We met Josephine in Barsaloi, her village, earlier this year, at our partner CHAT’s mobile clinic. Married at 12 or 13 to an older man of around 40, she is now a single mother of 9. When asked about her age, she wasn’t sure, but thinks she is around 30. Her husband passed away last year and two of her children have also passed away, leaving her with seven to support on her own.

“Of the seven, the eldest boy is not in school. Since my husband passed away, we decided that he should stay behind to take care of our livestock since they are the only livelihood we have. The second eldest, a girl, is in school. She’s just finished year 8 and I’m looking for ways for her to go to secondary school. My third, another girl, has married already.”

It is an ongoing struggle for Josephine to provide her children with the education and quality of upbringing she wants for them. It is only now, with the arrival of CHAT’s family planning services to her village, that Josephine has access to contraception for the first time.

“I have to congratulate CHAT, because it has really opened us our eyes and opened our minds. If these services had come earlier, I could have had a smaller number of children. I have decided not to have any more children, because the seven I have are already a very big burden to me, and I don’t have anyone to support me apart from my eldest son.”

At the clinic, Josephine chose the longer-term, 5-year contraceptive implant because she is still young and fertile, but does not want any more children, even if she finds a new partner.

“Traditionally, if your husband passes away, another person or relative will come and inherit the woman. So, because of that culture, I decided to go for long-term family planning so that I cannot have any more children if that happens.”

Despite the challenges of being a single mother, Josephine says that she now feels very free to pursue her own activities and go to work, without the risk of becoming pregnant again.

“I’m even championing family planning to the rest ofthe women in the village. The moment you stop having children, you have the strength to go and do so many other activities, rather than just being pregnant, breast feeding, being pregnant, breast feeding…”

Josephine did not go to school, and says that she did not receive any education about family planning until the arrival of CHAT’s services. Had she gone to school and learnt about the benefits of having a smaller, more spaced-out family, she says she would have had just three children. She is now encouraging her children, who are still in school, to have no more than two children once they get married.

Josephine says she has noticed the detrimental effects of a booming population on the environment even in her own lifespan. She would like to become a champion on educating people around the interlinking issues of family planning and the environment, also known as PHE – Population, Health and Environment.

“When we compare life before, we had plenty of animals which were very healthy, very fat. We had enough milk because the land was very good; it was not degraded like now. So, life at that time was very smooth, people were healthy because they had enough, and the population was smaller. But now, the population has increased, there’s not enough milk. Someone might have ten goats but he doesn’t get milk; even ten cows don’t provide enough milk for your children.”

“The environment used to be healthy. People were not struggling to go and look for pastures and water very far away. But nowadays we are struggling. When drought comes, we have to go very far away looking for water, for firewood, for pastures… which is a problem. And we can see that the more the population grows, the more the problem grows. So it’s better to have fewer people, smaller families that you can cater for and a healthy environment.

CHAT has come at the right time, because the population is really increasing and poverty is increasing with it. It’s better to reduce the number of children you have, so that at least you can have one or two children you can cater, for rather than having ten who are going to starve at the end of the day.

I just wish that CHAT could come here more often, because we still have a number of women who need a lot of education and support around family planning, like I got.”

With your support, we can continue to reach more women like Josephine in remote and marginalized areas of Kenya and Uganda. Just £7.50 is all it costs to provide a woman with a year’s worth of family planning and sexual and reproductive health education. Support us today at chaseafrica.org.uk/donate.

To celebrate World Environment Day on 5th June 2018, CHASE partner, Mount Kenya trust, worked with a number of other organisations, including the Kenyan Forestry Service and pupils from Kiambogo Primary School, Kirimara Primary School and Kenya Water for Health Organisation to plant trees.

A total of 4,000 assorted indigenous tree seedlings were planted along one of the water intakes in the Kiambogo area of the Mount Kenya Forest Reserve. The theme of the day was “Beat Plastic Pollution” and the Trust tried (as always!) to minimise anything made of plastic. All the propagation bags were collected as soon as the trees were planted and snacks given to the pupils were either in glass bottles or wrapped in paper.

