1. LIST OF RELATED ACTIVITIES This activity relates to activities in Counseling and Testing (#6979) and (#6968).

2. ACTIVITY DESCRIPTION The Live with Hope Center (LWHC) is a faith-based organization that has been serving the HIV/AIDS needs of the urban areas of Kericho and its surrounding rural population since 2000. The LWHC has been offering comprehensive HIV services from prevention activities to support and care. LWHC works in a semi-urban setting in a congested living area of Kericho where informal data of age at first sex is estimated to be around 15 for boys and slightly younger for girls in the area. In FY 2006, LWHC exceeded their targets of reaching 20,000 individuals through their prevention programs that promote abstinence and/or being faithful. Through their close working relationship with the Ministry of Education, LWHC has been successful in reaching over 200 schools in the area with their abstinence/be faithful messages since 2004. They have also created sustainable programs in the schools through the establishment and maintenance of school-based health clubs that promote healthy living among the student population with a special focus on the primary schools which serve students under the age of 14. In FY 2007, the LWHC plans to continue working with the schools in Kericho by bringing the abstinence based curriculum of Creating Positive Relationships (CPR) to those students in Standards six through eight in 20 additional schools by training 20 teachers and 150 students in the program. LWHC will also continue utilizing health clubs as an initial entry point into the local secondary schools to train peer educators in the I Choose Life program that has been used in training older youth in life skills. The secondary school health club program will be extended to reach over 5,000 more students in FY07. LWHC, in FY 2007, will also extend its AB initiative to the adult population in the larger community by offering Parent-Child Education programs that emphasize being faithful messages as well as training 10,000 parents to support their children in behavior change. In addition, LWHC will begin a Men as Partners program for the adult men in the community that focuses on building relationship skills that emphasize fidelity and family values. In FY 2006, LWHC met their training targets of 200 individuals to promote HIV/AIDS prevention through abstinence and/or being faithful by focusing on training peer educators in life skills as well as training local community leaders in parenting skills that supported children in life skills as well as identified teachers in the local teachers college in comprehensive HIV/AIDS prevention curriculum. The HIV-positive support group will continue to be the nucleus of the AB program by utilizing HIV-positive adults and their testimonies as the primary tool for mobilization of individuals into LWHC's AB program.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA Together with the Ministry of Education, the LWHC has concentrated on primary and secondary schools in the Kericho district in creating AB programs as well as behavior change through the establishment of school-based health clubs. This initiative will contribute to the overall national AB program that is focusing on students in the Kenyan school system. The LWHC's AB program in FY 2007 will also continue its training efforts in the Kericho Teacher Training College which is in accordance with the national Emergency Plan agenda to train teachers in implementing an HIV/AIDS prevention-based curriculum in the milieu of the school environment.

4. LINKS TO OTHER ACTIVITIES LWHC's AB program is linked with community mobilization and awareness campaigns that advertise Live with Hope's stand-alone counseling and testing site (#6979) as well as other KEMRI South Rift Valley VCT sites (#6968). By doing so, LWHC uses VCT as another viable option in behavior change.

5. POPULATIONS BEING TARGETED LWHC will target specific populations that will benefit from the AB program. This includes the children in primary schools as the main recipients of the program as well as adults in the community that will also be targeted this year with the same prevention messages. The adult initiative will bring the HIV education/prevention curriculum to community groups and religious organizations that exist in the area. In general, the AB program under the LWHC will also reach the general population of both adults and children/youth through their education program. LWHC AB program will also continue to reach university students in the teachers college in the AB program. As a community-based group which has as its primary support the local church, LWHC works with both community and faith- based

leaders in the implementation of the AB program.

6. KEY LEGISLATIVE ISSUES ADDRESSED The AB program under the LWHC will focus on Kenyan girls at the primary level in an attempt at early intervention to empower the young girl to make smart decisions related to sexuality and reproductive health. The education program will use peer education and behavior change messages that challenge gender norms and behaviors to help protect youth from HIV infection. The LWHC HIV education program also provides opportunities for individuals in the support group and home-based care program to publicly discuss their HIV status and promote the eradication of stigma and discrimination that still inhibits many Kenyans from learning their status and seeking support.

7. EMPHASIS AREAS The major emphasis area in FY 2007 is community mobilization and participation, encouraging optimal participation from the local community in the development and active participation in programs that emphasize abstinence and being faithful. Minor areas are training and workshops for teachers, youth, and community groups.

1. LIST OF RELATED ACTIVITIES This activity relates to activities in Counseling and Testing (#6968), Antiretroviral Therapy program (#6973), Abstinence and/or being faithful (#6981), Counseling and Testing (#6979) and Orphans and Vulnerable Children (#7035).

