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The report assesses gender inequalities in Kenya's agricultural sector, specifically within the Lake Region Economic Bloc (LREB). It identifies systemic barriers for women, including limited land ownership, restricted access to finance, and a disproportionate domestic work burden, which exacerbate their vulnerability to climate change. The assessment analyzes six priority value chains—coffee, tea, fruit trees, African leafy vegetables, poultry, and dairy—finding that while women provide the majority of labor, they are often excluded from leadership and financial control, particularly in 'masculinized' cash crops. To address this, the project proposes a Gender Action Plan using Gender Transformative Approaches (GTA) and Gender Action Learning Systems (GALS) to shift deep-rooted socio-cultural norms and improve the representation and agency of marginalized groups in agricultural cooperatives.

The document argues that Kenya's coffee sector, which employs 30% of the agricultural workforce, faces existential risks from climate change and declining production. It proposes 17 specific Sustainable Consumption and Production Practices (SCPs) across the value chain—from farm-level organic fertilizers and shade trees to factory-level eco-pulping and the use of renewable energy in milling—to increase yields and reduce environmental impacts. The brief recommends that the Kenyan government incorporate SCPs into national coffee reforms, provide subsidies for sustainable technology, and enhance capacity-building through extension officers.

The Matongo Birthing Clinic in Kenya installed an 8.7 kW solar and storage microgrid to combat frequent power outages that previously deterred patients. Since August 2020, the facility has seen facility-based deliveries increase to 95%, reduced energy costs, and improved 24-hour operational reliability.

The report examines the re-emergence of malaria in the western Kenyan highlands, driven by a combination of rising temperatures, rainfall patterns, and socio-economic factors. It finds that the population's vulnerability is very high due to low immunity, high poverty, and limited adaptive capacity at the local level. The document recommends strengthening the health system, improving early-warning systems for epidemics, and enhancing cross-sectoral collaboration between health, climate, and disaster management agencies.