1. LIST OF RELATED ACTIVITIES This activity relates to activities in Counseling and Testing (#6894, #6983) and OVC (#6891).

2. ACTIVITY DESCRIPTION Hope Worldwide (HWW) will provide behavioral interventions to promote a comprehensive abstinence and faithfulness HIV prevention strategy among 15,000 youth. It will also train 300 people to deliver the AB interventions. These program leaders will deliver AB education and life skills that will provide a motivation for young people to adopt AB for HIV prevention. HWW will work with parents and adults in each community to encourage their involvement in supporting young people on the AB path. Community discussions between youth and adults will be encouraged and through reinforcement and booster sessions, develop strong community values that promote AB. This activity will intensively involve youth and they will play an integral role in providing peer education amongst themselves. HWW is a faith-based charity founded in 1991 by the International Churches of Christ. Its programs are designed to provide medical treatment, poverty relief and restore hope among those who are downcast as a result of disease, poverty or abandonment. They are directed toward helping people regain their worth and realize their potential. In 2003, CDC funded Hope Worldwide through a locally executed contract to start up youth targeted HIV/AIDS prevention including VCT in slums of Nairobi. With funds from the Presidential Initiative, Hope worldwide will scale up these youth targeted activities for young people in slums and other vulnerable situations. HWW will continue its work in Nairobi's Mukuru slums and Rongai as well as in the Eastern Kenya region at two adjacent locations Makindu and Kibwezi, both of which were previously supported by HHS/GAP funds. Program improvement will be another significant change in which HWW will reorganize its programmatic elements and concentrate on more targeted interventions. It will continue to undertake community participatory approaches to discuss HIV prevention, targeted education using curriculum based approaches. The project will also train young people to serve as volunteers in actively reaching out to their peers with targeted abstinence, faithfulness and other behavior change messages for young people. In given settings, especially in communities surrounding hot spots, efforts will be made to divert young girls from entry into commercial sex work and motivate them to behavior change through providing them with education and life skills, including livelihood skills. This project will also provide settings for post-test clubs to help young people maintain safe behavior and reduce their risk of HIV infection. Young partners, including married partners will be encouraged to sustain marital faithfulness with partners of known negative serostatus and partner reduction for those with multiple partners.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA During the FY 2007 project period, a total of 15,000 individuals will be reached with community outreach programs that promote abstinence and/or being faithful through three project sites. 300 individuals will be trained to provide abstinence and faithfulness behavior change education and life skills to young people through peer educator training, magnet theatre training and training teachers and community/faith based organizations' leaders. HWW will continue to implement the Men As Partners (MAP) life skills curriculum in all of its project sites to address gender norms and improve young people's perceptions on their vulnerability.

4. LINKS TO OTHER ACTIVITIES The AB activities will be linked to other HWWK activities: bi-monthly VCT campaigns will be arranged to encourage knowledge of status, reaching 6,000 people with VCT messages. This activity relates to activities in Counseling and Testing including Hope Worldwide's VCT program (#6894), Liverpool VCT (#6983) and activities supported by GTZ. The many teenage mothers and child-headed families in Huruma will be referred to HWWK's USAID-funded OVC program (#6891). During Community Mobilization and Edutainment events, the majority of youth will be referred to the HWWK's blood donor program to give them an opportunity to become regular blood donors. This relates to activities in Blood Safety (#7011).

5. POPULATIONS BEING TARGETED This activity targets the general population of men and women of reproductive age as well as children and youth in primary and secondary schools. It also targets out-of-school youth including youth in the slums and young people in the areas surrounding the

highway hotspots. It will also target youth from migrant worker families such as plantations in Kibwezi. This activity will work with parents and adults to increase their involvement in promoting abstinence and partner faithfulness to their youth. It will encourage dialogue between parents and youth to discuss HIV and behavior change issues. Community leaders, program managers, religious leaders and volunteers will be targeted for training in promotion of HIV/AIDS prevention through their involvement in community-based organizations and faith based organizations. All in-school programs will work with teachers. Rural communities in Makindu and Kibwezi will be targeted.

6. KEY LEGISLATIVE ISSUES ADDRESSED This activity will increase gender equity in HIV/AIDS programs and address male norms and behaviors as well as reducing violence and coercion through training youth using the Men As Partners curriculum.

7. EMPHASIS AREAS The major emphasis will be on community mobilization and participation. Minor emphasis will be on human resources, development of networks and referral linkages, provision of information, education and communication and training youth and leaders.

