Impact
Beatrice Onyeti Munala is a 29 year old. The TOT who identified the case is Ann Wanjiku. She lives with her family in Mwisho plaza, Kariobangi. She is the first born in a family of three. She lives with her single mother who goes out of her way to ensure that the family meets their daily needs. The mother runs a small kiosk where she sells traditional vegetables. Due to her small income, she sleeps in a kiosk while the PWID and her siblings live with a friend.
Beatrice was first exploited sexually in 2006 by a street boy who lived near their home. The street boy used to give her 3 shillings and the PWID would agree to all his demands. She got expectant but lost the child while she was six months pregnant due to an accident. No action was taken against the street boy. The PWID is still being exploited by neighbours where they live. The mother is not usually home and there is no one to look after her. The mother agrees that she often gets stories that the child is always being exploited sexually. The PWID fell ill and was diagnosed with an STI when the HR took the PWID to hospital. The PWID still has a bad odour signs that she may be still being exploited.
On a recent incident, the PWID was left at home and when the sister returned her knocks at the door were not being responded to. She went called a friend and when the door was finally opened, there was a man stranded in the house. When asked what had happened, Beatrice replied that the man had asked her to remove her pant before he raped her. The man was arrested and taken to the police post. Betty was taken to Nairobi Women’s Hospital for treatment.
Challenges
- The mother has no source of income and she lives at her mother’s friend’s place. There is no protection for her.
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- The PWID does not understand many things hence people easily take advantage of her.
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- The mother has no means of protecting the PWID. She is continually exploited and she has not been able to get any assistance.
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- After the last incident, the mother of the PWID is facing threats to drop the case from the courts.
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Initiative
The TOT advised the HR to take the PWID to hospital. On the last rape incident, the PWID was taken to hospital and got the treatment. The perpetrator was arrested and taken to the police post.
The case was highlighted by the GBS media.
Result
The man was taken to court to face charges of assault. The case has been reported to KSMH and a follow up will be done on the case.
Impact
Patrick Ngunyi is a TOT at KSMH. He recently identified the case of Cecilia who is a 35 year old lady. The PWID lives in Kimorori, Makuyu. She is an orphan and lives with her sister. They do not have enough financial resources and the living conditions are not good. Her sister keeps struggling to find food for her.
During intervention carried by the TOT, he came to know that the PWID had once been raped by an unknown person. The HR never noticed immediately but when the PWID missed her menses for two consecutive months, she saw the need to take her to hospital. She was already pregnant and could not tell who did it. The PWID cannot move, so the person who perpetrated the act did it within the confines of the PWID’s compound. She lost the preganancy at three months. Currently, according to the TOT, the PWID is presenting some symptoms of HIV.
Challenges
- The PWID was not taken to hospital for test to check her status after the HR realised that she was pregnant. She is not aware of her current status though the TOT says she is presenting symptoms of HIV.
- The perpetrator was not arrested and hence no action has been taken on him. He is often seen around the PWID’s home and this pose a threat to the PWID.
- The family does not want to action on the perpetrator fearing that he may harm them since they live within the same area.
- They also have financial constraints hence are not able to follow on the case.
Initiative
The Mental Disability Specialists have designed an individualized strategy that could confron Cecilia’s specific issues. This intervention targets many key issues which both the PWID and the HR participating in the process. They learn information on the importance of understanding their sexuality, HIV/AIDS prevention and how to prevent spread of HIV. This intervention has been designed with the serverity of the PWIDs intellectual disability in mind and caters for her unique communication needs.
Follow up will be done to establish whether the lessons taught were taken up by both the HR and PWID.
Result
Through the assessment that was conducted by Patrick, KSMH has been able to identify the necessary action to be taken in order to support the PWID.
Impact
Grace Karanja is the TOT who identified Elizabeth’s case. Elizabeth is 29 years old. She lives in Springs Valley in Kayole with her mother and her 5 siblings and two nieces. The family depends on the mother who is the sole bread winner for the family. She also has 5 PWID’s who depend on her. She is not financially stable.
