~o JAN-JUN 2009 ACnVITY REPORT C/O GRACE AND COMPASSION

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GRACI AnD comPASIIon en EnT·munDIKA
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n,e"\ Email: graceandcompassion@gmail.com

JANUARY - JUNE 2009 ATIVITY REPORT: OPA: 09-01-02-01

Dear Stichting Oud in Africa,

Greetings from Grace and Compassion Mundika Complex.

Indeed it isour pleasure to present to you our six monthly activity report with hopes that
all of you are keeping well.

Since the year began up to date a lot has taken place with the aim of improving on
older persons' living standards. Although some incidents took place unexpectedly, e.g.
deaths, drought, hunger and sickness,with the help and support from the Stitching Oud
in Africa, we have been able to cope. and life still goes on.

The report shall be tackled under the three main areas of operation in regard to the
care for elderly. These headings are as follows:- 1. Old Peoples' Home (OPH)

2. Home Based Care (HBC)clients. 3. Abakofu Belinda Self Help Group (ABSHG).

After these, each of the seven volunteers will report on what is taking/ has taken place
in her/hls department. The departments with their stakeholders are as follows;

1. Daniel Barasa: Co-ordinator, Building/ construction department.

2. Gilbert Omojong: Transport and Communication department.
3. Eunice Makokha: Nutrition and Hygiene
4. Anasfansia Akumu: Clothing, Bed/beddings and Furniture.
5. Robert Pamba: Last offices (funeral) department.
6. Kennedy Langiri: Farm.
7. Helen Nekesa: Finance department.

1. OlO PEOPlES' HOME (OPHl

At present there are 28 older persons at the residential home, of which 19
are female and the rest are male. Their ages ranges between 55 and 95
years old. AHthese residents are completely destitute in that they have no

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'Care For My Uttle Ones'

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property of their own hence, are fully dependant on Sistersof Grace and
compassion for their livelihood.
Recently one of them died, her short story will be mentioned in the
obituaries.

For the up-keep of the home the congregation relies on the support from
England, weil-wishers from around, these includes businessmen as weil as some
religious organizations. These support the home by giving some donations in form
of material, mainly second hand clothes and sometimes the businesspeople
offer food. Thisimplies that, every little gift counts and it is helpful to those that
receive and use it. With that in mind, we don't chose what should be donated to
us; any form of donation is utilized with care.

For the past few years the home for elderly has existed at Mundika, had not
received much support trom the Government officials. The only NGO that took
interest in the care for elderly as trom the year 1996is Helpage international, now
has a branch in Kenya known as Helpage Kenya. The Sistersof G & C, (whose
main charism isto cater for the needs of elderly) have been in Kenya Busia-
Mundika, since 1990.Withthe support trom the HAl/HAK, we have been able to
reach few more destitute older persons and give them a better home to stay
and a happy dignified death! In other words, most of the residents at OPH are
sponsored by HAl/HAK. As from 2004 up to date, the work for caring and support
of the elderly has also been complimented by another NGO trom the
Netherlands known as 'the Stichting Oud In Atrica'. Hence, the Sistersof G & C,
HA and OIA, all support each other in the care for elderly destitute.

Having said that, HAKsupports many older persons in the developing countries,
and as a result of the increase of older persons worldwide, there is a shortage of
finance to meet all the needs for an older person.

Thisyear (2009) the OPH has been blessed to receive some support trom the
government via the Social Service department branch in Busia District.

Hunger was declared among the national disasters by Hon. President Mwai
Kibaki in March 2009. To that connection the home received a cheque of
KSH.15,000/-and 17 bags of maize to help combat hunger among the older
people at the OPH. With the KSH.15,000/- the mattresses + covers were
purchased for the older persons ' use at the OPH. These are of great help
especially for the residents that are incontinent and bed-ridden. For the 17 bags
of maize was a fair supply of food for our older persons at OPH. In a month, our
older persons at OPH consume at least 4 bags of maize grinded for both ugali
(stabie food) and porridge. Although for porridge maize is mixed with millet and
soya beans before it is grinded into flour. At present a bag of maize costs Ksh.

