A REPORT OF INSTITUTION ATTACHMENT AT

KITALE COUNTY REFERRAL HOSPITAL

ESTHER MORAA

REG NO:SDS/339/023

KOBUJOI INSTITUTE OF DEVELOPMENT STUDIES

MARCH,2024
DECLARATION
I the undersigned hereby declare that I am a sole author of this report. To the best of my
knowledge this report contains no material previously published by any other person except
where due acknowledgement has been made.

Name: Esther Moraa

Reg No: SDS/339/023

Sign:………………………………………………. Date:………………….

Department of Social work

Supervisor

Name: Mr. Ken Cheruiyot

Sign:……………………………………………. Date:……………………

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DEDICATION
I dedicate my work to God, family and friends. a special feeling of gratitude to my parents
Mr. and Mrs. Mageto who gave words of encouragement.

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ACKNOWLEDGEMENT
I would like to express my gratitude to Mrs. Christine Amollo and my research supervisors
for the patient guidance and enthusiastic encouragement for this research work. I would like
to thank Mrs. Lizzy Barngetuny for her advice and assistance in keeping my progress on
schedule.

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LIST OF ABBREVIATION
ICU: Intensive Care Unit

KCRH: Kitale County Referral Hospital

FIF: Facility Improvement Fund

MSW: Medical Social Work

AIE: Authority of Incur Expenditure

NCD: Non Communicable Disease

KEMRI: Kenya Medical Research Institute

KEPH: Kenya Essential Patrage for Health

HIV: Human Immune Deficiency Virus

NGO: Non Governmental

CCC: Comprehensive care unit

NHIF: National Health Insurance Fund

PPE: Personal Protective Equipment

ARV’S: Antiretroviral

GBURC: Gender Based Violence Recovery Center

HMT: Hospital Management Team

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DEFINITION OF TERMS
Channel: Medium through which a message is sent to another person

Facility: Place or piece of equipment provided for a particular purpose

Organogram: A visual depiction of an organization structure

Policy: Set of what to do in a particular situation that has been agreed officially

Need: A dissatisfaction at point of time at a given context

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TABLE OF CONTENTS
DECLARATION...........................................................................................................................ii
DEDICATION.............................................................................................................................iii
ACKNOWLEDGEMENT............................................................................................................iv
LIST OF ABBREVIATION..........................................................................................................v
DEFINITION OF TERMS...........................................................................................................vi
TABLE OF CONTENTS.............................................................................................................vii
CHAPTER ONE...........................................................................................................................1
1.0 Community Survey......................................................................................................................1
1.1 Introduction.................................................................................................................................1
1.2 The area.......................................................................................................................................1
1.3 The people in the community......................................................................................................1
1.3.1 Unique Customs.......................................................................................................................1
1.3.2 Social Organization.................................................................................................................1
1.3.3 Major Occupation Of The People.............................................................................................1
1.3.4 People’s Achievement..............................................................................................................2
1.4 Services and Institutions Available..............................................................................................2
1.5 Needs and Problems....................................................................................................................2
1.6 Recommendation.........................................................................................................................2
CHAPTER TWO..........................................................................................................................3
2.0 Administration.............................................................................................................................3
2.1.1 Introduction..............................................................................................................................3
2.1.2 History Of The Institution.........................................................................................................3
2.1.3 Establishment............................................................................................................................3
2.1.4 Growth and Development.........................................................................................................3
2.1.5 Role of In health care................................................................................................................3