The PWID has been a victim of rape. She got lost within the Kayole area for a week. She was later found dumped and was naked. She was taken to hospital and the confirmed that PWID had been raped. On a different incident, a man called into a bar and offered her a soda. He later called her out and took her to a corner within the building. Fortunately, some men who were in the bar were watching what he was doing. As he was about to perpertrate the act, the PWID was rescued and the man seriously beaten.
Challenges
- The person who sexually abused the PWID was not identified and has not been identified to date. Hence the case can not be dealt with at the courts.
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- The PWID is exposed to people who may take advantage of her because she is constantly out and does not understand a lot of things.
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- The mother has a big challenge because the family has four other PWIDs who also require attention.
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- The economic status of the family is not good and the mother is the only care giver.
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Initiative
The Mental Disability Specialists have designed an individualized strategy that could confront Elisabeth’s specific issues. This intervention targets many key issues which both the PWID and the HR must have detailed information on the importance of understanding their sexuality, HIV/AIDS prevention and how to prevent spread of HIV. This intervention has been designed with the needs of the PWID intellectual disability in mind and caters for her unique communication needs.
Result
Through the assessment that was conducted by Ann on Monica KSMH has been able to identify the necessary action to be taken in order to support the PWID in obtaining vital information regarding HIV/AIDS and in accessing required services.
Impact
The TOT is Ann Wanjiku. The PWID Monica is 18 years. She lives in Dandora. The family is from a poor background since the mother is the sole bread winner. She works in lodging as a laundry person. The HR and PWID communicate freely but it is hindered by lack of confidentiality at times.
The person who took advantage of the PWID would send her to go buy chips and then lead her into his house and sexually abuse her. When HR found out, she took the PWID to Nairobi Women’s Hospital. She was tested and was HIV negative. The PWID confided in the HR who had abused her. She reported the matter to the police who did not take any action because she did not have the money to bribe them. He continued exploiting the PWID who got pregnant. The man fled from his home. The man later came back threatening to take the PWID and the child that they belonged to him although he offers no child support. The man is free and the HR is worried on what will happen to the PWID if she is not around. She is not sure whether or not the PWID is still being exploited as the PWID stopped confiding in anyone.
Challenges
- The PWID has not been able to identify the perpetrator despite the fact that she got pregnant and delivered a child.
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- The police asked for a bribe from the HR and hence the case could not move on because they could not assist the HR.
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- The supposed perpetrator resurfaced claiming that he wanted his child.
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Initiative
The Mental Disability Specialists have designed an individualized strategy that could confront Monica’s specific issues. This intervention targets many key issues which both the PWID and the HR must have detailed information on the importance of understanding their sexuality, HIV/AIDS prevention and how to prevent spread of HIV. This intervention has been designed with the needs of the PWID intellectual disability in mind and caters for her unique communication needs.
Result
Through the assessment that was conducted by Ann on Monica KSMH has been able to identify the necessary action to be taken in order to support the PWID in obtaining vital information regarding HIV/AIDS and in accessing required services.
Impact
The reporting TOT is Hannah Wanjiku Mbugua. The PWID is 43 years of age. She hails from Kiamwangi, Thika. The PWID had been abused by two people who had been giving her 20 shilings after having sex with her. No legal action was taken against them and no medical check ups were done. The PWID admits that she has a boyfriend whom she voluntarily have sex with.
PWID financial background is very poor. They are 10 in their family. The mother and a brother to the PWID are also PWIDs. Two of her brothers are casual labourers and have a small garden but they are still not able to live comfortable lives. They can go for days without food. The PWID is not confined to isolation and they are a close knit family member. They live in a mud house which is one roomed. It serves as the kitchen, bedroom and sitting room.
Challenges
- The PWID did not report the incidence of abuse to the HR as a result she did not seek medical attention and does not know her HIV status.
- No action was taken because the HR was not aware of the incidence. The culprits are not known and may be a threat to other PWIDs and even to Lucy.
Initiative
Ann Wanjiku the TOT did an assessment which she submitted to the Mental Disability Specialist to design an individualized intervention strategy that could confront her specific issues. This intervention targets many key issues which both the PWID and the HR must have detailed information on e.g. the importance of understanding their sexuality, HIV/AIDS prevention and how to prevent spread of HIV/AIDS.
This intervention has been designed with the severity of the PWIDs intellectual disability in mind, and caters for her unique communication needs.
