Kenya
Published in October 2004
& HIV/AIDS


Fighting HIV/AIDS In Kenya
   "Challenges of working in KENWA constituencies"

By Asunta Wagura,
Executive Director of KENWA


Our first challenge, of course, is the virtual lack of infrastructure which hampers our activities. In many slum areas where we have drop-in centres, basic things like water and ablution facilities are bought. This makes our work harder and sometimes we have to dig deeper into our pockets, because lack of some of these facilities can mean that some of our members are prone to many illnesses, both water and air-borne.

"It is not easy to sort out the needy cases from the not so needy ones primarily because everyone is in pain and does not want to be left out."

Most of our members live below the poverty line and at times it is hard to look into their medical welfare and ignore their socio-economic woes. Many of our members want us to scale up the feeding programme because, as minimal as it is, that’s what they depend on. Some even have nothing to eat for the whole weekend because we only provide our services on weekdays.

Poverty is an ill that is working against us and leading to the vicious cycle of HIV and AIDS.

Another challenge is the fact that our budget means that we can only cater for a certain number of people. And it is not easy to sort out the needy cases from the not-so-needy ones primarily because everyone is in pain and does not want to be left out.

With constrained finances, we have also had to cut some of our members out of our programmes, regardless of the degree of need. For example, in the recent past we have been forced to drop some of our members out of essential programmes such as the feeding scheme. In the long run we find out that these members succumb to some otherwise manageable infections because treatment and nutrition go together.
The women who make up 99% of our constituency reside in resource-poor settings. We have found out that we have to make a way to empower them financially, which we have actually done through partnering with micro-finance institutions. But the downside is that after accessing loans, our members use the money on other “pressing” matters.