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3000/-, a bag of Soya beans costs Ksh. 9000/- and a bag of kidney beans Ksh.
6,750/-. (A bag is equivalent to 90kgs). The Sisterstogether with the residents
appreciated for the support and wrote a letter to thank the District Officer and
his team for their thoughtfulness.

Some farming is also done at OPH's grounds, of which most of it to do with crops
wil! be reported on by Mr. Kennedy Langiri, since that falls under his department.
Apart from thct. there are dairy animals at the OPH grounds. These produces milk
enough for our older persons' consumption and the Sisters.With the help and
support of OIA program in the Netherlands, we we re given these cows via Heifer
International program as one way of reducing poverty among the people. The
agreement with the Heifer international is that, atter the cows have calved
down, we are expected to pass on those calves to other needy persons/ person.
The first passing on of five calves trom us to other needy persons took place on
29/05/2009, of which I hope Sr. Beatrice (Srin-charge of farm) has reported
about. Besides the cows, there are also local chickens reared at the OPH for
resident's consumption. Recently some of the chickens we re coughing. When
the Sr in-charge for elderly inquired what could be the cause, she was told by
Kennedy (a volunteer) that it was typhoid for birds. He advised on what
medicine to buy, it was bought and he treated the chickens. Coughing ceased
within a period of 3 days post-treatment. Now the chickens are fine, two of them
have hatched with eight chicks each. We also have 2 guard dogs at OPH. One
of the dogs has 3 puppies: they have been booked to be bought by 3 business
men in Busia town. Now the puppies can't be released because they are still too
young to leave their mother. They are usually sold out after a period of 6 weeks
of their birth. Both the mother and puppies are doing weil!

On the other side of the coin, Grace (one of our dairy cows) is unwell for over 3
weeks now. The vets have been in and out to see her and they say she is
suffering from anaplaxis (disease that attack the larger joints of an animal)
among the five cows that we have, Grace has been producing plenty of milk
more than the rest, now that she is unwell, it an implication that milk production
has dropped! AII in all, we still manage and hope that she will be weil soon.

On the side of the residents, since Felister died on 10thJun '2009, it was suggested
by the Sistersthat we consider taking Mariana Nekesa in place of Felister R.I.P.
Therefore, with effect trom 13thJun'2009, Mariana is a resident at OPH. Below is a
short story of Mariana Nekesa' 67 years old.

Mariana lived alone at her house (built by the project) at Igero village, Central
Busia District. She is one of the HA beneficiaries that never had the opportunity of
enjoying family life with her husband due to lack of children. In summary,
Mariana was not blessed to bear children for her husband: this resulted into her

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being chased away from her marital home by her brothers' in-Iaw af ter the
death of her husband.

In March 2008 Mariana developed 2 nasty wounds; on her leg and on top of her
left leg. The wounds became necrotic with debris around them. For the wounds
to progress weil and not cause more harm/ infection to other parts of the body, it
was important that they are cleaned and dressed at least 3 times daily. Since
Mariana lived approximately 10 km away from the convent, it became difficult
for Sr to be visiting Mariana x3 daily with regard that she has other older persons
besides Mariana to cater for. Therefore, Sr in-charge decided to bring Mariana
to OPH to be treated and nursed from there. The wound dressings that were sent
to us by ship from Holland have really done a wonderful job on Mariana's foot
and the rest! Mariana has been to OPH for over a veer. the foot is progressing
weil although slowly, while the leg part has healed and left a scar.

Previously Mariana received HBC support, but now she receives residents'
support. She is pleased about it. now that she is unable to walk around and do
things for herself as she used/ would like to. At OPH Mariana has learnt how to
weave baskets and make mats using palm leaves. Thisskill she has been taught
by Teresa and other residents. She seems to get on weil with other residents and
she is grateful for the care and support she receives.