Result
Through the assessment that was conducted, KSMH has been able to identify the necessary action to be taken in order to support the PWID in obtaining vital information regarding HIV/AIDS and in accessing the required services.
Impact
This case was identified by Grace Karanja. The PWID is 28 years old. Mutesa started having funny behaviors and when the mother followed up the case, she discovered that there was a lady living near the boy’s grandparent’s home who wanted to take advantage of him. The lady would buy him small gifts and snacks such as sausages, chips and sodas. She had not reached the point of sexually harrassing the boy as he was able to escape before she could sexually harrass him. The mother was supportive of him and takes good care of him.
Challenges
The boy may still be exposed to people who may want to take advantage of him.
Initiative
After Grace did the assessment for Mutesa, the Mental Disability Specialist designed an individualized intervention strategy that could confront his specific issues. This intervention targets many key issues which both the PWID and the HR must have detailed information on e.g. the importance of understanding their sexuality, HIV/AIDS prevention and how to prevent spread of HIV/AIDS.
This intervention has been designed with the severity of the PWIDs intellectual disability in mind, and caters for his unique communication needs. Follow up will be done to establish whether the lessons taught were taken up by both the HR and PWID.
Result
Follow up will be done to know how effective the intervention was and how it has been able to help the PWID and the HR.
Impact
The TOT who reported the case was Rosemary Njau. The PWID was raped when she was 9 years. She was raped by a man who lived in the same plot with them. On the day of the incident, the mother of the PWID had taken a neighbour of theirs to the hospital. The PWID had walked out of the plot and that is when she met the man. The man called her into his shop and asked her to enter into a room. At that time, the wife of the man was not at the shop.
She was asked to remove her pant and when she refused, the man took them off her. After the rape ordeal she was thrown out of the house. She was bleeding when she met with a friend of her mother who asked her why she was bleeding and crying. She was unable to walk properly due to the pain. The case was reported to the local authority and the rapist was caught. The PWID was taken toNairobi Women’s Hospital where she was found to have contracted an infection. She was put on medication for six months.
Challenges
- Despite the case being reported and the man put under custody, they have not been able to follow up on the case due financial constraints.
- They are facing threats from the man’s family who keep threatening them to drop the case
Initiative
- The case was reported to the police and the man locked up.
- Rosemary did the assessment for Eva. The Mental Disability Specialist designed an individualized intervention strategy that could confront her specific issues. This intervention targets key issues which both the PWID and the HR must have detailed information on. For example the importance of understanding their sexuality, HIV/AIDS prevention and how to prevent spread of HIV/AIDS.This intervention has been designed with the severity of the PWIDs intellectual disability in mind, and caters for her unique communication needs.
Result
Through the intervention that was conducted by Rosemary, KSMH has been able to identify the necessary action to be taken in order to support the PWID Mr. Karanja in obtaining vital information regarding HIV/AIDS and in accessing required services. KSMH will also be able to follow up with Eva’s mother to know how far the case has been handled in court.
Impact
This case was reported by the TOT RoseMary Njau. Hannah is an hper active child. The HR can not go work because she can not be left alone. The PWID has been raped twice and as a result the mother does not want to leave her alone. The first time she was sexually abused, she was not able to recognize the person who sexually abused. On the second incident, she was able to recognize the person who sexually abused her. No legal actions were taken against the man but he was warned not to repeat what he had done.
Challenges
- The PWID never reported the case to the HR. When the HR came to know she only warned the perpetrator to stop the abuse but she did not take legal actions against him.
- The PWID did not get medical attention to know whether or not she had been infected and take the necessary precautions and medications to stop this from happening.
- Up to date, they have not accessed the VCT.
Initiative
The Mental Disability Specialist designed an individualized intervention strategy that could confront the PWID’s specific issues. This intervention targets many key issues which both the PWID and the HR must have detailed information on. This includes the importance of understanding their sexuality, HIV/AIDS prevention and how to prevent spread of HIV. This intervention has been designed with the severity of the PWIDs intellectual disability in mind and caters for her unique communication needs.
Result
Through the intervention that was conducted by the TOT, KSMH has been able to identify the necessary action to be taken in order to support the PWID in obtaining vital information regarding HIV/AIDS and in accessing required services.