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 2.1.6 Public Health Care....................................................................................................................3
2.1.7 Community Impact...................................................................................................................4
2.1.8 Mission.....................................................................................................................................4
2.1.9 Vision.......................................................................................................................................4
2.10 Core Values...............................................................................................................................4
2.11 Aims and objectives of the Agency............................................................................................4
2.12 Procedure...................................................................................................................................4
2.13 Source of Finance......................................................................................................................5
2.13 Hospital Staff.............................................................................................................................5
2.14 Other sources of the agency.......................................................................................................6
2.15 Policy Making...........................................................................................................................6
2.16 Guidance of the policy to the organization................................................................................6
2.17 Organogram...............................................................................................................................7
2.18 Staff and their Function.............................................................................................................8
2.20 Observation and Findings........................................................................................................13
2.21 Recommendation.....................................................................................................................13
2.22 Conclusions.............................................................................................................................14
CHAPTER THREE....................................................................................................................15
3.0 Social Case Work......................................................................................................................15
3.1.1 Case Work 1..........................................................................................................................15
3.1.2 Case work 2............................................................................................................................16
3.1.3 Case Work..............................................................................................................................18
3.1.4 Case 4.....................................................................................................................................19
CHAPTER FOUR.......................................................................................................................21
4.0 Group work..........................................................................................................................21
4.1 Introduction.........................................................................................................................21
4.2 Historical Background.........................................................................................................21
4.3 History.................................................................................................................................22
4.4 Activities..............................................................................................................................22
4.5 Challenges...........................................................................................................................22
4.6 Method Information Gathering............................................................................................22
4.7 Aims And Objectives...........................................................................................................22
4.7.1 Objectives...............................................................................................................................22
4.7.2 Aims........................................................................................................................................22

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 4.7.3 Agency’s aim for the group.....................................................................................................23
4.7.4 Future Aim Of The Group.......................................................................................................23
4.8 Disengagements...................................................................................................................26
4.9 Recommendation.................................................................................................................27
4.10 Conclusion...........................................................................................................................27
CHAPTER FIVE........................................................................................................................28
5.0 Community work.................................................................................................................28
5.1 Maize cob project................................................................................................................28
5.1.2 Historical background.............................................................................................................28
5.1.3 Aims of the project..................................................................................................................28
5.2 Status by the time of joining................................................................................................28
5.3 Implementation of the Project..............................................................................................28
5.4 Student Involvement............................................................................................................28
5.5 Project future plans..............................................................................................................29
5.6 Status by the time of leaving................................................................................................29
5.7 Problems encountered..........................................................................................................29
5.8 Recommendation.................................................................................................................29

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 CHAPTER ONE
1.0 Community Survey
1.1 Introduction

Community survey is a data collection method aimed at a particular community with specific
question for the community.

1.2 The area

I carried out my community survey of Waawaa community. The community borders Kitale
national polytechnic which boarders Kipsongo village. The most unique features of Waawaa
community are Jeshi la Wokovu churches.

1.3 The people in the community

The people living in Waawaa community are the luhya’s. The people living in this
community have low standards. They are living in the rentals that pay upto 400/= per month.
The people living in the community speak luhya . Majority population in the community is
women especially teenage mothers and also students since a school are nearby. The area had
100 households that the trainee noticed with the area of coverage the household with highest
population was 10 and the least 1 and estimate population as follows;

1.3.1 Unique Customs

People of Waawaa do daily jobs to earn a living. the staple food of the Luhya community is
ugali, if twins are born one of them is killed for it’s a curse, the people of Waawaa are small
scale farmers of maize. The luhya are initiated after a year.

1.3.2 Social Organization

The Waaawaa community, which has the luhya as the main tribe is organized as follows;
father is the head of the family, village elder is the head of the village, the chief head of the
location.

1.3.3 Major Occupation Of The People

Most of the people in Waawaa community do daily jobs to earn a living. Men in Waawaa
community are bodaboda riders and masons. Women are small scale business women and
casual labourers.

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1.3.4 People’s Achievement
The peoples of Waawaa have achieved things like building sheds, started small ECDE school
Ulinzi and also have several churches.

In all their achievement they have received assistance from non- governmental agencies,
governmental and well- wishers.

1.4 Services and Institutions Available

Around Wawaa community there are various institutions like Kitale National Polytechnic,
Soil Concervation Secondary and Chetoto Primary school.

Services around Waawaa community include; markets of groceries and clothes, carpentry
services, hospital Kipsongo medical center.

1.5 Needs and Problems

Driving my survey I realized Waawaa community has low living standards.

The community has need to problems like;

i. Insecurity in the community

ii. They need a place for garbage collection to keep environment clean
iii. More accidents occurrence in the community
iv. They need supply of clean water so as to decrease disease related to unsafe water.
v. They need an additional medical facility to serve them easily during emergency
vi. Additional primary school that will help them with decrease of illiterate children.

