Kenya

Situation Report

Highlights

  • Following two consecutive seasons of above-average rains, the number of severely food insecure people in ASAL counties decreased to 739,000 in August 2020.
  • Malnutrition levels remain high across the Arid and Semi-Arid Land (ASAL) counties. Access to treatment has been challenging for many families during the COVID-19 pandemic.
  • An increasing number of locust swarms were seen in Samburu County in August, while low numbers of immature swarms persisted in Marsabit and Turkana.
  • The number of reported daily positive COVID-19 cases has been declining over the past three weeks. However, the number of tests has also declined.
  • Following intense rainfall, multiple lakes in Kenya are at record-high levels, causing displacement and loss of livelihoods for surrounding communities.
UNHCR
In Dagahaley market, Dadaab, three water ATMs (Automated Teller Machines) have been installed. The ATM machines which are managed by the market committee will improve efficiency in management of business and access to clean water. © UNHCR/Mohamed Maalim

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Kenya

Situation Report

Key Figures

14.2M
People in Need
10.1M
People Targeted

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Kenya

Situation Report

Funding

$286.8M
requested (April - Sept 2020)
$106.3M
received or pledged
37.1%
funded or pledged

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Contacts

Guiomar Pau Sole

Head, Communications Unit, OCHA ROSEA

Saviano Abreu

OCHA Public Information Officer

Kenya

Situation Report
Background

Situation Overview

The food security situation in the Arid and Semi-Arid Lands (ASAL) counties has significantly improved after two consecutive seasons of above-average rains, with approximately 739,000 people currently facing severe food insecurity (IPC Phase 3 and above), according to the Kenya Food Security Steering Group 2020 Long Rains Food and Security Assessment (LRA). The decline is attributed to the cumulative good performance of the 2019 short rains and 2020 long rains. Crop prospects are reportedly average to very good based on available water requirements except in parts of the southeast and coastal areas. According to the LRA, maize production for the 2020 long rains in the country is projected to be approximately 10 to 15 per cent above the five-year average. The food security situation in the ASAL is reportedly at one of the lowest levels in the last 15 years, with most counties in IPC Phase 2. The situation is projected to remain stable until October 2020. The outlook for the October, November and December short rains—critical for crop production in semi-arid areas and pasture regeneration in arid areas—is projected to below normal rainfall with higher than normal temperatures (30 to 60 per cent). This is reportedly driven by rising sea surface temperatures in the Indian and Pacific Oceans, and the possibility of a la Nina event.

In urban areas, approximately 1.7 million people are projected to be facing food insecurity in the informal settlements, due to including, the impact of the COVID-19 pandemic on the economy, increased food prices and a decrease in income or the loss of a job.

Despite the general improvement in food security and nutrition outcomes, malnutrition levels remain high across the ASAL counties, indicative of the multiple and complex underlying causes beyond food security. Nearly 1.17 million children and women require treatment for acute malnutrition, including about 135,500 of them for severe acute malnutrition (SAM), according to the LRA.

Following intense rainfall, multiple lakes in Kenya—including Lake Baringo, Lake Bogoria and Lake 94, Lake Naivasha, Lake Turkana, and Lake Victoria—are at record-high levels, causing displacement and loss of livelihoods for surrounding communities. Aerial control operations continue against several immature swarms of desert locusts in north-west Kenya. However, some of the swarms in Samburu and Turkana counties have started maturing, suggesting the possibility of a generation of breeding once the short rains start in October, according to FAO. The locusts are reportedly feeding on vegetation and threatening food security for livestock. Samburu has been reporting an average of between five and eight swarms daily, which have covered about 180 hectares, according to county Special Programmes Officers.

Close monitoring of the effects of COVID-19 pandemic on continuity of essential services and livelihoods, to mitigate its effect on food and nutrition situation remains critical. At least 8,000 new cases have been reported in the last three weeks. Since 12 March 2020 when Kenya reported the first COVID-19 cases, the Ministry of Health (MoH) has confirmed a total of 35,205 cases with 599 deaths (case fatality rate (CFR) of 1.7 per cent), as of 7 September. At least 64 per cent of the confirmed cases are male. Of the total cases, 98 per cent are local transmissions, including at least 975 infections with 16 deaths among health workers. MoH attributes the high rate of infection among private health facility health-care workers to inadequate adherence to infection prevention and control (IPC) guidelines and inadequate supply of personal protective equipment (PPEs). All the 47 counties in the country have reported COVID-19 infections, with Nairobi County reporting 56 per cent (19,789 cases) of the reported cases, followed by Kiambu County with (9 per cent). Nairobi City and Mombasa Counties continue to have the highest attack rates of COVID-19 at 450 and 203.8 per 100,000 population, respectively, compared to the national average of 73.8 and need enhanced interventions. COVID-19 infections in the refugee camps have reportedly more than doubled from 52 cases on 9 August to 115 cases with four deaths, as of 31 August. On 26 August, President Uhuru Kenyatta announced the extension of the nationwide night curfew (9 p.m. to 4 a.m) for another 30 days. The prohibition of the sale of alcohol by licensed hotels has been lifted, while bars and nightclubs will remain closed for another 30 days. The number of persons permitted to attend funerals and weddings has been increased to 100, while the ban on the sale of second-hand clothing had been lifted, subject to adherence to the COVID-19 health regulations. The President further directed the establishment of a National Reference Group on COVID-19 to review the efficacy of the response to the pandemic. According to the President, health experts have advised that the infections have reached a manageable level, with recoveries being more than infections. Hot spots like Mombasa and Nairobi have reportedly begun to stabilize, although the authorities have reported a shift of cases in the counties and rural areas. The levels of positivity rate country-wide have reportedly fallen from 13 per cent in June to 8 per cent in August. However, WHO has cautioned against the relaxation of measures aimed at containing the COVID-19 pandemic, stating that the reported decline is not necessarily an indication of a national decline in the spread of the disease. According to WHO, the decline closely mirrors trends for Nairobi and Mombasa counties, which account for 64 per cent of the total cases and further the reduction coincided with several factors including low lower laboratory testing, minimal contact tracing and deviation from the national testing strategy as only low-risk groups were tested, according to WHO. Health institutions continue to report insufficient laboratory testing and medical facilities including, personal protection kits for frontline health workers and community health volunteers, logistical and operational support for field operations such as rapid response to new cases, contact tracing, data management and reporting are among the key challenges identified in the response. The long turnaround time for relaying laboratory results, including at border points with Uganda is causing delay in public health action. WHO has called on the public to adhere to health guidelines and COVID-19 regulations for prevention, as the risk of transmission remains high.

