Lalmba Association

Kenya Lalmba Association has three program pillars: medical care, at-risk, and empowerment.all of our new and existing programs are grouped within our three pillars. Medical care pillarover 60,000 times patients received medical services or public health education. We are thrilled to share that 228 babies were safely delivered and welcomed to the world at our clinics. Lalmba runs 2 health care facilities in rural kenya, the matoso clinic and ochuna dispensary, and the agaro bushi medium clinic (abmc) in ethiopia. We provide high quality medical care for the poor and public health outreach. We believe that successful development in poor communities requires a healthy population with access to quality health care. In kenya, we operate the matoso clinic, serving a catchment population of about 33,000 people, and the ochuna dispensary, serving a catchment population of about 20,000 people. This year, patients were treated 41,283 times in kenya. Hiv has done great damage to the family structure in these communities, leaving behind orphaned children and elderly parents with no one to care for them in their declining years. We change this dynamic through intensive hiv counseling, education, and treatment for those who test positive. This year, 1,907 people were tested and counseled on hiv prevention. 765 people are receiving anti-retroviral therapy. Malnutrition is an ongoing crisis due to food insecurity in and around matoso. We provided nutrient rich foods for 77 infants or toddlers who were diagnosed with severe acute malnutrition (sam) or moderately acute malnutrition (mam). In ethiopia, we operate the agaro bushi medium clinic (abmc), serving a catchment population of 20,000 people; this year we treated patients 13,053 times. Malaria is a new threat to the health of the people in agaro bushi. Malaria has recently become endemic in the rainforest highlands as the parasite and its mosquito host have adapted to the high altitude and cool climate. We treated over 3,186 patients with malaria in agaro bushi, ethiopia, and 16,828 in total. Malnutrition is on ongoing crisis due to food insecurity in and around agaro bushi. We provided nutrient rich foods for 82 infants or toddlers who were diagnosed with severe acute malnutrition (sam) or moderately acute malnutrition (mam). Public health care:in kenya and ethiopia, our public health (ph) programs aim to prevent disease before it starts. Here is where the long-term battle for health is won. A diagnosis of malaria can mean weeks in bed for a child or parent, for example. A person who stays healthy won't need those weeks away from work or school, improving their financial and educational potential. Intensive health education tailored to the cultural needs, the most prevalent health issues, and the learning abilities of the people we serve is a goal of this program. Early intervention in the form of prenatal care, well-baby checks, and immunizations makes up the other part of our public health program. In total, 5,908 people were touched by our ph teams this year as they traveled to remote communities to provide education, immunizations, and mother/child health care. Education topics included hiv/aids prevention, transmission and treatment, hygiene, malaria prevention, clean water, and nutrition. At-risk pillar: over 1,300 children and elders were impacted. Lalmba operates at-risk intervention for orphans, ovcs, and elders. We operate 2 children's homes, elder food assistance programs, and r.c.a.r. (reaching children at risk) community-based care for at-risk children who live with guardians in the community. In kenya, 35 children are growing up at our ongoro children's home and 1103 at-risk children are enrolled in rcar. 951 primary school children received school supplies, uniforms, books, school fees, health care, and supplemental nutrition to ensure good health and a quality education. 137 rcar students received scholarships to attend secondary school and vocational training. The large number of orphans requiring care in kenya is due to the aids epidemic which caused mass deaths in their parents' generation. Our microloan program in kenya lends business startup money to guardians of our rcar orphans, women who know how to reach independence, but lack the means to get started. In ethiopia, 14 children are growing up at our chiri children's home and 152 are enrolled in rcar. Lalmba provided school supplies and clothes, health care, and nutritional support for the children who live with guardians in the community. Attendance in school is a strict requirement for participation in this program. 8 rcar students received education scholarships. Elder carein this part of africa there is no such thing as social security or retirement, no assisted living communities for the elderly. For generations, the family structure has provided the safety net for the elderly when they become too old to care for themselves. But that safety net has been eroded by hiv/aids. Not only do scores of orphaned children have no parent to care for them, but many elderly widows and widowers who lost their children to aids are left alone with orphaned grandchildren. For many elders, this burden is overwhelming and theysuffer from hunger and neglect. During this year, Lalmba provided some assistance to 60 elderly community members who lack family with resources to assist. Empowerment pillar: Lalmba funded two micro-finance programs, supported over 19,000 library visits, learning, education and empowerment activities and well as extensive staff capacity building workshops in kenya and ethiopia. Micro financeour loan programs provided small business loans to 46 people, all single women raising young children. These loans enable mothers to provide for their families. Many loan recipients have become successful enough to grow their business and provide jobs and income for others.the goal is to effect economic change for the family which ripples throughout the entire community. We partner with community volunteers, all successful business people, who help train all new loan recipients in smart business practices, helping them to plan for growth and to meet their repayment schedules. Our classrooms are used specifically for rcar guardian education, orientation and capacity building. Local and online leadership training as well as capacity building for our senior leadership team and staff takes place every month and quarter. Volunteers and staff in africalalmba's programs are operated by 100 local staff and 3-7 expatriate volunteers who are specialists in medicine, public health, financial management, and/or program development. 6 expats from 4 different countries served as expert volunteers, mentoring our african staff and ensuring that our program goals are met. Our african staff serve in many leadership, professional, and support roles. Our leaders in kenya are jenifer atieno (kenya country director) wilikista odipo (kenya medical director), and linder ogunya (children's director). Our leaders in ethiopia are atinafu gebre yohanis (ethiopia country director), alizar munche (ethiopia medical director), and aselefech terefe (children's director). We also have cleaners, drivers, guards, nurses, groundskeepers, health officers, and housemothers who care for our children, and administrators. All of these people are vital to our operations. We also have many african volunteers who spend several hours each month on oversight committees, teaching in their villages, monitoring and mentoring microloan recipients, or visiting hiv patients or the elderly in their homes between clinic appointments. Volunteers and staff in usa we have an amazing group of volunteer board members and 8 volunteers who assist with donor engagement, manage our social media, volunteer reqruitment and orientation, and event activities. Our volunteer international medical director, embodies our mission and is dedicated to service. She leads the national medical directors and advises on how to meet all of our health care goals to ensure we provide the highest care possible with our limited resources. -we have one very dedicated part-time employee who works to log our donations and ensures that our friends are thanked for their generous financial support. -because of these volunteers and staff, president jennifer wenningkamp and vice president of operations, joan marques comerma, can put more energy into leading Lalmba's senior leadership team, directing Lalmba's vision and mission, teamwork and capacity building activities, and strategic planning, monitoring and evaluation for a more sustainable organizational future. We are deeply indepted to the many volunteers, donors, beneficiaries, and staff who are commited to the being a people of hope who provide a place of hope for many people at the end of the road.

U.s. - program expenses incurred in the u.s. to support the programs in africa. See the description for program 4a for all program accomplishments on schedule o.