2. ACTIVITY DESCRIPTION The Live with Hope Center is faith-based organization that has been providing comprehensive HIV/AIDS services in a markedly underserved and difficult-to-reach area of Kericho as well as its surrounding rural communities since 2000. The LWHC has been providing spiritual, psychosocial, nutritional, and home-based care services to over 200 People Living With HIV/AIDS (PLWHA) since the inception of the program. The LWHC has been an Emergency Plan partner since 2003 in the areas of counseling and testing, abstinence and being faithful, as well as palliative community health care and support. In FY06, the LWHC began its OVC program by bridging an existing gap in their service delivery through the extension of care and support to 500 orphans and vulnerable children (OVC) that already existed on the periphery by being the dependents of past and present active support group members as well as part of their community health care program. The LWHC has been struggling to ensure the provision of basic needs and medical services to these OVC since the inception of their program in 2000 and with the assistance of the Emergency Plan in FY 2006 the LWHC succeeded in strengthening the community to provide orphan support in the already existing family environment. The LWHC has been active in the communities in which they serve and have been instrumental in alleviating the household burden to ensure that families remain together despite the economic hardships experienced. LWHC also has established a very active support group and community care system for children living with HIV between the ages of 0 to 18. In FY 2006, LWHC was able to work closely with the pediatric Antiretroviral Therapy (ART) Program to follow-up the care and support of 100 children infected with HIV. LWHC also works closely with the children of the immediate community who have been made vulnerable to HIV by establishing an after school program for these children and ensuring that basic needs of 200 children are ensured on a daily basis. Along with this program LWHC has been working closely with the Ministry of Education and the Ministry of Home Affairs in establishing care and support programs for the OVC identified as living on the streets or detained in the children's rehabilitation center where over 300 boys and girls out of 400 have been mandated for correctional services through the juvenile justice system due to being made vulnerable by HIV-AIDS. In FY 2007, LWHC will continue to ramp up the existing programs that are directly identifying the most vulnerable children in Kericho and ensuring that the core areas of essential services are met. In FY 2007, LWHC will hire a child counselor who will work closely with the Kericho District Hospital in the identification and follow-up psycho-social support of OVC in the pediatric ART program including issues surrounding disclosure. LWHC will continue to bolster the family centered approach to care for OVC by training 100 existing care givers in the provision of basic care and support and the possible psychosocial needs of the OVC.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA The LWHC will target over 2,083 OVC by continuing care and support through the provision of nutrition, education, food security, psychosocial support, shelter and protection either through primary direct support or supplemental support as outlined in the PEPFAR OVC guidance. The LWHC is consistent with the 5-Year Strategy of caring for the OVC by strengthening partnerships with the local government systems and other community organizations in providing comprehensive and quality services with the best interest of the child in mind.

4. LINKS TO OTHER ACTIVITIES This activity is linked to KEMRI south Rift Valley - Kericho District Hospital anti-retroviral therapy: ARV (#6973). The LWHC has actively worked with KEMRI south Rift Valley - Kericho District Hospital in the early identification, diagnosis, and subsequent treatment of over 100 children currently receiving anti-retroviral viral (ARV) medication. They will continue to link their OVC program with the KEMRI counseling and testing (CT) program (#6968) and the Live with Hope CT program (#6979) in the provision of early diagnostic testing and counseling to at-risk children orphaned by parent(s) who were HIV positive. LWHC will also integrate their OVC program with their existing abstinence and/or being faithful program (6981) to ensure that the OVC receive proper training in the prevention of HIV infection/re-infection. Coordination will also be done with the partner OVC program

Samoei in coordination of OVC programs (7035) in Kericho district.

5. POPULATIONS BEING TARGETED The LWHC OVC program will target People Affected by HIV/AIDS by focusing on training the existing caregivers of OVC in basic care and support; linking care and support to HIV positive children by improving basic access to health care and ART; assisting HIV/AIDS affected families by paying for school fees and the provision of proper nutrition; ensuring the community based support for OVC; by augmenting the support to People Living with AIDS in their ability to care for their children and by assisting widows or widowers with the burden of caring for the OVC. In order to ensure that the OVC interventions continue to strengthen the community efforts to provide care and support, the LWHC will continue to use volunteers from the churches and other community based groups. Street children will also be a focus in FY 2007 to target in assessing the impact HIV-AIDS had on their homeless status and address the specific needs of the population.

6. KEY LEGISLATIVE ISSUES ADDRESSED The LWHC will ensure that local community based structures continue to provide for the needs of the OVC by being an integrated part of the wrap-around services that exist to ensure the basic nutritional, educational, legal, and psycho-social needs of the OVC are successfully cared for. Wrap-around services will be ensured by the LWHC partnering with local government offices and other agencies in the delivering of comprehensive services to the OVC.

7. EMPHASIS AREAS The LWHC will focus the majority of their efforts on community mobilization/participation in their OVC program. The 5-Year Strategy in Kenya regarding OVC is to develop and strengthen local structures to adequately address the needs of the OVC and LWHC will dedicate their efforts in ensuring that existing resources are improved to address the wide spectrum of needs of the OVC in Kericho. The LWHC will continue to focus part of their emphasis on human resources in order to ensure the supply of skilled and competent staff that can ensure the needs of the OVC are met as well. They will also focus part of their efforts in the training needs of the caregiver as well as the larger community to ensure quality services are provided.