Impact
- Mary is a 23 year PWID who lives in Kiandutu Thika. The PWID has been rejected by the mother who does not take care of her. The PWID used to be locked and was often abandoned. The mother to the PWID does not support her in accessing any support. The mother drinks, brews and sells chang’aa and is not in a position to take good care of the PWID.
- The PWID has been sexually abused on several occssions by different people. She has been sexually abused by one of her mother’s client who buys chang’aa from her mother. The PWID was able to recognize the abuser even by name. The second person to abuse the PWID is an old man who frequently abused the PWID in an unfinished building. The present HR noticed that the PWID when asked to go home would wake her up the following day at 5 am. Out of curiosity she followed the PWID to find out if she always goes home to her mother or not. That is when she found out about the PWID being abused by the old man.
- The third abuser was a shoe repairer. He has been sexually abusing the PWID when she goes to fetch water. The HR got worried when the PWID missed her monthly menses. When asked she was able to narrate to the HR the incident. The PWID has not been tested whether or not she is pregnant but has not had her monthly periods for 4 months now. This may indicate that she may be pregnant.
- Currently, the PWID is on TB drugs. All the cases have not been reported and no legal actions taken against the perpetrators. The PWID has not accessed any medical care.
Challenges
- The PWID has not been able to access any medical help.
- No legal actions have been taken against the perpetrators.
Initiative
The TOT in charge was able to advice the HR to take the PWID to for a pregnancy check up, to access counselling services and to provide sufficient support and protection to the PWID.
Results
A follow up will be done.
Naomi Waweru was born in 1999. She is the fifth born in a family of seven. The child’s disability was identified when she was about eight months old by her parents. The father is the bread winner of the family. He is a hawker who sells groundnuts to earn a living. The child’s grandmother sells chang’aa to help in the upkeep for the family. The family lives in a two roomed mabati house which has a mud floor. The father earns approximately 200/= in a day.
The grandmother begs money from her clients in the name of the PWID. The drunken men could easily be tempted to demand sex to compensate the money given. The present concern is how to stop the grandmother from using the PWID to get money from her customers which could make the PWID abused.
Anne Nduta is a 27 year old child with intellectual disability. She lives in Gatanga. She has both her parents and lives with them. The parents are the ones who provide for the family. They are both farmers and farm to earn a living. The family lives in a mud house with iron sheets roof. The PWID was sexually abused by the house boy. When it was discovered he ran away with the PWID. The PWID returned home after a week. The house boy was not with her when she returned. She was not taken to hospital due to financial constraints. They did not report any case to the police.
The PWID comes from Kirwara Gatanga and is 31 years old. When the PWID is not in school, the HR has to stay at home to take care of the PWID. She fears that the PWID may be abused when she is left alone. The PWID has six siblings. The family has a good relationship within them. The father works in Eldoret as a painter and earns 6,000 in a month. This is not enough given the large number of the family.
The PWID goes to a special unit. When coming from school, she was sexually abused in a maize farm. She did not report the incident to anybody when the crime was committed. The HR only came to know about it when the TOT went to implement the IEPs. Despite the fact that she was able to identify the perpetrator, no legal actions have been taken.
The PWID hails from Gichubo, Kirwara. Her disability has affected the family because the PWID has a child whom she can not take care of. They depend entirely on the HR. The HR has been able to take care of the PWID. There family is often isolated by the community members due to the PWIDs disability. The PWID was abused when she was 16 years old. She was coming from church when she was abducted and taken into a coffee plantation and raped. The rapist was not identified. She got pregnant and delivered a normal child who is currently in class seven.
The PWID has been sexually abused constantly by a neighbour who was a house girl. She used to offer him money like 1 or 2 shillings and later sleep with him. This happened on several occassions. No legal actions were taken because the HR only learnt about this when the TOT was implementing the IEP the PWID. The house girl who exploited the PWID is still employed by the neighbour hence pose a risk to the PWID.