Date: 13th and 14th March 2018

Place: Nakuru Kenya

Event: the first CHASE Africa Partner Conference

We regularly work with our partners in Kenya by phone, email and Skype – but sometimes you just need time together to talk, reflect, plan and learn. So a conference was planned…

We met together in the home of Wendo Aszed of Dandelion Africa. Wendo lives with her family on a farm just outside of Nakuru; a farm that also hosts a conference centre with accommodation and a spacious room for meetings – ideal!

All of our Kenyan partners were present – Wendo, Samuel and Ruth from Dandelion Africa, Delphin and Charlene from Mount Kenya Trust, Rose from CHAT, Annie from Big Life Foundation, Gabriel and Hassan from CHV and last, but not least, Jacob from FOMAWA. We also had the pleasure of a visit from Alfred Abogo of the Kenyan Forestry Service.

The aim of the conference was to provide an opportunity for each partner to share their experiences of their work, and to learn from each other about best practices in the areas that we work in. It was also an opportunity for CHASE to provide input – Henry was able to spend time talking our partners through how to carry out effective monitoring and evaluation of projects – a key component of making sure that we know what we are doing, and do what we say we are doing.

Each partner was able to learn from the others and we learnt much about the work that our partners are doing, details that might not be communicated through emails and phone calls, but come out when sat together around the table sharing the evening meal.

The general consensus at the end of the conference was “we should do this again”!

As a bit of back story – CHV (Community Health Volunteers) was started by Gabriel Musundi who originally trained at the Kenya Wildlife College to be a tour guide. As he did his work he recognised more and more the health issues of his local community. So Gabriel built a simple clinic from two shipping containers in Virhembe Market in 2008 and now employs 27 staff who operate the clinic 24 hours a day, seven days a week.

As well as the clinic Gabriel and his team regularly “take the show on the road” – mobile clinics that set up at local schools, with teams going out ahead of the clinic’s arrival to tell local communities about the services that will be visiting.

We have been working with CHV since 2016 and up to the end of 2017 they have run 44 mobile clinics funded by CHASE Africa. At those clinics they have delivered over 25,000 CYP (Couple Years Protection – see below) of family planning services to local communities around the edge of Kakamega National Park.
As well as family planning the clinics offer de-worming for children; immunisations; primary healthcare; cancer screening and HIV/AIDs care.
We have continued funding CHV’s work into 2018 and anticipate many more successful clinics. We receive regular reports from CHV and are happy to be able to share some of the stories they tell us, two in particular…

During one of CHV’s outreaches in February a woman came for normal treatment, only to deliver her baby at the clinic – an ideal place with trained and helpful staff available to assist and care for the new-born. It was also the second time a baby has been born during one of CHV’s clinics!

Another lady received family planning for the first time – having already given birth to nine children. She was also ideally suited to work with CHV and so was offered a job in their “fixed” clinic as a cleaner – a huge opportunity.

The work isn’t always easy though and CHV face many challenges. In particular, culture beliefs about family planning mean there is additional work to be done amongst some members of the communities that they are trying to reach – though once those barriers are, sometimes slowly, broken down and overcome, acceptance of family planning grows. But then, despite funding, resources are still scarce and the success of the clinics leads to high expectations from locals and patients. Coupled with sometimes difficult weather conditions, poor roads and problems with transport availability CHV has a lot to handle.

Despite the challenges, Gabriel is positive: “One of the most appreciative things is the number of women whose lives have changed after they were given family planning commodities, it has given them time to look after a healthy family.”

Couple Year Protection (CYP) is an effective and unified way of showing of how the various different contraceptives (from the daily pill to a five year implant) we offer through our mobile clinics are reaching and impacting the communities that we serve. 25,000 CYP is equivalent to giving more than 25,000 women one year of family planning.

Based on a grant from CHASE, our partner Communities Health Africa Trust (CHAT) have visited 45 communities in eight counties around Mount Kenya bringing family planning services and advice to areas in great need of their service. Over 7,000 people were reached over the two months of the outreach.