Uptake of other essential health services has reportedly reduced since the COVID-19 pandemic, with preliminary results from an MoH Study (yet to be released) recording a 30 per cent decline in outpatient visits between March and May, and 20 per cent decline in immunization services, particularly Diphtheria-tetanus-pertussis (DPT3). Attendance at health facilities by those with chronic conditions reportedly reduced by 40 per cent, raising concerns over the impact of COVID-19 on management of HIV, TB, diabetes, and other conditions. The study further records a significant rise in gender-based violence during the COVID-19 pandemic. Over 5,000 rape survivors reportedly received medical treatment at various health facilities across the country from March to June, of whom 70 per cent are children, with 95 per cent being female. In some counties, including Wajir, Turkana, Kisii, Nandi, Lamu, Homabay and Kisumu, there was a 30 per cent increase in incidents of violence since the beginning of the COVID-19 pandemic, according to information provided by MoH during the daily government COVID-19 briefing. Rising gender-based violence has been a serious concern in Kenya since measures were imposed to contain COVID-19. On 6 July, the President ordered the National Crime Research Centre to probe the escalating cases of gender-based violence and “the worrying trend of cases where the girl child has been disempowered”.

The Ministry of Health has confirmed that the cholera outbreak that affected Garissa, Wajir, Turkana, Murang’a and Marsabit countries this year is now under control, including the fourth wave that was reported in Turkana since June. Outbreaks of measles are still active in five counties: West Pokot, Garissa, Wajir, Tana River and Kilifi, with a cumulative 512 cases reported, including 49 confirmed and two deaths (CFR 0.4 per cent), according to MoH. At least 65 new cases have been reported since 6 August. Interventions by the County Health Departments in the affected counties include contact tracing, stocking of adequate doses of measles – rubella vaccines and vitamin A, maintenance of cold chain equipment, sensitization of the public and health workers and treatment of the cases.

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Kenya

Situation Report

Sector Status

Education

20M
out-of-school children due to COVID-19
40
agencies in the COVID-19 response

Needs

  • The Ministry of Education has announced the postponement of face-to-face learning to January 2021. At least 20 million children have been affected by the school closure since March, with Education and Protection partners reporting increased cases of child abuse, defilement, mental health, and unwanted pregnancies among school-going children. 

  • Despite efforts by the Kenya Institute of Curriculum Development (KICD) to expand online content delivery, an estimated 80 per cent of learners still do not have access to remote lessons, according to a study carried out by Usawa Agenda (an education network).

  • Education partners, in collaboration with the Government, are in the process of identifying interventions to provide access to quality, equitable and inclusive education to learners during and after the crisis, to ensure continued learning.

  • Learners from poor, vulnerable and marginalized households have limited access to online/ remote mediums of learning due to lack of devices and internet connectivity at home; different levels of parental knowledge and attitude; hence further widening the poverty and inequality gap, inequity, access and quality of education.

  • Need to facilitate production of online teaching and learning materials, and to expand existing distance learning programs and teacher training to effectively support distance learning, including monitoring and assessment of learning outcomes.

  • The indefinite closure of schools due to COVID-19 from March 2020 to January 2021 coupled with restricted movements with acute challenges around space among poor households may exacerbate child abuse cases.

  • Children with disabilities and special needs face extra challenges because many encounter significantly higher chances of neglect, abuse, segregation leading to loneliness, hence predisposing them to possible psycho-social challenges including depression hence need additional support.

  • With the closure of schools, children from ASAL and vulnerable households who rely on school feeding programs are experiencing hunger with detrimental nutritional effects.

  • Refugee, migrant children, and internally displaced learners, among other vulnerable groups continually face distinct challenges during the COVID-19 pandemic that need to be addressed.

  • Need to provide psychosocial support to learners, teachers, education officials and other education stakeholders to address the anxiety and mental health issues arising out of the lack of clarity on the school opening programme and activities.

Response

  • At least 41,246 children (33,885 boys and 7,391 girls) were reached through remote learning, of whom 2,488 (1,295 boys and 1,193 girls) were children with special needs.

  • Education partners reported 19,682 children (4,948 boys and 14,734 girls) reached with school safety interventions, and 16,606 children (3,271 boys and 13,389 girls) were provided with psychosocial messages/services.

  • Some 5,626 children (1,381 boys and 4,245 girls) were reached with conditional household cash transfer.

  • About 119 (88 male, 31 female) teachers and educational officials were reached; of whom 88 (63 male, 25 female) were provided with financial support.

  • At least 43,584 children (21,678 boys, 21,906 girls) were reached with Water and Sanitation support. Of these, 10,680 (6,957 boys, 6,675 girls) were provided with improved handwashing facilities, while 3,392 (1,820 boys, 1,572 girls) were provided with soap and hand sanitizers. Apart from this, there were also 1,572 girls who benefited from menstrual support/dignity kits.  It should also be noted that there were no schools that had been disinfected.

  • A total of 43,584 (21,678 boys, 21,906 girls) were reached with wash facilities, of whom 10,680 (6,957 boys, 6,675 girls) were provided with improved handwashing facilities, while 3,392 (1,820 boys, 1,572 girls) were provided with soap and hand sanitizers. In addition, 1,572 girls benefited from menstrual support/dignity kits. It should also be noted that there were no schools that had been disinfected.

  • On surveys and tracking, a total of 14,422 (7366 boys, 7056 girls) were reached. Out of these, 1,496 (744 boys and 752 girls) were assessed on the impact of COVID-19 on education, while 10,430 (5,378 boys, 5,052 girls) were reached in monitoring and evaluation activity.

  • A total of 646,969 (81,393 boys, 565,576 girls) children were reached through various health interventions; 2,188 (1,192 boys, 996 girls) children benefited from PPE’s while a total of 512,838 (9,346 boys, 503,492 girls) were reached with dissemination of paper-based materials or home visits.

  • A total of 19,141 children (14,119 boys, 5,022 girls) were reached through dissemination of health-related messages through media such as radio. Further, 3,372 children (1,858 boys, 1,514 girls) were reached through SMS or mobile messaging.

  • A proposal submitted by Education Partners to Education Cannot Wait on COVID-19 First Emergency Response (ECW) has been approved. ECW will finance two consortia; UNHCR with LWF, Windle International and Futbol Mas, and other consortia led by Save the Children with Humanity Inclusion and Xavier Project. The proposal seeks to increase access to education for crisis-affected girls and boys in the refugee camps in Kakuma, Kalobeyei, Dadaab and in the urban informal settlements for the urban refugee children in Nairobi (Kawangware, Kitengela, and Umoja), Nakuru, Mombasa counties respectively. The two consortia will contribute to continued access to quality remote learning for 108,333 crisis-affected boys and girls and children with disabilities through the provision of radios, smart phones, extension of free access to e-learning and SMS-based platforms, and provision of airtime for teachers before schools resume fully in January 2021.

Gaps

  • Limited number of partners offering Mental Health and Psycho-Social Support, Social Emotional Learning, mentorship, life-skills for girls and boys, teachers, and support staff.

  • Inadequate resources to adhere to the MoH guidelines on social distancing in schools and support the fumigation, clean up, rehabilitation and renovation of education infrastructure used as quarantine centres as a result of COVID-19 pandemic ahead of school reopening in January 2021.

  • Inadequate resources to implement COVID-19 Education in Emergencies response plans, including monitoring the reach of the radio and television lessons.

  • Limited programs to improve access to online learning opportunities by children in Early Childhood Development level.

  • Ongoing long rains across the country are likely to continue to destroy the school infrastructure, which might hamper reopening of schools in the affected areas in January 2021.

