Instructions on filling the survey

Please read the following instructions carefully before embarking on filling out this survey. It will also be useful to refer to these instructions during the course of the survey.

  1. The sources of all the data must be cited for every question. This also includes indicating the date on which the data is obtained. The comments section are for you to note anything important about the source of the information
  1. Questions for which the answer given will be an estimate must have explanation about how the estimate was arrived at. It is important that you explain why the estimate makes sense, and also provide any supporting calculations or analysis
  1. Please provide as much detail as possible in the open ended question. For example in a question like “Do people share their living space with immediate family, extended family?”, do not just say No or Yes. Instead, expound on your answers
  1. In the demographics section on towns, please only include the people that live in the urban area e.g. those that live in rental houses (mitaha) and those that have private homes in the town area. This number might include some of the people in the general census. Please include an explanation of the numbers if necessary.
  1. In the section on occupations, in order to judge what the top economic activities are, use metrics such as number of people participating in the activity and the amount of economic returns. If you use other metrics that you think are important, for this question and others that ask for your judgement, please list those metrics (factors) down
  1. Please use input from people working in the health sector for questions requiring professional input such as prevalence of diseases, the health care process, census numbers, population projections, etc. Be sure to note these people and their titles in your source of data sections
  1. Please note that any of the open ended questions appertain to Laare Division unless otherwise indicated
  1. In addition to the questions in this survey, please also find and send back the documents indicated on the last page
  1. Finally, please write a detailed letter explaining how the survey was carried out, any discrepancies in the data, also explaining any failure to follow instructions or other factors we may want to consider when interpreting the data


Demographics

Please fill in the following tables with population numbers using the most recent census figures:

1.  Laare Division (including those living in Laare town)

Men / Women / Children (< 18 yrs) / Total
Ntunene Location / 7009 / 7189 / 14,189
Antuambui Location / 12945 / 13226 / 26,171
Akirang’ondu Location / 12013 / 13046 / 25,059
Total / 65419

Percentage of population aged 60 years and older:…………………………..

Source of Data:

1. BUREAU OF STATISTICS-DISTRICT DEVELOPMENT OFFICE

2. 1999 GENERAL POPULATION CENSUS OF KENYA

Date: 28th September 2006.

Comments:

These are the official records kept by the government. However the situation must have changed since it is now 8 years since the census was conducted

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2.  Ndoleli Division

Men / Women / Children / Total
27406 / 27324 / 54,730

3.  Mutuati Division

Men / Women / Children / Total
27763 / 28988 / 56751

4.  Igembe North Division

Men / Women / Children / Total
20054 / 29992 / 50046

5.  Igembe Central Division

Men / Women / Children / Total
20798 / 21146 / 41944

6.  Igembe South Division

Men / Women / Children / Total
8978 / 9231 / 18209

7.  Meru North District Totals

Men / Women / Children / Total
293385 / 310665 / 604050

Towns

8.  Laare Town (people living in the urban area)

Men / Women / Children / Total

9.  Maua Town (people living in the urban area)

Men / Women / Children / Total

10.  Mutuati Town (people living in the urban area)

Men / Women / Children / Total


Occupations

  1. What are the top five economic activities in Laare Division?

a.  Miraa Trade

b.  Farming

c.  General Trade i.e. Shops and Hotels

d.  Casual labour

e.  Employment

  1. What are the top five occupations for women in Laare Division?

1.  Farming

2.  Housewives

3.  Trading at the market place

4.  Employment

5.  Teaching

  1. What are the top five occupations for men in Laare Division?

1.  Miraa business

2.  Farming and Pastoralists

3.  General Trade i.e. Shops and Hotels

4.  Employment

5.  Labourers

  1. What kind of jobs/work do children do?

1.  Miraa plucking /harvesting

2.  Household care

3.  Grazing and tending livestock

Source of Data:

DISTRICT DEVELOPMENT OFFICE- MAUA

Date: 28/09/06

Comments:

Government statistics supported by observation and general experience.