CHAT work with grass roots mobilisers who reach out to their communities with information and advice about family planning options. As well as family planning they also talk about environmental issues and encourage communities to think about the links between family size, the environment and resource scarcity: “It will help communities make informed resource allocation and distribution decisions in relation to their family size, influencing communal decisions and realising that their high population growth rate impacts negatively on the entire community. Men were especially receptive to this form of ‘logic’ thus bringing men and boys into the family planning conversation and participation.”

The mobilisers work closely with Ministry of Health “Back Pack” nurses who bring family planning supplies to the communities that the mobilisers have visited. In the most recent programme funded by CHASE, 39 mobilisers participated in the Back Pack outreach. Travelling on boda bodas between the communities (spaced between 10 and 15kms apart) they visited over 7,000 people in August and September.

In terms of family planning commodities distributed, 4,264 women were provided with contraceptives ranging from long-term implants to pills. According to CHAT’s meticulously kept records, some 55% of those who received a long-term method were new clients, and 73% of short-term methods were repeats. This second figure is particularly encouraging as it shows that CHAT’s outreach programmes are working, and working well.

Jane is one of CHAT’s mobilisers:
“When Jane, accompanied by her Back Pack nurse Fred, arrived at Soit Nyiro community in Samburu North on a boda boda, the community members were eagerly waiting for their services. [Jane had visited some days prior to tell them about the upcoming visit.]

The crowd was mainly made up of women and children waiting for the services in a nearby Manyatta [homestead]. Jane then spotted a group of men playing a game of ntotoi under a tree whilst enjoying partaking of their nkumbao [snuff] as women and young children go to look after the livestock. She took the initiative to talk to the men about family planning, integrating the information with environmental awareness. As she addressed them, they engaged her in questions on the relationship between the environment, their animals, family planning and family size.

An elderly man stood up and gave a story of how their environment used to be years ago: ‘In the old days, there were very many trees in the forests, wild animals used to roam around and rains were immense, but nowadays it is so open, you can see as far as Mt. Nyiro’.

After a lengthy discussion, they (the men) begun enquiring about the available methods of family planning, side effects and the time a woman would take before giving birth again. Samburu men from Soit Nyiro really appreciated the short discussion they had with Jane and promised to go and discuss the same issues with their wives.”

Jane commented on the impact of her visit: “Let’s always remember that a woman’s ability to decide on her own fertility is the bedrock of gender equality and economic empowerment.”

The counties that CHAT has been working in – August and September 2017

Map courtesy of d-maps.com – d-maps.com/carte.php?num_car=35011

We have received more news from our partner, Mount Kenya Trust.

“Supplies of family planning commodities are getting harder to source as the year continues. Ministry of Health hospitals have dwindling supplies and almost all short-term contraceptives are impossible to find. We are working hard with partners and the government to deal with the shortages.

During the month a total of 1,659 women received different family planning services. Of these women, 966 chose long-term methods, 693 chose short-term methods. A total of 21,930 male and 350 female condoms were distributed door-to-door by the mobilisers and during the clinics.

Njeri’s story:

Since her own shamba [Swahili word for a small plot used for growing subsistence crops and fruit-bearing trees, often including the dwelling of the farmer] is small, Njeri and her husband have to work on other people’s farms, mainly picking tea to supplement their income. Njeri is a 38 years old mother of three and comes from Embu, a village near Mount Kenya forest. Njeri has been married for ten years.

With no education, Njeri was married early and had her first two children in a span of three years. She admits that with the meager income they were getting from farming, raising her kids was a struggle and at times she would receive help from family and well-wishers. With hard times ahead, she then fell pregnant with her third born. Njeri started using the pill after her first two children. ‘My friends told me they use the pill so I did the same’, says Njeri.

Njeri says that she would at times skip the pill for months because she did not have enough money to buy the them or travel to her nearest clinics 15 kilometres away. She was amongst one of the first women offered a long-term method in 2014. She had a 3-year plan inserted. She has no aspirations of having another child and a few months before the method expires, she plans to have a 5-year (Jadelle) plan inserted this year.

