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1. EXECUTIVE SUMMARY
Recovery to Resilience is a 24-month Rotary Global Grant initiative designed to address a critical gap identified through the June 2026 Likoni Community Needs Assessment. The weak transition from treatment and rehabilitation to sustained recovery, family reintegration and economic self-reliance. The project will work primarily with 200 recovering PWID and vulnerable youth, while engaging families, employers, community leaders and service providers to create a supportive recovery ecosystem
The intervention is deliberately positioned under Rotary's Disease Prevention and Treatment Area of Focus. It strengthens the continuum of care through structured case management, aftercare, peer support, psychosocial support, family strengthening, referral coordination and relapse prevention. Economic empowerment is a supporting recovery pathway where beneficiaries will receive skills training, work readiness support, apprenticeships, toolkits where appropriate, and job placement assistance.
Rotary will retain responsibility for grant stewardship, financial management, procurement oversight, partner management, monitoring, employer engagement, resource mobilization and strategic governance. Reach Out Centre Trust will participate as the cooperating organization, providing defined technical services under a formal MOU with the sponsor clubs. The Rotary Club of Las Vegas WON will serve as international sponsor, while the Rotary Club of Mombasa Downtown and Rotaract Club of Bahari Mombasa will support local implementation through member-led service, mobilization and monitoring.
The project will establish a measurable results chain that include 200 beneficiaries enrolled and case managed, 20 Recovery Champions trained, 10 peer support groups established, 300 family members engaged, 100 beneficiaries completing livelihood training, 75 linked to employment or work-based opportunities, 5,000 community members reached, and 10 strategic partnerships strengthened. Outcome indicators will be measured against a baseline established during project inception, with mid-term and endline measurement.
The model is designed to remain useful after grant closure through trained Recovery Champions, peer groups, family support structures, referral pathways, employer relationships and continued Rotary resource mobilization. The project will document tools, case studies, learning and implementation standards to support replication in other high-burden communities.
2. SITUATION ANALYSIS AND PROBLEM STATEMENT
2.1 Situation Analysis
Drug and substance use remains a major public health and socio-economic challenge in Mombasa County. NACADA's Coast Region baseline survey reported that 29.3% of residents in the region were currently using at least one substance of abuse, with Mombasa recording 34.4%, the highest county figure in the Coast Region. The burden includes alcohol, tobacco, cannabis and opioids, with Mombasa also facing concerns around emerging psychoactive substances.
The implications extend beyond substance use itself. Recovering individuals may return to households and communities where unemployment, stigma, social exclusion, weak family support and limited economic opportunities make sustained recovery difficult. The June 2026 Likoni Community Needs Assessment found that existing actors provide important harm reduction, HIV prevention, counselling, outreach, treatment and referral services, but identified recovery reintegration and economic empowerment as persistent gaps. The assessment therefore informed a shift away from duplicating treatment services toward strengthening the transition from treatment to long-term recovery.
The project responds to this gap by combining recovery case management, peer support, family strengthening, psychosocial support, community reintegration, and employment-oriented skills development. It does not seek to replace existing treatment services but rather, it strengthens the recovery continuum after or alongside treatment and creates practical pathways into family and economic life
2.2Problem Statement
Recovering PWID and vulnerable youth in Likoni face a difficult transition from treatment to sustainable community life. Although treatment, counselling, harm reduction, HIV prevention and rehabilitation services are available, the Needs Assessment identified limited structured support for reintegration, family recovery and economic participation. Individuals returning to communities without stable relationships, meaningful livelihoods, supportive peer networks or acceptance may remain vulnerable to relapse and social exclusion.
This is significant in a county with a high substance-use burden. NACADA reports 34.4% current substance use in Mombasa, while Coast Region current use was 29.3%. Mombasa research has also documented a 38.9% relapse rate among participants in treatment and rehabilitation programmes, with absence of support groups associated with greater relapse risk. The project therefore addresses the missing link between treatment and sustained recovery: helping people rebuild family relationships, strengthen psychosocial resilience, obtain market-relevant skills and connect to employment or work-based opportunities while remaining engaged in recovery support.