1. LIST OF RELATED ACTIVITIES This activity relates to activities in Abstinence and Be Faithful Programs (#6892) and (#6893), Counseling and Testing (#6894) and Orphans and Vulnerable Children (#6891).

2. ACTIVITY DESCRIPTION Hope Worldwide (HWW) will provide condoms and other behavioral interventions targeting 35,000 high risk individuals and will train 200 people to implement activities focused on sexual risk reduction. 10 condom outlets will be established. Hope Worldwide is a faith-based charity founded in 1991 by the International Churches of Christ. Its programs are designed to provide medical treatment, poverty relief and restore hope among those who are downcast as a result of disease, poverty or abandonment. They are directed toward helping people regain their worth and realize their potential. In 2003, CDC funded Hope Worldwide through a locally executed contract to start up youth targeted HIV/AIDS prevention including VCT in slums of Nairobi. With funds from the Presidential Initiative, Hope Worldwide scaled up these highly valued youth targeted activities initiated with funds from CDC. Through this activity, Hope Worldwide will continue working to decrease risk based on gender inequalities by increasing male involvement in HIV prevention, care and support, and parent / youth communication. This will be through implementing the ‘Men As Partners' behavior change program. This training especially focuses on increasing male involvement in HIV prevention through increasing awareness of gender biases, domestic violence, rape, drug and alcohol abuse, and crime. It facilitates dialogue and communication among participants and encourages them to be the agents of change in their communities. HWWK mobilizes people and communities for VCT and operates youth friendly centers, several of which are also condom outlets. Work is being implemented in High Transmission Areas and with populations that include truckers, sex workers, "night populations", bar and night club attendants, and people living with HIV/AIDS among others. In FY 2006, HWW initiated an innovative approach to providing VCT services dubbed ‘Moonlight VCT' targeting truckers and sex workers at hotspots. An important element of this Moonlight initiative includes providing STI treatment to high-risk groups. Additionally, an emphasis will be placed on STI screening and treatment for individuals with HIV and their partners.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA During the FY 2007 project period, a total of 35,000 individuals will be reached with community outreach programs that promote safer sexual behavior through promoting condoms and other prevention services. 2,000 STI clients will receive treatment through three project sites. 200 individuals will be trained to provide condoms and other prevention behavior change services to young people and high-risk individuals through peer educator training, magnet theatre training and community leaders training. HWW will continue to implement the Men As Partners (MAP) life skills curriculum in all of its project sites. 10 condom outlets will be established.

4. LINKS TO OTHER ACTIVITIES HWW's OP activities relate to PEPFAR-funded counseling and testing activity (#6894) and orphans and vulnerable children activity (#6891). HWW is also funded for additional and separate AB activities (#6893) and under Track 1 (#6892). HWW will further ensure that prevention is sustained as a component under the OVC activities to reduce the vulnerability of OVCs to HIV infection. HWW also implements an active VCT activity and will strengthen access to CT through mobile CT services to underserved populations.

5. POPULATIONS BEING TARGETED This activity targets the general population with messages on safer sexual behavior including adult men and women. It works closely with out of school youth slum and street youth in the central business district of Nairobi's One-stop Youth Center within its geographic target areas. It will also target HIV/AIDS affected families and People Living with HIV/AIDS. This activity also targets "Most-at-Risk" populations including discordant couples, commercial sex workers at trucking hotspots and their partners. It will also target at-risk youth who are exposed to truck drivers in various hot spots. The Kibwezi and Ongata Rongai sites target young migrant workers working in sisal farms and quarries. Community leaders, program managers and religious leaders will be targeted for training in promotion of HIV/AIDS prevention through their involvement in community-based organizations and faith based organizations. HWW works with community volunteers and those on internship programs from local universities. It will

work with public and private health care workers to strengthen STI screening and treatment.

6. KEY LEGISLATIVE ISSUES ADDRESSED This activity will increase gender equity in HIV/AIDS programs and address male norms and behaviors as well as reducing violence and coercion through training youth using the Men As Partners curriculum. Stigma and discrimination will be reduced as a result of the varied approaches that will be employed in behavior change communication as HWW works to build competent communities.

7. EMPHASIS AREAS The major emphasis will be on community mobilization and participation. Minor emphasis will be on development of networks and referral linkages, provision of information, education and communication materials, training youth and leaders and human resources.

