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When her father passed away in 2003, no one told her his death was AIDS-related but she drew her own conclusions. "There are many other people in this slum who are ailing, and their symptoms resemble those of my late father," she told IRIN/PlusNews.
In the months after his death, it looked increasingly likely that she would have to drop out of school to look after her two younger brothers, especially when her mother also tested positive for HIV.
Fortunately, a local social worker helped her enrol in a direct cash transfer programme for orphans and vulnerable children, started in 2004 by the Kenyan government, with support from the UN children's fund, UNICEF.
She now receives 1,500 Kenyan shillings (US$20) per month to help her stay in school. "My mother buys food and ensures I have enough supply of sanitary towels, and can afford to go to school without disruption," Adhiambo said.
The 1,500 shillings per household per month takes into consideration the national average per capita monthly income of about 2,800 shillings (US$37). The cash is intended to help a household cover a child's basic food, health and education costs.
"The criteria used for a household to benefit from this fund is absolute poverty, and a member of the family having succumbed to HIV/AIDS," explained Stephen Gitau, the Kwale district children's officer.
Every month, the money arrives at the Kwale post office and is picked up by the children's caregivers. The programme now supports more than 1,300 orphans in the district.
He is fostered by a local woman who receives the allowance and makes sure he goes to school. "I have food on the table every day and also go to school - I count myself to have a future," he said.
The project has not always run smoothly. District officials said its success had been somewhat overshadowed by difficulties in monitoring the use of the funds.
"I have handled an ugly incident where two different men who are caregivers to orphans have used the money to marry additional wives," said Rose Mumbo, the district children's officer for Kilindini, near the coastal city of Mombasa, where 3,363 children are benefiting from the project.
Despite such difficulties, direct cash transfers are increasingly being viewed as a feasible way of helping low-income families escape poverty.
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Kenya has an estimated 1.8 million orphans, 700,000 of whom have lost parents to AIDS-related illnesses. More than half the country's population lives on less than $1 per day.
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This article was produced by IRIN News while it was part of the United Nations Office for the Coordination of Humanitarian Affairs. Please send queries on copyright or liability to the UN. For more information: https://shop.un.org/rights-permissions