SEGA analysis- VSO Kenya

Voluntary Service Overseas (VSO) Kenya contracted the African Institute for Health and Development (AIHD) to undertake an integrated Social Exclusion and Gender Analysis (SEGA) in 11 counties for the Deliver Equitable and Sustainable Inclusive Family Planning Program (DESIP) in Kenya. VSO Kenya, planned to undertake an integrated Social Exclusion and Gender Analysis (SEGA) in 19 counties between October and November, for Deliver Equitable and Sustainable Inclusive Family Planning programme (DESIP) in Kenya. The objective of the DESIP was to increase more equitable and sustainable access to modern contraceptives in Kenya, specifically up to 322,000 additional users, with a focus on adolescents, persons with disabilities and poor rural women in Kenya. 

In line with the Sustainable Development Goal (SDG) to promote universal sexual and reproductive health and rights, the programme also sought to contribute to a world in which every mother can enjoy a wanted and healthy pregnancy and childbirth, every child can survive beyond their fifth birthday, and every woman, child and adolescent can thrive to realize their full potential, resulting in enormous social, demographic, and economic benefits. The programme was expected to ensure that women can safely plan their pregnancies and improve their sexual and reproductive health (SRH), particularly the young and marginalized.

Social Exclusion and Gender Analysis (SEGA) aimed to enable community members, partners, and other stakeholders to understand and articulate the drivers of social exclusion and gender inequality that marginalize and impoverish people in their specific contexts and in the wider system in which they live. It involved reflecting on and mapping the systems of social exclusion and gender inequality and being clear about how they relate to the marginalization and impoverishment of people. Apart from identifying and engaging marginalized populations, SEGA was meant to ensure the populations and other stakeholders assess where they believe most effective changes/interventions can be made.
The SEGA project aimed to strengthen programming and interventions, to understand the context better, to help institutions avoid making incorrect assumptions, to help institutions understand better the relationship between empowerment and exclusion; and informs the choice of institutions, processes, and thematic areas to prioritize. The project was carried out in 19 counties in Kenya namely: Migori; Homabay; Kajiado; Narok; Kwale; Mombasa; Kilifi; Lamu; Marsabit, Isiolo; Samburu; West Pokot; Elgeyo Marakwet; Baringo; Turkana; Mandera; Wajir; Garissa and Tana River.


Save the Children

Save the children (SC) has been operational in Kenya since the 1950s, providing support to children through developmental and humanitarian relief programmes delivered both directly and through local partners. Current programming focuses on child protection, child rights, governance, education, health, HIV/AIDS, livelihoods, nutrition and water, sanitation, and hygiene (WASH). In 2012, as part of a global re-organization process, SC combined the programmes of SC UK, SC Canada, and SC Finland to create a single person operation inKenya.

In February 2014, the organization completed a second transition, which saw it join forces with the British International Non-Governmental Organization (INGO), Merlin, and together they merged their health and nutrition programmes. Save the children has an operational presence in Bungoma, Dadaab Refuge Camp, Mandera, Turkana and Wajir, and it works through partners in many other parts of the country.

The overall objective of the cash transfers is to increase resilience among specific vulnerable groups to reduce poverty and vulnerability. Save the children undertook this qualitative study to understand the impacts of the cash transfers on the life-course of children, including changes in perceived outcomes, and on related issues of gender empowerment. The study was undertaken inthe counties of Wajir, Mandera and Turkana, which have elevated levels of poverty and vulnerability with adverse impacts on children. The qualitative evidence from the study was to be used to explore opportunities to influence child-sensitive social protection programming including the allocation of more resources for the expansion of cash transfer schemes to poor households with children.

One of the short/ medium-term commitments in the National Social Protection Policy (NSSP, 2012) is that ‘children of poor and vulnerable families will enjoy income security at least at the poverty level through family/ child transfers aimed at helping them to access nutrition, education and healthcare.’

Baseline survey on knowledge, attitudes and practises of young adolescents’ sexual and reproductive health and rights in Kilifi County, Kenya (2014) – Deutsche Stiftung Weltbevoelkerung

A young adolescent (YA) is a person aged between 10 and 14 years who is in the process of developing from a child into an adult. The YAs are constantly in a period of dramatic intellectual, physical, psychological, and social transformation from childhood to adulthood (Abrams, 2006, Bearinger et al., 2007). This group represents a unique sub-group of adolescents undergoing rapid physical, cognitive and emotional changes related to puberty. During this period, YAs develop a greater awareness of their social sphere, increase their ability to think logically and concretely, feel greater self-consciousness, and tend to depend less on parents and more on friends. 

While this fact is often neglected, it is also at this age that many YAs first engage in sexual activity. This leaves them vulnerable to unplanned pregnancies, sexual abuse and contracting STIs. It is therefore crucial for young adolescents to have access to sexual and reproductive health and rights information and services. It is critical to address the SRH issues of YAs, not only from a human rights perspective, but also because YAs have the potential to be a positive force in society, now and for the future. Focusing on individuals while they are still in adolescence would allow them to adopt risk-avoiding and responsible attitudes and health behaviour and, in the long-term, the burden of disease in later life would be reduced, and they would be better equipped to contribute positively to society. Deutsche Stiftung Weltbevoelkerung (DSW) in close collaboration with Bayer HealthCare Pharmaceuticals (BHP) implemented a four-year pilot intervention (2009 to 2012) in partnership with selected districts and schools in Masindi, Tororo and Wakiso Districts in Uganda. An evaluation conducted in 2011 showed that the holistic approach of addressing a whole school setting – including students, teachers, parents, and the surrounding community was highly effective. The organization, in partnership with BHP, purposed to build on and expand this experience by employing a similar approach in Kenya’s Coastal Region. The baseline survey was conducted to establish sexual and reproductive health (SRH) knowledge, attitudes, practices, and behaviour of YAs in primary school and how these are related to their health and well-being.