2. HOME BASED CARE (HBC).

HBC comprises of 86 older persons that are beneficiaries of the project and receive
care and support from their own home environment. For the sufficient delivery of the
services to the older persons. Sr in-charge of the elderly work hand in hand with the
volunteers and ensure th at most of the needs of beneficiaries are addressed and met.
HBC is the area whereby most of the financial support sent to us by the stichting oud in
Afrika is fully utilized. It covers salaries for volunteers and for nurse services th at assist to
care for older persons. nutritional values and healthcare for older persons and
volunteers, building/ construction (shelter provision and toilets) for older persons. The
money sent by stichting oud in Africa is also used to purchase bed/ beddings, clothing
for older persons and to meet many other needs for the elderly. A summary of all these
needs will be reflected in the financial report. Besides what will be mentioned in the
financial report, a sum of money also goes to home visits. guiding and counseling of
older persons and offering moral and financial support when needed. For that reoson.
some cash goes to vehicle maintenance, petrol and transport. OIA also supports the
training of volunteers e.g. computer skilts. driving/ riding a rnotorcvcle. agricultural
seminars, etc.

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As said in the introduction, every volunteer is to report on her/hls department:

A) DANIEL BARASA: Report on Buildinq and Construction Department.

Building and construction is one of the major activities undertaken by the
programme to ensure that the elderly have a comfortabie and sensible stay.
It entails building of houses and digging and building of toilets (pit latrines). AII
will agree with me that shelter is one of the most basic needs in human life,
others being food, health and clothing.
In the budget of 2009 we proposed to construct 17 houses and 17 toilets, of
which we are through with the houses and are preparing to start working on
toilets.
The following are the names of the beneficiaries that have had their houses
built; Arnolda Nyangweso, Angela Namukuru, Awino Owich, Charles Obara,
Christine Ajwang', Clementina Nyongesa, Hellena Ochumi, Hellen Adhiambo
R.I.P,Vincent Osiba, Eunice Khaseke, Federes Egesa, Kalasina Nabwire,
Monica Ogono, Wilbroda Nasirumbi, Rose Arnoit. Sabina Abat and Paskalia
Okinei.
I take this golden chance to thank the project sponsors and stake holders for
their cooperation and hard work! Had it been not for the kindness and
generosity of the stichting oud in Africa in the Netherlands for their financial
support, we would have lost most of our older persons in an appalling state.
With those few remarks, I say 'Long live Oud in Africa'!

B) GILBERT OMOJONG: Report on Transport and Communication:

Thisdepartment holds two main branches;
1. Transport:
Under transport the project owns two means, i.e. motorcycle and 7
bicycles used by the 7 volunteers of the project. The motorbike is used by
the coordinator for field work purposes and for the quick transportation of
Easter and Christmas commodities to the older persons. At times the
motorbike is also used for emergencies e.g. transportation of medication
to older persons in places where the roads do not exist for piek-ups to
access. Also this same motorbike is being used to train the volunteers. At
present all the volunteers have known how to ride a motorbike but they
still wait for the official testing and issuing of a license. Daniel is due for the
test at the end of July'2009, and then the rest will follow. Sr in-charge for
elderly bought for volunteers thick jackets as protective clothes when one
is using a motorbike. AII volunteers are grateful for the support we receive
as being part of OIA programme.

Bicycles are used by the volunteers to reach the beneficiaries, to check

on how they fairing on and to deliver monthly food and hand out to them.

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The servicing of the motorbike is usually done af ter the allocation of

mileage has been covered. As for the bicvetes are usually cared tor and
maintained by the service users.

2. Communication:
AII volunteers were provided with mobile phones by the OIA project to
keep them connected to each other and for easy and efficient
communication. Whenever any of the volunteer encounters a problem
with his/ her phone. Sister in-charge for elderly is notified and arrangement
on how to assist that particular volunteer is made. Either another phone is
bought or the old one is repaired according to the state.

Generally, the department also covers on how to transport older persons

to and from their homes to attend eye-clinic at the Mundika convent
every af ter 3 months, i.e. four times a year we do host clinicions from
Sabatia Eye Hospital to treat people with eye problems in Mundika and
areas around Mundika. Thisyear the clinicians have already been to
Mundika twice, i.e. January 10thand April 15th.We are having another
eye-clinic on July 9th2009,that will be the 3rd one in this year.