Benard was born in 1992. He comes from Githurai. The boy is neglected by the mother and stays with his sisters. The mother became irresponsible and did not want to take care of the PWID. When he was living with his mother, the PWID worked as a herdman. He used to be overworked, and as a result, his sister went and took him away from his mother. There are seven members who live with the PWIDs sister. The sister is employed as a cook at a local school in Kasarani. The HRs husband works as a driver but still earns little to cater for all their needs.
When the PWID was working as a herdsman, one unknown girl took advantage of him. She used to touch the PWID and finally they started engaging in sexual activities. The girl continued bringing snacks to the PWID and demanding for sex. The girl cautioned him not to inform anyone else. The PWID has never informed anyone else. His story came to be known when the TOT, Rosemary, was implementing the IEP to Benard. During the implementation of the IEP, Benard learnt that it was important to share information and what is going on around him with his sister.
Felgona is 23 years old and comes from Githurai. She lives with six members of her family. There are several other PWIDs in the same family. They can not be left on their own. They have been neglected by their neighbours as no one wants to be near them. Their mother has not abandoned them despite their father running away from them. The HR works as a casual labourer earning Kshs. 200 per day when she gets the job.
The PWID was raped by a neighbour of theirs. She was sexually abused in the bathroom.
On the day of the incident, the PWID had been called by the wife of the man who perpetrated the act. She was given dishes to wash and later sent to the shop. When she got back, she was pressed so she went to the washroom. The man then followed her into the washroom and sexually abused her. The PWID did not inform the HR but she noted a change in the PWID. She was suddenly feeding well and her body weight increased.
The wife to the man who sexually abused her realised a change too. She later brought her to pills which after she took, made her bleed heavily indicating that they were abortion pills. Her mother brought a friend of hers home to talk to the PWID. It was during a talk with the PWID that they got to know about the incident. She was taken to hospital immediately. She had a syphillis and gonorrhea infection which was treated for six months. The rapist was arrested as the PWID was able to identify him and narrate what happened. The PWID has a mild intellectual disability. The man was released two weeks later. They could not continue going to court because they did not have fare. It is now nine years since the PWID was sexually abused.
Hannah is 22 years old. They live in Gatundu. The disability has affected the family since the family has to constantly take care of the PWID. The HR has not been rejected and they do not hide or neglect the PWID. The family has four members. They are able to stay in a clean environment. They earn a living from farming.
The mother wanted to teach the PWID a few skills on life. She sent the PWID to the kiosk. The PWID was approached by a man whom she does not remember, but he offered her a handshake. He refused to let go off her hand and pulled into a maize plantation nearby. She was sexually abused in the plantation. No one knew about this. They came to learn about it when the TOT Rosemary was implementing the IEPs.
Wanjiru was born in 1992 as a normal child but later fell ill with meningitis. Her disability was noticed when she had delayed milestones and could not control her hands or body. The disability has affected the family. There mother is very strict hence the children fear sharing the information with her. The family has accepted the PWID. The mother earns a living from mabati rental houses that she owns.
The PWID has experienced sexual abuse from three different people. The first incident, she was abused when she sent to the shop. She was called by a man who she can remember and he removed her pant and forcefully sexually abused her. The PWID reported that she felt pain after the incident but did not report the case any one. She had been threatened by the abuser not to disclose to anyone.
The second incident occurred with a drunkard. She was not sexually abused but was at the risk of being abused. The drunkard was in the company of another girl. He sent the girl on an errand. He was then able to force the PWID to remove her pant but just as he was about to get into the act, they heard the shouting of the lady. He then told her to dress quickly but the other lady reached.
On the third incident, she was lured by money. She was asked to go and pick some money. Instead she was first asked to remove her clothes. She declined and the man started touching her on the breasts and finally removed her pant raping her. The PWID never reported the case to her mother since she is very strict. Her stories came into light when the TOT was implementing the IEP.
The 23 year old comes from Lenana in Nairobi. The PWID has been brought up by his single mother. His father passed away after an HIV/AIDS infection. The mother earns a living by selling chips and bhajia by the roadside. Despite this, they are struggling to cater for their daily needs. The PWID and her sister are on drugs. The mother earns about Kshs.100 per day. The PWID has been sodomised by many people and he contracted HIV. The mother took him to Nairobi Women’s Hospital where he was found to be positive with the virus. Both the mother and the sister are positive too.
