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Tumaini!Childrens! Drop3In!Center! Annual!Report!2012!

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Empowering!street!children!in!Eldoret,!Kenya!with!the!hope,! knowledge,!skills,!opportunities,!and!resources!to!find!a!healthy,! permanent!alternative!to!street!life.!
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Tumaini' Childrens'' Drop3In'Center''

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Table'of'Contents'

1:!Table!of!Contents! 2:!A!Glance!at!2012!in!numbers! 3:!Message!from!the!Program! Manager! 4:!Mission!Statement! 5:!Monitoring!and!Evaluation! 8:!Strategic!Plan!Summary! 9:!Departments! 10:!Case!Management! 13:!Outreach!! 15:!Education! 17:!Healthcare! 20:!Livelihoods! 23:!Looking!Forward!to!2013! 24:!Tumaini!Boards! 25:!Donors,!Partners!and!Friends!'
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1! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

A Glance at 2012 in Numbers


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1,000+!Children!and!youth!were!
contacted!on!the!streets!by!our! outreach!staff.!!

11!Case!analysis!sessions!(9!boys,!2!
girls)!were!conducted!with!children! who!had!difficult!issues!preventing! them!from!abandoning!street!life.!!

100'Children!and!youth,!on!
average,!participated!in!our! Saturday!soccer!outreach! intervention!3!a!40%!increase!from! last!year.!

4!Meetings!for!street!mothers!were!
conducted!to!discuss!how!to!keep! their!children!safe!and!healthy!

Over!600!children!and!youth!came! to!the!Center!this!past!year!and! received!nutrition,!hygiene,! education!and!health!care!services.!!

Over!40'street!girls!and!mothers! were!given!sanitary!towels!over!the! year.!

4!Youths!(1!young!woman!&!3!
young!men)!were!placed!in! vocational!training.!

50!Children!and!youth,!on!average,!
came!to!the!Center!on!days!we! were!open!(35!male!&!15!female).!

16!Youths!(11!young!women!and!5!
young!men)!are!engaged!in!Income! Generating!Activities.!

26!Home!assessments!were!carried!
out!before!reintegrating!the! children!home.!

17!New!children!and!youth!met!the!
criteria!to!be!entered!in!our!case! management!system,!totalling!118! children.!

13!Children!(12!boys!and!1!girl)!
were!reintegrated!home.!

200!Children!and!youth!attended!
our!soccer!tournaments,!a!10%! increase!from!2011.!

3!Children!were!placed!in!childrens!
homes.!

54!Follow3ups!were!done!for!
children!placed!into!homes!

10'Children!went!back!to!school

2! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

From'the'Program'Manager!
2012!has!been!an!exciting!year!with!tremendous!development!in!our!services!to!the!street!children!and!youth!of!
Eldoret.!The!2012!results!of!our!activities!are!really!encouraging:!13!children!repatriated!back!home,!10!children! placed!in!school,!3!children!placed!in!Children!Homes,!4!youths!placed!in!vocational/apprenticeship!courses,!and!2! youths!graduated!into!independent!living!off!the!streets.!One!of!our!greatest!accomplishments!this!year!was!opening! the!Drop3In!Center!from!3!to!5!days!a!week.!The!more!days!we!are!open,!the!more!opportunities!we!have!to!provide! a!safe!place!for!children!to!learn,!play!and!grow!away!from!the!dangers!of!street!life.!Our!extended!days!enabled!us! to!have!additional!time!for!feeding!street!children!and!for!education,!rehabilitation!and!case!management.! A!fundraising!board!comprised!of!young!and!enthusiastic!Americans,!all!of!whom!have!worked!directly!with!Tumaini! in!Eldoret!in!the!past,!assisted!Tumaini!to!raise!funds!to!run!its!core!programs!in!2012.!In!one!of!the!fundraising! efforts!dubbed!Back!to!school!Campaign,!the!board!raised!over!6,000!USD!to!support!street!children!going!back!to! school,!all!from!individual,!personal!donations!!!They!have!assisted!us!in!developing!a!donor!database!and!selling!the! ornaments!and!jewelry!we!make!at!Tumaini,!in!addition!to!grant!writing,!marketing!and!networking.!!

One!of!the!most!challenging!issues!that!we!faced!in!2012!was!seeing!children!who!have!been!placed!in!either!school! or!back!home!bounce!back!to!the!streets.!Despite!this,!we!continue!to!find!ways!to!improve!our!services.!In!2012,!we! did!this!by!involving!children!in!our!Monitoring!and!Evaluation!process,!conducting!monthly!meetings!with!peer! leaders!on!the!streets,!and!benchmarking!with!other!successful!street!children!organizations.!!In!our!2012! Monitoring!and!Evaluation!exercise,!children!requested!that!we!have!a!place!where!they!can!spend!their!nights!away! from!the!dangerous!and!risky!streets.!As!a!program,!we!realize!this!is!a!much!needed!service!that!will!give!us!more! time!to!prepare!these!children!for!a!life!off!the!streets!before!we!reintegrate!them!back!home.!! Our!aspiration!in!the!coming!year!is!to!expand!our!program!model!and!open!a!rehabilitation!transitional!center!to! complement!the!services!of!the!drop3in!center.!This!is!a!new!and!adventurous!journey!that!the!Tumaini!Family! comprising!of!street!children,!youths,!staff,!members!of!the!board!and!partners!are!excited!to!undertake!!! Our!work!these!past!two!years!has!attracted!funding!from!two!great!organizations:!Discover!the!World!(DTW)! Foundation!and!Save!the!Children,!an!international!non3governmental!organization!promoting!childrens!rights!and! well3being.!!DTW!helped!fund!Tumainis!core!operations!and!programs,!supporting!nearly!50%!of!our!annual!budget! this!past!year.!!Save!the!Children!funded!several!specific!projects!supporting!children!with!education!support,! promoting!psychosocial!rehabilitative!activities!at!the!centre,!providing!vocational!training!and!job!opportunities!to! youth,!and!raising!community!awareness!on!the!issues!of!street!children!through!Tumainis!outreach!and!advocacy! work.!!Thank!you!Discover!the!World!and!Save!the!Children!for!being!our!key!partners!in!helping!this!vulnerable! population!and!combating!one!of!the!great!injustices!of!the!work:!children!living!and!working!on!the!street.! We!invite!you,!your!family!and!friends!to!join!us!in!this!noble!venture!of!supporting!street3connected!children!and! youths!to!abandon!street!life.!We!thank!everyone!who!has!supported!and!encouraged!us!in!achieving!our!mission! since!the!inception!of!Tumaini.!We!look!forward!to!a!prosperous!and!fruitful!2013.!!! ! Sincerely,! ! Samuel!Kimani!