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Kenya

Situation Report

Sector Status

Food Security & Livelihoods

739K
severely food insecure people in August
1.7M
People affected in informal settlements

Needs

  • Food insecurity in the ASAL counties at a macro level is currently at one of the lowest levels in the last 15 years, with 739,000 in IPC 3 and 4, according to the latest Long Rains Assessment (LRA) report. This is attributed to the cumulative good performance of the 2019 short rains and 2020 long rains. ASAL counties are generally IPC phase 2 and this is projected to remain stable until October 2020. However, levels of acute malnutrition remain unacceptably high across the ASAL counties, indicative of the multiple and complex underlying causes beyond food security.

  • Approximately 1.7 million people are projected to be affected in the urban informal settlements because of the COVID-19 pandemic. In urban areas, the most significant shocks usually faced affecting food security are an increase in food prices and a decrease in income or the loss of a job. Female-headed households, who constitute 30.2 per cent of the poor population, are at particularly high risk.

  • Government and partners have identified 725,000 urban poor in COVID-19 hotspots, including Nairobi, Kwale, Kilifi, Mombasa and Nakuru to be targeted through government response.

  •  Workers in the informal economy may not be able to stay at home when they are sick without paid sick leave. People living in or near poverty often lack disposable cash and cannot easily stockpile food in times of pandemics. Hunger, malnutrition, pneumonia and other forms of health-related shocks and stresses compound vulnerability to the COVID19 pandemic. In a context where up to 84 per cent of all jobs are in the informal sector (which excludes small-scale farming and pastoralist activities) and the urban poor spend an estimated 50 per cent of daily income on food, the slowdown in economic activity due to movement restrictions has affected their ability to buy their minimum food and non-food needs (KNBS, 2019; KFSSG, 2010).

  • Aerial control operations continue against several immature swarms of desert locusts in northwest Kenya. However, some of the swarms in Samburu and Turkana counties have started maturing, suggesting the possibility of a generation of breeding once the short rains start in October, according to FAO. The locusts are reportedly feeding on vegetation and threatening food security for livestock.

Response

  • The sector is complementing Government’s COVID-19 response in the urban areas. Overall, 300,000 people (50,000 households) affected by COVID-19 out of a targeted total of 352,000 people (70,500 households) in the informal urban settlements of Nairobi have been supported with cash transfers.

  • Discussions are ongoing with Mombasa County representatives on the expansion of the COVID-19 urban response in the county.

  • The sector is supporting over 400,000 refugees in Dadaab and Kakuma camps and Kalobeyei settlement. August 2020 general food distributions were concluded where refugees in Kakuma and Dadaab received double ration of in-kind assistance that covers for August and September cycles. Refugees in Kalobeyei received their monthly entitlement (unrestricted cash) to meet their food and nutritional needs.

  • Structural improvement and construction of additional rainwater harvesting structures to support both crop and livestock production in Turkana County is underway. An environmental and Social Impact Assessments (ESIA) to inform the construction of three 50,000m3 irrigation water pans has been undertaken.

  • Food Security partners are providing support to county's food security situation rooms to monitor and report on the food security situation on a weekly basis.

  • Aerial control operations continue against several immature swarms of desert locusts in north-west Kenya. Samburu has reported 534 desert locust swarms since December 2019, out of which 334 were eliminated through ground and aerial spraying while 200 either died naturally or migrated to neighbouring counties.

Gaps

  • Funds are insufficient to sustain the monthly provision of a full food ration to refugees in camps. Refugees currently receive 75 per cent of the recommended minimum of 2,100 Kcal dietary food basket.

  •  Lack of data sharing agreements and systems is causing delays in accessing the list of beneficiaries supported by Government and other humanitarian actors in the informal settlements of Nairobi to enhance proper beneficiary targeting. This is causing a lag in the implementation plan for the urban response to COVID-19.

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Kenya

Situation Report

Sector Status

Health

35,200
COVID-19 cases (as of 7 September)

Needs

  • Kenya has reported a spike in COVID-19 infections, including among health- careworkers, since 12 March, when the first case was reported. As of 7 September, a total of 35,205 cases had been confirmed, with 599 deaths, case fatality rate (CFR) of 1.7 per cent. Nairobi city and Mombasa Counties have the highest attack rates of COVID-19 at 450.3 and 205.5 per 100,000 population respectively, compared to the national average 74 and need enhanced interventions. The total number of recoveries and discharges for COVID-19 was 20,644 as of 4 September 2020.

  • MoH attributes the high rate of infection among private health facility health-care workers (HCWs) to inadequate adherence to infection prevention and control (IPC) guidelines and inadequate supply of personal protective equipment (PPEs). Risk communication, delayed laboratory testing, and lack of contact tracing or reporting are some of the key challenges impacting needs in the COVID-19 response.

  • Health institutions have reported insufficient medical facilities including, personal protection kits for frontline health workers and community health workers, laboratory testing kits for the mass testing of the targeted communities and high-risk groups, logistical support for the quarantine facilities, and establishment of new quarantine and Isolation centres to respond to the increasing numbers of new cases and contacts across the country.

  • Provision of referral services in the 12 counties to ensure referrals 24/7 for emergency sexual and reproductive health cases, for women and girls in COVID-19 isolation centres, quarantine centres and quarantine neighbourhoods.

  • There is need to establish testing at the port of Mombasa to ensure truck drivers are tested prior to the onset of their journey in order to reduce the need for further testing at the borders and facilitate movement of goods.

  • Health authorities have reported reduced uptake of other essential health services amid the COVID-19 pandemic, including for chronic conditions and immunizations services threatening to reverse investments made towards control of communicable diseases, including TB.

  • Measles outbreaks are still active in five counties: West Pokot, Garissa, Wajir, Tana River and Kilifi. A total of 512 cases have been reported, out of which 49 were confirmed and two deaths (CFR 0.4 per cent), according to MoH. There is need for continued sensitization of health workers on the disease and its management and treatment, and distribution of guidelines on measles disease in the health facilities. Improved outreaches visits are also needed to improve immunization coverage for the affected areas.

  • The Ministry of Health has since January 2020 reported an outbreak of visceral leishmaniasis (also known as kala-azar) in Marsabit, Garissa, Kitui and Baringo counties, where a total of 146 cases with seven deaths (CFR 5 per cent) have been recorded, as of 5 September. Health authorities have reported a stock out of visceral leishmaniasis commodities especially rapid test kits, in addition to lack of vector control chemicals and IEC materials, including standard guidelines. There are limited drugs for proper treatment coupled with inadequate knowledge and lack of guidelines and protocol for healthcare workers on case management. Lack of community awareness and knowledge about the diseases and preventive measures has also contributed to its spread.

Response

  • Health sector partners are providing support to County Health Departments and public health teams in responding to the health challenges posed by the COVID-19 pandemic and other outbreaks, including cholera, malaria and measles reporting active transmissions across the country.

  • The Cholera outbreak have been controlled in the five affected counties as of 26 August.

  • Investigation of all COVID-19 alerts across the country by the Rapid Response Teams. Rapid response, contact tracing, case management, community mobilization for risk communication and health promotion is going on in all counties. Risk communication and community engagement is on-going to enforce hygiene and social distancing, to reduce increasing transmission.