C) EUNICE MAKOKHA: Food/nutrition and hygiene.

Food and other essentially items for older persons are provided on monthly
basis by the OIA program me. The food items provided are as follows; 6kg
maize fleur. 4kg porridge fleur. 4kg kidney beans, 2kg sugar, lOOg tea leaves,
500g cooking salt and 500g cooking fat. Other food surplus is milk, meat and
rlce. fruit juice and fruits. These surpluses are given according to an
individual's need. Especially to the older people that are week and sickly, the
surplus helps to boost the system.
Thisfood hos strengthened our older persons and improved their living
standards. May almighty God bless and reward the providers of the OIA
programme with good health of body and mind.

As a group we also observe the general cleanliness of the beneficiaries

including their surroundings. In the month of May'2009, we were privileged to
have visitors from Holland. I.e. Jan, Annekke and vilamine. These three
witnessed how we normolly remove jiggers from an older person' s toes. Thisis
just one example of maintaining body cleanliness. Vilamine taught us how to
keep short and tidy the nails of older persons. She also brought us the

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machine to cut, clean and tidy up even the thickest and toughest nails of
some of our older persons. We experimented using the machine on the nails
of our residents at OPH, and they were thrilled!
The project provided the following items for the purpose of cleanliness and
hygiene: 4 basins (different sizes), heavy duty gloves, razor blades,
disinfectant, detergent, safety pins, nail-cutters, hand tewels. flannels,
slashers, pangas and jembes.
We clean the surrounding area of older persons by slashing the grass and
burning unwanted rubbish. Those that are frail and leave alone we bathe
them twice a week, shave them and cut their hair short sweep their houses,
air beddings, make beds for them and wash their clothes.

D) ANASTANSIA AKUMU: Clothing, Bed! beddings and Fumiture;

22 beds have already been made @ Ksh. 2,500/- per bed and so far 13, 4"
mattresses have been bought. Same more are still needed of which Sr in-
charge has promised ta buy and supply before the year ends. On the budget
we requested for 35 beds and mattresses.

The plan for clothing is, to buy material and stitch for all beneficiaries' suitable
clothing in the month of August'2009, shoes and cardigans in Sept'2009.
Sr in-charge has already provided 7 jackets for volunteers @ Ksh. 700/- each.

As for furniture i.e. a table and achair x58 are in pracess. So far Sr has paid
Ksh. 10,000/- as deposit to our local carpenter and he has started making
them.

E) ROBERTPAMBA: Funeral (Last offices) Department;

As from January 2009 I was appainted as the head of the above mentioned
department. Since then up to date it is so unfortunate that 3 of our clients
(HBC) have died. Their names and sex are as follows;

- Crispinus Olwanyi - male. Died in March 2009.

- Hendrika Adlkinyi - female. Died in April 2009.
- Lucia Auma - female. Died in June 2009.

Crispinus R.I.Pwas appraximately 78 years old. he was wheel chair baund, he

lived alone and was the furthest client (HBC) we ever had. From the convent
to his home it took 1.45 hrs. We used to visit him as a group twice a month.
The amount of cash that was spent for his funeral together with burial
arrangement and transport was Ksh. 10,745/-.

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Hendrika was 92 years old when she died. She lived with a grandson who
went back to his father offer the death of Hendrika. The sum of money that
was spent in her funeral was Ksh.9000/-.

Lucia Auma was also 78 years old. She was blind, lived with grandchildren
who were of great support to her. Funeral expenditure was ksh. 9000/-.

OPH GRAVE YARD.