‘I want to thank all the organisers and donors of the program for what they are doing to the community. As a beneficiary of the program, I have greatly benefited and I believed many other women would say the same’.”

We’ve had news from Gabriel Musundi, founder and CEO of Community Health Volunteers – CHASE Africa’s partner based in Kakamega, western Kenya.

There is an ongoing nurses’ strike in Kenya over pay and conditions that is affecting health services across the country. The current iteration of the strike began at the beginning of June, though there have been strikes going on for over a year now.

Lack of the availability of nursing staff has put increasing pressure on CHV’s mobile clinics – however, Gabriel is upbeat about the extra work that has come their way. A recent clinic in the village of Shimakondi near Kakamega was attended by 2,790 people – typically a clinic would expect to see between 600 and 1,400 people.

Of those 2,790 people, 298 women came for family planning services and commodities – this is a remarkable number.

Gabriel and his team are doing superb work reaching out to those who need their help during difficult times for the Kenyan health service.

We have recently received news from our partner, Mount Kenya Trus (MKT) of their recent mobile clinics in Embu County. Below are two stories gathered by MKT about their work.

Rebecca

When the Community Health Service Programme was started in Embu County, Rebecca, a 26 year old mother of three, was among the beneficiaries of the family planning programme.

Rebeccas say, “I had my first child when I was 16. Young and naïve I was a victim of early pregnancy and lack of information on reproductive health. I had my first born and in less than two years I was pregnant again. I took an initiative and got a family planning method Depo Provera which I heard from other women. I have been using the method for six years”.

Rebecca first learned about MKT’s mobile clinic from one of their Community Health Workers. Both are members of one of the women’s groups in Embu, which MKT works with on tree planting and rehabilitation of Mount Kenya forest. On attending the clinic, she was told about all the family planning methods available and given a choice – Rebecca chose a 3-year plan which she admits was the best decision she ever made on family planning.

The 3-year plan that she had inserted in 2015 has saved her quarterly trips to the facility, transport cost and hospital charges.

She commented that having family planning has enabled her to avoid unwanted pregnancies, raise and educate her children and has improved her relationship with her husband. Rebecca’s children are 10, 8 and 3 years old. She has no plans to have more children and her husband supports her decision.

Rebeccas promised that once her method expires she will have another long term method. With the information she got now, she can confidently visit a government hospital for any long term method. “I was so impressed and empowered by the services offered. I have encouraged several women to have a shot on the long term family planning method”.

Mary

Mary writes, “I have worked with MKT for 15 years as a member and a leader of one of the tree planting women’s groups. I was approached by an MKT official to join in and be trained as a Community Health Worker particularly focusing on family planning. I didn’t quite understand how family planning and conservation related. After training I got to fully understand the logic between sustainable families and conservation.

The first step I took was to educate the 100 women in my group on benefits of family planning and having a manageable family. Most women joined in the group to supplement what they get from the group with farming so they could educate, feed and raise their children. In my community women are the biggest contributors to the source of family income. Women farm, pick tea and manage most income generating resources.

With manageable families these hardworking women will be able not only raise and feed their kids but also have spare income to improve their lifestyle. To be an example I received an IUCD (intrauterine contraceptive device) during one of our outreaches. I feel empowered and I can confidently educate women and men on family planning and conservation. I believe that all the effort we are making will finally pay off. Where we will have an economically empowered society and a healthy forest altogether.”

2016 was a very exciting year. Our income grew by over 60% enabling us to expand our work in Kenya and to start our first project in Uganda. We have always wanted to expand our work into neighbouring countries, many of which have population growth rates higher than that of Kenya.