  • A total of 306,935 cumulative tests have so far been conducted by the 32 laboratories including two mobile labs located across the country. As of 31 July, a total of 1,777 truck drivers had been tested to complement the ongoing testing by the government at Malaba and Busia border.

  • Eight Epidemiologists and five Risk Communication and Community Engagement officers deployed to support COVID-19 response in key eight most affected counties: Kilifi, Mombasa, Nairobi, Nakuru, Embu, Kisumu, and Eldoret. Garissa and the refugee camps to support critical areas of health sector coordination, laboratory testing, rapid response and contact tracing teams as well as risk communication.

  • Health sector partners are supporting MoH to roll out of the new Kenya COVID-19 Home-based Care, Community Isolation, Laboratory testing strategy and contact tracing. The MoH is rolling out the home and community-based isolation and quarantine protocols focusing on Nairobi and Mombasa and other most affected counties across the country to reduce excess loads on the current facilities considering the increasing number of cases most of whom are asymptomatic.

  • About 26,000 COVID-19 testing kits and accessories donated to MoH and supply of 119,000 sets of masks for use by the frontline health workers during management of COVID-19 patients.

  • More than 9,300 people in 15 Nairobi informal settlements were supported with integrated services including: child immunization, nutrition services, curative services, ante-natal care, family planning, COVID-19 screening among other PHC services.

  • At least 540 community health volunteers in Migori County were supported to disseminate key COVID-19 preventive messages which has led to strengthened risk communication for COVID-19 and improved community involvement in prevention and control of COVID-19.

  • Completion of capacity building for Case Management and Infection Prevention and control for public and private health facilities in 10 counties in August 2020. Over 500 participants included doctors, pharmacists, nurses, laboratory, clinical officers, surveillance and public health officers benefited from the training. This also includes capacity building for sub-county risk communication and community engagement officers in 10 counties supporting the sub counties on public health education, social distancing, hygiene promotion activities.

  • Community sensitization is ongoing, including a two-week risk communication activity led by IOM in migrant-dense urban areas in Eastleigh (Nairobi), using a public address system to disseminate appropriate COVID-19 messages, targeting 100-200 households per day.

  • Support to 22 public health facilities within Nairobi Metropolitan to conduct integrated medical outreaches. A total of 4,279 people from the 15 informal settlements within Nairobi were reached with COVID-19 life-saving interventions and efforts to maintain essential health service during integrated outreach services.

  • A total of 225 health care workers in Busia County have been trained on COVID-19 IPC, case management, surveillance and contact tracing. Following the training, COVID-19 surveillance and contact tracing coordination structures have been set-up in each sub-county which has led to better planning and follow-up of surveillance activities. Another 187 health care workers from Kajiado and Machakos counties are currently being trained on COVID-19 case management and infection prevention control, expected to contribute to quality management of COVID-19 patients.

  • A total of 66,090 people (38,995 females and 27,214 males) reached through integrated medical outreaches including: child immunization, nutrition services, curative services, ante-natal care, family planning, COVID-19 screening among other PHC services. A total of 310 Community Health Volunteers (CHVs) were sensitized on COVID-19 pandemic and key modules covered included symptoms of COVID-19, spread, referral pathways, myths & facts, and stigma reduction.

  • At least 540 community health volunteers have been trained in Migori County disseminating key COVID-19 preventive messages, which has strengthened risk communication for COVID-19 prevention at community level, improved contact tracing strategies, developed structures for COVID 19 follow up at the community level, enhanced awareness of county home-based care protocol and improved community involvement in prevention and control of COVID-19.

  • Some 1.2 million people have been reached so far with information on sexual reproductive health through various media outlets including social media, webinars and print and electronic media. This included 79,350 adolescents and youth with integrated SRHR information by way of film disseminated through various social media platforms.

  • Delivered 500,000 vials of injectable contraceptives (im. DMPA) to KEMSA to be distributed to health facilities across the 47 counties.

  • A team from the Ministry of Health supported both Marsabit and Wajir counties to carry out field investigations for visceral leishmaniasis, while the national government has provided technical guidelines and fact sheets. The county health departments are undertaking enhanced surveillance activities, detection, confirmation and managing of cases and community awareness and sensitization.

Gaps

  • Stigma and discrimination against people who have been discharged from quarantine and isolation centres, as well as health workers, are emerging hindering case identification and reporting.

  • Inadequate resources for operations at the sub-national level for COVID-19 surveillance activities, this is glaring at the sub-county level.

  • The long turnaround time for reliable laboratory results to clients in most counties is causing delay in public health action.

  • Uptake of other essential health services have drastically reduced since the COVID-19 pandemic. Key sectors affected are immunization, reproductive health and non-communicable diseases.

  • Complacency by community despite established community transmission now a threat to prevention.

  • Commodity insecurity at the sub-national level of personal protective equipment.

  • Low uptake of integrated digital data management systems especially for the digital case investigation form in the CHT and Kenya EMR.

  • Re-emergence of long queues of truck drivers along the major border points of entry and exit with neighbouring countries due to delays occasioned by retesting by Ugandan authorities.

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Kenya

Situation Report

Sector Status

Nutrition

539K
acutely malnourished children
98,000
Pregnant and lactating mothers

Needs

  • According to Integrated Phase Classification for Acute Malnutrition (IPC AMN) conducted in August 2020, nutrition situation largely remained within the same phase across counties compared to the 2019 short rain assessment conducted in February 2020, with major improvement observed compared to the same period last year. The stable nutrition situation is mainly attributed to a stable food security situation characterized by improved milk availability and access as livestock largely remained within the counties and near the households. This is due to favourable forage condition and availability of water for livestock and availability of food stock at household level in the cropping areas, following good rainfall performance .

  • Despite the seeming stable nutrition situation, malnutrition levels remain unacceptably high in the arid counties with serious to critical levels of malnutrition reported. Approximately 531,005 children (boys and girls) with acute malnutrition; 98,390 pregnant and lactating women and 84,000 older persons need services related to treatment of acute malnutrition. This is attributed to poor infant and young child feeding practices, stock-out of essential supplies for management of acute malnutrition and morbidities, coupled with multiple shocks, which have slowed down recovery from the 2019 drought such as floods reported during the 2019 short rains and the 2020 long rains leading to loss of lives and livelihoods, resource based conflict and locusts invasion reported since December 2019. The nutrition situation is projected to remain in the same phase between September and November 2020.

  • Over 5 million caregivers are targeted with key messages and support to access essential and lifesaving maternal, infant and young child services, including breastfeeding, complementary feeding, micronutrient supplementation and other essential services.

  • Counties have continued to receive support for essential supplies for COVID-19 screening/testing and personal protective equipment (PPE) for continued service delivery at health facility and community level. However, counties have reported inadequate supplies for testing and PPE.

Response

  • There is need for close monitoring of the effects of COVID-19 pandemic on livelihood sources especially in urban centres and the coping capacity of the health care system to ensure sustained availability of essential preventive and curative services, including treatment of acute malnutrition to mitigate the effects of the pandemic on food and nutrition situation. Other factors to monitor include the performance of the 2020 short rains and desert locust invasion.