Rotary's Global Grants support large international activities with sustainable, measurable outcomes in Rotary's Areas of Focus. This project provides a clear Rotary role where Rotarians will govern the grant, mobilize resources, broker institutional partnerships, monitor results, oversee procurement and stewardship, and provide professional expertise. The international partnership with Rotary Club of Las Vegas WON adds cross-border Rotary collaboration and resource mobilization.
3. COMMUNITY NEEDS ASSESSMENT PROCESS AND KEY FINDINGS
The Rotary Club of Embakasi, working with Reach Out Centre Trust, Rotary Club of Mombasa Downtown, Rotaract Club of Bahari Mombasa and local stakeholders, conducted a community needs assessment in Likoni in June 2026. The assessment used a participatory mixed-methods approach and examined the nature and drivers of substance use, service gaps, community assets, referral pathways and priority interventions. The detailed assessment report is submitted as an appendix to the concept note.
3.1 Key Findings
The below were the key findings from the needs assessment that was carried out.
i. Existing harm reduction, HIV prevention, counselling, outreach, treatment and referral services provide an important foundation, but long-term recovery reintegration remains a weak link.
ii. Recovering people may complete treatment yet return to environments characterized by stigma, unemployment, weak family support and limited economic opportunities.
iii. Unemployment, lack of vocational opportunities, family breakdown and stigma were identified as important barriers to sustained recovery.
iv. Reach Out Centre Trust identified recovery reintegration and economic empowerment as critical gaps that it is well positioned to address through defined technical services.
v. The community has assets that can be mobilized: local administration, health and rehabilitation services, youth organisations, faith-based institutions, employers, TVET institutions, Rotary networks and peer recovery structures.
3.2 Design Implication
The assessment findings led to a focused intervention model where there will be a combination of Recovery Reintegration, Relapse Prevention, Family Support, and Employment Pathways. Treatment and clinical services will remain the responsibility of qualified health and rehabilitation providers through referral pathways; the grant will not duplicate or substitute for clinical treatment.
4. STAKEHOLDER ENGAGEMENT AND PROPOSED ROLES
The project will use a partnership model in which Rotary retains grant control and stewardship while cooperating organisations and community stakeholders provide defined technical and community services. Rotary's Global Grant requirements emphasize club qualification, stewardship and financial responsibility. Both the host and international sponsor must be qualified before applying
Stakeholder Engagement and Proposed Role in the Project
1. Rotary Club of Embakasi: Primary host sponsor providing Grant stewardship, governance, procurement oversight, financial controls, monitoring visits, case-review participation, corporate partners engagement, fundraising, reporting, risk and safeguarding oversight
2. Rotary Club of Las Vegas WON (D5300) International sponsor: Support grant development and fundraising, participate in governance and virtual/physical monitoring, contribute professional expertise and international partner engagement, support learning and donor visibility
3. Rotary Club of Mombasa Downtown: Local partner club. Community entry, member led mobilization, monitoring visits, stakeholder liaison, volunteer coordination, local employer and professional network engagement
4. Rotaract Club of Bahari Mombasa: Youth partner. Youth consultations, peer-oriented outreach, digital communication, volunteer mobilization, event support, documentation, selected mentorship and service activities
5. Reach Out Centre Trust: Cooperating organization. Provide defined technical services under MOU, beneficiary assessment, case management, counselling/psychosocial support, family sessions, peer-group facilitation, referral follow-up, technical records and reports. Reach Out Centre Trust will not control grant funds or procurement
6. NACADA :Technical/policy partner, substance use expertise, technical guidance, linkage to national standards and relevant campaigns
7. Mombasa County Department of Health Health-system linkage, referrals, mental health and substance use service coordination, technical participation in reviews
8. Coast General Teaching & Referral Hospital: Clinical and specialist referrals, mental health/addiction care and medical follow-up as appropriate
9. Families of Recovering Users: Participate in family strengthening interventions, provide psychosocial support, encourage treatment adherence, support reintegration, and reduce relapse risks.