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Our'Mission' '
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' ' ' The' mission' of' The' Tumaini' Childrens' Drop3In' Center' is' to' empower' street' children' in' Eldoret,' Kenya' with' the' hope,' knowledge,' skills,' opportunities'and'resources'to'find'a'healthy,'permanent'alternative'to' street' life.' The' Tumaini' Childrens' Drop3In' Center' is' a' comprehensive' service' delivery' and' access' center' for' street' children' in' Eldoret.' ' We' conduct'outreach'on'the'streets'and'provide'a'center'for'street'children' to' rest,' wash,' play' and' learn' away' from' the' dangerous' street' environment.' ' We' provide' basic' health' care' services' and' link' street' children'to'Moi'Teaching'and'Referral'Hospital'and'AMPATH'(Academic' Model' for' Providing' Access' to' Healthcare' of' the' Indiana' University3 Kenya' Partnership).' ' We' provide' empowerment' and' rehabilitative' intervention' activities' that,' along' with' case' management' and' community' collaboration,' will' allow' street' children' to' abandon' street' life'for'a'healthier,'happier'and'more'productive'life.'These'future'paths' vary' widely' and' may' include' returning' to' school,' learning' vocational' skills,' gaining' employment,' starting' a' business,' reuniting' with' their' families,' living' in' a' children's' home,' living' communally' or' even' living' independently.' 'The' Tumaini' Childrens' Drop3In' Center' supports' and' empowers' them' towards' their' chosen' future.
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4! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

MONITORING'AND'EVALUATION'
To!measure!the!impact!of!our!work,!we!carried!out!a!Monitoring!and!Evaluation!project,!graciously! funded!by!the!Clifford!Kinley!Family!Trust!Grant!from!Purdue!University.!!This!project!included!both! quantitative!and!qualitative!assessments,!and!looked!at!both!process!and!outcome!indicators.!!We! used!this!project!to!help!build!Tumainis!capacity!in!tracking!and!data!collection!so!we!know!how! many!children!we!serve!in!each!of!our!departments!and!specifically!how!we!use!the!resources!we! have.!!For!example,!we!know!more!robustly!track!outreach!activities,!drop3in!center!attendance,!and! health!care!services!rendered.!!This!also!helped!improve!our!case!management!system!to!more! systematically!develop!case!histories!of!each!child!and!monitor!each!childs!progress!toward!their! exit!strategy!off!the!street.! From!June!to!August!2012,!we!conducted!a!qualitative!monitoring!and!evaluation!assessment!with! the!children!who!attend!Tumaini,!using!a!tool!called!Photovoice.!!The!Photovoice!project!sought!to! use!photography!and!focus!group!discussions!to!empower!a!group!of!street!children!and!youth!to! share!their!opinions!about!Tumainis!impact!their!lives!in!a!meaningful!way.!The!results!indicated! Tumaini!was!doing!a!good!job!but!also!needed!restructuring!in!its!operations!and!programming!in! order!to!better!serve!children!and!youths!on!the!streets.!In!summary,!the!results!showed:!many! street!children!and!youth!enjoy!Saturday!football!outreach,!although!there!is!need!to!scale3up! needed!outreach!services!like!medical!outreach!and!safe!sex!education!out!on!the!streets;!children! and!youth!appreciate!the!importance!of!education!and!many!children!want!to!go!to!school,!but! home!life!is!challenging;!older!street!youth!are!specifically!in!need!of!Kenyan!identification!cards,! vocational!training,!and!small!business!development!so!that!they!can!secure!meaningful!and!lawful! work;!and!Tumaini!needs!to!ultimately!go!further!to!overcome!the!immense!hurdles!of!glue!huffing! abuse!and!abject!poverty!and!family!discord!at!homes!in!the!community,!by!providing!a!temporary! shelter!in!the!form!of!a!Transitional!Center!to!allow!intense!rehabilitation!and!a!more!robust! approach!to!helping!children!abandon!street!life.!!This!will!also!go!further!in!preventing!recidivism,! or!children!bouncing!back!to!the!streets!after!initially!placed!back!home.!!! A!good!organization!needs!good!staff!to!meet!its!mission.!Tumaini!carried!out!a!bi3annual!staff! evaluation!program!to!improve!the!organizational!management!at!Tumaini!and!to!identify!areas!for! improvement.!The!June!2012!staff!evaluations!revealed!that!staff!were!comfortable!with!their!jobs! in!Tumaini,!were!knowledgeable!on!specific!job!responsibilities!as!well!as!broader!organizational! goals!and!had!a!good!relationship!with!other!staff.!Areas!for!improvement!were!evident!in!three! core!areas:!making!sure!job!descriptions!were!accurate,!the!need!for!more!tools!and!materials!for! carrying!out!responsibilities,!and!the!need!for!more!training!and!other!capacity!building!resources.! The!management!and!Board!of!Directors!continue!to!address!these!challenges.!!To!reach!this!goal,! Tumaini!through!the!support!of!Save!the!Children!carried!out!a!series!of!trainings!on!child3staff! relationships,!team!work,!and!child!rights!and!child!protection..!We!continue!with!weekly!staff! meetings!where!people!share!concerns!and!new!projects!they!are!working!on!as!well!as!monthly! meetings!between!connected!departments.!! ! ! !

5! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Next'steps'
1. Program!Model!Expansion! Through!our!monitoring!and!evaluation!process,!it!became!clear!that!we!needed!to!expand!our! program!model!in!order!to!ultimately!achieve!our!mission!of!empowering!street!children!to!find!a! healthy,!permanent!alternative!to!street!life.!!We!have!concluded!that!offering!children!a!more! permanent!escape!from!the!streets!will!ultimately!lead!to!more!effective!and!efficient!exit! strategies.!!This!expanded!model!will!add!to,!not!replace,!our!current!model!of!outreach,!drop3in! center,!rehabilitation,!case!management!and!exit!strategies.!!This!expanded!model!will!take!the!form! of!a!Transitional'Center!that!will!be!a!temporary,!overnight!shelter!for!street!children!and!youth.!! Our!core!mission,!programs!and!departments!will!stay!largely!the!same,!but!this!Transitional!Center! will!afford!us!the!opportunity!to!focus!on!rehabilitation!more!intensively,!to!break!the!bond!of!glue! huffing!abuse,!and!to!overcome!challenges!of!poverty!and!domestic!violence!that!exists!in!many!of! these!childrens!homes.!!! As!much!as!the!drop3in!centre!has!many!advantages,!such!as!being!able!to!provide!food!and!other! basic!needs!to!a!large!number!of!street!children!Monday3Friday,!it!also!has!disadvantages.!Every'day' at'5pm,'the'children'who'participate'in'Tumainis'programs'and'activities'that'aim'to'get'them'off' the'street,'must'return'back'to'the'street'and'its'environs.!Many!street!children!are!physically!and! psychologically!tied!to!the!street.!Providing!interventions!in!the!daytime!may!be!inadequate!to!break! this!connection!with!the!street,!especially!for!children!that!have!spent!longer!living!on!the!street!and! for!those!more!heavily!involved!in!glue!huffing.!! Tumaini'therefore'plans'to'start'providing'an'overnight'shelter'and'housing'program'that'provides' a'243hour'off3the3street'environment'for'eligible'children.''This'overnight'housing'will'be' temporary,'and'our'case'management'system'and'exit'strategies'will'still'be'in'place.''This'will' enable'Tumaini'Social'Workers'to'effectively'rehabilitate'them'from'glue'addiction'and'anti3social' behavior'before'reintegrating'them'back'to'their'families.'Figure'1'shows'a'modified'Tumaini' model'to'illustrate'this'approach.'' Figure!1.!The!New!Tumaini!Model!!
)))))Exit)Strategies) Maintain) communica7on)

Repatria3on)

Outreach)

Drop-In) Center)

Childrens) Home) Transi'on) Center)


Isolated)environment)for) intensive)interven7ons))

Independent /Communal) Living)

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Regular)Follow-Up)

Reaching)) Street)Children))

Providing)a)safe)place)o)the) street)for)interven7ons)

Day)or) Boarding) School)

6! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

A'transition'center'in'many'ways'addresses'the'challenges'of'a'daily'drop3in'center'by' offering'children'a'safe'environment'that'is'completely'isolated'from'the'street.'Children' are'provided'shelter,'food,'education'and'health'services,'and'rehabilitation'from'drugs'or' abuse'without'having'to'return'nightly'to'many'of'the'dangerous'consequences'of'street' life'that'Tumaini'tries'to'address,'such'as'glue'use,'unsafe'sexual'practices'and'physical'or' sexual'abuse.'Not'only'would'a'transition'center'protect'children'from'the'physical' dangers,'children'are'also'separated'from'the'psychological'connections'that'often'keep' them'on'the'street,'such'as'peer'networks.'Currently'Tumaini'is'sourcing'funds'to'buy'land' and'build'a'transitional'centre.'We'seek'your'support'in'achieving'this'vision.'


2. Community!Work! A!major!hindrance!to!providing!a!healthy!alternative!to!street!life!is!the!community!perception!on! street!children!and!youth.!It!is!hard!to!get!children!and!youth!off!the!streets!because!the!greater! communitys!behaviour!encourages!them!to!stay.!!The!community!does!this!by!exploiting!them!as! cheap!labour!and!providing!handouts!of!food!and!money!that!make!the!streets!more!appealing!than! the!childrens!impoverished!homes.!!The!community!may!have!preconceived!notions!of!street! children!and!can!make!reintegration!into!society!difficult.!We!hope!to!break!this!cycle!and!gain!the! communitys!support!in!empowering!street!children.!!We!plan!to!achieve!this!by,!1)!carrying!out! community!events!that!breakdown!stereotypes!and!provide!awareness!about!the!plight!of!street! children!to!community!members!in!Eldoret!town!and!the!surrounding!slum!communities;!2)! educating!the!Eldoret!community!on!reducing!the!dependence!of!street!children!to!street!life!by! advising!different!hotels!in!the!town!that!offer!free!food!to!street!children,!scrap!metal!dealers!who! buy!metal!from!them!and!market!women!who!offer!cheap!labor!to!the!street!children!to!stop!doing! so!since!it!makes!the!children!become!dependent!to!street!life;!3)!using!brochures,!flyers,!the!media! and!a!road!show!to!inform!the!public!on!how!differently!they!can!support!street!children!as!opposed! to!giving!them!money;!4)!inviting!scrap!metal!dealers,!market!women,!business!leaders,!hotel! owners,!the!general!public!and!the!government!to!a!symposium!organized!by!Moi!University!and! discuss!alternatives!ways!of!assisting!street!children!in!Eldoret;!5)!holding!workshops!with! community!members!on!child!protection!and!recruit!street!monitors!and!educators!who!will!assist! our!outreach!team!in!achieving!our!vision!of!a!community!who!helps!empowers!street!children,!not! one!that!keeps!them!enslaved!on!the!streets;!6)!working!with!other!arms!of!the!government!like!the! police!and!the!courts!to!help!them!rescue!children!through!the!children!department!mandate!and! apprehend!abusive!and!negligent!parents;!7)!help!establish!a!fundraising!committee!of!government! and!non3profit!stakeholders!in!the!community!in!order!to!collectively!work!on!community3based! awareness!projects!and!finally,!involving!the!community!to!sustain!the!reintegration!of!children!back! home!through!setting!up!of!Location/Sub3location!Area!Advisory!Councils!and!child!protection! committees!in!hot!spot!locations!where!children!from!the!streets!usually!originate!from.! Figure'2.'The'Community'Awareness'Process! !
Raising' !Awarene ss' Training' on'Child' Protectio n'issues' Forming' Fundraising' Community' Committee' Fund' Committee'' Rescue' children'with' the' Community' Rehabilitatio n'&' Reintegration' Follow'3'up'

