The future of each child deserves a tailor-made solution

Macheo is assisting the most needy children, we do not believe that one solution will address the complexity of the families in an adequate way. Therefor we aim to apply specific solutions to each situation, hoping to create a better foundation for the children’s development in this way. Children are being referred to us through different people in the surroundings of the child. These can be well-wishers, a parent, a teacher or Government employees from – for example – the children’s office. We also identify directly through our own observations in the community.

Building blocks of the Macheo-Method

  • Needless to say that we do help with a lot of empathy: this is a crucial part of working with vulnerable children and their caregivers.
  • We do realize that empathy can negatively influence the objectivity of making choices about scarce resources.
  • While maximizing impact for all children within our reach, we find it morally just to look independently at the effectiveness and efficiency of the services we offer. This is why we have developed a system that aims to help us achieve higher objectivity, effectiveness and efficiency. In other words maximize the Social Return on Investment for the children we help, while not ignoring all the children on our waiting list, who also deserve our help.
  • We help with the heart, but decide evidence-based and data-driven.

The Macheo method in 3 simple steps:

  1. Diagnosis: what is the particular need?
  2. Service delivery: we refer to or provide service(s) that address the needs and root causes.
  3. Evaluation: Did the provided services adress the needs effectively and efficiently?

The diagnosis is done by Macheo’s Area Social Workers. For this they use the Child Status Index tool. This is a verified tool that looks at children’s well-being holistically.

The Child Status Index covers:

  • Care
  • Protection
  • Health
  • Food & Nutrition
  • Education & Skills
  • Psycho-social wellbeing
  • Shelter

Based on the needs identified through this tool the Area Social Workers will make referrals to usually multiple services that are deemed necessary for the children.

An Area Social Worker can refer internally or externally. An internal referral is a referral to one of Macheo’s colleagues to provide the services. We only provide ourselves if there is no other accessible, effective and/or affordable other service provider. Other service providers are the Government of Kenya, other organizations or adress the needs through community mobilization.

Macheo executes the following services:

  1. MACHEO CHILDREN’S HOME (temporary residential care, reintegration, baby-house)
  2. EMERGENCY FAMILY SUPPORT (relief food, relief personal items, always temporary and short-term)
  3. DIRECT INDIVIDUAL SCHOOL SUPPORT (assist in payment of school fees, uniforms, desks)
  4. AGE APPROPRIATE SCHOOL ACCESS (specialized education and care to children who have been deprives of access to school for very long, improve quality of Early Childhood Development classes)
  5. HEALTH (helping people to access medical services)
  6. HOUSEHOLD ECONOMIC STRENGTHENING (help breadwinners to get a stable income through business start-up or job mediation)
  7. MALNOURISHMENT INTERVENTION (provide information with regard to malnourishment, provide meals and care)
  8. CHILD PROTECTION (rescue, prevention, alternative family care)
  9. PSYCHO-SOCIAL CARE (provide counselling, referrals to specialists)
  10. ASSIST TEENAGE MOTHERS (medical assistance, parenting training, counselling, skills training and/or business start up)
  11. INFRASTRUCTURE (improve household physical living conditions and school infrastructure)
  12. SCHOOL FEEDING (lunch, porridge)
  13. DE-WORMING (provide de-worming programs at public schools)
  14. SPORTS & GAMES (sports curriculum, training of teachers)
  15. ADOLESCENTS’ REPRODUCTIVE HEALTH, HYGIENE AND LIFE SKILLS (training and community sensitization)
  16. PARENTING GUIDANCE (training on parenting skills)

1.MACHEO CHILDREN’S HOME

1 – 1 Provide temporary residential care: This is always the last option, when all other options have failed.

We admit children into the centre for protection and care. Some children are abandoned, neglected and are victims of different forms of abuse. These children are usually placed into Macheo for care and protection by the sub-county children’s officer, Thika.

The centre can sustain up to a maximum of 48 children who are divided into 6 houses that have a mother each. In general, we have over 300 admitted children who were reintegrated back to their families, went for (domestic) adoption, or are now living with foster families.

Family visits to the centre are encouraged in order for them to reintroduce themselves to their child and enhance a bond. When it is considered safe, the children also go for supervised home visits to their families. Macheo counselors gradually prepare the child to be ready to go back to their family soon after admission for residential care.

It is our goal that on average a child will spend only 6 months in our residential care. While in our care we focus on 3 crucial aspects: work with the family and child to make it possible for children to return home safely, healing of trauma, and -of course- provide the children with a safe and stimulating environment for the period they live under our care.

The purpose of our residential care is to return a child back to a loving family in the community.

1 – 2 Reintegrated children and their siblings: We believe children are best cared for in loving and stable families.

Reintegrated children are children who were once in the residential care and were successfully placed back to their families. There is co-operation between the centre and their families, we support the families the best way we can so that they are stable enough to be able to accommodate their children. Once reintegrated, Macheo’s social workers do regular follow ups to ensure they are safe and progressing well.

If the reintegrated children have siblings who need our care we also intervene and enroll them into our program.