There are many excellent NGOs working to give people in Africa the chance to escape poverty, but not many acknowledge the link between poverty and access to family planning. We believe though that helping to meet the unmet demand for family planning is a positive way to give families a chance to escape poverty. With smaller families and longer gaps between births, everyone can be better nourished, access to education is improved, and the number of potentially dangerous, unskilled abortions is reduced. Smaller families require less food, water and firewood, reducing pressure on the environment. By allowing women to choose the number and spacing of their children, based on their economic and environmental conditions, the living standards and health of the whole family are improved. Can you imagine how difficult life would be with six children and an income of just a couple of pounds a day? This scenario is familiar to so many women in rural Africa. Enabling these women to choose how many children they want gives them hope and the chance to give their families a better life.

Currently there seem to be more and more stories in the press about population. So long the elephant in the room, the subject is at last being more widely debated. Perhaps the demise of the real elephant is finally making people realise that if we are going to save this iconic species we have to protect areas where it can live. A burgeoning human population needs more land in which to live and grow food, and wild places all over Africa are being turned over to agriculture. Indeed, many developed countries did exactly this many centuries ago – it would be incredible if Africa could avoid the same mistakes. Preserving space for the elephant to roam free is just one element of conserving and protecting Africa’s astonishingly varied habitats and biodiversity – a goal worth striving for.

Many scientists have been grappling with defining the limits of a sustainable population for this finite planet – a population which would give us all a reasonable standard of living. The UNEP’s report “One Planet, How Many People?” suggests that we are now at the limit of a sustainable population. The report goes on to say that despite fertility rates falling around the world we’re projected to reach a population of at least 9.3 billion by the middle of the century. Although fertility rates in general are falling, in Africa they remain high. If African fertility rates stay at today’s level the population of Africa will be 3.2 billion by 2050 and 16 billion by 2100. The key to Africa’s future prosperity – giving its citizens a chance of a lifestyle we take for granted – is helping to meet the unmet demand for family planning over the next decade.

News from our Partners

Choosing the right partners is key to delivering our work on the ground. In addition to continuing to support our existing partners we were pleased to start projects with two new partners in 2016, Community Health Volunteers (CHV) in Kenya and Conservation through Public Health (CTPH) in Uganda. Both these partners have benefited from help and support given by our existing partners.

Community Health Africa Trust (CHAT)

Community Health Africa Trust mainly operates in the remote northern areas of Isiolo, Laikipia, Baringo and Samburu counties where many people are semi-nomadic pastoralists who have poor access to healthcare. CHAT uses a variety of methods to reach their clients. Sometimes it’s a back pack nurse travelling on a motorbike, but when travelling further from base the trusted Land Rover is used. When the terrain becomes too challenging for wheels, a team of camels is the preferred form of transport.

In April 2016 some of CHASE’s funding was used by CHAT to carry out a two week motor mobile clinic in the east of Baringo County. Two weeks before the Land Rover set out, community health mobilisers travelled through the area creating awareness of the different health related services the mobile clinic would be offering and giving dates and locations for the clinics. In these remote, rural areas there are still many myths and misconceptions about family planning, such as family planning “causing infertility” or “reducing sexual desire”, “damaging a woman’s womb” and other health scares. It is the role of the mobilisers to discreetly talk about these issues, allaying fears so that when the clinic arrives more women will be prepared to try using family planning. During the two weeks that the Land Rover was out, 903 women chose to come to the clinic to receive family planning.

Community Health Volunteers (CHV)

We were introduced to Community Health Volunteers by a tree planting partner of ours working in the Kakamega Forest. CHV runs a private clinic on the edge of Kakamega National Park and was started by Gabriel Msundi who originally trained at the Kenya Wildlife College to be a tour guide. He is passionate about the birds in Kakamega forest and also about the health issues of his local community.

Gabriel built a simple clinic from two shipping containers in Virhembe Market in 2008 and now employs 27 staff who operate the clinic 24 hours a day, seven days a week.
In the latter part of 2015 Gabriel spent time with one of our other partners, Dandelion Africa, learning first-hand how they operate their mobile clinics. With the knowledge gained CHV carried out six mobile clinics in 2016. From a slow start things got busier, culminating with a clinic on Christmas Day which saw 210 women attending for family planning. Over the six clinics 1,319 women came for family planning and over 3,000 people attended for general healthcare issues.