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7! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Strategic'Plan'Summary'
On!April!2nd!2011!Tumaini!held!a!Leadership!Strategic!Planning!Retreat!during!which!board! members!agreed!on!strategic!priorities!for!the!Center!and!their!importance.!!!! Below!is!a!table!indicating!our!accomplishments!to!date.!!!!!!!!!!!!!!! Figure'3.'Tumaini'Strategic'Priorities!

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8! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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''''''''''''''''''''Our'Departments' '
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Case'Management' ' Outreach' ' Education' ' Health'Care' ' Livelihoods'

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Case'Management'
The!case!management!department!aims!to!guide!children!and!youth!through!Tumainis! programs!and!track!their!progress!with!the!ultimate!goal!of!finding!a!tailored!strategy!for! each!child!to!permanently!stay!off!the!street.!!!
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Case'Management'System'Overview! Our!case!management!system!involves!the!following!activities:!! 1. Recording' case' histories:' Each! child! has! his/her! unique! story.! This! process! documents! who!they!are;!where!they!came!from!and!why!they!came!to!the!streets.!! 2. Carrying' out' a' home' assessment:' This! is! performed! to! evaluate! whether! the! childs! home!environment!is!safe!and!stable!if!the!child!were!to!be!repatriated.!' 3. Developing'an'exit'strategy:'Depending!on!the!childs!wishes,!age,!home!condition,!and! performance!at!the!center,!an!exit!strategy!is!developed!to!find!a!healthy!placement!off! the!street.!This!can!include!being!repatriated!back!home,!placed!in!a!school!or!childrens! home,!or!participating!in!an!income!generating!activity.!! 4. Forming' a' Child' Protection' Committee:' If! a! child! is! repatriated! back! home! a! child! protection!committee!is!formed!in!the!community!to!support!and!protect!the!child.!The! committee! generally! consists! of! parents,! teachers,! neighbours,! the! area! chief! and! the! village!elder.! 5. Holding' street' mothers' meetings:! Meetings! at! the! center! and! in! the! barracks! were! held! with! street! mothers! to! discuss! issues! afflicting! their! young! children!and!babies!who!live!with!them!on!the!streets.! Tumaini! worked! with! Open! Arms! International! in! helping!mothers!keep!their!babies!off!the!street.!! ! In' 2012! the! department! developed! more! effective! forms! to! help! streamline! the! case! management!system.!! New'Child'Log'Form'' Identifier'Staging'Form' Attendance'Form' ! ! ! This! form! tracks! the! new! This! form! helps! to! track! a! This! form! has! been! used! for! children! who! attend! the! childs! progress! at! the! two!purposes:! center! and! has! helped! to! center.! It! is! updated! 1)! To! track! the! number! of! systematically! reach! out! to! periodically! with! his/her! children! who! attend! the! the! children! and! get! them! accomplishments! and! center.! enrolled! our! case! performance.! This! form! is! 2)! To! track! who! attends! the! management!system.!! used! to! assess! whether! a! center.!! ! child! is! ready! to! discuss! an! exit! strategy! to! permanently! leave!the!street.! ' '
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SUCCESSES'in'2012'
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17'new'case'histories'were'filed'in'2012'bringing'our'total'case'files'to'118' 26'Home'Assessments'were'completed' 13'children'(12'boys'and'1'girl)'were'reintegrated'home' 3'children'were'placed'in'children'homes' 10'children'were'placed'in'schools.' 54'follow3ups'were'done'for'children'already'placed'in'homes' 11'Case'Analysis'sessions'were'carried'out'to'discuss'issues'concerning'children'(9' boys,'2'girls)'with'difficult'issues'preventing'them'to'abandon'street'life' 4'meetings'for'street'mothers'were'conducted'(3'at'Tumaini'and'1'at'Open'Arms' International)'
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CHALLENGES' ' 1)!One!of!the!biggest!challenges!we!faced! this!year!was!the!number!of!children!who! bounced!back!to!the!street!after!going! through!the!case!management!system.! We!had!7!boys!who!were!repatriated!back! home!or!in!schools!return!to!the!street.! Peer!influence,!proximity!to!the!town,! dependence!on!money,!and!glue!use!were! the!main!reasons!for!returning!to!the! street.!! 2)!Reaching!girls.!Very!few!girls!attend!the! center!daily.!Girls!are!almost!invisible!on! the!street!making!it!difficult!for!us!to! reach!this!vulnerable!population.!!!
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! ' NEXT'STEPS' ' 1)!Develop!plans!for!starting!a!Transitional! Center!that!will!provide!overnight!shelter! and!housing!for!children!who!do!not!want! to!return!to!the!street!at!night.!This!would! provide!a!243hour!off3the3street! environment!for!children!to!focus!on!their! rehabilitation!and!get!them!ready!for!an! exit!strategy.!This!intense!rehabilitation! could!reduce!instances!of!children! bouncing!back!on!to!the!streets.! ! 2)!Hold!child!protection!and!awareness! meetings!in!Eldoret!to!protect!children! from!abuse!and!neglect