10. YADAI: Youth mobilization, prevention/recovery messaging, youth consultations and community outreach
11. Chiefs and Assistant Chiefs: Community entry, local mobilization, security coordination and conflict resolution where required
12. Corporate & Private sector partners: Provide vocational training, apprenticeships, internships, employment opportunities, entrepreneurship mentorship, financial literacy, and corporate sponsorship.
13. TVET Institutions: Market-relevant vocational training, certification and employability preparation
14. Recovery Champions and Peer Mentors: Peer encouragement, group facilitation, recovery role-modelling and non-clinical follow-up
15. Families and caregivers: Participation in family support, recovery planning, reintegration and relapse-prevention support
16. Community Volunteers: Non-clinical mobilization, follow-up, event support and referral information; trained volunteers will not provide clinical services.
5.THEORY OF CHANGE STATEMENT
The project assumes that recovery is a long-term process extending beyond treatment. It also assumes that family support and social acceptance are protective factors, that meaningful livelihoods can strengthen purpose and economic resilience, and that coordinated referral and aftercare systems improve continuity of support.
6. RESULTS FRAMEWORK (LOG FRAME)
The results framework separates outputs (what the project delivers) from outcomes (changes experienced by beneficiaries) and impact (longer-term change). Baselines for beneficiary-level outcomes will be established during Month 1â₀"3 using the project baseline tools. The 38.9% relapse figure is contextual Mombasa evidence rather than a project baseline and will not be treated as a direct programme baseline
6.1 Impact
Impact Result Expected Change Key Indicators
1. Reduced relapse and improved socio-economic reintegration. Recovering beneficiaries maintain recovery and participate productively in family and economic life. At least 30% relative reduction in relapse from project baseline by endline; improved reintegration score from baseline
2. Improved health and psychosocial wellbeing. Beneficiaries demonstrate improved wellbeing, resilience and coping. ≥70% of assessed beneficiaries show improvement on the project approved wellbeing measure from baseline
3. Stronger family/community support. Families and communities provide more supportive environments for recovery. ≥75% of participating families demonstrate improved recovery support practices from baseline
4. Sustainable community recovery structures. Peer groups, Recovery Champions and referral networks continue functioning beyond grant closure. 10 peer groups; 20 Recovery Champions; continuation plan and active referral network at endline
6.2 Outcomes and Outputs
Outcome Key Outputs End of Project Targets Primary Evidence
i. Improved recovery reintegration and reduced relapse: Case management, individual recovery plans, aftercare, peer groups, referral follow-up; 200 beneficiaries enrolled and case-managed; 200 recovery plans; 10 peer groups; ≥80% retained in recovery support at 12 months;
≥30% relative relapse reduction from baseline. Case records; attendance; referral records; baseline/midline/endline.
ii. Improved psychosocial wellbeing and resilience: Counselling/psychosocial sessions, Recovery Champions and peer mentorship. 200 beneficiaries access psychosocial support
20 Recovery Champions trained; ≥70% improve on wellbeing measure; Counselling/referral records, approved wellbeing tool
iii. Strengthened family support and reintegration: Family sessions, support circles, caregiver training; 300 family members engaged; 10 Family Support Circles
≥75% improve recovery-support practice score; Family registers, surveys, session reports
Improved economic self-reliance Skills assessment, vocational training, certification, toolkits, apprenticeships, job placement; 100 beneficiaries complete training
≥75 linked to employment, apprenticeship or other verified work opportunity
no cash grants/loans to individuals; Training/certification records, employer confirmations, follow-up
iv. Reduced stigma and stronger community acceptance: Community dialogues, employer sensitization, faith/community engagement; 5,000 community members reached, 24 dialogues
30 employers engaged, measurable positive attitude change from baseline. Attendance, pre/post surveys, employer records.
v. Stronger recovery ecosystem and coordination: Referral mapping, partner agreements, quarterly coordination, joint reviews. 10 strategic partnerships/working arrangements
12 coordination meetings, Functional referral directory/pathway. MOUs; meeting minutes; referral directory
7.INNOVATION AND VALUE ADDITION
Existing Likoni and Mombasa actors already provide important harm reduction, treatment, rehabilitation, counselling, HIV prevention and outreach services. Recovery to Resilience does not attempt to replicate these services. Its innovation is the deliberate 'bridge' between treatment and sustainable community reintegration.