1. LIST OF RELATED ACTIVITIES This activity relates to activities in Palliative Care: Basic Health Care and Support [#6922], Antiretroviral Treatment [#6973], TB/HIV [#6975] and Abstinence/Being Faithful [#6981].

2. ACTIVITY DESCRIPTION The Live with Hope Center is faith-based organization that has been providing comprehensive HIV/AIDS services in a markedly underserved and difficult-to-reach area of Kericho as well as its surrounding rural communities since 2000. In FY 2007, the Live with Hope Center will expand their counseling and testing (CT) services to cover an additional 3000 individuals through continued support and maintenance of the stand alone Voluntary Counseling and Testing (VCT) site that was constructed under the FY 2004 President's Emergency Plan. The site provides VCT for the general population in this area, and the community education and mobilization that is required to increase awareness and uptake. In FY 2006, LWHC surpassed their CT target, by providing CT services to over 2000 individuals in the Kericho area. In FY 2007, Live with Hope Center will reach their CT targets by continuing to integrate their counseling and testing services into their existing home-based care program that provides care and support to over 400 individuals who are HIV positive and are receiving ART or under medical supervision for potential opportunistic infections like TB. This year will build on the success of this initiative of brining counseling and testing into the homes of every client that is part of their home-based care program by providing CT to every member of the household. By doing so, Live with Hope will continue to ensure that every family member of their clients on home-based care receives quality care and treatment if required. In order to achieve this, three additional individuals will be trained in counseling and testing according to national or international standards. The LWHC has a dynamic program that routinely links the Person Living with HIV-AIDS to their active support group which in turn assists in combating stigma and discrimination in the larger community. LWHC will also continue providing mobile VCT services to the most at risk populations by focusing on prisoners, matatu drivers, commercial sex workers and at-risk youth in the local rehabilitation school. They will also work with the rural churches to bring mobile VCT services to congregations in hard-to-reach areas, an initiative which has proved to be very popular in FY 2006. In addition, technical assistance will be provided by 2 locally employed staff.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA VCT services offered by LWHC will contribute to the overall CT target. The LWHC will continue to use VCT as an important HIV prevention tool by providing VCT to at risk populations through outreaches and mobile VCT. LWHC will also contribute substantively to Kenya's 5-Year Strategy emphasis on the youth and discordant couples by working closely with churches in the promotion of VCT and the provision of CT services through mobile VCT activities. In addition, LWHC will provide VCT to couples in marriage and other stable relationships, in order to support those who may be HIV discordant. Furthermore, LWHC will be the focal point of the novel approach of testing every family member of patients on ART.

4. LINKS TO OTHER ACTIVITIES This activity will be closely linked with the KEMRI-South Rift TB/HIV activity (#6975) as well as the KEMRI-South Rift Valley palliative care program activity (#6922). The Live with Hope Center will continue to work closely with the Kericho District Hospital as part of the larger HIV/AIDS care and support network by serving as a referral point for advanced care and treatment thus linking this activity to also KEMRI-South Rift Antiretroviral treatment program (#6973). The VCT will also be promoted through efforts in the existing LWHC abstinence/being faithful program (#6981) with the community.

5. POPULATIONS BEING TARGETED LWHC CT activities will target young people, especially out of school youth, through the close partnership with the rehabilitation school and church activities with street kids in Kericho. They will also continue their focus on other at risk populations like prisoners, commercial sex workers, matatu drivers and migrant tea workers through increasing the number of mobile counseling and testing services to both the prisons and the many tea estates surrounding the Kericho area. The home based care CT initiative will also target those affected by HIV including children and caregivers of PLWHA. The stand alone VCT site will continue to also serve the general adult population in the area as well. LWHC is a

faith-based organization supporting a community based response to HIV-AIDS.

6. KEY LEGISLATIVE ISSUES ADDRESSED The CT activity under the LWHC aims to change traditional gender norms and behaviors that have contributed to the rapid spread of HIV in some communities by using information, education, and communication to spread messages about risky behavior. CT will also target young girls in an effort to increase their access and availability of HIV information through VCT services. Previous statistical analysis indicated that the LWHC was working in accordance with the Kenyan national strategy by targeting a higher percentage of women than men; the percentage of women accessing the LWHC VCT site compared to the men was approximately 60% in FY05. The LWHC CT service also challenges pre-conceived misconceptions of testing and counseling for HIV by fully integrating the service in already existing church community activities they provide to the general public hence de-stigmatizing the process of HIV counseling and testing in the Kericho-Motobo area.

7. EMPHASIS AREAS The majority of this partner's efforts will be in maintaining the current staff through the direct payment of salaries of the healthcare workers and VCT counselors that have been recognized by the Ministry of Health as trained to provide VCT services. Continued community mobilization to improve access to VCT and the training of 3 more health care workers to provide VCT will consist of the remaining small percentage of this partner's efforts under CT.