'

11! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

!I!was!a!destitute,!sad!and!lonely!boy!after!the!death!of!my!mother!and!with! no! help! from! my! relatives;! I! ended! up! in! Eldoret! streets.! I! was! introduced! to! Tumaini!by!my!friends!and!after!6!months!I!was!re3integrated!back!home!and! enrolled! in! school.! Still! my! father! wanted! nothing! to! do! with! me! and! did! not! offer! any! external! support! for! my! education.! When! I! was! to! register! for! my! final! primary! school! exams!he!refused!to!give! his!Identification!card!so! that! I! could! get! a! birth! certificate! to! facilitate! my! registration! for! the! exams.! Fortunately! my! class! teacher! offered! to! stand! in! as! my! father! and! lucky! enough! I! got! registered.! ! I! had! to! wake! up! at! 4.00! am! to! work! in! peoples! Garden! and! fetching! water! for! Billy!and!his!grandmother! them! to! get! money! to! buy! food! and! pay! my! rent! before! going! to! school.! When! the! head! teacher! learned!about!my!struggles!through!a!neighbour,!he!summoned!the!area!chief! and!the!Child!Protection!Committee!formed!by!the!Tumaini!to!ask!my!father!to! support!me!but!it!was!all!in!vain.!My!fathers!neglect!and!denial!tormented!me,! but!one!thing!I!swore!to!myself!was!I!will!study!hard!and!be!an!exemplary!pupil! in!school.!When!the!Social!Worker!from!Tumaini!visited!me!in!school,!the!head! teacher! shared! with! him! about! my! struggles! and! Tumaini! decided! to! pay! my! rent! and! food.! I! now! had! ample! time! to! study! and! my! hope! was! restored.! When! I! was! almost! sitting! for! my! KCPE! exams,! the! Tumaini! Social! Worker! visited!again!and!brought!me!a!success!card!signed!by!the!board!members!and! staff!at!Tumaini,!I!almost!cried!due!the!great!love!that!they!had!for!me.!I!had! just!buried!my!father!the!previous!week!and!I!felt!empty!despite!him!denying! me! support! when! he! was! alive.! But! with! Tumaini! family! on! my! side,! I! had! nothing! to! be! sad! about! anymore! as! I! had! something! to! live! for.! Being! the! leading!pupil!in!my!class,!I!promised!to!give!the!best!result!in!my!KCPE!exam! 2012.!I!am!now!waiting!for!my!results!and!looking!forward!to!joining!a!national! high!school.! Billy' passed' well' with' 331' marks' out' of' 500.' He' has' joined' Usenge' High' School'A'one'the'best'schools'in'his'County!'He'wants'to'be'an'engineer'and' help'build'roads'and'bridges'in'his'rural'home.'

Billys'Story'

12! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Outreach''
The'Outreach'Department'aims'to' Reach'out!to!children!in!their!own!environment!and!earn!the!childrens!respect!and!trust.! Communicate'with!children!and!youth!and!encourage!them!to!participate!in!the!activities!
offered!at!the!Center.!

Follow3up!with!children!and!youth!who!havent!been!attending!the!center!regularly.!! Provide'psychosocial!and!medical!services!with!our!health!care!department.!

2012'Successes'
Outreach'in'the'Street/Community' We!created!an!outreach!log!to!help!us!track! the!children!and!youth!we!reach!on!the! street.!In!2012!we!reached!over!2000+! children!and!youths.!!! 70!children!and!youths!reached!(59!males!and! 11!females)!during!our!Saturday!outreach.!! Uniforms!and!equipment!provided!to!our!5! street!youth!football!teams!to!compete!in! football!tournaments!held!within!the! community.!The!matches!helped!raise! awareness!in!the!community!about!Eldorets! rising!street!child!population.!!! We!received!a!big!boost!in!our!awareness! program!from!Save!the!Children!who!donated! tents,!movable!goal!posts!and!equipment!that! enabled!us!to!effectively!reach!out!to!the!to! the!community!and!other!stake!holders! through!sports.!! 32!children!(9!girls!and!23!boys)! participated!in!our!photovoice!project!and! exhibited!their!photos!to!key!stakeholders! and!community!members!to!help!educate! the!community!about!what!its!like!to!live! on!the!street.!' ' Outreach'in'the'Barracks' A!total!of!6,600!condoms!were!distributed! to!youth!in!the!street!barracks!as!a!way!of! curbing!the!spread!of!sexually!transmitted! diseases!and!unwanted!pregnancies!! 18!boys!were!recruited!through!the! outreach!program!to!participate!in!a! circumcision!program!in!the!center.!! 345!children!(45!females!and!300!males)! and!11!barrack!leaders!were!surveyed!as! part!of!our!monitoring!and!evaluation! study.!The!findings!were!analysed!and! used!to!tailor!Tumaini!Programs!to!the! childrens!needs.!! In!addition!to! our!M&E! surveys,!we! held!7! meetings!with! barrack! leaders!to!help!us!understand!the! changing!environments!on!the!streets!and! to!gather!information!on!children!who! have!bounced!back!to!the!streets!after! having!been!repatriated!through!Tumaini.!!! !

13! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Whats'Next?' ' ' ' ' ' ' ' ' '
1. Offer!more!healthcare!outreach!events!! 2. !Implement!operation!Kuboma!which!aims!to!work!with!street!mothers!and!youth! to!provide!a!clean!and!sanitary!home!environment.!! 3. Create!targeted!awareness!programs!in!the!community.! 4. Increase!the!number!of!condoms!distributed!in!the!barracks!and!slums.! 5. Improve!the!skills!and!exposure!of!our!football!players!by!enrolling!them!in!more! football!tournaments!and!leagues.!! 6. Find!exit!strategies!for!our!talented!soccer!players!by!means!of!sports.!! 7. Partner!with!community!stakeholders!to!create!programs!that!aim!to!provide!a! peaceful!and!productive!coexistence!between!the!community!and!the!street! children/youth.! 8. Empower!the!street!youth,!especially!the!barracks!leaders,!on!child!protection!and! child!rights!to!help!them!legally!handle!issues!that!arise!on!the!street.!!! 9. Educate!community!members!on!child!protection!laws!and!child!rights.!
!

14! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Education

'

The!Education!department!aims!to!

Improve!the!level!of!literacy!among!street!children!and!enable!them!to!smoothly!join!
various!schools!or!vocational!training!after!abandoning!street!life.!

Teach!informal!and!extended!education!programs!to!street!children!and!youths!including!
basic!Math,!English,!Swahili!and!Science.!!!

Prepare!street!children!for!registration/re3entry!exams!and!formal!school!expectations.!!

2012'Successes'
11!boys!were!placed!in!school!through!
the!support!of!Tumaini.! Classes!in!Science,!Math,!Kiswahili,!and! Life!skills!were!improved!and!each!subject! was!allocated!45!minutes!per!session.!! Quarterly!exams!were!standardized!to! assess!child!improvement!throughout!the! year!and!prepare!children!for!re3entry! exams!! With!support!from!Save!the!Children,!each! child!had!access!to!stationary,!textbooks! and!desks!during!their!lessons.'
! ! ! ! ! ! ! !

54!follow3ups!were!done!for!children!
already!placed!back!home!and!in!school.!! ! A!new!tent!was!donated!by!Save!the! Children!to!provide!a!cool!and!conducive! environment!to!teach!classes!outside! during!the!rainy!season.! Psychosocial!activities!were!introduced!at! the!center!giving!the!children!an! opportunity!to!voice!their!concerns! through!poems,!music!and!drama.!!

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15! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

' Whats'Next?' ''


! !

' ' ' A'transitional'facility' with'accelerated' classes'and'better' educational'continuity.' Work'towards' decreasing'school'drop' outs'to'zero.' Empower'parents'to' create'a'supportive' home'environment' and'keep'children'in' school'
! ! ! ! ! ! ! ! !

16! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Health!Care!!
!

The'Health'Care'Department'aims!to! Provide!health!education!to!the!street!children!and!youth!in!Eldoret'! Eliminate!barriers!to!health!care!that!exist!for!street!children/youth!and!provide!services!


that!keep!our!children!healthy!and!safe.!!
At!the!Tumaini!childrens!Drop3in!Centre,!the!health!care!of!our!children!is!of!utmost! importance.!Street!youth!are!constantly!exposed!to!diseases!like!malaria!and!tuberculosis! that!are!preventable!and!curable,!but!can!be!deadly!if!not!treated.! The!health!care!department!has!been!in!the!forefront!in!ensuring!that!health!issues! concerning!the!well3being!of!children!and!youth!at!Tumaini!and!the!barracks!are!dealt! with!effectively.!Major!activities!undertaken!in!2012!were!substance!drug!abuse! curriculum!sessions,!family!planning,!jigger!fumigation!and!management,!circumcision,! dental!care!check3up,!HIV/AIDS!counseling!and!testing,!and!TB!screening!in!the!barracks.! These!activities!were!accomplished!in!partnership!with!Uasin!Gishu!District!Hospital,! Ampath!TB!Projects!Office,!Moi!Teaching!and!Referral!Hospital,!and!Moi!University!School! of!Density.! ! ! ! ! ! ! ! ! ! ! ! ! !

! ! ! ! !

17! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Successes!in!2012
TB'SCREENING''
In!2012,!TB!screening!was!conducted!in!April!at!Mangula!/Jua!kali!barracks.!Two!females!and! 22!males!were!screened!and!all!tested!negative.!One!street!youth!who!tested!positive!for!TB! in!July!2011!completed!his!medication!in!2012.!

JIGGER'FUMIGATION'
Jigger!Fumigation!took!place!in!infested!barracks! and!there!were!subsequently!few!cases!of!jigger! infestation!among!children!and!youth!in!2012.! Jigger!removal!was!also!performed!at!Tumaini.!'

DENTAL'CARE'CHECK3UP'
Visiting!dentists!from!Indiana!University!in!collaboration!with!Moi!University!School!of! Density!conducted!oral!check3ups!for!6!girls!and!26!boys.!!Children!in!need!of!follow!up!were! referred!to!the!Moi!dental!clinic.!Street!children/youth!were!educated!on!proper!ways!to! keep!their!teeth!healthy.!They!also!received!toothbrushes!to!continue!good!oral!hygiene.!!

FAMILY'PLANNING'AND'HIV/AIDS'COUNSELING'AND'TESTING''
47!women!were!provided!family!planning!counselling.!10!women!now!have!birth!control! implants!and!37!receive!depo3provera!injections!every!3!months.!! Kelli!Barbor,!a!visiting!medical!student,!in!conjunction!with!AMPATH!doctors!and!nurses,!led! an!educational!session!regarding!contraceptive!implants!as!well!as!HIV/AIDs!counselling!and! testing.!39!children/!youth!(10!female!and!29!male)!attended!the!session.!!29!street!children! were!tested!for!HIV,!of!which!2!were!positive!and!successfully!linked!to!care!with!AMPATH.!

