Background

Modern family planning is arguably one of the greatest public health achievements of the last century, it enables couples to choose the timing, number and spacing of children, and can prevent pregnancy and birth complications that are a leading cause of death for women in developing countries. However, over 1 in 5 women in Africa are unable to choose the number and timings of births. We seek to enable women to realise their rights, averting unintended pregnancies.

By 2050 the global population is expected to grow to over 9 billion people, an increase of more than 50% over 2005 levels. We recognise that every unintended pregnancy exacerbates health inequalities for women and children, puts pressure on social services and resources and contributes to the global burden of disease, environmental degradation, poverty and conflict. We believe focussing our efforts in some of the world’s most fragile rural areas, where there is unmet need and limited access to health services as well as huge pressure on natural resources, is the best investment we can make for families, communities and the environment.

Our Unique Approach

Mobile clinic in Suiyian, Kenya

In order for our vision to be realised, all women and men need to know about and have access to quality basic healthcare including voluntary family planning in fragile rural environments. To implement this, we work through carefully selected local partners and in collaboration with the Ministry of Health in such environments to design, develop and deliver our programmes, which integrate basic community health (including family planning) and natural resource management. Through our programmatic model:

  • We provide high quality basic health education (including family planning) at household level by trained Community Health Workers.
  • We fund high quality basic health services (including family planning) through mobile outreach clinics in rural communities in partnership with Ministry of Health clinicians.
  • Our partners and the communities they work in identify local environmental issues and develop and implement projects that address these.
  • CHASE Africa provides technical assistance, project management support remotely and face to face; we also create opportunities to share learning between our partner organisations.

Basic Healthcare

Waiting in line at a clinic in Uganda

CHASE Africa believes that every individual has the right to health, where standards and conditions are in place for the realisation of the highest attainable standard of health. The key health principles we maintain in our health care are:

  • Availability – the sufficient supply and appropriate stock of health workers, with the competencies and skill‐mix to match the health needs of the population;
  • Accessibility – the equitable distribution of these health workers taking into account the demographic composition, rural‐urban mix and under‐served areas or populations;
  • Acceptability – health workforce characteristics and ability (e.g. sex, language, culture, age, etc.) to treat all patients with dignity, create trust and promote demand for services;
  • Quality – health workforce competencies, skills, knowledge and behaviour, as assessed according to professional norms and as perceived by users.

Family Planning

“Family Planning could bring more benefits to more people at less cost than any other single technology now available to the human race.”
James Grant
Executive Director, UNICEF

CHASE Africa believes that universal access to voluntary Family Planning is a fundamental right and the best investment we can make to improve the quality of life of women, their families and their communities.

In addition to the 4 Health Principles of Availability, Accessibility, Acceptability and Quality, 6 additional Rights-Based principles related to Family Planning complete the approach that we aim to achieve:

  • Agency and autonomy – Individuals have the ability to decide freely the number and spacing of their children. To exercise this ability, individuals must be able to choose a contraceptive method voluntarily, free of discrimination, coercion or violence.
  • Empowerment – Individuals are empowered to make decisions about their reproductive lives, and can execute these decisions through access to contraceptive information, services and supplies.
  • Equity and non-discrimination – Individuals have the ability to access quality, comprehensive contraceptive information and services free from discrimination, coercion and violence. Quality, accessibility, and availability of contraceptive information and services should not vary by non-medically indicated characteristics, such as age, geographic location, language, ethnicity, disability, HIV status, sexual orientation, wealth, marital or other status.
  • Informed choice – Individuals have the ability to access accurate, clear and readily understood information about a variety of contraceptive methods and their use. To exercise full, free and informed decision-making, individuals can choose among a full range of safe, effective and available contraceptive methods (barrier, short-acting, long-acting reversible and permanent).
  • Transparency and accountability – Individuals can readily access meaningful information on the design, provision, implementation and evaluation of contraceptive services, programs and policies, including government data. Individuals are entitled to seek remedies and redress at the individual and systems level when duty-bearers have not fulfilled their obligations regarding contraceptive information, services and supplies.
  • Voice and participation – Individuals, particularly beneficiaries, have the ability to meaningfully participate in the design, provision, implementation, and evaluation of contraceptive services, programs and policies.
Setting up a mobile clinic for family planning and basic healthcare

Sustainable Environment

Children play in their woodlot at a school in Kenya

More than 1 billion people live in ecological hotspots, where communities are closely linked to conservation of biodiversity. In rural areas, livelihoods depend on, and often put pressure on natural resources. This can lead to unsustainable exploitation – which has consequences for ecosystem and community health and wellbeing. CHASE Africa recognises that communities in the remote, rural areas where we work often suffer from ill health because of limited access to health services (including family planning) as well as poor nutrition, access to clean water and sanitation.