Dandelion Africa

2016 was a very busy year for Dandelion, who carried out 37 mobile clinics seeing 10,615 people for primary healthcare. 37,575 children received de-worming medication and 8,472 family planning options were provided.

As well as running the mobile clinic, Dandelion is well underway in building a clinic at Sarambei, which should be opening in July 2017. Once built, Dandelion will apply for an SC11 registration so that they have government recognition. The clinic will have a big impact on the community because women will have a safe place in which to discuss, learn about and access sexual and reproductive health services. Currently, the nearest hospital where women can have safe deliveries of babies is 20 kilometres away and the rates of HIV transmission between mother and child are high due to home deliveries. Giving birth in the new clinic will save the lives of many women and their babies.

With the help of Dandelion’s Wendo Aszed and CHASE supporter Steve Bown, we have been able to make a new video that follows the work of a day-long mobile clinic as it visits a rural community. You can watch the video by going to: https://youtu.be/CF8UHrN8N8o

New Project with the Big Life Foundation

At CHASE we are trying to focus our work in areas of high biodiversity. With this in mind we approached the Big Life Foundation who operate in the area around the Amboseli National Park to see if they would consider helping to implement a family planning project. Amboseli National Park in southern Kenya embodies many of the critical issues facing areas of high conservation value. With increasing human populations around the park there is an increasing amount of human/wildlife conflict. The staff at BLF were interested in finding out more about how a project would work. CHASE funded a visit from two of Dandelion’s staff to make a feasibility study on how a mobile clinic project could be established, and to spend two days training 20 Community Health Workers. One issue this trip identified was that the local MoH in Loitokitok had a severe shortage of family planning commodities. Generally, we get these for free and as this report goes to press we are trying to find a further source of free commodities.

The location of the proposed project is on the Imbirikani group of ranches where approximately 15,000 Maasai live. In this area FGM and polygamy are still common practice with very few women using family planning. The project is due to start in March 2017.

Conservation Through Public Health (CTPH)

Conservation Through Public Health is based in Uganda and conducts programmes to protect gorillas and other wildlife from catching diseases from humans and livestock. The mountain gorilla is a highly endangered species with about half of the world’s population, estimated at 650 individuals, found in Bwindi Impenetrable National Park. Gorillas and humans have a 98 per cent genetic resemblance, making transmission of diseases between the species highly probable. The human population around the park has risen dramatically over recent years and there has been an increasing amount of human/wildlife conflict. Humans enter the park for firewood and game meat while wildlife damages farmers’ crops. CTPH’s unique approach to biodiversity conservation led to Gladys Kalema Zikusoka, a practicing vet and one of the founders of CTPH, being invited to London in November 2016 to give the Tusk Conservation Lecture.

In a recent survey, the majority of the people in the villages around the park said that they realise that the gorillas attract tourists who bring wealth to the area. The survey also found that although most people had heard about family planning very few women had used it.

In November 2015 Stephen Rubunga, one of the co-founders of CTPH, spent time with Dandelion Africa to learn more about how to conduct mobile clinics. With the knowledge gained and funding from CHASE Africa, CTPH set about scaling up its family planning services with plans to conduct three mobile clinics around the Bwindi Impenetrable National Park in late 2016.  In these remote areas most people do not have access to family planning. During our pilot mobile clinic nearly 100 people from Nyabaremura village in Rubuguri parish were provided with family planning counselling and commodities, as well as HIV testing.

Mount Kenya Trust (MKT)

Mount Kenya Trust works with national and local government divisions such as Kenya Forest Service and Kenya Wildlife Service to protect the national park around Africa’s second highest mountain.  It is a constant battle to try and stop the poaching of wildlife and bush meat, logging of indigenous tree species, illegal grazing, crop cultivation and charcoal production, pressures which arise from the burgeoning human population.