1.6 Recommendation
The government should help in certain problems like for site for garbage collection and clean
water supply.

Police should be employed to Waawaa community so that it will reduce insecurity.

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 CHAPTER TWO
2.0 Administration
2.1.1 Introduction

The assignment was all about recruitment to study how KCRH is managed by the hospital
administration with help of the supervisor, I was able to learn about hospital day to day
running and its operation.

2.1.2 History Of The Institution

Formerly known as Kitale District Hospital. The Kitale County Hospital is a level 5 ministry
of health facility located in Trans- nzoia county, Kiminini constituency along Kapenguria
road.

It is said that Kitale County Refferal Hospital was built by colonialist in 1937. The hospital
is registered under health Act number 21 of 2017 Kenya.

2.1.3 Establishment

K.C.H was established to serve as a major healthcare institution in Kitale region. It was
designed to provide a wide range of medical services including specialized care and
referrals.

2.1.4 Growth and Development

Over the years, 270 bed capacities was likely to undergo expansion and development to
meet the increasing health care needs of the local population. It may have added new
departments, services and medical technologies.

2.1.5 Role of In health care

The hospital is offering various services including outpatient, inpatient care, surgical
procedure, maternity services, diagnostic services and emergency care and others.

2.1.6 Public Health Care

The K.C.H is a public health facility meaning it is partly founded by county government to
provide affordable healthcare services with the local population.

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2.1.7 Community Impact

The hospital presence has had a significant impact on the health and well- being of the Trans-
Nzoia community and beyond by providing essential medical care in the region.

2.1.8 Mission

To provide high quality, curative and rehabilitative services.

2.1.9 Vision

To be a medical facility of choice in the region.

2.10 Core Values

Equity: Uphold firmness of opportunities in all programs.

Team work: restlessly pursue timely attainment of goals of all levels through high level co-
ordination networking and collaboration

 Professionalism
 Commitment with compassion
 Patriotism
 Quality services
2.11 Aims and objectives of the Agency
i. To reduce gender based violence
ii. To determine strategy implementation of kcrh
iii. To promote peace, natural integration and cohesion
iv. To provide accessible, curative and preventive health care services to all people.
v. To strengthen collaboration with other sectors
vi. To strengthen challenges in strategy implementation

2.12 Procedure

The agency: KCRH

KCRH carry out guided procedure in their various department i.e. x-rays, medical social
work, nutrition, AMPATH, psychiatrics, physiotherapy and gender based violence
department.

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The medical officer and other member of the health care team receive feedback and offer
guidance i.e. when patient is received at a reception or in the emergency room. Their details
are taken into emergency into record and their insurance checked.

CDHS/MOH receives guidance and provides routine reporting data and information. Partners
and learning institution, public and private partnership and students on attachment collaborate
clients, patients and patients relatives guidance and provide routine reporting data and
information.

2.13 Source of Finance

The hospital source of finance and majority conditioned grants allocation are from national
county government, facility improvement fund and partner support or resource mobilized
from within.

Conditioned grants and FIF finance 41% and 25% of the annual operational budget
respectively leaving a deficit of 34%.

Donor engagements, insurance cover and also the constitution provides for healthcare
financing as a source of fund.

Expenditure includes;

 Development and maintenance of hospital facility

 Co-ordination prioritization and development projects
 Maintenance of building and non- development projects
 Record of waiver granted by the hospital
 Maintenance of building non- residential
 Maintenance of monetary coolers and fridges
 Functioning of hospital registry at all times
 Secure shed and packaging for governments vehicles

2.13 Hospital Staff

The source of staff is through the County Health Management Team Path, through the Aphia
plus, north rift and ICAP, medical training colleges.

There are total numbers of staff of about 880, 492 are regular staff 107 are casual contract
141 are out serviced services.

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2.14 Other sources of the agency
 There is one ambulance, two utility vehicles for improved service delivery.
 Oxygen processing plant for ICU patient and driving operation.
 Research building for research purposes and laboratory.
 Human resource, technical support, logical support for service delivery.
 Strategic plan support for implementation services, laboratory building , KEMRI
buildings for reach purpose and blood transfusion unit.

