USAID/KEA Resilience Portfolio Review

The project's expected results include developing and enhancing human capital and well-being in areas of vulnerability, protecting and enhancing livelihoods of communities in vulnerable situations, and strengthening the capacity of households, institutions, and systems to plan for, respond to, and recover from shocks and stresses. The project's development hypothesis is that scaling up the resilience capacities of chronically vulnerable Kenyan families, households, and institutions through integrated multi-sectoral service delivery, system strengthening, and the use of evidence-based knowledge and information will empower communities and institutions to demand, implement, and sustain their own economic and social development. The project has a diverse funding and technical focus program mix, with investments from five technical offices (OEGI, HPN, ENV, EDY, and BHA) and 21 ongoing activities. The activities are divided between OEGI (6), HPN (13), ENV (5), BHA (2), and EDY (1). Four of the 21 existing activities are set to end in 2022, eight more in 2023-2024, and the additional 11 existing activities are set to end in 2025-2026. Significant accomplishments have been made in various areas, including quality, well-financed, holistic services for vulnerable families. USAID Nawiri worked with the Ministry of Health to train community healthy volunteers (CHVs) to increase case referrals and conduct outreach services to ensure prevention, early detection, treatment, and/or referral of childhood illnesses such as malaria, pneumonia, diarrhea, and malnutrition. During the reporting period, 10,017 children in Samburu and 18,528 children in Turkana were screened for malnutrition. Other notable accomplishments include USAID Nuru ya Mtoto supporting the enrollment and retention of 97,022 orphans and other vulnerable children (OVC) in school, and USAID 4TheChild supporting 1,575 OVC with National Hospital Insurance Fund (NHIF) premium payments, 23,638 OVC with health and nutrition education, and 1,302 OVC with school fees. USAID Tumikia Mtoto linked 582 households supporting 889 OVC to social safety net programs, including an OVC cash transfer, elderly cash transfer, disability cash transfer, universal health care (UHC), and NHIF. The project has also made significant progress in the area of HIV/AIDS, with USAID Stawisha Pwani offering an HIV test to 348,939 individuals, USAID Tujenge Jamii identifying 3107 HIV-positive cases, and USAID Fahari ya Jamii retaining 93% of positive cases on treatment and maintaining a viral load suppression rate of 95%.