MKT has been very successful in engaging the local community with their conservation projects and the community health project launched with CHASE in 2014 has changed the lives of thousands of families.  21,000 family planning treatments (equivalent to 30,000 women each receiving one year of contraceptive cover) have been provided free of charge, with many women opting for the three year implant. Giving women the chance to choose when they want their next child gives them an opportunity to earn an income and help themselves to escape poverty. The project has also helped over 13,000 people receive primary healthcare.

The Kenyan Government is committed to reducing the total fertility rate and one of the best ways to make this happen is to enable girls to go to secondary school. On average, women who only went to primary school have 5.4 children whilst those who finish secondary have 2.9. As secondary school is so expensive in Kenya girls born into a poor family with lots of children often miss out on secondary school.

It will still take many years, but the success of the family panning project run by MKT will mean in the future more girls will get the chance to go to school.

Friends of the Mau Watershed (FOMAWA)

Kenya faces an increasingly severe shortage of “tree products”, firewood, poles for power, and timber which all come from the higher areas where the climate and soils are suitable for growing trees. We continue to fund the planting of trees at schools, and many of the first schools to plant are now generating useful income from selling their timber with the help of FOMAWA.

In addition, many local people are seeing how the schools are benefiting  and are planting trees themselves as a future source of income. With FOMAWA’s influence and guidance they are now looking upon trees as a potentially valuable crop and are giving them the husbandry required so that they grow well.  Making money is the biggest incentive, but there is also the knock-on effect of the benefit to the environment.

In 2016 CHASE funded the purchase of 2,000 avocado seedlings.  Most of these have been given to pupils who have shown real interest in environmental matters at schools covered by our tree growing projects.  They have taken them home and planted them there.
Avocados are easy to propagate from the pip of an eaten fruit and will produce fruit from the fifth year, and will continue to do so for another fifty years. In Kenya the tree will fruit rather haphazardly all year, so if there are many trees within a neighbourhood there will be fruit available nearly all year round. Any fruit that is not needed can be sold in the market.

One Tree Per Child Project (OTPC)

In November 2016 OTPC held an event in St Stephen Walbrook church in London, hosted by John Dee and Kevin McCloud. At the event, CHASE presented a report on the OTPC project we had initiated with Mount Kenya Trust. The aim of the project was to plant 500 trees at each of three schools, improving the school environment and teaching children how to grow and look after trees. A highlight of the project was a visit by the UN Mountain Ambassador, a Tibetan monk, in October 2016 on the day the children planted their trees.

FP2020

In 2012 world leaders gathered in London for a summit on Family Planning. Out of this summit FP2020 was born, which set the objective of offering 120 million additional women family planning options by 2020. FP2020 is hosted by the United Nations Foundation, which builds public-private partnerships to address the world’s most pressing problems. It is supported by philanthropic, corporate, government and individual donors.

In 2016 CHASE made a pledge to reach 100,000 additional women by 2020. This pledge appears on the FP2020 website.

The family planning and basic healthcare service will be provided by mobile clinics operated by our partner organisations, with the support of the county Ministry of Health. We have already been supporting our partners to do this for nearly five years and want to expand our work to meet the high demand for family planning among those who are not yet using it.

CHASE Africa looks forward to being part of a larger effort to ensure that the Global Strategy for women’s, children’s and adolescents’ health is achieved.

FP2020 runs a programme called the Rapid Response Mechanism giving grants which will help meet the target of reaching 120 million more women. In 2016 with help from CHASE, one of our partners, Dandelion Africa, applied and was given a grant to run more mobile clinics. We will be encouraging our other partners to apply, and we received a small grant for helping with the monitoring and evaluation.

New technology is helping to meet the unmet demand for Family Planning

Many women use Depo-Provera as their preferred method of contraception, but this means having to visit a clinic every three months to receive an injection. For those living in remote areas this can mean a long trip to the clinic. It would be so much easier if they could self-administer this form of contraception. A new product called Sayana Press does just this. Sayana Press is small, light, easy to use, and requires minimal training, making it especially suitable for community-based distribution—and for women to administer themselves through self-injection.