What existing services commonly provide What Recovery to Resilience adds
i. Treatment, counselling, harm reduction, outreach and referrals: A structured post-treatment reintegration pathway linking case management, family recovery, peer support and economic participation.
ii. Clinical or psychosocial support: A coordinated non-clinical recovery ecosystem with Rotary-led stewardship and defined referral responsibilities.
iii. Vocational or livelihoods activities may exist separately: Employment pathways are explicitly linked to recovery planning, with no individual cash grants or loans.
iv. Community awareness may be episodic: Recovery Champions, family circles and employer engagement create continuing community-level support.
v. Individual organisations operate within their mandates: Rotary convenes clubs, government, REACH OUT CENTRE TRUST, employers, TVETs and community actors around one measurable results framework.
8.THE MONITORING, EVALUATION, ACCOUNTABILITY AND LEARNING (MEAL)
Rotary Clubs of Embakasi and Mombasa Downtown, working with Rotaract Club of Bahari and the cooperating organization, will maintain grant-level monitoring and learning. Reach Out Centre Trust will maintain technical beneficiary and case records within its defined role; Rotary will retain oversight of grant reporting, data quality, stewardship and independent evaluation arrangements.
Indicator Baseline Target Data source Frequency Responsible
i. Beneficiaries enrolled: 0 at project start 200 Enrolment register Monthly Reach Out Centre Trust Rotary
ii. Recovery plans completed 0 200 Case files Monthly Reach Out Centre Trust
iii. Recovery retention at 12 months Baseline survey ≥80% of enrolled beneficiaries Case tracking Quarterly Reach Out Centre Trust
Rotary
iv. Relapse rate Project baseline, Month 1â₀"3 ≥30% relative reduction by endline Confidential beneficiary follow-up Quarterly; endline Reach Out Centre Trust
Independent evaluator
v. Psychosocial wellbeing Baseline tool score ≥70% improve from baseline Validated/project-approved tool Baseline, midline, endline MEAL lead
vi. Family support practice Baseline score ≥75% improve Family survey Baseline, midline, endline MEAL lead
vii. Training completion 0 100 Training/certification records Quarterly Livelihoods lead Rotary
viii. Employment/work opportunity linkage 0 ≥75 Employer confirmation/follow-up Quarterly Rotary employer focal point
ix. Peer support groups 0 10 active Group records Quarterly Reach Out Centre Trust/ Rotary
x. Community reach 0 5,000 cumulative Attendance/communication records Quarterly Rotary/Rotaract
xi. Employers engaged 0 30 Employer engagement records Quarterly Rotary
xii. Partnerships/working arrangements Baseline mapping 10 MOUs/letters/minutes Semi-annual Project Steering Committee
8.1Evaluation, Learning and Project Documentation
i. Baseline: Month 1â₀"3, before full beneficiary intervention.
ii. Mid-term review: approximately Month 12 to assess progress, implementation quality and adaptation needs.
iii. Endline: Months 22â₀"24 to assess outcome changes, sustainability and replication potential.
iv. Quarterly learning reviews will examine performance, beneficiary feedback, safeguarding issues, implementation risks and corrective actions.
v. Learning products: quarterly briefs, case studies, anonymized recovery stories, annual impact summary, and a final Recovery Reintegration Toolkit.
vi. The project will document implementation and outcome evidence from the outset. Learning will be shared with sponsor clubs, District 9216, the international sponsor, participating partners and relevant stakeholders through quarterly learning briefs, annual impact summaries, anonymized case studies, photographs and videos where informed consent is obtained, and a final Recovery Reintegration Toolkit.
vii. Scale-up will be evidence-led. The project will assess whether the model improves recovery retention, reduces relapse relative to baseline, strengthens family support and increases verified employment/work opportunities.
viii. If successful, Rotary and Reach Out Centre Trust will use the documented tools, referral protocols, training materials, governance model and lessons to explore replication in other high-burden communities in Mombasa County and elsewhere in Kenya.