Education

  1. What percentage of adults (18 years and above) in Laare division have completed primary school education? (i.e. Standard 7 in old educational system or Standard 8 in current educational system)

…………………

  1. What percentage of adults (18 years and above) in Laare division have completed secondary school education?

…………………

  1. What percentage of adults (18 years and above) in Laare division have completed university education?

…………………

  1. What percentage of primary-school-age children are currently attending primary school?

……………………

  1. What percentage of secondary school-age youth are currently attending secondary school?

………………..

  1. What percentage of the university age population is currently attending university studies?

…………………….

  1. What is the number of university students from Laare division attending all private and public universities in the country?

…………………………

Source of Data: ………………………………………………………………………………………………………………………………………………………………………………………………

Date:………………………………………………………………………………………..

Comments:…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………


Sanitation

  1. What percentage of the population in Laare division has running tapped water at home?

4.3%

  1. What are the sources of water for people without tapped water?

-PUBLIC KIOSKS

-NEIGHBOURS AND FRIENDS

  1. How is non-tapped water treated to make it safe for drinking and cooking?

a) DEVELOPED FROM SPRING SOURCES

b) RAIN WATER COLLECTED IN CLEAN CONTAINERS

  1. Describe the general sanitation habits of people in Laare division.

(Sanitation habits include such things as when and how often people wash their hands, whether they do it before/after meals, and after using toilets, whether there are differences between literate and illiterate people, etc)

A lot needs to be done. Few take time to wash hands before and after meals and after using the toilet. There is a wide gap between the literates and the illiterates in terms of cleanliness but their occupations also matter e.g. those working in manual areas have or show minimal difference between literates and illiterates.

  1. What are the three biggest sanitation problems facing the people of Laare division?

–No tapped water to most of the families

-Poverty and lack of means

-Ignorance and lack of communication

  1. Describe the different types of human waste disposal facilities that people in Laare division use. (Examples might include water closet (w.c.) toilets, pit latrines, etc)

§  Pit Latrines -Majority

§  A few have water closets (within town)

§  Bush and other neglected public areas

  1. Describe the different ways that people dispose garbage in Laare division

No particular method but a few shops have pit disposal points in villages people dispose garbage into the form of manure and others feed it to pigs(few though).

Source of Data: G H Manghe

Manager- Tuuru Water Supply

Date: 29/09/06

Comments:

Tuuru water supply is the only water provider in the division apart from rain water.


Income

  1. What is the average household income per month in Laare division in shillings?

Kshs 3000-Estimate

  1. What is the average monthly income of the top 10% richest households in Laare division in shillings?

Kshs 100000-Estimate

  1. What is the average monthly income of the poorest 10% of households in Laare division in shillings?

Kshs 1000

Source of Data:

DISTRICT DEVELOPMENT OFFICE –MAUA

Date: 28th September 2006

Comments:

No official research conducted to establish the exact average income per household in any of the categories specified above. Estimates arrived at using the average standard of living for the member in each category.
Housing

  1. What are the most common types of houses in Laare division? Please describe

§  African Hut - mud walled with iron roofing

§  Semi Permanent houses - timber walled houses and iron roofed

  1. How do most people get their housing? (buy, rental, construction on bought land)

Construction

  1. What is the average size (in square metres) of a family house in Laare division?

24 ft by 18 ft (convert into metres)

  1. Do people share their living space with immediate family, extended family? Explain

Every household has its own compound with detached sleeping rooms for the parents, male children and female children.

  1. Do people share their living space with friends, strangers?

Yes, but not on daily basis

  1. Is there a toilet or bathroom inside the living space?

Toilets and bathrooms are generally detached from the other houses in the homestead

  1. Does the living space include an area for food preparation and storage?

No. Kitchens are detached from the living room/sleeping room

  1. Where do food preparation and storage take place?

Kitchen

Source of Data:

§  District Statistics Office-Maua

§  Community Response and General observation/experience

Date: 28th September 2006

Comments:

The District Statistics Office data was collected in 1999 and thus likely to have changed e.g. mud walled houses are quickly disappearing and replaced by semi permanent ones.


Health needs

What do people say are the five biggest health needs for Laare division? (For this question, please ask as many people as you can and outline the most common responses)

1.  Hospital – there is no hospital in the division

2.  Clean water

3.  Poor Government facilities and lack of drugs – the only Health Centre in the division is government sponsored but is ill equipped and regularly hit with drug shortages and staff indifference.