  • Sector partners at national level continue to support counties to review their data and enhance adaptability of their programmes in response to the COVID-19 Pandemic. Capacity building through trainings and sensitizations of health workers has been scaled up across counties mainly focusing on COVID-19 response and continuity of services. Nairobi County has seen an increased level of such capacity development initiatives given the ongoing expansion of the moderate acute malnutrition programme.

  • The Sector has supported through the Nairobi Metropolitan Services (NMS) with PPE equipment ranging from washable masks, overlap aprons, re -usable carrier bags, donor branded sanitizer, banners and branded posters.

  • Community mobilization and messaging is happening across counties through radio, talks, public address system and use of community health volunteers (CHVs) to relay messages, in addition to the use of talking walls and digital platforms (SMS messaging).

  • A total of 31,912 and 60,324 children requiring treatment of acute malnutrition have been admitted to the Therapeutic Feeding Program and Supplementary Feeding Programs respectively. Compared to a similar time last year, there is a notable reduction in admission of children to the integrated management of acute malnutrition (IMAM). These reduced admissions are mainly attributed to COVID-19 associated fears, anxiety and stigma as well as reduced growth monitoring activities for children. Other factors include scaling down of outreach activities after the end of the sector supported drought emergency funding period, a relatively good pre-COVID food and nutrition security situation followed by good performance of the 2020 long rains season and stock out of essential nutrition supplies.

  • However, an upward trend has been observed in numbers seeking treatment for Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) between May and July 2020 following continued community mobilization and messaging.

  • A 26 per cent reduction in the number of children seen at Child Welfare Clinic (CWC) has been noted between February and May. A similar trend was observed at community level with mothers counselled on exclusive breastfeeding by community health volunteers reducing by 19 per cent between February and May 2020 (90,648 and 73,845 mothers respectively). The national Vitamin A supplementation coverage was 30.4 per cent as at the end of May 2020, way below the national target of 75 percent. The sector is working an acceleration plan to improve the coverage through use of the community strategy to reach more children.

  • Nutrition sector has in the last month started integrating nutrition in desert locust recovery efforts. This has included efforts to train communities on Agri nutrition more so in areas where agricultural inputs are distributed as part of recovery effort.

  • The sector has resumed action on the National food consumption survey with key pre-survey activities being re-initiated. These include key informant interviews being conducted, food and recipe lists being validated among other key activities.

Gaps

  • Inadequate PPE to cover nutrition workforce in the counties as well as the community health volunteers.

  • Inadequate funds and commodities to facilitate the scale-up of Integrated Management of Acute Malnutrition (IMAM), especially in the non-ASAL counties and to cover refugee operations fully remains a challenge.

  • Inadequate funds to sustain continued risk communication and promotion of nutrition during the period.

  • Poor routine data quality at community level.

  • Sub-optimal use of ICT platforms to scale up services such as community mobilization, real time data collection and reporting.

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Kenya

Situation Report

Sector Status

Protection (Child Protection)

230k
children targeted
12,000
children & parents received MHPS since Mar

Needs

  • Protection partners have reported an increase in emotional, physical and sexual violence against children, with cases of defilement, child labour and gender-based violence (GBV) on the increase as the children remain out of school and many adults out of meaningful employment. A report by MoH, documents 5,000 cases of sexual abuse in Kenya since the COVID-19 pandemic of which 70 per cent are children below 18 years old. At least 79 girls aged 9-12 years have undergone genital mutilation (FGM) since schools closed in March 2020 due to the COVID-19 outbreak in Kenya.

  • There is need to upscale advocacy against violence, abuse and exploitation of children and expand community level surveillance, prevention and reporting of child abuse cases and increased support to children survivors of violence and abuse, including SGBV.

  • Need to upscale case management support to children affected by COVID-19, including provision of mental health and psychosocial support. About 9 per cent of the confirmed COVID-19 cases in Kenya are children and adolescents aged 19 years and below.

  • Several children displaced by floods still need support with family tracing and reunification with partners calling for strengthened measures to prevent family separation, where possible.

  • Facilitating community support, by working with Child Protection Volunteers and the link between volunteers and children officers, ensuring children at risk are identified, and provided with required support.

  • Provision of COVID-19 prevention supplies and social support to children in institutions.

  • Need to ensure social and economic mitigation measures to address immediate and long-term impact of COVID-19 on children, e.g. increased household poverty due to economic challenges will directly impact on children.

Response

  • Child Protection sector continued to conduct awareness creation and sensitization campaign on COVID-19 pandemic through local radio at county level and in the refugee hosting areas. The radio talks and radio spot contain information on coronavirus, signs and symptoms, prevention measures and how to keep children protected and engaged during this period as well as to caution communities on the rising cases of GBV and use of possible referral mechanism in place.

  • The sector has been sharing information with parents and children on how to access learning through the media as provided by the Ministry of Education and has also shared children-friendly messages on COVID-19 on its social media platforms attracting wide viewership.

  • The sector continues to conduct interventions targeting adolescent mothers and GBV survivors including debriefing sessions for adolescent mothers are ongoing Support groups for SGBV survivors.

  • More than 12,000 (6,527 female, 5,033 male and 574 gender undisclosed) children, parents and caregivers have been provided with mental health and psychosocial support since March 2020.

  • Rehabilitation and design works are currently being finalized to establish child-friendly spaces in Kajiado, Machakos, Nairobi and Kitui government health facilities to ensure that children have an opportunity to play and relax as they receive medical care over this COVID-19 season.

  • Distributed 1,300 posters and 1,000 brochures on COVID-19 to communities and posted on communal area in four counties – Nairobi, Samburu, Kajiado and Narok. The posters contain information targeting the community, caregivers and children to help in understanding COVID, signs and symptoms, prevention measures and how to protect children.

  • At least 209 community hand-washing stations installed in eight counties in communal areas including health facilities, informal settlements, and public facilities.

  • The Child Protection Sector distributed 3,425 individual hand washing tanks to 2,975 households in five counties and Nairobi urban informal settlements.

  • Distributed masks, hand sanitizers, soap to 5,770 households in 10, including Nairobi urban informal settlements.

  • The Child Protection Sector has undertaken cash-based interventions at county level and in the refugee hosting areas and reached 9,294 households.

Gaps

  • Case management is hindered by COVID-19 restrictions, limiting face-to-face interactions and movement.

  • Lack of dignity and relief kits, which are a high priority in counties affected by floods as people return since they lost their property.

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Kenya

Situation Report

Sector Status

Protection (Gender-based Violence)

5.2M
people reached w/ GBV prevention messages

Needs

  • There has been a 13 per cent increase in GBV cases in Kenya between January and March 2020 compared to the same period in 2019, according to analysed data from the national GBV Hotline (1195). In addition, a study by the Kenya National Bureau of Statistics showed that 23.6 per cent of Kenyans have witnessed or heard cases of domestic violence in their communities since the introduction of COVID-19 containment measures. This is corroborated by a study undertaken by the Ministry of Health and Population Council (April 2020) on COVID-19 Knowledge, Attitudes, Practices and Needs, which showed that 39 per cent of women and 32 per cent of men were experiencing tensions in their homes.