2.15 Policy Making

The policy of government for the health sector is articulated in the Kenya health policy
framework 2013-2023 goal which is alternating the highest possible health standards in a
manner responsible to the population needs.

Policies are set by KCRH, KEPH and its objectives are:-

 Eliminate communicable diseases

 Halt and reverse raising burden of NCD
 Reduce violence burden and injuries
 Provide essential healthcare
 Strengthen with private and health related factors
 Minimize exposure to health risk factors

2.16 guidance of the policy to the organization

The policy guides to achieve quality to all, efficiency multispectral, social accountability,
people centered and participation.

It is achieved by:

 Health financing
 Health leadership
 Health workforce
 Health infrastructure
 Health information
 Health products and technologies
 Research and developments
 Service delivery system

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 2.17 Organogram
Management structure for Kitale County Referral Hospital

County health management committees

Medical superintendent

Administrator Nursing Curative Diagnostic Hmis Rehabilitative Preventive

officer
In- charge

Hospital ADM consultant laboratory health occupational public

Human medical officer lab- technician records physic health
resource nursing service clinical officer X-rays officer in- physic officers
Medical manager pharmacy radiographers charge orthopedicis nutrionist
engineers registered surgeons health
accountants nurses dental record
clerks enrolled nurses technicians officers
procurements department
transport surgical ward 2
officers TFA
catering staff Medical ward
support staff
cleaners

2.18 Staff and their Function

Medical superintendent

- Hospital administration

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 - Budget management
- Staff management
- Quality assurance
- Patient care
- Patient safety
- Legal and regulatory compliance
- Emergency preparedness
- Medical record and documentation

Administration officer

- Decision making
- Building and maintenance
- Emergency preparedness
- Public relations and marketing
- Strategic planning
- Patient care and quality
- Staff and human resource
- Building and maintenance

Medical officer

- Diagnose care and treat diseases

- Perform medical and surgical procedures
- Examining and talking to patient to diagnose
- Overall supervision of the running of the hospital
- Identify and co-ordinate referral of patients for further management
- Promote the hospital programs

Nurse

- Monitoring of patients
- Patients care
- Advocacy
- Assessment
- Infection control
- Emergency response

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 - Medication management

Pharmacists

- Pharmacovigilance
- Drug information
- Medical safety
- Patients counseling
- Medication management
- Drug utilization and review
- Research and education

Radiographers

- Collaboration
- Radiation safety
- Image quality control
- Documentation
- Infection control
- Equipment preparation

Dentist

- Quality control
- Record keeping
- Shade matching
- Prosthesis fabrication
- Grown and bridge construction
- Denture creation
- Implant restoration

Accountant

- Internal control
- Financial control

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 - Financial analysis
- Financial auditing
- Budget report
- Grant and funding management
- Accounts payable and receivable

Health Records Information

- Record archiving
- Record maintenance
- Electronic health record
- Record and education
- Confidentiality
- Training and education
- Health information system
- Release of information
- Report and auditing

Nutritionist

- Nutritional counseling
- Dietary modification
- Nutrition screening
- Weight management
- Diabetes management
- Inter-disciplinary collaboration
- Cardiovascular nutrition
- Clinical support

Public Health Officers

- Data analysis
- Contact tracing
- Health education
- Health promotion
- Health inspection
- Environment health

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 - Immunization programs
- Emergency preparation
- Disease surveillance

Occupational Therapy

- Stress management
- Occupational intervention
- Outcome evaluation
- Rehabilitation
- Treatment planning
- Coping skills training
- Stress management
- Cognitive behavour therapy
- Supportive counseling

Physiotherapy

- Education
- Treatment planning
- Respiratory case
- Pain management
- Muscle strengthening
- Discharge planning
- Mobility enhancement
- Balance and coordination

Orthopedics

- Education
- Pain management
- Fracture care
- Soft tissue repair
- Treatment planning
- Medical imaging
- Non- surgical treatment
- Orthodopedic trauma care

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 - Research and innovation

Support staff

- Pet therapy
- Security
- Laundry services
- House keeping
- Transportation
- Building and cooling
- Material management

Transport officer

- Patient transport
- Communication
- Transport safety
- Medical equipment transport
- Maintenance and inspection

MSW Department

- Palliative care
- Cultural competence
- Psychological assessment
- Communication
- Domestic violence abuse
- Emotional support
- Resource co-ordination

Staff motivation

- Ask employee for feedbacks

- Develop an easy work life balance
- Provide a positive competition
- Discover what motivates each employee
- Recognize the hard work the employees have done

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2.19 Channel of Communication

Non verbal communication

This channel is facial expression, body movement, eye contact space.