We seek to create healthier communities and ecosystems by bringing quality basic health services and family planning to remote, fragile environments, and supporting communities to sustainably manage their natural resources. The synergies of human and ecosystem health consequently improve livelihoods, food security and nutrition whilst at the same time conserving biodiversity.

How we work

CHAT Mobile
Our partners use every means possible to reach rural communities with family planning and healthcare. When road conditions allow, clinic staff will travel using a 4×4, but in mountainous areas or where terrain is otherwise challenging, camels are often used.

We work through local partners in Kenya and Uganda empowering women to choose the number of children they want and the spacing of births. Working alongside the Ministry of Health, our partners provide high quality basic health services, sexual and reproductive health education, and a range of family planning commodities, to communities who would otherwise have very limited access to any of these services.

Door to Door

Our partners work alongside the Ministry of Health to recruit, train and manage a network of passionate, local Community Health Workers. These CHWs provide basic health education in the privacy of people’s homes to create awareness and demand for life-saving health services such as vaccinations, maternal and new-born care and family planning. They also provide comprehensive SRH education to help couples make informed choices about the size and spacing of their family. In order to make an informed choice, CHWs make them aware of all available methods, the advantages/disadvantages of each, common side effects and help dispel common myths and misconceptions surrounding family planning. CHWs also provide condoms and in some circumstances are trained to administer the pill.

In addition, they raise awareness of upcoming mobile outreach clinics. CHWs can also refer community members to local health service providers or request for a backpack nurse to visit the community. In some instances these CHWs engage with people about broader ecological and social issues that impact the community’s overall wellbeing.

Backpack nurses – Anne and Violet

Backpack Nurse

Where CHWs have requested a backpack nurse to attend a household, he/she can provide family planning services (including barrier, short-acting, long-acting reversible methods), immunisations, cervical cancer screenings, antenatal/postnatal care and family planning services.

Outreach Clinics

Our partners identify areas where communities have limited access to health facilities. With our funding, our partners organise mobile outreach clinics in the rural communities we work in and employ Ministry of Health clinicians to provide a range of basic health services. These include HIV counselling and testing, immunisations, nutrition screening, treatment for malaria, diarrhoea, respiratory infections, skin complaints, worms, some cancer screening and referrals.

Our Impact

  • On average, our CHWs sensitise 20 households per week (800 per year).
  • On average, each day clinic provides over 1,000 basic health care services and to date we have provided over 750,000 services.
  • To date we have provided 12,300 FP services in 2019, adding to a cumulative total of over 170,000 since 2012.

History

One of our first tree planting projects in Kenya with FOMAWA

We were established in 2000 by Robin Witt as the Rift Valley Tree Trust (RVTT). RVTT’s first partner was FOMAWA – Friends of the Mau Watershed – who shared a desire to protect and conserve the Rift Valley’s beautiful, but shrinking, bio-diverse environment. We spent the first 12 years working with partners involved in tree planting, water harvesting and fuel-efficient stove projects. Over this time, we met many women who were having more children than they wanted due to a lack of family planning, trapping the family in a cycle of poverty.

In 2012, we started working with a new partner, CHAT, who were using an integrated community mobilisation and mobile clinic model to provide family planning and primary healthcare services in remote and marginalised areas of Kenya. We changed our name to Community Health And Sustainable Environment (CHASE) to reflect the new focus on community health programmes alongside our existing environmental and tree-planting projects.

We now work with 7 partners across Kenya and Uganda to deliver tree-planting and ecological restoration programmes alongside family planning and healthcare services.

Meet the Team

CHASE Africa is composed of a small core team based in Somerset, UK.