  • In addition, the national GBV Hotline (1,195) received 646 cases in August compared to 740 cases in July, a decline of 12 per cent Nairobi City County was leading with 132 cases.

  • About 650,000 women and girls in urban informal settlements need access to basic household supplies and dignity kits to reduce the risk of GBV.

  • About 440,000 girls in counties with high prevalence of female genital mutilation (FGM) require social protection and psychosocial support, including dignity kits.

  • At least 2,350 women and girls across the country need shelters and safe houses for protection from GBV and FGM.

Response

  • GBV partners distributed 1,080 dignity kits to adolescent girls and young women in the counties of Garissa, Mombasa, Nairobi and in Kalobeyei.

  • Field missions conducted by GBV partners to Baringo, Garissa, and Mombasa, counties. At least 155 local administrators who included county commissioners, deputy county commissioners, chiefs and their assistants were sensitized in Baringo and Garissa counties on ending FGM by 2022.

  • A total of 646 GBV cases received through the national GBV Hotline in August and provided with referral support and psychosocial first aid.

  • At least 5.2 million people reached with messages on GBV through multiple platforms, including webinars, social media, radio stations and print media since May 2020.

  • Six tele-counsellors hired and trained to support county GBV hotlines in Kwale, Kilifi and Mombasa, which have been set up by the county governments.

  • Sustained provision of GBV services in three GBV recovery centres in Kakuma and Kalobeyei refugee camps. 

Gaps

  • At least 3,000 health care workers and 1,500 police officers still need orientation on GBV and female genital mutilation.

  • Access to justice has been a challenge as the court system is not operating fully.

  • Reluctance by many survivors to officially report violations citing fear of repeated violence as due to uncertainty from enforcement actors.

  • Inadequate access to sanitary wear for over 1.2 million girls especially in rural locations and urban informal settlements.

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Kenya

Situation Report

Sector Status

Shelter & NFI

116K
ppl received shelter & NFIs in 17 counties

Needs

  • Shelter and NFI partners estimate that over 300,000 individuals (roughly 60,000 households) are in immediate needs of shelter and settlement support in form of rental subsidies, provision of temporary shelter and non-food items (NFI) and shelter repair support, the needs are spread across the 33 counties affected by floods, landslides and evictions, and COVID 19 high-risk counties. People requiring assistance include over 45,000 households across different counties affected by the floods, and over 10,000 households in an informal settlement requiring rental subsidies for at least three months.

  • In the long term, there is need for resettlement in alternative safer ground and shelter reconstruction for displaced population through build back better.

  • Looming emergencies, Turkwel dam is continuing to fill up, while both Lake Bogoria and Baringo are swelling at an alarming rate, this fast-raising water level and Lake backflow could potentially displace thousands of households. The sector is closely monitoring the situation, however sector preparedness capacity is not at its optimum and requires at least 30,000 NFI to be fully prepared.

  • There is urgent need to put floods mitigation measures in places in the floods prone counties where communities are at higher risk of exposure to protected community asset and infrastructures from severe damages by future floods.

Response

  • Emergency shelter and non-food items have been distributed to 116,000 people (23,195 households) in 17 counties affected by floods. In addition, registration of additional 30,000 people (6,000 households) were completed and distribution of 6,000 Emergency Shelter and NFI has commenced under CERF funding in six counties and is expected to be complete by mid-September.

  • Camp Management and Camp Coordination training was conducted for stakeholders in Turkana to boosted emergency preparedness in response to raising Turkwel dam level.

  • The Sector has initiated discussion with the Council of Governors on ending the cycle of floods emergencies in Kenya. Ending the cycle of floods emergencies require highest level of political commitment both at national and county level, huge resources for relocation and resettlement of the communities in flood-prone areas to higher and safe grounds.

Gaps

  • Government restrictions related to COVID-19 which have delayed procurement timelines. and infrastructural damages will impair the access and efficiency of the service delivery.

  • The critical funding gaps the Sector is facing is also impairing the capacity to conduct in-depth assessment to ascertain the level of damages to shelter and provide prerequisite technical guidance on resettlement and shelter repair.

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Kenya

Situation Report

Sector Status

Water, Sanitation and Hygiene

3.8M
pple reached w/ WASH services or supplies
16M
litres of water provided to informal areas

Needs

  • While several displaced populations due to flooding during the March to May 2020 long rain season have returned to original homes, several others are still in displacement camps and remain in need of safe water supply and other services. (West Pokot, Mandera, Garissa, Tana River, Busia, Kisumu).

  • COVID-19 cases in the informal settlements continue to be of concern due to inadequate access to IPC materials and changing attitudes in the general public about COVID-19 reality .

  • A total of 241 cases of teenage pregnancy were recorded in health facilities in Kakuma (145) and Kalobeyei (96) between March and June 2020 compared to 132 cases (82.6 per cent increase) during the same period in 2019.

  • There has been a 30.5 per cent decline in contraception uptake between March and June 2020 compared to the same period in 2019 in Kakuma.

  • Shortage of water treatment chemicals may lead to a closure of main water supplies in mid-size towns.

  • Enhanced WASH capacity at hospitals, clinics, reception and transit facilities, and schools is needed.

Response

  • In August, water treatment chemicals (4,930 bags or 247 metric tons) of Aluminium Sulphate) and 150 drums (7 tons) of Calcium Hypochlorite (Chlorine) for Water Utilities in eight flood affected counties were delivered. Another 22,000 bars of soap, 12,000 Jericans, 12,000 buckets, and more than 1.6 million Aqua tabs were delivered. This is in addition to Western Kenya 2400 jerrycans, 2,400 buckets and 13,000 bars of soap were delivered in July 2020. More than 14,000 flood affected facilities have been reached in Busia, Bungoma, Kisumu, Migori, Garissa, Taita Taveta, Kilifi, Mandera, Isiolo and Tana River Counties.

  • At least 40,000 people in four Informal settlements in Nairobi, namely; Kibera, Mukuru, Mathare and Korogocho accessed safe water from new water connections.

  • At least 125,000 people (25,000 vulnerable households) in 15 informal settlements in Nairobi received soap supply for COVID-19 response to ensure safe hand washing practices in line with WHO guidelines. Vulnerable target households include (people living with disability, HIV infected, elderly, among others).

  • Overall up to six million people were reached with COVID-19 key behavior changes messages in 47 reporting counties .

  • About 1.52 million people were reached through establishment of 28,160 hand washing stations to support hand washing practice in accordance with MOH/WHO guidelines. Another 1,200 hand washing stations were installed in August serving another 120,000 people in 10 counties in Mombasa, Nairobi, Kajiado, Machakos, Kiambu, Nakuru, Uasin Gishu, Kilifi, Busia, Garissa).

  • Supported IPC WASH COVID-19 response supplies to 14 priority COVID-19 response Counties including high risk border counties(Mombasa, Kajiado & Busia) and in Nairobi Metropolitan area epicenter.