Verbal communication

Talking, chatting, public speaking, dialogue and monologue. It uses spoken and written
words to deliver message and information.

Written communication

Reports, memos, e-mail, websites, job description.

Visual communication

Screen recordings, videos, info-graphics, data visualization and screenshots.

2.20 Observation and Findings

There is adequate medicine in the pharmacy which leads to most patients failure to improve
because of population is needy.

There is congestion wards especially in the male surgical wards.

After discharge most patients who failed to pay the bills run out of the hospital.

2.21 Recommendation
To avoid congestion of wards there is need to increase male surgical ward and number of
beds.

Need of educating the public on the importance of medical covers which will help them pay
their bills without straining.

I recommend the hospital to increase input of medicine to the pharmacy.

2.22 Conclusions
Challenges I faced at KCRH includes:-

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 i. Language barer where most of the people talk in mother tongue, I overcome it by
involving another colleague who understands the language
ii. Dumb people and I did not know sign language; I looked for a colleague who had
knowledge to assist me in understanding the patient.

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 CHAPTER THREE
3.0 Social Case Work

During the first practical, I worked with individuals and families with variety of problems at
KCRH;

3.1.1 Case Work 1

Name: Lilian Nasimiyu

Age: 32yrs

Marital status: Married

Sex: female

Year of birth: 1990

Engagement

The trainee was introduced to this by her supervisor Mrs. Christine the lady reported at the
department that she initially live with her husband who had refused to provide for the basic
needs.

Presented case

The presented case was gender based violence where the lady was beaten up by her husband
who never cared about her 9 months pregnancy.

Case history

The client reported that it was not first time her husband was doing this to her, the man had
happened to abuse her at one point when she was pregnant of her third born child. After
seeking for guidance and counseling the client was advised to seek for somewhere safe as the
authority continue with the investigation to arrest the man.

Case assessment

The trainee with the help of supervisor Mrs. Christine was able to assess the case presented
and also planned to make more follow-up to check on how the client is doing.

15
Treatment plan

After the trainee had conducted the assessment, she realized the husband was trying to escape
his responsibilities. The trainee organized for counseling session with the client we referred
the client to legal authorities for further assistance.

Problem solving

The trainee together with the client where the client was living and offered counseling to the
client husband that later made him to understand and accept his mistake that was making him
to understand and accept his mistake that was making him to run away from his
responsibilities.

Achievement

The trainee together with her supervisor Mrs. Christine managed to bring the husband of the
client and educate him on benefits of taking care of the family.

Problems encountered

 Poor communication

Recommendations

Married partners should always be open to their partners on any steps they are making
regarding their marital life. The government should also employ more counselors on marital
status.

3.1.2 Case work 2

Name: Liz Angel

Age: 10year

Marital Status : Single

Sex: Female

Year of Birth: 2013

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Engagement

The trainee was introduced to this by her supervisor Mrs. Christine; the girl reported at the
department that she initially lived with her elder brother who was 14years. The parents had
left home to look for a source of living one in Nairobi and another at Cherenganyi, Trans-
nzoia County.

Presented case

The presented case was child neglect where the parent of the child had left her but together
with other siblings at home and ran away in the name of looking for a job opportunity in real
sense they were escaping their responsibilities.

Case history

The client said that the parents had left for a period of time and it was not the first time the
parents were behaving in that manner.

Treatment plan

The trainee had conducted the assessment, she realized that the father of the family was not
providing and that is why the mother had left home to look for employment in Nairobi.