The focus shifts towards family care, to enable long term safe connection with the family.

1 – 3 Baby house: The staff in the baby house cares for babies who are abandoned and rescued from trafficking and other forms of abuse.

The core purpose of our activities here is to enable the babies to trust, bond and love. Without this ability we believe all their future human connections can be damaged.

These children are mostly below one year old. They have caregivers and a nurse who care for them around the clock. We take them through the clinical check-ups and all the necessities a child of this age needs to the point where they are healthy and old enough to be reintegrated to their families, go for (domestic) adoption or can be placed in foster families. Babies stay on average 6 months.

2.FACILITATE EMERGENCY FAMILY SUPPORT

Relief aid to families: Macheo provides relief through direct provision of food and non-food items to families in crisis or emergency situations. Without this support, the family may fall deeper into a crisis or deprivation of specific needs. Hopefully this support enables our staff to start working on development and empowerment of the family sooner.

3.DIRECT INDIVIDUAL SCHOOL SUPPORT

3 – 1 School fees to dayschool enables the most needy children to get a basic education; on average the families contribute 25% of the costs.

3 – 2 Schoolfees for boarding school. Being enrolled in a boarding school can greatly enhance protection for children (especially for girls). Also here the families contribute on average 25%.

3 – 3 Schooluniforms: Wearing a school uniform is compulsory in Kenya. Children who are not attending school due to lack of uniform will be provided a uniform by Macheo.

3 – 4 Schooldesks: In many schools there is a big shortage of desks. Macheo provides and distributes desks to public schools to prevent too many children having to share a desk. Schools can also request new children to contribute a desk to the school. In that case lack of desks can even hamper access to school.

4.AGE APPROPRIATE SCHOOL ACCESS

Our goal with this intervention is to enhance the opportunities for children to access primary, secondary and vocational skills training. This includes getting children into school that have never been to school as well as enhancing the readmission of those that had dropped out.

We work with children, families, schools and education officials to lift the barriers to school enrollment which include social and economic issues such as poor school policies, poor parenting, school readiness, and cultural issues. We also involve sensitization on positive teaching practices and attitudes towards children, especially the vulnerable. As part of this intervention we also invest in pre-primary quality education within public schools in Kenya.

5.HEALTH INTERVENTIONS

We identify simple and complex health cases and directly intervene by helping them access medical services.

This includes paying for some of their medical charges and levies. We network with hospitals where we advocate for waivers on charges.

In areas where we lack the capacity, we refer clients to other organizations that can provide the same services for cheaper costs for further case management.

6 – HOUSEHOLD ECONOMIC STRENGTHENING

Empowerment is the true objective of our work. However, this can only be achieved once the people are out of the extreme poverty that overwhelms all the other daily activities.

Macheo supports clients (household heads/income earners/bread winners/household decision makers) with funds or tools to start income generating activities to sustain their families. We therefore help clients to develop business ideas that can work in their local context and give them small grants and tools to start their own businesses. We conduct regular field visits to monitor progress and offer additional training and any necessary business support to these beneficiaries to ensure that their living standards are improving.

We also network with employers close to us and mediate beneficiaries into paid and stable employment.

7.FACILITATE MALNOURISHMENT INTERVENTIONS

Households in our target areas lack food security. They do not have access to nutritious food at all times of the year. This affects the nutrition and well-being of children as they are not provided with a balanced diet. Our beneficiaries also lack information and knowledge on nutrition. We therefore help feed 15 malnourished children at any time with a balanced diet as identified by the social workers. The children also go through assessment to ensure that other underlying conditions are detected early and addressed.

Macheo’s nutritionist also helps many families to provide more nutritious meals at home in cost effective ways. She also trains groups and offers advice to other organizations.

8.CHILD PROTECTION

8 – 1 Rescue: Through this intervention we help children access the care and protection Government services they need in case of neglect and abuse.

8 – 2 Seminars: To prevent abuse from happening it is crucial that individuals and communities are empowered to be able to recognize abuse, know children’s rights and know how to act when abuse or neglect is suspected. We train the community through seminars that we give in public gatherings or in schools.

8 – 3 Alternative Family Care: The alternative family care intervention involves placement of children into a safe family. This therefore could be through adoption whereby Macheo involves a registered adoption agency. It also involves foster care and tracing of reliable family members and direct placing of the children to these families instead of having them admitted in an institution. 

9.COUNSELLING

9 – 1 Individual counselling: We offer a helping relationship for the individuals experiencing psychological, social or emotional issues that affect their wellbeing both in the short-term and long-term. Our counseling services to the individual clients are free for the clients.

We cannot intervene in all categories of individual psycho-social needs and sometimes refer clients to external counselors for further case management where more specialist knowledge is needed that Macheo cannot provide, an example is a psychiatrist.

9 – 2 Group counselling: Group sessions that offer guidance and life skills are effective in connecting children to explore their issues collectively. This helps prevent psycho-social problems or address them as they emerge. These children are therefore empowered with skills on self-efficacy and resilience. These sessions by our group counselors also offer wider insights to our organization as the children tend to highlight the wider issues affecting them in their community.