  • Newly developed water sources/rehabilitation sources served 435,962 people in counties outside Nairobi while 415,774 people were reached with water trucking to augment existing sources.

  • Hygiene measures have been enhanced in the refugee camps, temperature screening has also been introduced at service delivery.

Gaps

  • Menstrual hygiene management needs of 50,000 women and adolescent girls remain a challenge affecting their dignity.

  • Overall inadequate funding to meet the needs remains a challenge.

  • Gaps in access to safe water supply and safe sanitary facilities remain high.

  • Sustainable behavior changes, particularly frequent hand washing with soap, social distancing and proper use of masks remain a challenge.

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Kenya

Situation Report

Sector Status

Multisectoral Cash / Social Protection

2.4M
HHs in need of short-term cash transfers

Needs

  • In most areas of the country, especially Nairobi and Mombasa, which have reported the highest attack rates of COVID-19, 86 per cent of Kenyans are worried about not having enough food to eat, according to a GeoPoll study.

  • Partners estimate that households in immediate need of short-term cash transfer support include 2,413,640 vulnerable households spread across the entire country; 761,165 households in the informal settlements of the major cities; as well as an additional 120,000 households already targeted under the regular cash transfer programmes but have not been included due to budgetary constraints.

  • At least 80 per cent of Kenyans are working in the informal sector, making them vulnerable to different types of shocks, particularly the economic impact of the COVID-19 pandemic.

  • At least 133,657 jobs in Kenya have reportedly been lost in the formal sector and potentially a similar number of even more in the informal sector due to COVID-19 economic impacts, with low income earner being the most vulnerable according to the Ministry of Labour and Social Protection.

  • At least 19 per cent of people in Nairobi informal settlements are reportedly skipping meals per day and 64 per cent skipping meals several times per week, according to a COVID-19 KAP survey done in May 2020.

  • Child poverty has a high likelihood of increasing under the current COVID-19 situation and related compounding factors that have reduced economic activities, reduced employment opportunities, caused high food and commodity prices among other extenuating factors.

Response

  • Through the joint devolution programme, 5,800 most vulnerable households, which are part of the National Safety Net Programme (NSNP) in Migori, Kajiado, Garissa, Kilifi and Kakamega counties, were supported with temporary cash top-ups of 2,000 Kenyan Shillings per household for two payment cycles.

  • Support to the Ministry of Labour and Social Protection (MLSP) to develop an Application Programming Interface (API) to the Enhanced Single Registry (ESR) to facilitate linkage with other social protection COVID-19 response interventions by non-state actors and ensure effective utilization of resources.

  • About 3,000 children released from institutions supported on their reintegration into foster families. The families will receive an integrated package of child protection services and cash transfers for four to six months.

  • At least 16,000 children and adolescents in street situations in the counties of Nairobi, Mombasa and Kisumu are supported with a temporary cash transfer and integrated package of services with a focus on housing, education and child protection. This is a six-month pilot which will be considered for expansion in 2021.

  • At least 5,800 most vulnerable households that are part of the National Safety Net Programme in Migori, Kajiado, Garissa, Kilifi and Kakamega counties received a temporary cash top-up of KES 2,000 per household in the month of August-preparations for the September payments are being undertaken.

  • Support to the Social Assistance Unit of the Ministry of Labour and Social Protection to carry out post-transfer monitoring and assess the adherence to the COVID-19 transmission prevention guidelines and hygiene protocols during the payments to the cash transfer programme beneficiaries.

Gaps

  • Challenges with the Single Registry data, which does not have updated data on children. This poses challenges for further analysis for horizontal expansion and causes delays in finalizing the design of interventions and hence in implementing them.

  • Stakeholders adopting a variety of approaches to meet the same objectives including different transfer values, targeting criteria, and duration which has implications for overall quality and effectiveness of the response including the potential to create conflict.

  • Increased negative social and economic circumstances (such as loss of jobs, out of pocket medical expenses) affect most of the population. This has a strong impact and constrains the targeting mechanisms for social protection interventions to cushion the most vulnerable.

  • Insufficient funding for the social protection sector to cushion a substantial number of people from the COVID-19 related shocks.

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Kenya

Situation Report

Sector Status

Refugees

495K
refugees in Dadaab and Kakuma

Needs

  • As of 31 August, the Ministry of Health has confirmed at least 115 COVID-19 cases among Persons of Concern (PoC) to UNHCR, including 50 active cases, 61 recovered and four deaths in Dadaab, Kakuma and Nairobi. A total of 69 staff members of UNHCR/partner organizations have tested positive (25 in Dadaab, 15 in Kakuma and 29 in Nairobi).

  • Health-care personnel in the refugee camps have reported shortage of Personal Protective Equipment (PPE), especially the N95 masks and face shields, and facilities are in need of additional frontline healthcare workers and community health volunteers.

  • Need to establish COVID-19 testing capacity in the refugee camps and for specialized ICU equipment for symptomatic patients at the refugee camps.

  • Need to increase access to livelihoods and income generating activities to increase financial capacity of households.

  • Need to improve school infrastructure in preparation for the re-opening, i.e. increased number of classrooms to reduce congestion, disinfection/fumigation of school buildings and surfaces prior to re-opening and on a regular basis thereafter, especially schools currently being used as quarantine centers.

  • Need of quarantine facilities at border points of entry to manage importation and transmission of COVID-19 and other communicable diseases.

  • An increased number of refugees and asylum-seekers have been returning to the Kakuma camps, as they can no longer support themselves in urban areas. This may result in shortage of beds in quarantine facilities. A 14-day quarantine is mandatory for anyone entering the refugee camps. Need to maintain appropriate WASH facilities and amenities (running water, latrines, bathing shelters, soap etc.) and regular disinfected of quarantine and isolation facilities.

  • Provide access to radio lesson broadcast and curriculum-aligned digital learning resources to 90,000 refugee children in Kakuma refugee camp and 108,855 school-age children in Dadaab, affected by the closure of schools to ensure continuity of learning. At least 90,000 textbooks are needed in Kakuma and 80,000 in Dadaab to support home learning.

  • At least 52 schools in Kakuma and Kalobeyei Settlement and 76 schools across Dadaab refugee camps need improvements in water, sanitation and hygiene conditions.

  • About 40,000 school-girls need sanitary kits in addition to cash grants to support girls and other vulnerable children in both Kakuma and Dadaab refugee camps.

  • A number of children need access to psychosocial support to reduce exposure, especially of girls, to gender-based violence, early marriage, teenage pregnancy and other risks.

  • The continued closure of schools has exposed children to risks, such as engaging in illegal activities and early childhood pregnancies. Identifying foster caregivers for refugee children continues to be challenging due to the negative economic impact of the pandemic. Spread of misinformation among refugees and asylum-seekers regarding quarantine and COVID-19 treatment centres leads to some resisting admission.

  • Children are afraid of visiting medical facilities when they have flu as it might be mistaken for COVID-19. There is need for increased COVID-19 awareness through engaging additional hygiene promoters and producing more information materials.

