TB REACH WAVE 11 – ‘Tulinde Kifua’ PROJECT

Having successfully implemented TB REACH Wave 7 between 2021-2022, OGRA Foundation has been awarded TB REACH Wave 11 through Stop TB Partnership hosted by UNOPS in the context of implementation of “Tulinde Kifua” (Let’s take care of our chests): an integrated service delivery model for tuberculosis and other diseases of the lungs. Stop TB Partnership hosted by UNOPS is a global, multi stakeholder partnership that seeks to achieve a world without Tuberculosis through facilitating, catalyzing and coordinating the work of its partners through the secretariat of Stop TB in Geneva, Switzerland. TB REACH is a special initiative of Stop TB providing funds to partners for testing innovative approaches and technologies aimed at increasing the number of people diagnosed and treated for tuberculosis, decreasing the time to appropriate treatment and improving treatment success rates. Tulinde Kifua project will be implemented in Nyando and Muhoroni Sub Counties at primary healthcare facilities. The objective of the project is to improve detection and care of tuberculosis and other lung conditions including asthma, pneumonia and COPD through CAD-AI ex-ray machine and spirometers. Leveraging on the recently introduced primary healthcare networks (PCNs) in Kenya the project will train and work with Health Care Promoters, CHPs and TB Champions in creating demand, screening and referral of patients. As a result, there will be increased demand for lung health services, improved service quality and empowerment of treatment will be referred for technical support from the chest physicians.

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Climate Change & Environmental Health



Building Climate-Resilient Communities in Western Kenya

Climate change is no longer a distant threat for communities in Kisumu, Homa Bay, and Siaya — it is a daily reality. Erratic rainfall, flooding along the Nyando basin, prolonged dry spells, rising temperatures, and declining agricultural productivity are directly affecting household incomes, food security, and health outcomes.

At OGRA Foundation , we approach climate change as both an environmental and public health issue. Our work integrates climate resilience into our broader community health and social protection programs, ensuring that v ulnerable households — especially women, children, and informal workers — are protected from climate-related shocks..

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What OGRA Has Done


Clean Energy Transition for Households

OGRA has supported vulnerable families to transition from traditional biomass cooking (charcoal and firewood) to clean LPG energy solutions. This initiative reduces: Indoor air pollution and respiratory diseases Deforestation and environmental degradation Household expenditure on inefficient fuels By linking clean energy access to our health and insurance enrollment programs, we strengthen both environmental sustainability and family wellbeing.

Climate-Linked Community Health Outreach

Through Community Health Promoters (CHPs), OGRA has incorporated climate education into household visits — raising awareness on: Water safety and sanitation during floods Malaria prevention amid changing rainfall patterns Nutrition resilience during drought and food shortages This integrated approach ensures climate adaptation happens at the household level, not just in policy discussions.

Tree Planting & Environmental Restoration

OGRA has mobilized youth groups, schools, and community-based organizations to participate in localized tree planting campaigns aimed at: Reducing soil erosion in flood-prone areas Supporting ecosystem restoration Promoting environmental stewardship among young people.

Climate & Health Financing Linkages

Recognizing that climate shocks push families into poverty, OGRA integrates climate resilience into its Universal Health Coverage (UHC) and micro-insurance initiatives. By enrolling vulnerable households into the Social Health Authority (SHA) framework, we reduce catastrophic health expenditure triggered by climate-sensitive diseases such as malaria, respiratory infections, and waterborne illnesses.

Why Climate Action Matters in Our Region


In Western Kenya:
Flooding increases malaria transmission and waterborne diseases.
Rising temperatures intensify respiratory and heat-related conditions
Agricultural losses reduce household income, increasing vulnerability
Climate resilience is therefore central to our mission of improving health access, economic stability, and social protection.

Our Approach

OGRA’s climate work is built on three pillars:

✔ Mitigation – Promoting clean energy and reducing environmental degradation

✔ Adaptation – Strengthening community knowledge and resilience systems

✔ Health Protection – Integrating climate risk into UHC and primary healthcare models

The Way Forward


OGRA Foundation is scaling its climate-health programming to reach more households across Kisumu County and neighboring regions. We are actively seeking partnerships to: ✔Expand clean energy access
✔Support climate-smart agriculture for women-led households
✔Strengthen climate-resilient health systems
✔Build evidence on the climate–health–poverty nexus
Together, we can build communities that are healthier, economically stable, and resilient to climate change.