8.2 Accountability, Ethics and Safeguarding
Participation will be voluntary and based on informed consent. Beneficiary information will be handled confidentially and only for defined programme purposes. No identifying information will be published without appropriate consent. Photographs, video testimonials and recovery stories will require specific informed consent, with the option to decline without affecting access to services. Safeguarding concerns will be reported through agreed procedures, and clinical or mental-health emergencies will be referred to qualified providers.
9. IMPLEMENTATION PLAN
Workstream; Key activities; Timing; Rotary/member role; REACH OUT CENTRE TRUST/partner role; Deliverables
i. Inception & baseline; Governance, MOU, stakeholder confirmation, baseline, beneficiary criteria; M1â₀"3 Steering, procurement, monitoring, baseline oversight; Technical assessment and beneficiary enrolment support; Governance, MOU, baseline, 200 enrolment target.
ii. Recovery case management; Recovery plans, counselling referrals, aftercare, peer groups, follow-up; M1â₀"24; Case reviews, monitoring visits, stewardship; Defined technical case-management and psychosocial services; 200 plans, 10 peer groups.
iii. Family strengthening; Family counselling, support circles, reintegration sessions; M3â₀"24; Monitoring, volunteer support, referral oversight; Technical family sessions and follow-up; 300 family members, 10 circles.
iv. Economic pathways Skills assessment, training, certification, toolkits, apprenticeships, job placement; M3â₀"24 Employer engagement, procurement oversight, professional mentorship; Beneficiary preparation and referral; 100 trained, ≥75 work opportunities.
v. Community reintegration; Dialogues, employer/faith engagement, anti-stigma messaging; M4â₀"24; Member-led events, communications, employer networks; Technical/community mobilization support; 5,000 reached, 24 dialogues, 30 employers.
vi. Systems & partnerships; Referral directory, coordination, partner agreements; M1â₀"24 ; partnership management and governance; Technical coordination and referral delivery; 10 partnerships, 12 reviews.
vii. MEAL, learning & sustainability; Monitoring, midline, endline, learning, summit, scale plan; M1â₀"24; MEL oversight, reporting, learning and resource mobilization; Data/technical records and participation; MEAL reports, Endline, Toolkit, 2 summits.
10. SUSTAINABILITY AND EXIT STRATEGY
Sustainability is designed into the project from inception. Rotary will not create a parallel treatment system. Instead, the grant will strengthen skills, relationships and structures that can continue through existing organisations and community networks.
i. Community sustainability:
Train 20 Recovery Champions and establish 10 peer groups and 10 Family Support Circles with clear leadership and continuation plans.
ii. Institutional sustainability:
Integrate referral pathways with REACH OUT CENTRE TRUST, county health services, NACADA and other service providers; formalize roles through agreements.
iii. Economic sustainability
Link beneficiaries to market-relevant skills, certification, apprenticeships and employers; no individual cash grants or loans are provided.
iv. Financial sustainability
Diversify support through Rotary, corporate and foundation partners, international sponsorship and future grant/resource mobilization.
v. Rotary sustainability:
Sponsor clubs retain strategic oversight, partnership brokering and resource mobilization after grant closure.
vi. Exit:
By Months 21â₀"24, responsibilities for routine peer/family support and technical follow-up will be embedded in REACH OUT CENTRE TRUST/community structures, while Rotary retains a light strategic and resource-mobilization role.
11. RISK MANAGEMENT AND MITIGATION MEASURES
The project recognizes that recovery and reintegration programmes operate within complex social, economic, health, and community environments. The project will adopt a proactive risk management approach involving continuous monitoring, adaptive management, stakeholder engagement, and regular review of mitigation measures throughout implementation.
