Infection (UTI)
  • Cervical screening, early identification and management
  • Family Planning
  • Prevention of abortion, treatment and management of complications of unsafe abortion.
  • Education and provision of Information, Education and Communication on family planning

The objectives of the camp will be;

  • To enhance uptake of SRH information and services to 100 female drug users
  • To provide access ability and availability of services among the female drug users.
Harm Reduction saves lives

Harm Reduction saves lives

Reachout will conduct activities on:

  • HIV testing, counseling and referral.
  • Condom demonstration and distribution.
  • Gender-based violence prevention and support
  • Provision of Needles and Syringes.

TUPANGE will conduct that revolve:

  • PMTCT and maternal health services.
  • Prevention of abortion, treatment and management of complications of unsafe abortion.
  • Education and provision of Information, Education and Communication on family planning.

FHOK will do services on:

  • STI screening and treatment.
  • Cervical screening, early identification and management.

We look forward   to have a fun filled and productive day as we attained our desired objectives.




Launch of Youth Prevention Programme

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The 4 years youth Prevention programme was officially launched in Mombasa County, on 4th December, at the county stadium. The program is scheduled to start in 2015; the programme mainly targets young people between the ages of 15-35 years. The meeting was graced by the local M.P Hon. Abdulswamad Sharrif Nassir, County Health Cabinet Secretary Hon. Binti Omar, UNODC Representative Mr. Jose Villa Del Castillo, CEO NACADA –Dr. William Okedi and representative of Principal secretary, Interior.

Mombasa is the most affected area with drug menace; drug use is visible and widespread in the community.

According to research, drug use starts as the result of interaction of a number of factors at the individual, family and community level. Individual –level characteristics such as the young person’s biological and genetic predispositions, certain personality and temperament traits, poor cognitive and emotional functioning and detrimental effects of poverty, economical inequality, family dysfunction, association with bad peers and maltreatment of child and adolescent development in ways that further increase risks for early initiation of drug use and eventual drug abuse.

The United Nations Office on Drugs and Crime (UNODC) has been partnering with the National Authority for Alcohol and Drug Abuse (NACADA), the apex national drug control body in the country, to mitigate the effects of drugs use, especially among young people. The UNODC, USAID, USG, PEPFAR partnership to prevent HIV among people who inject drugs on the Coast provides with excellent opportunity and platform to promote the adoption of healthy lifestyles by young people and prevent the initiation to drug use.

Reachout Centre Trust being a drug prevention organisation also works with the support of UNODC in the war against drugs through promoting harm reduction both at the individual, family and community level. This is done through;

  • Treatment and rehabilitation program
  • Outpatient services
  • Advocacy
  • Addiction counselling,
  • Outreaches,
  • Group sessions,
  • Open forums and
  • Peer education.


With this program Reachout will put more focus on the peer education program targeting the youths in school through a school based prevention program. Through the UNODC and NACADA programme that aims to build resilience of young people, especially those at risk, through a series of school and community interventions, in order to help them stay drug-free as the programme covers the six counties of the Coast region of Kenya. This initiative will contribute to healthier and safer Kenya.

Regional stakeholders meeting on “respond to the social and livelihood needs for hiv and aids in east Africa.

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The Sustainable Livelihoods program is a 3 years project funded by the United Nation Office on Drugs and Crime(UNODC) to aid in the improving the Socio economic livelihoods for recovering drug users awarded to the 5 countries mentioned below.

The meeting will be held at the Gold Zanzibar Beach House & Spa in Zanzibar

On the 8th -10th December 2014.

There will be representatives from:

  • Kenya
  • Uganda
  • Tanzania
  • Zanzibar
  • Zambia
  • Ethiopia
  • Representative from UNODC headquarters-Nairobi
  • Representative from the Government-Zanzibar

Meeting Objectives:

  • There will be presentation from each CSO from each country where they will share:
  • Achievements/success
  • Challenges
  • Experience in their various projects that they have been undertaking

Launch of Kenya AIDS Strategic Framework

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The launch organised and put together by the National AIDS Control Council (NACC) was done at the Kenyatta International Conference Centre Nairobi on the
28th of November 2014 as from 10.00am -1.00pm.
• STRATEGIC DIRECTION 1:To Reduce new HIV infection by 75%
• STRATEGIC DIRECTION 2: To Improve health outcomes and wellness of people living with HIV.
• STRATEGIC DIRECTION 3: Using a Human right based approach to facilitate access to services.
• STRATEGIC DIRECTION 4: Strengthening integration of community and health systems.
• STRATEGIC DIRECTION 5: Strengthening research, Innovation and Information management to meet KASF goals.
• STRATEGIC DIRECTION 6: Promote utilisation of strategic information for research and monitoring and evaluation to enhance programming.
• STRATEGIC DIRECTION 7: increasing domestic financing for sustainable HIV response.
• STRATEGIC DIRECTION 8: Promoting accountable leadership for delivery of the KASF results by all sectors.
The Kenya AIDS Strategic Framework (KASF) has been developed to guide the delivery of HIV services for the period 2015-2019.It defines the results to be achieved in the next five years and offers broad strategic guidance to counties on the coordination and implementation of the HIV response. The launched framework requires that all actors pay particular attention to vulnerable and marginalized groups.
The framework also addresses the need to have an enabling legal and policy environment by ensuring access to justice for PLHIV and key populations when violated.
Among the guest and representatives who graced the occasion and gave out some statements and speeches included:
Cabinet secretary- Ministry of Health addressed the crowd as the chief Guest
Chairperson ,NACC Board-Prof. Maary Getui-gave out welcoming remarks
NACC Director-Dr.Nduku Kilonzo-gave out highlights of the strategic framework
There were also speeches and statements from the following:
UNAIDS County Director-Jantine Jacobi
Representative-Council of Governors
Head Nascop-Dr.Martin Sirengo