Democracy, Human Rights & Governance



Strengthening Civic Voice, Accountability, and Inclusive Governance

At OGRA Foundation, we recognize that sustainable development and improved health outcomes cannot be achieved without strong democratic systems, respect for human rights, and accountable governance structures. In many communities across Kisumu, Homa Bay, and Siaya, vulnerable populations — particularly women, youth, and low-income households — often face barriers to meaningful participation in decision-making processes that directly affect their lives. Limited access to information, weak civic engagement structures, and systemic inequalities continue to undermine inclusive governance. OGRA works at the intersection of health, rights, and governance, empowering communities to actively engage with public systems, demand accountability, and shape policies that improve their wellbeing.

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What OGRA Has Done


Community Civic Engagement & Public Participation

OGRA has facilitated community dialogues and forums that enable citizens to: Participate in county planning and budgeting processes Voice priorities on health, social protection, and service delivery Engage local leaders on accountability and transparency These platforms strengthen grassroots democracy and ensure that policies reflect real community needs. .

Rights-Based Health Advocacy (UHC & SHA)

Building on our work in Universal Health Coverage (UHC), OGRA has advanced a rights-based approach to health by: Supporting community awareness on the right to health Advocating for equitable access to the Social Health Authority (SHA) Engaging policymakers to improve inclusion of informal and vulnerable populations This work positions health access as a fundamental human right, not a privilege. .

Empowering Women & Vulnerable Groups

OGRA prioritizes inclusion by supporting: Women’s participation in leadership and decision-making spaces Community-based groups to advocate for their rights and services Vulnerable households to access legal identity, health, and social services We recognize that empowering women and marginalized groups is central to strengthening democratic systems. .

Strengthening Community Systems & Accountability

Through partnerships with Community Health Promoters (CHPs), civil society actors, and local leaders, OGRA has: Built capacity on governance, transparency, and service monitoring Promoted citizen-led accountability in health and development programs Strengthened linkages between communities and government institutions .

Why This Matters


Across the region:
Limited civic participation weakens service delivery and policy responsiveness.
Inequities in access to health and social services persist
Vulnerable populations remain underrepresented in decision-making
Strengthening democracy and human rights is therefore essential to achieving equitable development, improved health outcomes, and social justice. .

Our Approach

OGRA’s governance and human rights work is guided by three core pillars:

✔ Participation – Empowering communities to engage in decision-making

✔ Accountability – Strengthening systems for transparency and oversight

✔ Equity & Rights – Promoting inclusion and protection of vulnerable groups

The Way Forward


OGRA Foundation is expanding its governance and human rights programming to deepen impact across Western Kenya. We are seeking partnerships to: ✔Scale civic education and public participation initiatives
✔Strengthen rights-based health advocacy and policy influence
✔Support women and youth leadership in governance spaces
✔Build data and evidence to inform inclusive policymaking
Together, we can build a society where every voice counts, rights are protected, and governance works for all.

HealthStart 2

OGRA, Omega Foundation and Child.org are working as a coalition to implement this innovative programme, each bringing different areas of expertise in community, health and digital development.

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Commonwealth

Foundation

The Afya Mashinani project aims to support 1000 community health volunteers (CHV) and other frontline health workers at the community level to build their resilience in the context of pandemics such as COVID-19. The project will sensitize the CHVs on preparedness for such situations and on personal protection as they perform their duties. The project will facilitate the CHVs to engage the national and county governments so that they are involved in decision making on matters that affect their health such as response to COVID-19. The CHVs are supported to engage with the Ministry of Health, the Council of Governors and their respective county assemblies to foster policy change that will ensure their health is protected as they participate in provision of care to communities. The project will advocate for provision of the relevant personal protective equipment (PPEs) for CHVs and social protection including provision of health insurance.

USAID

Advancing Nutrition

OGRA Foundation has been awarded a grant by USAID Advancing Nutrition through JSI Research and Training Institute (JSI) in the context of implementation of “MALEZI MASHINANI” (Nutrition in the Grassroots). The project seeks to improve access and utilization of health and nutrition services for women and children in Kakamega County in the first 1000 days of life. The implementation will include community based interventions to increase demand for nutrition services, interventions at primary health care facilities to improve quality of nutrition services and interventions to strengthen the health system and multi sectoral coordination for nutrition.

