STRiDE Kenya Theory of change
THE KENYAN STRiDE THEORY OF CHANGE WORKSHOP REPORT
Christine W. Musyimi1, David M. Ndetei1,2, Elizabeth M. Mutunga3, Margie Schneider4, Simon Njuguna5, Nasri Omar5, Erica Breuer4
1 Africa Mental Health Foundation, Kenya
2University of Nairobi, Kenya
3Alzheimer’s & Dementia Organization Kenya
4University of Cape Town, South Africa
5Ministry of Health, Kenya
Cite this publication as:
Musyimi CW, Ndetei DM, Kasimu MM, Schneider M, Njuguna S, Omar N, Breuer E (2018). The Kenyan STRiDE Theory of Change workshop report. Nairobi. Kenya.
This report describes the Kenyan theory of Change (ToC) workshop held in Nairobi, Kenya within the Strengthening responses to dementia in developing countries (STRiDE) project, implemented in seven developing countries. The goal of the ToC was to bring various stakeholders from the national government, researchers, clinicians, relevant NGOs, people with dementia and carers to develop impactful research and training agenda for planning Kenyan STRiDE project activities. The theme of the workshop was “STRiDE Kenya 2018-2021”. The ToC map was developed during the two-day workshop by first outlining individual, caregiver, community and health personnel, and policy level challenges within small-group discussions and through a panel discussion involving people with dementia and caregivers on the first day. The finalized ToC map included interventions required to achieve the agreed impact – “Improved dementia prevention, care, treatment and support systems so that people with dementia, carers and family have the highest possible wellbeing and functional ability,” and assumptions that needed to be considered during planning . The advisory team was also discussed among the STRiDE team members and was agreed to comprise of a representative from the Kenya Board of Mental health, gerontologist, community Health Strategy representative, clinical psychologist, neurologist and a caregiver. Final arrangements and contacting the suggested members will be made after consultation with the STRiDE management team.The key country-specificquestions which emerged from the ToC discussions included;
- How will STRiDE create awareness, reduce stigma on dementia, increase visibility and voice of people living with dementia?
- What are the STRiDE work packages that will inform operationalization of the Kenya dementia action plan
- How will STRiDE ensure sustained collaboration among all the stakeholders involved in the ToC?
- Which outcomes (outlined in the ToC map) will be achieved through the STRiDE objectives?
During the discussions, the participants felt that there was a need to train health care workers and caregivers on dementia care and create awareness on dementia to reduce stigma. The Ministry of Health’s representatives emphasized that the goal of STRiDE Kenya could help achieve some of the components of the Kenya Dementia Action plan.
A Theory of Change (ToC) workshop was conducted in Kenya on 7th and 8th June, 2018 at the Hillpark Hotel in Nairobi (see the map below) and was facilitated by the Early Career Researcher (ECR) for STRiDE in Kenya – Dr. Christine Musyimi, supported by the Senior Researcher from Africa Mental health Foundation (AMHF) – Prof. David Ndetei, the CEO and founder of Alzheimer’s & Dementia Organization Kenya (ADOK)–Ms Elizabeth Mutunga, the STRiDE Management Team (SMT) liaison contact for Kenya – Prof. Margie Schneider, Director of Mental Health – Dr. Simon Njuguna and a representative from the Kenya Board of Mental health – Dr. Nasri Omar. Hillpark Hotel is located conveniently located in Upperhill, Nairobi (15km from Jomo Kenyatta International Airport). The hotel’s conference room was sound-proof and big enough with 6 spaciously arranged round tables that could comfortably accommodate six participants per table. The environment was quiet, peaceful and with 24-hour security with external back up.
Figure 1: Location of Nairobi city
Nairobi (see map ) is the capital and largest city of Kenya with a population of almost four Million and hosts people from multiple ethnic groups spread across the 47 Counties.
The goal of the workshop was to bring various stakeholders from national government, researchers, clinicians, relevant NGOs, people with dementia and carers to develop impactful research and training agenda for planning Kenyan STRiDE project activities. The theme of the workshop was “STRiDE Kenya 2018-2021”.The Kenyan ToC specific objectives included to;
- Develop a logical Kenyan STRiDE Theory of Change map including the impact, outcomes and interventions or project activities for STRiDE during and after the four-year project period.
Outline the assumptions for the Kenyan STRiDE programme
The two-day workshop began on the first day with opening remarks from the Kenyan STRiDE Senior Researcher – Prof. David Ndetei and all participants signing a consent form to allow AMHF to take photos for purposes of dissemination of findings by STRiDE partners and possible inclusion in reports and presentations. Prof. Ndetei welcomed the participants and encouraged them to think more about how to make a difference in the lives of the people with dementia and their carers. He later invited the Director of Mental health – Dr. Simon Njuguna to launch the Kenyan STRiDE project. Just before launching STRiDE Kenya, Dr. Njuguna gave a brief presentation about our (Kenyans) responsibility to address dementia through the Kenya Mental health Policy and the Ministry of Health’s draft dementia action plan (2017-2025), which highlighted the importance of giving priority to older persons in terms of prioritization of leadership on Public health agenda on Dementia, integrated dementia plan, implementation framework and promotion of universal health coverage for people living with dementia. This was followed by the official launch of STRiDE Kenya 2018-2021 (figure 2 below).