Thisalso comes under my jurisdiction. The ground was so bushy so we
discussed with Sr in-charge what could be done to improve the state. This
place used to give us a heli of time whenever a resident died and was to be
buried there. That would be time to start clearing the area, preparing a
place for buria!. We agreed with Sr to plough the area and plant some maize
and beans. Thishos worked out so weil, the place looks decent and
respectabie. The expenditure for clearing the grave yard is as follows;
1st ploughing - Ksh.500/-
2nd ploughing - Ksh. 500/-
Planting - Ksh. 200/-
Weeding x2 - Ksh. 400/-
TOTALSPENT= KSH.1,600/-.
In the month of June'2009 one of the residents died, by name and age;
Felister Rallo 80 years old. The body was transport and buried at her home in
Port Victoria, South Busia District, Rwambua village.

Below is a short life story of Mrs. Felister Rallo;

Felister had suffered stroke 10 yrs ago at her home in Port Victoria, South Busia
District. Most of the time since 1997 she has been in and out of hospita!.
In mid 2008 Felister was admitted to OPH as a resident, because she was left
alone with no one to care for her at home. She was wheelchair bound and
had lost half of her speech as a result of stroke she had suffered.
Besides thot. Felister had arthritis, hypertension and she was also type 2
diabetic that had not been discovered for the past few years.
At the OPH she was welilooked af ter and received all the necessary
medication with proper nutritional intake and the company of others. AII
these contributed to the weil being of Felister and within a period of 2 months
at OPH, she seemed to have improved drastically. Her family visited her and
they were so pleased and amazed to find her looking so weil!
Felister took ill on 6thJun'09 and died on 10th Jun'09 at 8.00 pm in the sick bay
at OPH. She was buried on 20thJun'2009. May she RESTIN PEACE!AMEN.

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F) KENNEDY LANGIRI: Farmingl AgricuHure Department.

Under this department, we do mixed farming for older persons as weil as for
our families. Thusmixed farming involves the growing of crops as weil as
rearing of animals on the same piece of land. To that relation, there isrearing
of chicken. planting crops such as maize, beans, vegetables and bananas
for beneficiaries' use.

Chicken rearing.
Lastyear five homes were identified to serve as pass on chicks to other
households after hatching took place. The projected supported the
construction of poultry houses in the identified homes. The OIA also
purchased the chickens to be supplied among the 5 beneficiaries.
Each household was allocated 4 hens and one cock.
We learned the system of Heifer international in that atter the cows calving
down, the Sistersare expected to pass on ca Ives to other needy families.
Likewise,af ter the hens have hatched, the chicks are passed on to other
household of beneficiaries. The chicken project is doing extremely weil and
beneficiaries are already passing on chicks to other HBCclients.

Cultivation and planting report.

Thisyear we had shortage of rain. Although the lands were prepared in good
time, planting was done late. Therefore the crops are not vet ready for
harvesting, as aresuit there isa lot of hunger in the country. But thanks to the
OIA programme! Our older people are never left without food!
The project has cultivated the land for 37 clients for long rain season. Every
client received 10kg of DAP fertilizer, 5kg of urea for top-dressing and 2kg of
maize seeds for planting.
Concerning banana suckers, all HBC clients received and planted a sucker
each. Thiswere also purchased and paid for by the project. We hope to get
more suckers from the ones planted so as to expand the project amongst the
older persons.

Besidesassisting HBCclients to cultivate and plant their food crops. as a

group of volunteers we do assistSrto cultivate and plant some food crops at
OPH. Thisseason we have planted maize, beans and sweet potatoes in the
garden at OPH. We also look af ter OPH'S kitchen gardens to ensure that
residents get a good supply of greens most of the time.

With those few remarks, we say thank you very much to our donors for giving
our older persons a life to live.

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G) HELEN NEKESA: Department of finance:

Thiswill be tackled by Srin-charge for elder persons. Although we work closely
together, she is the one to make the final decision concerning expenditure.
Apart from that, I must admit that I hail you people for having sacrificed to
support the elderly destitute people of our country. May you be blessed and
rewarded for the goed and generous werk you do for God's people.

JAN-JUN'09 ACllVllY REPORT.

For that reason the work of building was delayed. But now I am glad to let
you know that the work commenced on 28th Jun'09 and the proceedings are
satisfactory. The problem we are facing and might drag the construction
work behind a bit islack of sufficient finance.

