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Sustainable Livelihood: The Economic Foundation for Health


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Financial Stability as Medicine

The NCD Syndemic cannot be solved with medicine alone. NiaNexa CBO is dedicated to building economic resilience in the Kajiado community because we understand that financial stability is the greatest predictor of sustained health. Our Livelihood Programs are designed to provide the reliable income necessary for beneficiaries to afford essential NCD medication, nutritious diets, and continuous clinical care.

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Program 1: The Seedling Drive & Permaculture Training

Objective: To improve local food security, promote nutrient-rich diets, and create a scalable income source through sustainable agriculture.

  • Fruit Tree Planting: Initiating projects centered on planting high-yield fruit trees (e.g., mango, avocado) at community centers and in family homesteads. This directly contributes to long-term income generation and access to vital vitamins.

  • Nutritional Gardens: Training families in establishing small, drought-resistant nutritional gardens for personal consumption. This reduces reliance on expensive market produce and supports diet management for Diabetes and Hypertension.

  • Permaculture Training: Providing intensive training sessions on sustainable, low-input farming techniques optimized for the local Kajiado environment, ensuring the projects are resilient against climate variability.

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Program 2: Micro-Enterprise Development & Skills Training

Objective: To equip vulnerable individuals, particularly mothers and youth dealing with NCDs, with the skills and seed capital to launch income-generating activities (IGAs).

  • I.G.A. Workshops: Running practical workshops on business planning, basic accounting, and market access for small businesses (e.g., tailoring, beadwork, petty trading).

  • Seed Capital Support: Providing small, performance-based grants or revolving loans to kickstart viable micro-enterprises. These funds are prioritized for those facing economic hardship due to an NCD diagnosis.

  • Digital Literacy: Offering foundational training in digital tools and mobile money management, broadening the scope for beneficiaries to participate in the modern economy.

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Program 3: Financial Health and Savings Groups

Objective: To foster collective savings and financial independence, reducing the burden of unexpected health crises.

  • VSLA Model Adaptation: Facilitating the creation of community-based Village Savings and Loan Associations (VSLAs) tailored to the needs of NCD beneficiaries.

  • Emergency Health Funds: Encouraging savings specific to NCD management, ensuring beneficiaries have a buffer for monthly medication costs or unexpected clinical visits.

  • Debt Reduction Counseling: Offering basic financial literacy and counseling services to help families navigate debt and stabilize household budgets, thereby reducing financial stress which exacerbates NCDs.

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Livelihood and the Syndemic: A Virtuous Cycle


NiaNexa measures success not just by the number of businesses started, but by the resulting reduction in HbA1c levels (for Diabetes patients) and stabilization of blood pressure. When our Livelihood Programs succeed, our Clinical Care outcomes improve—this is the measurable power of our integrated Syndemic Model. 

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