Case assessment

The trainee together with the help of the supervision Mrs. Christine was able to assess the
case presented and also planned to make a follow- up to check on how the client was doing.

Problem solving

The trainee decided to make some follow-ups by getting the client parents contacts and also
planned for home visit that the client was living and tried to interview the person who was
near them and she was helping them in one point or another.

Achievement

The trainee managed to communicate with the client parents and she said that she was about
to come back and take care of the siblings.

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Problem encountered

- Poor management
- Lack of enough finance to make follow-up i.e. transport

Recommendation

The parents should always take care of their children

The government should introduce more children social service centre to educate those parents
who are neglecting young children.

3.1.3 Case Work

Name: Dennis Mungai

Age: 38

Marital Status:

Sex: Male

Year of Birth: 1983

Engagement

The trainee was introduced to this by her supervisor Mrs. Christine Omollo, the client had
been admitted at the hospital by his fellow tenants after being attacked by his neighbour in
the name of he had taken his property without his knowledge. The client family members
were not aware of their injured member and therefore it was hard for the client to raise the
hospital bill on his own because he was not working by the time he got injured.

Presented case

The presented case was abandonment whereby the client family members never took any
concern on him and where he had left to. According to the client , he said that he had
wrangles with some of the family members and therefore he had to leave and go to look for
employment opportunity.

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3.1.4 Case 4

Name : Susan Ushindi

Age: 28 Year

Marital Status: Single

Sex: Female

Year Birth: 1960

Engagement

The client was refers to GBVRC by nurse in charge of Ampath together with other
professionals where I was involved to assess the patient.

Presented problems

 Poor housing
 Involved in domestic violence
 Difficulties in access of her ARVS

Case history

The client came to KCRH by herself. She complained of backaches, headache and lack of
sleep. The client complained of physical violence from the alleged husband who was
drunkard. The client disclosed that she was a mother of three daughters and the husband
sexually abused her for not able to have a male child. The husband also used verbal violence
when he came home-drunk due to this domestic violence. She relocated to mitume where
she rented a house.

Actual problem

Lack of access to ARV’S which was affected by shame and fear from community. Inability
to conceive a baby boy.

Family planning

Post trauma counseling

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Follow up

Psychological support

Achievements

I managed to offer psychological intervention and talk therapy.

Recommendation

Further follow-up was recommended the patient was advised to find a better job opportunity
by engaging in prostitution.

Further post trauma counseling was recommended.

Disengagement

The client received her ARV’S and was booked for several clinics.

The client was positive and promised to change her behaviour

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 CHAPTER FOUR
4.0 Group work
4.1 Introduction

I joined the group with an aim of assisting to solve their problems. In doing this joined the
following group

Name of the group

Minto International Group

I was privileged to be invited to Minto International Group workshop by the county

commissioner that was hosted by the international based alliance of waste pickers and
supported by Wiege at Skynest Hotel Kitale.

Over 25 waste workers NGO supported self- help group attended the occasion among them
Minto international group. I introduced myself to them after which I got a chance to join
them as a student member as mentor, motivator and instructor.

4.2 Historical Background

Primary information about the group

Year formed: 2021

Language spoken, English, French, Kiswahili

Number of members

Type of membership – Waste pickers of Makunga

Occupation of members- waste collectors

Occupation of member- door to door

Organizational reach local

Funding self- funded- sometimes NGO’S

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4.3 History

The group was formed by Kemunto Edith and her colleague after collecting waste they used
to take rests under the shade to cool off after the burning sun and extreme temperatures after
so many politicking and stories they could leave until on 12 th February 2021. Edith came up
with the idea of farming the group with the aim of economic empowerment among
themselves the group began with only 7 members and now they are 26 members.

4.4 Activities

At the time of joining the group their main activities were selling waste material collected
for recycling like plastic materials, scrape metals for box and cardboards. their main activity
was waste collection, management and sorting them.

4.5 Challenges

Most of the challenges waste access these waste due to foul smell, infections, lack of
education, lack of resources, negative attitude and transportation.

4.6 Method Information Gathering

The method I used to gather information was after engaging the interaction with the group
members, attending the group meeting and during their daily activities, I observed them
interview members and mostly I was involved them interview members and mostly I was
involved directly in their discussion.