Henry PomeroyDirector
Henry joined CHASE Africa in 2013 to become the charity’s first full-time Director, following a long and varied career in international development. Henry completed an MSc in Tropical Agricultural Development at Reading University before spending two years in Ghana with Tear Fund setting up a farmer training scheme. He worked as a Programme Coordinator for nine years with Action on Disability in Development, and then for seven years as Programme Coordinator and Country Director for Rwanda at Send a Cow, developing and managing development programmes focused on poverty alleviation through training in sustainable agriculture and livelihoods. During his three years in Rwanda, he also did some consultancy work for Water Aid.
Robin WittFounder and Head of Fundraising
Following many years spent visiting and living in Kenya, and seeing first hand the devastating effects of rapid deforestation, Robin set up the Rift Valley Tree Trust (RVTT) in 2000, which partnered with grassroots organisations to establish tree nurseries and plant woodlots in schools around the Rift Valley. Before founding the RVTT, Robin ran a vineyard and herb nursery for 20 years, following a degree in Agriculture from Wye College. He also has an MSc in Environmental Science, Policy and Planning from Bath University, which led to work with the RSPB, English Nature, The Farming and Rural Conservation Agency and DEFRA.
Georgia BurfordProgramme Coordinator
Georgia joined CHASE Africa in 2019, becoming the organisation’s first Programme Manager. She comes with 12 years’ experience of international development (programmes and policy) across Africa, Asia and Latin America. Prior to CHASE Africa, Georgia led multi-cultural teams, in both strategic and operational roles, that developed effective strategies, nurtured successful partnerships and drove significant change. Her expertise is in sexual reproductive health and rights and she is a strong supporter of gender equality and children’s and women’s rights. Georgia has an MA in International Development and Gender from University of London.
Naomi HopeFundraising Coordinator
Naomi joined CHASE in 2019. Following a degree in Development Studies and languages, Naomi has spent her career working with community-based environmental organisations in the UK, Egypt and sub-Saharan Africa. She has held programme development, communications and marketing roles with International Tree Foundation and the University of Oxford, before specialising in fundraising. Naomi brings experience of increasing and diversifying income for small charities, and is particularly interested in the links environment, family planning and women’s empowerment.
Rory MacdiarmidCorporate Fundraising Coordinator
Rory was brought up in Sudan, served in the British Army and has spent much of his working life in Asia and East Africa. After a successful career spanning over 20 years in the city, he left Somerset and set up and managed a company building refugee camps in East Africa for 5 years. Returning to Somerset in 2016, Rory joined CHASE Africa as a part-time fundraiser to address the unmet need for family planning that he had witnessed in so many of the areas he lived.
Claire NichollsFundraising Coordinator
Claire developed an interest in Africa during a summer expedition to a rural school in Zimbabwe at the age of 16, returning in her gap year to work in Bulawayo before completing a degree in Development Studies at the University of East Anglia. Before joining CHASE she spent 4 years living with her husband in India running the family business and developing an awareness of the issues that cause poverty.
Alice OwenFundraising Coordinator
Originally from Kenya, Alice’s career in wildlife conservation involved managing programmes to support jobs, education and livelihoods for people living around conservation hotpots. Alice has since worked for the Soil Association and the BBC Natural History Unit. In 2017, she completed an MA in Wildlife Film-making with a film documenting the inspiring life of a poacher’s son who became a conservation pilot, personifying the hope she has for the future of African conservation. Alice brings to CHASE Africa an acute understanding of life in Kenya and communities’ development needs.
Adrian FrostStats & IT
Adrian joined CHASE Africa in 2013 after living and working for 13 years in Belgium. With a background in IT and computing Adrian is responsible for CHASE’s website, IT and media as well as looking after our partner data.