Lillian is a PWID born in 1967. She hails from Githurai. She is an orphan and stays with her sister and two other siblings. The living conditions for the PWID are comforting enough as she has not been abandoned or neglected by her family. The PWID’s sister is a casual labourer who washes clothes for Kshs.200 and also farms to earn Kshs. 100.
The first incident when the PWID was raped, she got pregnant. She had a still birth. No action was taken against the perpetrator. Second incident was an attempted rape. The PWID was from the market and found a man in their compound. The PWID got into the home and went to the house. There was no one inside. The man followed her and started touching her on her breasts. She screamed and took off.
Virginia is 23 years old fromMurang’a. The HR is not able to leave the PWID alone for along time because the PWID is epileptic. This means that the HR’s mother is not able to do other jobs besides taking care of the PWID. The mother has five children PWID being the fourth born. The first three children have completed form 4 and the last born is in form two. They depend on cows and farming tea.
The PWID was sexually abused by her cousin. Her cousin would call her into his room and sexually abuse. The mother was not aware since the PWID had not disclosed the issue to anyone. The mother noted signs of abuse while she was bathing her. There was foul smell and yellow discharge on the PWID’s pant. She decided to have a one on one talk with the PWID. The PWID has little speech and was able to identify her cousin as the perpetrator. Her mother did a check on her found puss in her vaginal area.
The HR rushed her to hospital. She got a P3 and was transferred to another hospital. The police were able to get him and the case was in court. The man was sentensed to 17 years in jail. The PWID contracted gonorrhea and syphillis. She was able to get medical attention.
Sagman was born in 1993. He is being brought up by a single parent despite the father being alive. They have been marginalised by the community as most parents do not want their children to interact with them. The HR has 5 other PWIDs. She is affected psychologically because of the work load that she has. She earns a living from casual jobs.
PWID was sexually abused by a woman who is not known. The PWID was called by the woman and she gave him fruits. She owns a kiosk. The PWID was required to hug her, kiss her, and remove her cloths as he touches her private parts. After having sex with the woman, he was given tea, juice, soda or a cake. The mother came to learn about this when the TOT in charge, Rosemary was doing assessments. The mother insisted to know the person but the PWID could not inform the HR and TOT.
The PWID lives with her father. She is a partial orphan. The PWID works for her neighbours to get food. The PWID has been experiencing sexual abuse from several people. The father has been sexually abusing the PWID. This was noticed by the area who may have been informed by an unidentified person. The second person to sexually abuse the PWID is a neighbour of theirs. She got pragnant out of the abuse and delivered a child who also has intellectually disability. She was sexually abused when she was on her way to fetch water. The third person to sexually abuse the PWID has been taking advantage to sexually abuse the PWID when the father is not at home.
The area chief took the PWID’s child to a boarding school and warned the father against sexually abusing his own child. No incident has been taken to court and no one arrested for the sexually abusing her.
The PWID is an orphan. He has been isolated by the community members. He is laughed at. He has been working without pay. He lives with his sister who also has a PWID who is epileptic. The sister earns a living by selling milk and also farms tea. She is not able to do much because of the work and attention she has to give to the two PWID’s.
The PWID has been sexually abused by women. He said he often called by the ladies to help in milking cows or chopping firewood. After completing the job, instead of getting payment, he is told to wait for food. As the food is being cooked, he is invited into the bedroom and the women request for sex. He was often told not to inform anyone. When the sister came to learn about this, she insisted that the lady who sexually abused oftenly to marry him. He got married to her but this posed a risk of contracting HIV/AIDS to the PWID because it is said that the lady was sleeping around with other men besides the PWID. At the moment the two are no longer living together.
Jacinta is 18 years old. She comes from Gatanga Thika. Her disability led to her father rejecting her. Her father caters for everyone else apart from her. He is a casual labourer.
The PWID was sexually abused when her mother had left her at home to take her younger sister to hospital. She was sexually abused by her grandmother’s groundsman. She was taken to the nearest hospital where she got treatment later transferred for further treatment. The man who sexully abused her took off when he learnt that the family knew what he had done and has not been seen again. The PWID’s grandmother was defending the groundsman hence there was a misunderstanding between the two of them.
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