CIRCUMCISION!
18!boys!underwent!counselling!and!circumcision!in!December!2012.!!During!the!healing! period,!the!boys!received!education!about!puberty!and!HIV/AIDs.!!They!discussed!their! future!role!in!Tumaini!as!young!men,!and!they!were!encouraged!to!take!initiative!and!set! examples!for!their!younger!peers!by!working!hard.!!

REFERRALS'
Tumaini!has!strong!partnerships!with!Moi!Teaching!and!Referral!Hospital!and!Uasin!Gishu! District!Hospital,!and!one!of!our!main!objectives!is!to!link!street!children!and!youth!to!the! existing!health!care!system!in!Eldoret.!!In!2012,!we!made!88!outpatient!referrals!and!7! inpatient!referrals!to!these!local!hospitals.!!!

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18! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

! ! ! !

WHATS'NEXT?'
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

Increase'the'participation'of'street' mothers/older'girls'in'2013'family' planning'event.' ' Educate'children'about'recognizing' common'health'conditions'and'the' importance'of'adhering'to' medication'regimens.' ' Coordinate'additional'health'events' with'Tumainis'health'care'partners.'
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!! !! ! !

19! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Livelihoods!!
The'livelihoods'department'aims!to:'' Help!youth!acquire!skills!to!enable!them!to!conduct!income3generating!activities!that!can!
support!a!life!off!the!street.!!!

Encourage!youth!to!learn!a!skill!that!suits!their!interests!and!needs.!!!

2012'Successes'
Women'Empowerment:'Save!the!Children! funded!two!projects!targeting!both!street! children!and!their!parents.!One!of!the! projects,!the!women!empowerment! project,!trained!and!supported!20!women! on!how!to!save!their!income!effectively! and!work!together!to!help!fund!specific! livelihoods.!This!project!has!allowed!some! of!them!to!start!a!pig!farm!and!a!bakery.! As!a!result,!these!women!were!able!to! support!their!children!with!food,!shelter! and!clothing.!A!total!of!43!children!(34! boys,!9!girls)!were!supported!through!this! project.!! Beadwork'IGA:!The!beadwork!IGA!started! in!2009!and!has!continued!to!expand!over! the!years.!Our!products!include!items! such!as!Christmas!ornaments,!diabetes! bracelets,!key!chains,!and!jewellery.!This! year!we!had!a!large!demand!for!our! products!and!had!16!youth!(11!girls!and!5! boys)!earn!a!salary!from!this!IGA.!! Trolley'IGA:'The!trolley!IGA!also!began!in! 2009!and!has!had!at!least!one!youth! participate!in!it!each!year!since.!This!IGA! not!only!helps!youth!earn!an!income,!but! also!builds!rapport!among!the!community! members!with!whom!they!interact!with.!! ! Career'development'class:!This!class!is! offered!to!youth!at!the!center!to!help! them!think!about!and!plan!their!future.! The!class!assists!youths!in!developing!a! business!idea!and!teaches!them!skills!on! how!to!manage!a!small!business.!!This! year!we!had!18!youth!enroll!and!complete! the!class.!! Vocational'program:!In!2012!we!had!2! young!boys!express!an!interest!in!the! culinary!arts!and!1!young!girl!who!wanted! to!become!a!tailor.!The!center!has! enrolled!the!two!boys!in!culinary!school! and!they!are!expected!to!complete!their! courses!by!the!end!of!the!year.!!The!young! girl!will!need!one!more!year!of!courses! before!she!can!work!as!a!tailor!in!town.!! Apprentice'program:!The!apprentice! program!currently!has!one!youth!working! as!an!apprentice!to!a!mechanic!in!town.!! National'identification'card:!This!year!we! were!able!to!get!7!youths!an!ID!card.!! National!ID!cards!are!a!necessity!when! applying!for!jobs!in!Eldoret.!Most!street! youth!experience!many!barriers!to! receiving!an!ID!card!from!the!government.! Tumaini!has!worked!with!the!government! to!make!it!easier!for!those!who!are!18! years!or!older!to!receive!an!ID!card.!

20! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Number'of'Children'Enrolled'in'Each'Livelihood' Program'3'2012'
12! NUMBER'OF'YOUTHS' 10! 8! 6! 4! 2! 0! Beadwork! Career! Vocaoonal! apprenoce! secoon! development! secoon! secoon! class! LIVELIHOODS' Trolley! Naoonal! business! idenocaoon! card! Boys!! Girls!

' CHALLENGES' Tumaini!fights!hard!to!get!street!youth!enrolled!in!training!institutions.!Despite!our!efforts,! we!sometimes!face!resistance!from!the!institutions.!Some!institutions!do!not!want!to!enroll! street!youth!into!their!programs.! Some!youth!experience!discrimination!once!enrolled!in!training!courses.!They!report!that! they!are!not!treated!with!the!same!respect!as!their!peers.!! Drug!use!among!those!enrolled!in!vocational!training!continues!to!be!a!challenge.!! ' ' ' ' ' ' ' ' ' '

21! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

WHATS'NEXT?'
The!livelihood!department!is!committed!towards!ensuring!that!the!youths!who!are!willing!to! be!self3dependent!are!given!full!support.!In!2012!we!hope!to:!! Continue!to!provide!support!to!youths!who!have!started!a!livelihood!activity!until! they!feel!they!can!manage!on!their!own!! Expand!our!department!budget!to!accommodate!the!high!demand!of!youths! wanting!to!enroll!in!the!various!vocational!programs.!! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Work!together!with!our!health!care!department!to!help!rehabilitate!youth!who!are! still!engaging!in!drug!use.!! Build!partnerships!with!local!training!institutions!to!help!the!uptake!of!street!youth! into!their!programs.!!