4.7 Aims And Objectives

4.7.1 Objectives

Contribute towards cleaning environment around Baraka estate.

Economic empowerment of Minto international waste picker’s rights and dignity sustainable
practices.

4.7.2 Aims

Clean and healthy environment

Job creation and source of income

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4.7.3 Agency’s aim for the group

The agency’s aim for the group is to ensure each and every member of the group has a health
insurance cover (NHIF), donate personal protective equipment(PDE) for safety, sensitization
of mental health and creating awareness of HIV/AIDs.

4.7.4 Future Aim Of The Group

To ensure all members are registered with NHIF.

every member can afford protective equipments.

Group Activities

 Activities of the group before I joined included selling of waste materials that were
sellable waste collection waste management and sorting.
 Types of waste materials they were dealing with included biodegradable waste,
clothing’s glass and bottles found household items scrape metals paper and plastics.
 There were financial records, partnership contacts minutes member reports and
documentation activities.
 The member of the group advance in technology by use of safety gears masks gloves
safety boots and apron.
 By the time I was leaving the group had a management committee, chairperson,
treasurer and secretary.
 A project was started to register members to NHIF and it was on process since
finance was abit challenging.
 During this time welfare of members improved due to conducive working
environment and improving their source of income.

Student Involvement

 I first met the group at a workshop hosted by international based alliance of waste
pickers and supported by Wiego hosted Aturkan hotel in Kitale.
 I joined the group as a student member and my roles were to stipulate clearly,
mentor’s, instructors, guide and a motivator.

23
  Some of the units taught include basic first Aid(DR ABC) HIV/AID awareness,
mental health sensitization management techniques.

Plans of the group

 First, identifying the roles in the group would ensure its long term health as a mentor I
championed in fulfilling the purpose of the group. I was destined to understand the
responsibility of each member a head for them would simplify in figuring of who should
be who in them when things started to work out. To achieve this I asked for the input ,
ideas and insight reinforcement.
 Capabilities open communication and trust
 We agreed to contribute a small amount of money started paperwork, formulate a formal
request in a letter prescribing the need for the formulation of the youth Sacco.
 We both agreed to formulate and register a Sacco at first for non- dept taking and in future
for loans and landing.

Implementation Process

 We formulated the proposed committee, area chief and the location where we could
possibly be found.
 Form of application for the registration of the Sacco and for B which is the
notification.
 We went to Huduma center Kitale picked its form A and B.
 We again proposed the names occupational standards homes, postal addresses and
chairperson, secretary and treasurer that formed the management committee as per
the requirement.
 After a formal request letter prescribing the need to form a youth Sacco we provided
the names of the members for the search for approval.
 We went ahead to formulate the objective of the group to meet the purpose of the
Saco provided the multitude number of proposed member to be in the Sacco of the
registered office and the group.

Achievement

 By the end of my stay in Trans-nzoia county, I was able to register 26 number of

the group of NHIF cover using the mobile app. the requirement are:-
i. National id number

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 ii. Date of birth
iii. Mobile phone number
 The application is free of charge for members the voluntary category they pay
500/= per month as member contribution.
 I also managed to oversee them raise funds for purpose of PPE during this time I
also had a good rapport with the management of the hospital and managed the
request donations for them. the donations they received included, gloves gowns,
shoe covers, head covers, face masks, eye protection and goggles.
 I also managed to introduce basic first aid tactic, mental health awareness,
stress, disorders, signs and symptoms, management of stress, Hiv and Aids
awareness and use of protective and safe sex.
 I also managed to help the group form a Sacco that will help them got loans
from newly launched hustler fund for their own development. the weeks and
upon approval or the name and registration the Sacco required to convene the
first general meeting of all members within a month upon receipt of the
certificates.
 As a deposit taking Sacco they will be licensed and regulated by Sacco’s
societies regulatory authority

Status of the group by the time of leaving

By the time I was leaving:-

 The group offered opportunities for leadership that young people might not get
otherwise .
 By being in this group helped most members reduce the risk of becoming involved in
unsafe activities such as drug and alcohol abuse.
 This group became so famous around the locality where they can express themselves
through arts and activities and being able to talk openly with peers and caring adults.
 This group managed to open an office where members can meet and by doing this,
helped change the public perception of young people from problem to important part
of making life better in the community.
 By engaging them every now and the also help them gain self- confidence and self –
esteem contributing to the group help them see themselves as being able to really help
other people.

