How innovation and Collaboration will transform Turkana Children’s future

by Amref Health Africa

Kenya’s largest county by landmass sprawls across the north-western corner, enveloping nearly 77,000 square kilometres of the Rift Valley. Turkana is a landscape of profound contrasts, with its headquarters, Lodwar, a bustling nucleus amidst vast stretches of arid land.

The county borders Uganda, South Sudan and Ethiopia and stretches into the heart of Kenya, spreading a blend of culture and history. Yet, beneath this rich tapestry lies a narrative of struggle, resilience and the indomitable spirit of its people, particularly its children, who face compounded vulnerabilities due to drought, poverty and a high prevalence of HIV.

The lifelines of Turkana are defined by pastoralism, agro-pastoralism, fishing and urban employment. Yet the county is marred by frequent droughts and cattle rustling, which cause devastating loss of livestock and, more tragically, human lives.

It is these challenges that the USAID Imarisha Jamii Project hopes to mitigate. The project by Amref Health Africa, in collaboration with USAID PEPFAR, aims to enhance health, education, protection and socio-economic outcomes for children affected by HIV, alongside their caregivers and families.

Despite significant strides towards supporting orphans and vulnerable children (OVC), Turkana’s vastness and the sparsity of its settlements pose unique challenges.

The average distance between households, coupled with the rugged terrain, strains case workers’ capabilities. The ratio of OVC to the caseworker, at 1:60, underscores the enormity of the task at hand.

With about 88 per cent of its population living below the poverty line, the county’s fight for survival is underscored by its dependency on pastoralism and agriculture.

However, successive droughts not only threaten traditional ways of life but also leave children and their families in a precarious state of food insecurity, malnutrition and vulnerability to diseases. This pushes some children to the streets, while others are withdrawn from school to tend to livestock or engage in income-generating activities.

Insecurity, fuelled by resource conflicts and cattle rustling, adds another layer of challenges.

While the nomadic search for pasture and water is a testament to their resilience, it leads families into insecure territories, disrupting the project’s support. Besides, with an 82 per cent illiteracy rate, the dreams of many children are tethered. The low literacy levels among volunteer case workers further emphasize the need for training and resources.

Teenage pregnancy and early marriages, driven by economic desperation and cultural norms, rob many girls of their futures, perpetuating the cycle of vulnerability and poverty.

Despite these challenges, the USAID Imarisha Jamii project is a testament to innovation and resilience.

Adopting virtual case management ensures continuity of service amid insecurity and migration. This strategy, alongside direct interventions like entrepreneurship training and school support, fosters economic stability and educational attainment.

A multifaceted approach is essential to navigating these challenges. Investing in the training and facilitation of case workers, enhancing logistical support to reach remote households, and providing incentives will significantly improve service delivery.

Building resilience among OVC households through social protection and economic strengthening is crucial.

Addressing norms that discourage education for girls, countering risks of school dropouts, and employing evidence-based interventions can transform the landscape of opportunity for young women.

Through collaborative efforts, innovative strategies and a commitment to resilience, the vision of a healthier, safer and more prosperous Turkana for all children can become a reality.

Article first published on

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