1. Health, Food & Water Insecurity in Northeastern Kenya PHM experience in Masalani & Garissa PHM Kenya: case study Context of health

2. PHM Kenya: case study Geographic location Masalani Division, Garissa County, Kenya Tanzania South Sudan Ethiopia

3. Repeated droughts & famine 2006-2012 Close to Somali border and refugee camps Neglected by government Oversaturated with NGOs with relief and dependency approach PHM Kenya: case study Context of health in Masalani

4. PHM Kenya: case study Garissa: Dadaab refugee camp Third largest Somali city (pop. 500,000) located in Garissa, Northeastern Kenya

5. PHM Kenya: case study Poor housing and insecurity

6. PHM Kenya: case study Drought and famine risk Emaciated livestock at risk due to drought and famine

7. PHM Kenya: case study Many, many NGOs Encourage dependency, not empowerment

8. PHM Kenya began work in the drought-affected, famine-risk area Started with relief (food, water treatment, nets) to build trust Proceeded to advocacy training for rights-based empowerment PHM Kenya: case study Relief and Advocacy project

9. 110 households provided with nutrition supplements, water treatment, and bed nets Trained 10 CHWs and 3221 community members on hygiene, referral of malnourished children Trust established with community PHM Kenya: case study Results of relief work

10. PHM Kenya: case study Masalani – aerial view

11. Trained 50 community leaders in health rights and advocacy (20 women, 30 men) Shared Alma Ata Declaration, People’s Charter for Health, Constitution of Kenya Community-led evaluation of health and social determinants PHM Kenya: case study Advocacy

12. PHM Kenya: case study Advocacy training toolkits People’s Charter for Health Constitution of Kenya

13. Community members know their rights and have examined social determinants of health in Masalani Trained human rights advocates began their own advocacy work, including a peaceful protest PHM Kenya: case study Advocacy results

14. Stories and perspectives from the Masalani communities PHM Kenya: case study

15. Masalani – road conditions

16. PHM Kenya: case study Road impassable for ambulance

17. PHM Kenya: case study Babies at risk without health care

18. PHM Kenya: case study HIV - PLHA stigmatization

19. PHM Kenya: case study HIV - PLHA stigmatization

20. Local advocacy is a strong tool in drought/famine emergencies PHM Kenya established partnership with Masalani community, first by meeting the community expectations PCH & Bill of Rights are foundations for rights to health and health care PHM Kenya: case study Summary of findings

21. Some factors cannot be predicted: Kenyan military invaded Somalia Our own PHM Kenya partnership has been a learning process for all - managing expectations and assets Communities assume dependant status; extra effort for empowerment PHM Kenya: case study Challenges

22. Unite around one cause Use your differences Don’t wait to grow … members join through action Grassroots desire for advocacy PHM Kenya: case study Lessons for PHM country circles

23. Health, Food & Water Insecurity in Northeastern Kenya PHM experience in Masalani PHM Kenya Dan Owalla, Omondi Otieno, Khadija Yussuf and Ravi Ram the people of Masalani, Garissa County, and many others With support from Medico International PHM Kenya: case study Context of health Asanteni Sana