10.ASSIST TEENAGE MOTHERS

We offer numerous services and activities aimed at equipping expectant teen mothers with the skills and knowledge required to successfully prepare and care for their unborn child. They are taught how to care for themselves and their babies, offer support, information and including advocacy health, in all relationships, parenting, social welfare entitlements, education, training and anything else that concerns the mother.

Our objectives towards the teen mothers is to ensure that they; have a healthy pregnancy, have a healthy baby, learn to be a parents and work towards empowerment either in finishing school, skills training or having a business.

11.INFRASTRUCTURE

11 – 1 Improve physical living conditions: the intervention on improving physical conditions ensures that more children involved in our programs are living in a safe, dry and adequate shelter. In the case that this is not happening, we directly provide items such as clothes, beds, mattresses and bedding or even renovate or construct a house. Community mobilization and participation is a key aspect of this intervention.

11 – 2 Improve school facilities: in the most needy schools, we engage and work with stakeholders to construct and repair classrooms, toilets and kitchens. While we provide the funds and are responsible for the tendering and contracting process, the schools identify contractors and own the project during and after construction. We aim to achieve child-friendly learning environments with our classroom construction projects. We do classroom renovations for the schools but sensitize them to source funds from any other concerned parties to do other repairs including desk or staff room repairs. Through provision of the infrastructure, we aim at improving the welfare and well-being of all children in school.

The school community contributes 25% to the costs of improving their facilities.

12.SCHOOL FEEDING

12 – 1 Lunch: By providing school feeding programs we positively impact retention of children in schools, improve access into schools, improve school performance and contribute to higher wellbeing levels in health, food & nutritional status, protection and psychosocial wellbeing of children.

One of Macheo’s goals is to get children into school and retain them until they complete their primary school education. Provision of subsidized food for lunch is one of the feeding interventions that Macheo uses to achieve this objective. This intervention is provided in Government schools where Macheo has introduced the feeding program. Parents who can afford contribute to the costs of the meals.

12 – 2 Porridge: Nursery school children are the chief targets of the porridge intervention due to the added nutritional advantages although the upper class children also benefit. The nutritious porridge is inclusive of a balanced diet which is available to all the students in the schools with priority to the most vulnerable cases.

13.PROVIDE DE-WORMING

We sensitize and lobby county public health officials to offer technical knowledge and training to staff and children on hygiene and de-worming. We also seek advice and support for our de-worming programs from the county school health officers. By initiating de-worming at the beginning of every school term, we improve the learning and health of children. We hence buy de-wormers and issue them to children in schools.

14.SPORTS & GAMES

Due to poor knowledge, attitudes and practices related to sports and games, we have to come in and offer direct support intervention and services. We sensitize parents and teachers on the importance of play and in most cases directly intervene by providing sports materials, equipment and personnel to help implement games and sports. We sensitize teachers to allow children to play at the stipulated Physical Education and Games lessons. Together with a partner (Join for Joy) a games manual has been designed that enhances social impact of games and play.

15.ADOLESCENTS’ REPRODUCTIVE HEALTH, HYGIENE & LIFE SKILLS

In our target areas, the school attendance of girls is affected by menses where the children who come from families that cannot afford sanitary pads are forced to stay at home while their male counterparts continue covering the syllabus.

The Government of Kenya has promised and is providing sanitary pads to girls in schools.

We train the girls on the use and disposal of the pads. We sensitize teachers and parents to support girls during this period and encourage them to actively support and support us in our program. We also ensure the boys are involved and engaged by offering them trainings and life skills sessions on male and female reproductive health. We help them understand the process of human growth and development.

We also engage the boys so that they are able to understand the situation girls have to go through and the kind of support they can offer to ensure that they are all learning in equal opportunities. We provide both boys and girls with underwear. We train both on valuable life skills and age appropriate behavior.

16.PARENTING GUIDANCE

Parents need the ability to provide for the needs and well-being of children. In our target areas, parents lack positive parenting skills and engage in activities that put their children at risk in many domains of child well-being including protection, care, health and education.

We organize and provide parent training sessions in schools, especially for those parents with disadvantaged children. We sensitize parents on the emerging issues and risks that confront children in their locality and emphasize the importance of education as the main enabler to improved living. The social workers at Macheo organize and offer the training. We believe that informed parents are better able to make sound decisions that will impact their children positively.

Evaluation: are we effective?

After all interventions have been finished, the holistic area social worker returns to the case and confirms whether all efforts have had the desired impact. For this he or she repeats the Child Status Index.

The difference between the intake and exit CSI score now becomes visible and shows the improvement in the child’s well-being.

This is the impact Macheo (co-)created!

Evaluation: are we efficient?

When we now combine the different unit costs of the interventions we applied we can now also calculate the costs of the impact we created, by doing this we can also work on improving our cost-effectiveness, and not only apply what works, but also help as many children as possible with our scarce resources.

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