Risk Mitigation Contingency Owner
i. Relapse; Structured aftercare, peer groups, case plans, follow-up; Increase counselling/referrals and case review; Reach Out Centre Trust, Rotary.
ii. Beneficiary disengagement; Individual plans, family involvement, follow-up; Targeted re-engagement; Reach Out Centre Trust
iii. Stigma; Community dialogues, recovery stories, employer sensitization; Targeted campaigns/champions; Rotary, Reach Out Centre Trust
iv. Family non-participation; Early engagement, counselling, support circles; Home visits/mediation; Reach Out Centre Trust
v. Limited jobs; Employer network, TVET, apprenticeships, market assessment; Expand work-based pathways; Rotary
vi. Training without work outcome; Pre-training market assessment, employer engagement; Additional placement/mentorship; Rotary + TVET
vii. Mental health crisis; Qualified referral pathways; Urgent specialist referral; Reach Out Centre Trust, Health providers.
viii. Funding shortfall; Diversified resource mobilization; Prioritize core activities/phase delivery; Rotary.
ix. Partner withdrawal; MOU, defined roles, diversified network; Alternative qualified providers; Rotary
x. Currency movement; Budget monitoring and procurement timing; Reforecast within approved grant rules; Rotary stewardship team.
xi. Procurement non-compliance; Rotary procurement controls, approvals and records; corrective review before payment; Rotary.
xii. Grant stewardship failure; Club qualification, segregation of duties, reporting and monitoring; Escalation to club/district Foundation leadership; Rotary.
xiii. Partner qualification/service quality; Due diligence and MOU; technical deliverables; Corrective action or alternative provider; Rotary.
xiv. Safeguarding/privacy; Consent, safeguarding policy, controlled data access; Incident reporting/referral; Rotary / Reach Out Centre Trust.
12. INDICATIVE PROJECT BUDGET
The planning budget remains USD 85,570. Figures are indicative and will be refined in the Grant Center once quotations, procurement requirements, final beneficiary numbers and the approved grant financing structure are confirmed. The budget is presented in USD.
Budget Component Estimated Budget (USD)
Project Inception, Baseline Assessment and Beneficiary Enrolment 4,058.00
Recovery Reintegration and Case Management 20,290.00
Family Strengthening and Reintegration Support 8,116.00
Economic Empowerment and Livelihood Development 20,290.00
Community Reintegration and Stigma Reduction 8,116.00
Partnership Coordination and Systems Strengthening 4,058.00
Monitoring, Evaluation, Accountability and Learning (MEAL) 4,058.00
Communications, Documentation and Visibility 2,434.80
Annual Recovery and Resilience Summit (1 Event) 1,632.20
Project Management and Administration 4,869.60
Contingency 7,647.40
TOTAL INDICATIVE BUDGET USD. USD 85,570.00
13. CONCLUSION
Recovery to Resilience responds to a clearly identified gap in the continuum of care for people affected by substance use disorders in Likoni with the transition from treatment and rehabilitation to sustained recovery, family reintegration and economic participation. The project builds on existing services rather than duplicating them, using Rotary's convening, stewardship and professional networks to connect recovery support with family systems, community acceptance and employment pathways.
The partnership brings complementary strengths. Rotary Club of Embakasi will provide primary host sponsorship and grant stewardship while the Rotary Club of Las Vegas WON will provide international partnership and resource mobilization. The Rotary Club of Mombasa Downtown and Rotaract Club of Bahari Mombasa will provide local member-led service. And Reach Out Centre Trust will provide defined technical recovery and reintegration services under a formal cooperating organization MOU.
The initiative is aligned primarily with Rotary's Disease Prevention and Treatment Area of Focus and uses economic empowerment as a practical pathway to sustained recovery. With measurable outcomes, baseline-to-endline evaluation, explicit Rotary member participation, strong risk and safeguarding controls, a clear financing strategy and a defined sustainability and scale pathway, Recovery to Resilience provides a credible platform for Rotary and partners to demonstrate how recovery can be converted into resilience, dignity and self-reliance. Recovery to Resilience offers a scalable and replicable model for strengthening community recovery ecosystems.
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