1. LIST IF RELATED ACTIVITIES This activity relates to activities with Hope Worldwide AB program (#6893) and ANCHOR/Hope Worldwide OVC program (#6891).

2. ACTIVITY DESCRIPTION In FY07 Hope Worldwide Kenya (HWW) will continue to provide youth-friendly CT services in Nairobi and Makueni as part of its comprehensive HIV prevention program for the youth. In addition HWW will promote the uptake of VCT services in high-risk sites along the busy Nairobi-Mombasa highway especially targeting Female Sex Workers (FSW) and long distance truck drivers. HWW is a faith-based charity founded in 1991 by the International Churches of Christ. In the year 2004, HWW was awarded a CDC cooperative agreement to scale up its youth targeted interventions. Its programs are designed to provide medical treatment, poverty relief and to restore hope among those who struggle as a result of disease, poverty or abandonment.

In FY06 HWW implemented innovative CT approaches in Kenya. These included Youth Friendly VCT, Mobile VCT and Moonlight VCT. The Moonlight VCT program received international acclaim in FY06. The program mainly serves the long distance truck drivers and female sex workers (FSW) at truck stops along the main highway in Kenya. The general population living near the truck stops is also able to access VCT services through this program. During Moonlight VCT, HWW also provides STI treatment as an additional service and as an entry point to comprehensive care. In order to increase accessibility of CT, Moonlight VCT services are provided in a Mobile VCT van between 6pm and 2am by 4 counselors and 1 nurse. Providing services at night is more expensive per person served but is an innovative and creative approach worthy of support; additional funds are needed to support this outreach.

HWW also operates 5 youth friendly VCT sites in Nairobi and Makueni. In FY 2007, these programs will be expanded. Mobile and Moonlight VCT services will be scaled up through partnership with Truckers Associations, bar owners, companies producing alcohol, and advertising companies. Outreach services to remote areas will be coordinated from the fixed VCT sites. HWW will also implement peer education programs for FSW and Truckers, work with communities to discourage commercial sex work and increase condom. Youth outreach programs will be scaled up through partnership with youth organizations, schools and churches. The youth friendly sites will train peer educators and will also provide outreach HIV/AIDS education with a focus on CT to neighboring schools. In FY 2007 HWW expects to train an additional 4 counselors and increase the number of individuals provided with CT to 25,000. Moonlight VCT activities are expected to provide CT to an additional 5,000 high risk and difficult to reach individuals along the truck stops.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA The CT activities supported by HWW will result in improved access to CT for a highly vulnerable group of young people as well as high -risk individuals including FSW and Truck drivers along the Nairobi- Mombasa highway. These activities constitute a modest contribution to the overall 2007 Emergency Plan CT targets for Kenya. Consistent with the mandates of the Five-Year Strategy, this activity improves equity in access to HIV services, focuses on youth, FSW and truckers as priority areas, encourages Kenyans to learn their serostatus, and improves linkages between CT and care services.

4. LINKS TO OTHER ACTIVITES HWW CT activities in Nairobi slums, Makindu and Kibwezi are closely linked to Hope Worldwide AB (#6893) and OVC (#6891) activities which are an integral part in the youth CT program initiative. CT and AB interventions and related trainings will be provided regularly in these programs.

5. POPULATIONS BEING TARGETED This activity targets the youth, especially young women. It especially targets the high risk populations including long distance truck drivers and FSW along Nairobi-Mombasa highway. HWW recognizes the importance of involving and soliciting the input of significant community leaders as a strategy for creating community awareness of CT services, which are also promoted through education outreach efforts in primary and secondary schools.

6. KEY LEGISTLATIVE ISSUES ADDRESSED This activity will increase equity in programming through the dissemination of counseling messages aimed at vulnerable young people, FSW and long distance truckers. The increased availability of CT services for these vulnerable and high-risk groups will help normalize HIV testing among them, reduce stigma and discrimination, and promote further uptake of associated services. The youth friendly VCT sites will also provide unique opportunities for entertainment and education of youth on reproductive health issues.

7. EMPHASIS AREAS This activity includes major emphasis on community mobilization for Mobile and Moonlight VCT services. The targeted groups are FSW, Truckers and rural communities in difficult to reach areas. Another area of emphasis is the human resources that will provide integrated prevention and care services .The focus will be on engaging and retaining service providers capable of providing high quality VCT services. Linkages with other outlets that provide additional services to these target groups will also be strengthened. Another minor emphasis will be in the area of training to ensure on-going training in areas of CT as well as training new CT counselors.