  • In Dadaab, there is an increase in domestic violence, divorce, and family separation cases as a result of economic constraints caused by the effects of the pandemic. There are also an increased number of undocumented children with inactive cards who lack access to necessities and food, which has caused pressure on hosting families.

Response

  • Partners are scaling up life-saving activities in health and WASH, including supply of an average of 22.8 liters of water per person per day in Kakuma and 19.9 litres in Kalobeyei, and supply of 32.7 litres per person per day in Dadaab and ongoing construction of 22 concrete hand-washing stations complete with a 20-litre soap dispenser in the Dadaab camps.

  • In Kakuma, 469 demonstrations of how to install hand washing station and 545 handwashing demonstrations have been conducted and installation of 1,314 handwashing devices at household level.

  • A total of 41,978 persons in Dadaab have been reached by hygiene promoters during household visits focusing on routine COVID-19 awareness creation and community engagement on hygiene promotion. In addition, soap was also distributed to all PoC in Dadaab and Kakuma to cover the months of August and September 2020.

  • Sensitization campaign on COVID-19 continues in all refugee camps. Communication with Communities (CwC) coordination meetings with partners are held biweekly in Kakuma, currently encouraging all new entrants into Kakuma from Nairobi to self-admit in quarantine facilities. Ongoing community-based surveillance to identify PoC coming to the refugee camps are undertaken by community health workers and community members.

  • Continued delivery of health and nutrition services in the refugee camps including inpatient hospital feeding to 34 COVID-19 patients in the isolation centres and 362 PoC in the quarantine facilities in Kakuma, 345 children accessed treatment for moderate acute malnutrition and 121 children were admitted for management of severe acute malnutrition in Dadaab.

  • Provision of Mental health and psychosocial support are offered to all patients currently in COVID-19 treatment centres as well as those in quarantine.

  • Food and non-food items distribution in both Dadaab and Kakuma from 3 to 14 August, and all refugees and PoC assisting in the distribution were tested for COVID-19 prior to the exercise to ensure the safety of those accessing services.

  • Psycho-education on prevention of COVID-19 as well as stress and anxiety management were also conducted for the children and their care givers.

  • In Dadaab, 40 schools and three YEP (Youth Education Pack) centres were assessed on safe operation during the COVID-19 pandemic.

  • A total of 40,000 refugee children benefited from weekly radio lesson broadcasts, while in Dadaab some 30,000 refugees benefited from a daily two-hour radio lesson broadcast.

  • In Kakuma, some 5,000 learners accessed learning materials in audio, video and print format shared through WhatsApp communication trees, in addition to 1,575 secondary school candidates.

  • A total of 107 secondary schoolteachers were engaged in monitoring the student participation in radio lessons across Kakuma and Kalobeyei settlement.

  • Provision of revision textbooks for primary/secondary school to partner organizations in Kakuma benefitting Class 8 and Form 4 candidates to support home learning.

  • Some 1,500 radio sets were distributed to families with children enrolled in the Accelerated Education Programme (AEP) to support connection to the ongoing radio lesson broadcast in Kakuma. A total of 32 tertiary and local universities scholarship students have received stipends and tuition fees support for the May-August semester.

  • In the last two weeks, 817 individuals have been tested for COVID-19 as part of targeted testing of both refugee and host population in Kakuma. In Dadaab, 599 individuals were tested in the same period.

  • In Kakuma, the process of activation of additional COVID-19 treatment centres and quarantine facilities is ongoing to accommodate increased number of PoC in need of quarantine and treatment.

  • Sector partners continued to facilitate radio lessons and interactive live sessions reaching 44,468 (40 per cent female) refugee children with a daily five-hour radio lesson broadcast in Kakuma and another 30,000 refugees benefitted from a daily two-hour radio lesson broadcast in Dadaab.

  • At least 5,000 (35 per cent female) learners accessed learning materials in audio, video and print format shared through WhatsApp communication trees in Kakuma, while 8,000 learners, including 1,002 children with disabilities, were targeted in Dadaab.

  • More than 340 (44 per cent female) children with disabilities were supported to access radio lessons through adapted methods in Kakuma.

  • About 320 (120 in Kakuma and 200 in Dadaab) female teachers were trained in peer mentorship training. The teachers will reach out to female students, support their engagement in learning continuity interventions and provide counseling.

  • More than 1,310 girls received a disbursement of 3,000 Kenya Shillings in Kakuma.

  • All new entrants into the Kakuma camps from Nairobi are encouraged to self-admit in the quarantine facilities. At the same time, ongoing community-based surveillance has led to identification of Points of Entries coming to the Kakuma camps and Kalobeyei settlement without quarantining. All individuals currently in COVID-19 isolation and quarantine centers receive mental health and psychosocial support.

Gaps

  • Limited digital infrastructure and equipment to support online learning and distance education, especially for those who live in refugee camps. Further, the high cost of internet connectivity makes it prohibitive to deploy online learning at scale. Children with disabilities and those with other special education needs are particularly disadvantaged.

  • Sectors partners have noted gaps in digital skills necessary for effective use of technology for learners, teachers and parents. Social distancing and other restrictive health measures presents practical challenges in deployment, use and monitoring of educational technology solutions.

  • Lack of coverage of the Kenya Broadcasting Corporation FM signal in Turkana West Sub-county for students to connect to the Kenya Institute of Curriculum Development (KICD) radio lesson.

  • Lack of cross border surveillance and quarantine facilities at the border points (particularly the border with Somalia).

  • Dadaab reports slow procurement of PPEs and sample collection kits and no Intensive Care Unit (ICU) facilities for severe COVID-19 cases.

  • Reduction in testing capacity due to shortage of Viral Transport Medium (VTN) for sample collection.

  • Misinformation among PoC on quarantine and COVID-19 treatment centres is leading to resistance in admissions, as well as cases of absconding from isolation facilities.

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Kenya

Situation Report
Coordination

General Coordination

  • The Government has earmarked 40 billion Kenyan Shillings (approximately US$377.7 million) in funds for additional health expenditure, including enhanced surveillance, laboratory services, isolation units, equipment, supplies, and communication; social protection and cash transfers; food relief; and funds for expediting payments of existing obligations to maintain cash flow for businesses during the crisis.

  • On 9 April, the United Nations and humanitarian partners launched an Emergency Appeal to support the Government's response to the COVID-19 pandemic in the country. The emergency requirements of the plan, nearly $260 million, have been included in the updated COVID-19 Global Humanitarian Response Plan released on 17 July. 

  • The Education in Emergency (EiE) Working Group chairperson and Coordinator are participating in the face to face Long Rains Assessment (LRA) report writing from 3 to 14 August in Nakuru. The EiE WG chairperson participated in the LRA field assessment in Tana River and Kilifi counties from 20 to 31 July. 2020. Save the Children has sponsored the EiE WG coordinator and one Principal Education Officer from the Ministry of Education to participate in the face to face LRA report writing.

  • The EiE WG Coordinator and Information Management Officer were inducted on their new roles by the Global Education Cluster on Coordination roles and child safeguarding. Furthermore, the two participated in the task team meetings on mapping out the funding gap for COVID-19 response in the MoE basic Education Sub-sector, the KHPT, among others.

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