THIS IS AN ONGOING ACTIVITY. THE NARRATIVE IS UNCHANGED EXCEPT FOR UPDATED

REFERENCES TO TARGETS AND BUDGETS.

The only changes to the program since approval in the 2007 COP are:

• The introduction of two new interventions in the AB portfolio:

> Magnet Theatre which promotes community behavior change

> Family Matters! which focuses on the family unit as the nucleus to HIV prevention.

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 2008, 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 teachers and

students in the program, therefore reaching 10,000 students with prevention messages. LWHC will also

continue utilizing health clubs as an initial entry point into the local secondary schools to train peer

educators in the Education for 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 FY08. LWHC,

in FY 2008, 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 reaching 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. This program will reach an additional 5,000 individuals. LWHC AB program in

FY08 will reach a sum of 30,000 individuals through their different HIV prevention interventions. In FY

2008, 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 2008 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 2008 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. 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. As the epidemic of

HIV /AIDS in this peri-urban town changes the response to the epidemic in preventing new infections also

has to change. As noted in Kenya 50% of married HIV-infected persons have an HIV-negative spouse

(DHS 2003). The LWHC will embark on a new Condoms and Other Prevention (OP) program this year to

develop more interventions in prevention for high risk populations in Kericho focusing on discordant couples

as well as people living with HIV. The interventions will focus on positive prevention by establishing

curriculums and interventions for discordant couples and adolescent/youth living with HIV. Major focuses of

these interventions are equipping this population with the tools to disclose their status as well as other

healthy relationships skills. The interventions for discordant couples will focus on establishing effective and

influential support groups of discordant couples so issues that specifically affect them are discussed in a

productive and supportive environment. Other OP activities for those living with HIV will focus on providing

support and encouragement for disclosure as well as counseling in areas of reproductive health and family

planning. Early identification and the treatment of STIs will also be scaled up for this population as well as

other high risk groups LWHC works with such as commercial sex worker (CSW), prisoners, migratory

populations and the local uniformed service personnel. LWHC will also plan to scale-up the Men as

Partners in Prevention intervention as part of their OP activities specifically to the informal labor sector and

the local churches. The LWHC will develop behavioral surveys for all of the populations they will reach in

OP to ensure that the interventions developed will be conducive to the true behaviors that may be

contributing to their high risk status. LWHC's OP activity will successfully reach 5,000 individuals through

community outreach and 25 people will be trained to promote a comprehensive HIV/AIDS package in

prevention for high risk populations.

2. CONTRIBUTIONS TO OVERALL PROGRAM AREAS

The LWHC will contribute to the OP national programs and activities by working with other USG partners in

the development and implementation of a uniformed intervention for positive prevention in both the

community and clinical settings. The comprehensive approach to prevention with CSW will also be

uniformed throughout the Emergency Plan OP implementing partners which will include LWHC. The LWHC

will successfully train 25 individuals in evidence based curriculum like the Men as Partners in Prevention as

well as the recent intervention of Positive Prevention in Clinical settings. Overall, LWHC's OP activity will

target 5,000 individuals in community outreaches that promotes HIV/AIDS prevention through other

behavior change.

3. LINKS TO OTHER ACTIVITIES

This activity will be linked with other prevention activities occurring in the south Rift Valley through various

DOD Emergency Plan implementing partners. This activity will be linked with KEMRI-South Rift Valley AB

and OP programs as well as Live with Hope's AB activity. Other links will be with counseling and testing

services provided through Emergency Plan partners in the south Rift Valley including Live with Hope,

Tenwek and KEMRI-South Rift Valley. Positive Prevention Programs focusing on discordant couples as

well as People Living with HIV/AIDS under this OP activity will also be linked to treatment centers and

comprehensive care sites through KEMRI-South Rift Valley treatment sites and the home based/palliative

care programs.

4. POPULATIONS BEING TARGETED

The LWHC OP activity will focus its interventions and activities on out of school youth especially between

the ages of 15 to 24 through their partnership with the Kericho Youth Center. They will also target adults

over the age of 25 in many of their activities including Men as Partners in Prevention. The Positive

Prevention activities will focus on discordant couples as well as People Living with HIV/AIDS. Teachers will

also continue to be a specific population that is targeted through interventions and trainings that are

conducted at the local teachers' training college. Since this is a prevention activity focusing on the Most at

Risk Populations, incarcerated peoples, mobile populations on the local tea estates and persons in

prostitution and exchanging sex for money and/or other goods will also be a target of this intervention.

5. EMPHASIS AREAS/KEY LEGISLATIVE ISSUES ADDRESSED

LWHC will have emphasis areas in this OP activity in gender, specifically addressing male norms and

behaviors and increasing gender equity in HIV/AIDS programs through their Men as Partners in Prevention

as well s their discordant couples intervention. LWHC will also scale up their interventions with gender

based violence therefore reducing violence and coercion. The LWHC will also provide in-service trainings

for their facilitators and training for trainers to reach more people and reach their target of training 25

individuals in promoting HIV/AIDS prevention.

THIS IS AN ONGOING ACTIVITY. THE NARRATIVE IS UNCHANGED EXCEPT FOR UPDATED

REFERENCES TO TARGETS AND BUDGETS.

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 2008, 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 2008, 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 260 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 2,600 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

Activity Narrative: efforts in the training needs of the caregiver as well as the larger community to ensure quality services are

provided.

THIS IS AN ONGOING ACTIVITY. THE NARRATIVE IS UNCHANGED EXCEPT FOR UPDATED

REFERENCES TO TARGETS AND BUDGETS.

The only changes to the program since approval in the 2007 COP are:

+ the target population has been expanded to include the general population in Kericho slums in the door to

door counseling and testing intiative

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 2008, the Live with Hope Center will expand their counseling and testing

(CT) services to cover an additional 10,000 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 2007,

LWHC surpassed their CT target, by providing CT services to over 2000 individuals in the Kericho area. In

FY 2008, 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 2007. 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 10 more health care workers to provide VCT will consist of the remaining small percentage of this

partner's efforts under CT.