1. Social Protection Health Programming Concepts and State of Social Protection Development in Kenya

2. Sector Determinants Targeted Cohort Social Protection Programs Social Protection Conceptual Illustration

3. “When biological factors (like being too young or too old to work) are combined with negative life time shocks (such as sickness, unemployment, natural disasters, social conflicts) the case for social protection is overwhelming.” GERMANO MWABU, M.A., Ph.D, Boston University 1981, Professor and Chair Department of Economics, University of Nairobi, as presented at UNECA workshop on “Social Protection, Growth, Poverty and Inequality in Kenya”, July 14-16, 2010 Sector Determinants Targeted Cohort Social Protection Programs

4. Concepts of Social Protection in Health Programming I.Health and non-Health Sector Overlays II.Cohort Attributes III.Joined-up Sector Resource Leveraging

5. Economy and employment Security and justice Education and early life Agriculture and food Infrastructure, planning and transport Land and culture Housing and community services Environments and sustainability HEALTH Adelaide Statement Social Determinants that impact Health Outcomes

6. Agriculture & Food Markets & Pricing Harvest & Processing Labor & Mechanization Land Use & Distribution Crop Diversification Water & Irrigation Transportation & Fuel Social Determinants that impact Agricultural Outcomes Population Growth and Distribution

7. Social Determinants that impact Health Outcomes Economy and employment Security and justice Education and early life Agriculture and food Infrastructure, planning and transport Land and culture Housing and community services Environments and sustainability HEALTH

8. Agriculture & Food Markets & Pricing Harvest & Processing Labor & Mechanization Land Use & Distribution Crop Diversification Water & Irrigation Transportation & Fuel Economy and employment Security and justice Education and early life Agriculture & Food Infrastructure, planning and transport Land and culture Housing and community services Environments and sustainability HEALTH Social Determinants that impact Health and Agricultural Outcomes

9. Illustrative Example from Adelaide Statement on Health in All Policies

10. Concepts of Social Protection in Health Programming I.Health and non-Health Sector Overlays II.Cohort Attributes III.Joined-up Sector Resource Leveraging

11. Girls 12- 18 Nutrition HIV Commodities Education Malaria Cohort Attributes Illustrative Example

12. Selected Sector / InterventionResource Mix/Program Envelope Transportation /Access Health/PMCT Agriculture/Food Nutrition YouthHIV +FemalePregnant Public Health and Wellness Social Protection Planning Cohort Attributes (Girls 12-18) Cohort Attributes Illustrative Example

13. Concepts of Social Protection in Health Programming I.Health and non-Health Sector Overlays II.Cohort Attributes III.Joined-up Sector Resource Leveraging

14. Sector Resource Leveraging

15. 1.Identify tangential Sectors for each Cohort 2.Determine manageable interest of Sector for specific intervention (e.g. crop diversification in Agriculture in the interest of balanced nutrition in Health for children, pregnant mothers, elderly) 3.Assess available resource of target sector as a ratio of value-added contribution (measurable in-kind or direct valuation) 4.Join-up resources with program agreements 5.Capitalize National and Community Funding Mechanisms Sector Resource Leveraging

16. State of Social Protection in Kenya [ Mary’s material these slides forward]