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22! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Looking'Forward'to'2013!
'
2013!will!be!our!4th!year!since!the!inception!of!Tumaini.!We!plan!to!use!the!platform!of!the! 2012!successes!to!grow!and!improve!our!existing!programs.!!We!plan!to!expand!our! outreach!program!with!the!ever3important!mission!of!earning!our!right!to!serve!by! reaching!out!to!more!children!and!youths!through!sports!and!other!psychosocial!activities! like!music!and!dance.!We!will!also!implement!our!community!awareness!project!in!order! educate!the!community!on!the!plight!of!street!connected!children!and!youths,!and!form! new!partnerships!with! the!community!so!that! we!may!all!empower! street!children!to! abandon!street!life.!The! healthcare!department! will!grow!its!referral! system!to!the!local! hospitals!and!also!plans! to!provide!optimum! family!planning!services! to!street!mothers!and! girls.!The!education! department!will!work!closely!with!the!case!management!department!to!place!more!children! into!school.!!A!key!area!of!improvement!is!our!follow3up!of!children!and!families!once! children!have!been!repatriated!back!home!and!placed!in!school.!!We!hope!to!drastically! decrease!the!recidivism!or!bounceback!rate!to!the!streets!by!following!up!more!closely! and!involving!the!local!community!in!supporting!these!children!and!their!families.!!With!a! recent!grant!from!the!Power!of!One,!the!livelihood!department!is!embarking!on!placing! several!new!youth!in!vocational!training!and!facilitating!the!acquisition!of!Kenyan!ID!cards,! as!well!as!job!placement,!for!several!more.! ! Ultimately,!2013!will!be!a!year!of!growth.!We!will!be!expanding!our!program!model!to! include!a!Transitional!Center.!We!continue!to!evaluate!our!programs,!listen!to!the!children! and!youth!that!we!serve,!and!respond!to!meet!their!needs.!The!Tumaini!Transitional!Center! will!build!on!our!experience!over!the!last!3!years!and!forge!a!new!path!for!our!program.!!Our! focus!will!be!on!more!intensive!substance!abuse!and!psychosocial!rehabilitation,!improved! community!partnerships,!and!more!intensive!case!management!and!home!follow3up.!!Our! aim!is!simple:!Empower!street!children!to!leave!street!life!and!never!turn!back.!In!the!end,! we!will!work!tirelessly!to!achieve!this!mission.!!

23! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Tumaini'Leadership'
BOARD'OF'DIRECTORS'

David'Ayuku,!PhD,!Associate!Professor!of!Clinical!Psychology,!Moi!University!School!of!Medicine!! Paula'Braitstein,!PhD,!Co3Field!Director!of!Research,!AMPATH!! Elizabeth'Chester,!MSIH,!Director,!AMPATH!Orphans!and!Vulnerable!Children!Department!! Rachel'Gallagher,!Founder!and!President,!Open!Arms!International!! Eunice'Kamaara,!PhD,!Professor!of!Religion,!Moi!University!! Robert'Onywoki,!Artisan!and!Business!Owner,!Eldoret,!Kenya!! Sonak'Pastakia,!PharmD,!MPH,!BCPS,!Assistant!Professor!and!Purdue!Kenya!Program!Coordinator,! Purdue!University!College!of!Pharmacy! Tim'Mercer,!MD,!MPH,!Resident!Physician,!Departments!of!Internal!Medicine!and!Pediatrics,!Duke! University!Medical!Center!!
!

'
FUNDRAISING'BOARD'
Mathew'Turissini,!MD,!Resident!Physician,!Departments!of!Internal!Medicine!and!Pediatrics,!Duke! University!Medical!Center! Daria'Szkwarko,!DO,!Resident!Physician,!Department!of!Family!Medicine,!Brown!University! Michael'Scanlon,!MPH,!Research!Fellow,!AMPATH!! Sarah'Jilani'Mercer,!MPH,!Research!Associate,!Health!Services!Research,!FHI360! Tim'Mercer,!MD,!MPH,!Resident!Physician,!Departments!of!Internal!Medicine!and!Pediatrics,!Duke! University!Medical!Center! Samuel'Kimani,!Program!Manager,!Tumaini!Childrens!Drop3In!Center! Paula'Mercer,!B.Ed,!Retired!Educator,!Community!Leader! Colin'Klein,!RN,!Research!Study!Coordinator,!Indiana!University!
!

24! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Donors,'Partners,'and'Friends'in'2012'
Thank'you'for'your'continued'support'and'fundingg!

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Open!Arms!International! Uasin!Gishu!District!Childrens!Office! Moi!University!School!of!Public!Health! Moi!University!School!of!Medicine! ' Moi!Teaching!and!Referral!Hospital! Uasin!Gishu!District!Hospital! ' Purdue!University!College!of!Pharmacy! ' AMPATH!/!IU3Kenya!Partnership! Save!the!Children! ' UG!Childrens!Services!Forum! ' Childrens!Charitable!Institutions!(CCIs)!in!Kenya! Local!churches,!mosques!and!businesses!in!Eldoret! ' First!United!Methodist!Church,!Auburn!Indiana! Clifford!Kinley!Family!Trust,!Purdue!University! ' Discover!the!World! ' Power!of!One,!Indianapolis,!Indiana! American!Academy!of!Pediatrics,!International!Community!Access!to!Child! ' Health!(I3CATCH)!! ' Art!Norins!and!the!Nor1!website!design!team!! Eldoret!Municipal!Council!Dept.!of!Social!Services! ' Eldoret!Police! and'warm'thanks'to'all'of'our'individual'supporters'who'contribute'regular'donations'or' gifts.''You'are'very'much'appreciated!'

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25! Tumaini!Annual!Report!2012!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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