Sayana Press has now been recommended by WHO in contexts where women have information, training, and support. Throughout 2017, PATH, a leader in global health innovation, is conducting research on self-injection of Sayana Press in collaboration with ministries of health in Senegal and Uganda, and learning how to support women in these settings to self-inject safely and effectively. With lessons learnt from this research it is hoped that Sayana Press will soon be available in Kenya, allowing women to use it in the safety of their home.

Our financial year

Income = £165,376

Expenditure = £156,854

This post is by CHASE Ambassador, Steve Bown.

I have been a professor of medicine at a London teaching hospital for more than 25 years. Over these years I have become increasingly uncomfortable with the way the global environment is being destroyed and degraded by human activity. The climate is changing, forests are disappearing, desertification is overtaking previously fertile land and natural resources (particularly fresh water) are being consumed faster than they can replenish themselves.

By far the most important factors contributing to this unhealthy state of affairs are over consumption of natural resources and a rapidly growing population. Those who have least, mainly in developing countries, suffer the most. In the last 40 years, the human population has doubled while populations of wild animals have halved. Unwittingly, the medical profession has contributed to this as over the last 200 years, the main focus has been on saving and prolonging human life without any consideration of how this has altered the balance between the human population and all other life on Earth.

The global population is still increasing at the rate of about 83 million per year, exactly the same rate as 35 years ago. Most of the growth is in developing countries and they are paying the price in environmental degradation and loss of sufficient sustainable resources essential to life such as food and fresh water. Many people realise that over consumption must be addressed. Only slowly is the world waking up to the seriousness of the problems associated with over population. For a sustainable future for everyone, both over consumption and over population must be addressed in all countries.

I first heard of CHASE Africa through the charity “Population Matters”, whose key aims are to educate and raise awareness of the seriousness of the problems arising from over population and over consumption in both developed and developing countries. Global consumption is already 50% greater than is sustainable in the long term.

I soon arranged a visit to Dandelion Africa, one of several health related charities in Kenya supported by CHASE Africa. It was an eye-opening experience! Dandelion was founded by Wendo Aszed, who gave up a position in banking to found Dandelion in 2009 with the core aim of raising the quality of as many aspects of life as possible for those in the local communities around her home district, especially the women. Her outreach clinics go to isolated rural communities who have previously had few or no health services. The clinics provide basic general medical services including vaccination and HIV screening, but the key focus is on family planning. So many women are anxious to limit their family size so they can afford to feed and educate their children. Many less educated men still want many children so during these clinics there is a constant focus on education through discussion groups and short dramas – not to tell individuals what to do, but to explain the consequences of large and small families and let individuals decide for themselves what is best. Clinic days are fun days out for the children, but for the older ones, it is also educational with talks on hygiene, coping with menstruation (so girls don’t miss school) and avoiding pregnancy.

Wendo also runs other support classes in schools and microfinance groups for adults (men and women). Throughout, the emphasis is always helping everyone to help themselves, not just handing out charity. Her empathy with all age groups from young children to elderly widows is quite remarkable. It is rare to encounter such an individual and I have enormous admiration for her. As an ambassador for CHASE, I am doing all I can to support their activities with Dandelion and the other related charities in Kenya they support, particularly CHAT (Community Health Africa Trust) and the Mount Kenya Trust. I do this largely by giving personal talks to a wide range of groups in schools, universities, many adult organisations and to University of the Third Age meetings. My aim is always to present the facts on population growth, both in Kenya and around the globe and how the problems are, or are not, being addressed. The commonest reaction is to say “I never thought of things that way”. One recent comment was “very interesting, lots of questions, but all a bit scary!” How true that is!

There are many organisations in Africa trying to provide services like CHASE, but the scale of the problem for the whole of Africa is mind boggling. There are many barriers to overcome – cultural, religious and logistical – but the green shoots are appearing. The latest report from Dandelion said that for the first time, the number of new children registering at a local nursery school had fallen, more women are in work and the general standard of living is slowly improving. We all need to do what we can to accelerate this process.

One of the biggest problems is to persuade people to talk about over population rather than ignoring it. Once people understand the facts, they start to realise that action is required. My aim is to make everyone talk.