STOP TB Partnership

Maliza TB Mashinani is an innovative tuberculosis (TB) Active Case finding Project funded by STOP TB Partnership through the TB REACH Wave 7 grant. It is implemented in Kisumu East, Kisumu Central and Muhoroni Sub counties in Kisumu County. The project Partners with private health providers including formal clinics, pharmacies as well as informal providers such as herbalists to screen all their clients for TB and facilitate Gene X-pert testing of sputum samples. Some of the centres offer treatment on site while in others; the project facilitates referral to a nearby TB treatment site.The project engages Young women and girls as TB ambassadors (Binti Balozis) who coordinate screening, diagnosis and referral treatment of TB among the people seeking healthcare in the private facilities as well as conducting contact tracing. The project Aims to detect 500 additional TB cases within 12 months period thereby increasing the TB detection by 32% in the intervention areas. For sustainability, the young women will be supported to start and run economically viable ventures that will support their activities beyond the duration of the project. The interventions are done in close collaboration with the County and Sub-county health management teams especially the TB program.View Publication

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DREAMS Innovation challenge

DREAMS challenge is desigened to prevent HIV incidences among adolecent and young women between 10 to 24. The 'Binti Balozi' are trained on life skills, peer education Adolescent Sexual Reproductive Health and sensitized on Gender Based Violence.

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HealthStart 2

OGRA, Omega Foundation and Child.org are working as a coalition to implement this innovative programme, each bringing different areas of expertise in community, health and digital development.

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17,800

18,500

  • Persons living with HIV/AIDs reached through home based care. HIV/AIDs Access

OGRA Foundation runs a project with an objective for a HIV free society supported with the Global Fund through Kenya Red Cross Society currently in Round 10

Ogra Medical Centre - Ombeyi

The Ombeyi Health Centre also known as Le Quesne Health Centre is located in Muhoroni Divison, Ramula. It has 30 beds and a fully equipped laboratory used to test and treat opportunistic infections amongst other common diseases.

Osani Health Centre - Ndhiwa

Osani community Health and Development Centre is a level III health care service provider , a Health Center aligned to the Kenya Essential Package for Health System (KEPH). It is situated in Kadhola Sub location, W. Kwabwai in Kobama Division of Ndhiwa District in Homabay County.

St Jones Ring Road Clinic - Nyalenda.

The health facility is located in the middle of Nyalenda Slums in Kisumu, the second biggest slum in kenya. The clinic provides accessible and affordable health care services to an approximate population of 2000 slum dwellers.

Since she delivered her baby nine years ago, 23-year-old Anna* has suffered from obstetric fistula – a hole in the birth canal caused by prolonged and obstructed labor that results in constant and uncontrollable leakage of urine and/or feces, if left untreated.

Obstetric Fistula

Anna

Do you want to be even more successful? Learn to love learning and growth. The more effort you put into improving your skills, the bigger the payoff you.

Burkitt Lymphoma

Survivor

Chris Justus Ochieng comes from a family of six children. He hails from Mikiria Village, Nyangoma Location, Miwani Division in Muhoroni district. His parents died in 2003 when he was doing his eighth grade in Primary school.

Chris

OVC Scholarship

Faima Akoth Yusuf hails from Jieri Village, Konyango Sub-location, Rachuonyo North District. She is the fourth child in a family of five. She is now 23 years old. Her father died in 1991 when she was 2 year old leaving them behind with their mother who has been suffering from epilepsy for years.

Faima

OVC Scholarship

Tourasi Massimo

I am from Verona, Italy. I am an IT expert working for GSK. During my volunteer period, I lectured IT students at ISMAT. They are very lovely students and I love working with them so much. Masimo

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Melody Farkas

My main project involves improvements to the pharmacy at Ombeyi Health Centre, one of OGRA's rural clinics in Nyanza..

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Loren Nakamaru

Loren a GSK volunteer that volunteered on the Poultry programme and he vaccinated chick.

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Christine Pence

As a nurse and Clinical Scientist I was very excited to be selected for the GSK PULSE program, and work with the talented people of the OGRA Foundation to strengthen their community.

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