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  By being part of this group help members to develop important personal and inter-
personal skills this include the ability to think critically and solve problems of
personal and group responsibility.

Problem encountered

a. Poor group formation

At first members of this group could not pull together because they did not have the same
mission and vision.

b. Supremacy battles

When the group began each and every member wanted to be on top. They wanted to be heart
and control all the resources

c. Distractions

There was lack of concentration and focus as a major disease that distracted the group.

d. Non- commitment

Most members were not committed to this group. Some of them were busy with their cause
of action or their own upkeep.

e. Dependence support

Members of the group depended so much on support from donors hence they could not strive
to develop on their own.

f. Lack of ownership of projects and ideas

There was no one who could come out with a project idea and convince others to support it
financially for their betterment.

4.8 Disengagements

As my days were beginning to end and I realized that I had achieved some of my objectives
of the group, I began to detach myself. From the active role, membership and return, the
group recognized the firm leadership of the chairperson due to my absence.

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At this time, the M into international group was more stable to run its own affair and they
had to stuck on their vision and mission. the chairperson that took the mantle to an
individual level was prominent respected and had gained enough influence in the eyes of
other members.

She proved to be right person for the job and honestly I was satisfied that the group was
moving to the next level of progress.

4.9 Recommendation

For youths to self- identify community problems and potential solution and to self-organize
to address problems and in practical setting youth leaders and senior leaders must first
identify right conditions.

I therefore recommend that:-

 Youth groups formed per FPV positive development should be empowered by local
social authority for they shall bring meaningful change in their communities.
 The youth group should be committed so as to improve the vision and mission of the
group.
 Youth leaders and local leaders must work together for this will help the youth in
developing the civic awareness and leadership skills, problem solving and civic
process will also change.
4.10 Conclusion

My experience with Minto International Group was one of the most memorable experience
in my first field work especially when I joined them in their activities of garbage collection.

they could not imagine that they could go this far by becoming a stable organization and
even proposed to recruit new members.

I conclude by saying that serving such a capacity in this group (mentor, instructor and guide)
I noticed that youths can develop their arts and talents in addition, community services and
skills building programs give youth more opportunities to make right decisions and solve
their problems.

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 CHAPTER FIVE
5.0 Community work
5.1 Maize cob project

The trainee joined the project to study how it had impacted the life of the community
members around it was called Masinde maize cob project.

The aim of the project was to provide good and enough production within the community
itself and also the neighbouring communities in the nearby counties that had developed
Maize in the market.

5.1.2 Historical background

This project was initiated on to develop maize in the region. the government was the sponsor
of the maize project to ensure enough maize for the community.

5.1.3 Aims of the project

To increase food production

To provide farmers with the means and services to enable them improve their techniques and
market their products.

5.2 Status by the time of joining

The trainee joined this project when it was ready and people had already started harvesting
maize form the farm.

5.3 Implementation of the Project

After the county government had launched the maize cob project it was handed over to the
government and committee of 100 members was formed to take care of the project since it
was to serve for entity in different generations. the project members agreed to be subscribing
monthly by paying 200/= every month which may be used for maintenance of the cobber.

5.4 Student Involvement

The trainee was involved in this project by creating awareness on how to maintain the maize
cobs and also informed the community members the essence of maintaining that project so
that they can always get enough maize.

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5.5 Project future plans
 To increase the number of maize bags
 To employ security in the area
5.6 Status by the time of leaving

The project was stable since all the community members had already owed it and they were
taking care on shifts to ensure that there is enough security.

5.7 Problems encountered

- Insecurity
- Inadequate resources
5.8 Recommendation

The community members should always embrace any project that will be brought near them
especially those that touches basic human needs directly.

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References

Christine Amollo-Head of MSW department

Kitale County Referral Hospital

+254722949948

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