4.  Public health facilities and preventive medical care– the area has not even a single preventive healthcare public health facility.

5.  Rescue Centre, Productive Healthcare and Mother to Child Healthcare (MCH) facilities. The area has none of the aforesaid needs.

Health care facilities

Source of Data:

1. Community Response

2. Healthcare Providers response

Date: 28th of August 2006.

Comments:

The answers above is the sum total of the various views and opinions received and from those interviewed.

  1. Describe the different kinds of health facilities (hospitals, dispensaries, clinics, etc) in Laare division (size, medical staff, ownership, facilities, management, etc)

a.  Laare Health Centre: Serves the largest number of people in Laare division. It is owned and run by the government through the Ministry of Health. It has one clinical officer, one public health officer, four nurses and four pharmacy assistants.

b.  Tuuru Health Centre: It is mission owned and run by the Catholic church (Cottolengo Missionaries). Has a large staff, mobile clinics and visiting doctors and specialists who visit and treat people from time to time. It also runs a home for the Handicapped children.

c.  Clinics: there are thirteen clinics in the division run by registered community nurses and their staff size averages three.

d.  Nursing Home: there is only one nursing home which is privately owned and run by the only doctor practising in the division. The other staff includes two nurses, two pharmacy assistants and a laboratory technician.

e.  Dispensary: there is one dispensary owned and run by a clinical officer with three nurses, two pharmacy assistants and other support staff.

f.  Pharmacies: we have three pharmacies privately owned and run by pharmacy assistants and one pharmacist.

  1. How many private health facilities (hospitals, dispensaries, clinics, etc) are there in Laare division? Please provide their names and describe them

Ø  There is one Nursing Home – The Nyambene Nursing Home

Ø  One Dispensary – The Laare Dispensary.

Ø  Thirteen Clinics namely: Ithima, Nkirina, Mercy, Kaelo, Chogoria, Kubai-KK, Kathelwa, Gerrald Mutuma, KIthinji, J Kathoka (KK), Simba, Basil-Kaelo and Laare Clinic.

  1. How many church sponsored health facilities (hospitals, dispensaries, clinics, etc) are there in Laare division? Please provide their names?

There is the only one mission-owned health centre in the division called Tuuru Health Centre and Maternity.

  1. How many government health facilities (hospitals, dispensaries, clinics, etc) are there in Laare division? Please provide their names

There is no hospital in Laare division. We only have one health centre – The Laare Health Centre.

  1. Please take pictures of various health facilities (hospitals, dispensaries, clinics, etc) in Laare division. Include pictures of buildings, interiors of waiting rooms, pharmacies, wards, laboratories, etc).

For the following questions, please provide the best answers you can. Please state your source of information for these answers

  1. Do the hospitals have enough capacity to meet the demand?

NO

  1. Where are the hospitals located?

The Health facilities are located and concentrated at Laare Market which is also the divisional headquarters. The other clinics are also within or near the other market centres in the division.

  1. What is the effect of these locations?

People have to walk long distances to get to the health facilites. Majority of the people in the division live in the villages far away from the maket centres and have to trek long distances to access the facilities.

Few of these health facilities operate at night and therefore night calls are a big concern to the people.

  1. How do people get to hospitals in an emergency?

People make private arrangements with the majority being forced to walk or are ferried on bicycles. Those from very far or in critical conditions hire Landrovers.

Health Care providers

Source of Data:

1.  community response

2.  Laare Health Centre

3.  Ithima Clinic

4.  Observation and experience.

Date: 29th and 30th September 2006

Comments:

The facilities are still not adequate as the community is forced by this inadequacy as well as the cost of the services to use quacks some of them who operate in the villages where the people easily access them at cheap rates.

  1. Describe the different types of health care providers in Laare division (e.g. nurses, doctors, pharmacists)

We have one doctor and one pharmacist in the division. There are two clinical officers, one at the government health centre and the other at the private dispensary. The rest of the health care providers are registered community nurses and pharmacy assistants while the mission health centre has visiting doctors and consultants once in a while.