Trustees

Toby AykroydChair of Trustees
Following an initial posting to the UN Development Programme, working on agricultural projects, Toby’s career has mainly involved business management, under contract to government and in the private sector. He co-founded the Population and Sustainability Network (PSN) and is trustee of the Margaret Pyke Trust. Toby was also founder of the Wild Europe initiative and executive trustee of the European Nature Trust, as well as the now disbanded BBC Wildlife Fund, where he chaired its Funding Support Group.
Julia Hailes
Julia is a sustainability pioneer, with over 30 years working in the green sector. She’s a campaigner, speaker, consultant and writer and has written nine books to date, including the best-selling Green Consumer Guide. Julia co-founded the think tank consultancy SustainAbility and the Haller Foundation, which promotes sustainable living in Kenya through agricultural training, tree-planting, dam building and education, as well as family planning. In 1992 Julia received a UN Global 500 Award for outstanding environmental achievement and in 1999 was awarded an MBE.
Sue Martin
Sue is a retired State Registered Nurse, who worked in Kenya for 17 years – in the foot hills of Mt. Kenya, where she taught first aid and community health – and with the nomadic pastoralists in the far northern deserts of Kenya. This involved working with women’s groups to help them set up small businesses and become more self sufficient, and also tackling issues such as early child marriage and female circumcision within the community. Together with her husband, Sue set up a charity – “Friends of Marsabit” – to raise funds and awareness for this large marginalised area of Northern Kenya.
Dossie Payne
Dossie was born and raised in Uganda and her cousin founded CHAT, one of CHASE’s partners, in Kenya, which has led her to being involved on a voluntary basis with CHAT since 2005, helping with grant applications and fund-raising. She has a BSc in Geology, MSc in Exploration Geology and Geophysics and an MBA from Open University.
Anna Campbell-Johnston
Anna has worked in the field of international development in Africa for over 20 years, with Christian Aid, CAFOD, Action on Disability and Development and now Send a Cow. Her responsibilities have included planning and budgeting, personnel management, institutional fundraising and evaluation.
Oliver Whaley
Ollie is based at the Royal Botanic Gardens Kew, and is specialised in working with agricultural sectors to address the challenges of plant and biodiversity extinction, food security and use of plants for provision of sustainable livelihoods. His work is underpinned by social and cultural inclusion and focused on conservation, research and restoration of dry forest ecosystems.
Mike Wheeler
Mike is a retired chartered civil and structural engineer who has lived and worked in Nairobi. Seeing first-hand the link between large family size and poverty in developing countries, he became the Local Groups Facilitator for the charity Population Matters. He is an experienced fundraiser for charitable causes.

Patrons

Sir Ghiliean PranceFormer Director of Royal Botanic Gardens, Kew
Ghillean worked from 1963 to 1988 at The New York Botanical Garden. Much of his career there was spent conducting extensive fieldwork in the Amazon region of Brazil. He was Director of the Royal Botanic Gardens, Kew from 1988 to 1999. Since his retirement he has remained very active, notably involving himself with the Eden Project. He is actively involved in environmental issues, a trustee of the Amazon Charitable Trust and a Vice-President of the Nature in Art Trust.
John Guillebaud Emeritus Professor of Family Planning & Reproductive Health, UCL
John was born in Burundi, brought up in Rwanda, Uganda and Kenya, and continues to make regular training and support visits for healthcare professions in Central and Southern Africa. Ex-Medical Director of the Margaret Pyke Centre for Study and Training in Family Planning, he is currently Research Director at the Elliot-Smith Clinic, Churchill Hospital, Oxford, where he is involved in studies of the world’s first male contraceptive pill. He is author/co-author of around 300 publications on environmental sustainability, reproductive health and population, and contraception for women and for men. He is the originator of the Environment Time Capsule Project (1994-2044), Chair of People and Planet, Adviser to Population and Sustainability and Patron of Population Matters.
Kevin McCloudTV Presenter
Although best known for his TV series Grand Designs, Kevin has always been interested in environmental issues. He is an ambassador for World Wildlife Fund for Nature, actively campaigning to promote One Planet Living, the WWF sustainability initiative. He is Patron of the Carymoor Environmental Centre and the Genesis Project, and he is also an Ambassador for the Australian organisation One Tree Per Child (OTPC). This connection led to CHASE starting a One Tree Per Child project in Kenya.
Adrian HayesAdventurer, author, speaker and sustainability ambassador
Adrian is a British record-breaking adventurer, author, keynote speaker, and sustainability campaigner. A former British Army Officer, who also spent two years in the Special Forces, he has conquered Everest, K2, the North and South Poles, the length of Greenland by kite-ski and the Arabian Desert by camel amidst a lifetime of adventure, setting two Guinness World Records, writing two books, and featuring in three documentaries to date.

In his campaign work, he is an ambassador on economic, social & environmental sustainability, a patron of Population Matters and the founder of MIRA Himalaya – an ongoing project providing medical treatment and health & hygiene education in the remote areas of the Himalayas.