The remaining KSH.240,000/- af ter the land transactions, has been spent on
the following:-

Sand 5 Lorries- ksh. 12,500/-

Bricks 10,000- ksh. 30,000/-
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Hardcore 4 Lorries - ksh. 10,000/-

Ballast 3 Lorries - ksh. 18,000/-
Cement 60 bags - ksh. 54,600/-
Transport - ksh. 10,000/-
iron bar 10 pcs - ksh 8000/-
DPC 10 mtrs - ksh. 1000/-
Wall pass 25 kg - ksh. 3000/-
Timber 28 pcs - ksh. 18,660/-
Nails 15 kg - ksh. 1,960/-
Iron sheets 3mtrs, 35 pcs - ksh. 24,500/-
Wood preservative 10 Itrs- ksh 300/-
R6 X6 PCS- ksh. 1,500/-
Binding 5 kg - ksh. 750/-

TOTAL SPENT= KSH. 193,670/-

BALANCE = KSH.46,330/-

Relating to the work plan, we have purchased quite a few things to complete
the structure.
The group kindly requests for more money to be send so as to enable us forge
ahead in terms of construction.

REPORTBYSISTERLYDIA (in-charge for elderly care)

And
Volunteers.

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OUD IN AFRICA JAN-JUN 2009 FINANClAL REPORT C/O GRACE AND COMPASSION CONVENT

FINANClAL REPORT:OPA; 09-01-02-01.

NOTE:

THIS REPORT COVERS ONLY HOME BASED CARE, 86 CLIENTS I.E. OPA: 09-01-02-01.

FINANClAL REPORT JANUARY - JUNE 2009.

MONTH BALANCE ACTIVITY/ BUDGET ACTUAL BALANCE IN

2009 FORWARD Items FOR EXPENSE ACCOUNT
KSH. 2009. TIL KSH.
KSH. JUN'09
JANUARY B/F. Food 1.644,000 745,892
428,304
Medical 576,000 129,970
Kerosene 92,880 37,660
FEBRUARY OIA.ACC Construdion/ 666,753 416,920
RECEIVED Repairs
2.293,272
Beddings/ 175,600 83,550
Clothinq
v.maintanence/
petrol/ 204,000 79,350 2.171 ,292/-
MARCH transport

Communication 30,000 16,720

Salaries 624,000 312,000
APRIL Farming 316,450 179,860
Last offices 61,500 34,945
MAY Furniture 232,000 10,000
Hvoiene 14,340 5,100
For volunteers 108,000 34,600
stationeries 2,570 1960
JUNE 1.034,018/-

TOTAL SPENT 2.088,527

NOTE: some items that were mentioned on the 2009 budget (HBC) are missing on this
financial report because they have not vet been accomplished but we are soon to
start working on them.

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We kindly request for more money to be sent. so as to enable the smooth running of the
project. We are very grateful to you for your untiring financial support extended to the
older persons of mainly western Kenya and Eastern Uganda.

On the column of salaries, services delivered by Mr. Juma and volunteers have been
merged together. i.e. 444,000/- (volunteers) + 180,000/- (Nurse Services). = 624,000/-.

On the other hand, I am totally impressed with the way the finance office is run over
there. The system of sending money to this ends has really improved a great deal! Since
the year begun our older persons/ beneficiaries have lacked nothing they are entitled
to get. Thisis so because there is no single day I went to bank and turned off due to
finance shortage. A big thank you to oll our Donors and Sponsors. May your life span be
elongated so that you continue supporting our elderly destitute people.

BANK DETAILS

BANK NAME NATIONAL BANK OF KENYA

BANK ADDRESS BUSIABRANCH

BIC NBKEKENX828

ACCOUNT

NUMBER 0124237092601

ACCOUNT HOLDER

NAME OUD (OUT) IN AFRICA

ADDRESS P.O.BOX 527, BUSIA50400, KENYA.

JAN-JUN'09 FINANClAL REPORT.

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