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:

• Other changes include: KANCO's RAY Project will initiate Helpline services to youth and include the

integration of HYPE (Healthy Youth Programs Initiative) into their two main sites, Ongata Rongai and

Mlolongo.

• FY07 PLUS-UP ADDITIONS: This plus-up will support an expansion of current activities as detailed in the

07 COP. The Kenya AIDS NGOs Consortium (KANCO) in collaboration with the Maendeleo Ya Wanawake

organization currently implements activities targeting parents of youth served in the Ray Youth project. The

Ray Project will now implement the Families Matter! intervention for parents in Mlolongo, Ongata-Rongai,

Thika and selected locations in Embu and Kilifi ($100,000). This intervention will be integrated within the

larger prevention program and will enhance parent's skills in discussing HIV prevention with their young

adolescents. An important element in this intervention will be providing a broader prevention framework

that includes targeting parents with faithfulness messages and encouraging them to seek HIV counseling

and testing services, as well as disclosure to support mutual faithfulness.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Condoms and Other Prevention (#6938) and Counseling and Testing

(#8748).

2. ACTIVITY DESCRIPTION

The Kenya AIDS NGOs Consortium (KANCO) will continue providing abstinence and faithfulness education

and life skills to 45,000 youth and young adults and train 200 people to deliver AB interventions. This will be

achieved through working with a network model of six partners namely: Kibera Community Self Help

Project, the National Organization of Peer Educators, Kenya Medical Association, Maendeleo ya

Wanawake Association and Community Capacity Building Initiative who work collaboratively to implement

the RAY (Responding to AIDS among youth) project. Each partner will continue implementing program

elements in which they have specialized skills based on their best practice to provide comprehensive

abstinence and faithfulness education to youth and young adults in three rapidly growing towns on the

outskirts of Nairobi (Mlolongo, Ongata Rongai and Thika) and selected sites in Embu and Kilifi. The RAY

project will strengthen the capacity of local groups to provide comprehensive AB education to youth in and

out of schools and strengthen its monitoring and evaluation system. Age-appropriate and targeted

information, education and communication materials will be developed and distributed through existing

youth resource centers as well as through the education outreach program. The Be Faithful element of the

AB program will be strengthened through specifically targeting young people in sexual partnerships as well

as young married people to improve their risk perceptions and motivate them to adopt and sustain

faithfulness to one partner. Update trainings will be conducted for peer educators who will undertake peer

communication while strengthening participatory approaches that improve life skills for youth in adopting

abstinence and faithfulness as a strategy for HIV prevention. The involvement of parents and adults in

supporting abstinence and faithfulness for youth will be strengthened, through implementing the "Families

Matter" intervention that has been shown to considerably improve parents' communication skills and helping

them to openly discuss HIV issues with their youth. An important addition to this program will be

incorporating alcohol and drug abuse risk reduction education to the AB education as an additional strategy

to reduce HIV risk behavior. The RAY project will actively engage other local organizations that are a part of

its consortium in delivering education and behavior change training for youth in schools within its target

areas. It will also target orphans and vulnerable children by providing them with comprehensive AB

education and life skills.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

The RAY project will reach 45,000 youth in its various project sites; 200 peer counselors and youth will be

trained in theatre skills particularly among the out of school youth population. Parents will participate in the

Families Matter intervention to strengthen their communication skills to discuss HIV/AIDS issues with their

youth. Linkages will be established with health providers to serve youth. There will be increased access to

HIV behavior change information through its existing resource centers.

4. LINKS TO OTHER ACTIVITIES

RAY's AB activities relate to activities in KANCO OP activity (#6938), KANCO CT (#8748). Services will be

integrated with existing community structures such as youth groups, faith communities and parents

associations. Combined outreaches services to the communities such as mobile VCT will incorporate AB

education outreach. The Kenya Medical Association will particularly develop linkages with health care

providers to improve access to adolescent care and treatment services. 5. POPULATIONS BEING

TARGETED This activity will target youth in school including primary, secondary and university students. It

will also target men and women of reproductive age including parents with faithfulness education. It will also

target parents and other supportive adults to motivate them towards providing a supportive adult

environment and to help reinforce social norms that promote abstinence and faithfulness among youth and

young adults. It will work with community leaders, program managers, religious leaders and volunteers. It

will also work with organizations including community based organizations, NGOs and rural communities.

All in-school programs will involve teachers.

6. KEY LEGISLATIVE ISSUES ADDRESSED

This activity will address gender equity in HIV/AIDS programs and will particularly enhance youth

participation in its programs. It will address male norms and behaviors.

7. EMPHASIS AREAS

Major emphasis will be community mobilization/participation. Minor emphasis will be on development of

network and referral systems particularly youth HIV care referral networks. Through its resource centers,

KANCO will maintain a minor emphasis on strengthening Information, Education and Communication

strategies and supporting its sub-recipients through quality assurance, quality improvement and supportive

supervision and training. Human resources capacity-building is another emphasis with a modest number of

staff employed on the project.

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:

+ FY07 PLUS UP ADDITIONS: This plus-up will support an expansion of existing 2007 COP activities. The

current prevention activities of the Kenya AIDS NGOs Consortium (KANCO)'s Ray Project work among

populations at high risk including migrant workers, long-distance truckers, farm and industry workers, khat

traders and young people out of school in underserved slum locations. The project will strengthen

interventions on CSWs and MSMs within these regions through targeted sexual risk reduction activities

including providing prevention education to CSWs and their clients as well as MSMs in these areas.

KANCO will train peer educators, provide functional linkages and referrals to both counseling and testing

services and to care and treatment provided through its night VCT mobile outreach activities and its regular

community education.

+ $100,000 of this activity is programmed with funds from the $7 million FY 2008 plus up for the Healthy

Youth Programs Initiative.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Abstinence and Be Faithful Programs (#6939) and Counseling and

Testing (#8748).

2. ACTIVITY DESCRIPTION

The Kenya AIDS NGOs Consortium (KANCO) will target 45,000 high-risk individuals with safer sex

interventions including condom promotion and train 300 people to deliver these interventions. 50 condom

outlets will be established. It will continue working through a network model of six partners to provide HIV

sexual transmission prevention education to youth and young adults. These partners include Kibera

Community Self Help Project, the National Organization of Peer Educators, Kenya Medical Association,

Maendeleo ya Wanawake Association and Community Capacity Building Initiative who work collaboratively

to implement the RAY (Responding to AIDS among youth) project. Each partner will continue implementing

program elements in which they have specialized skills based on their best practice to provide HIV

prevention education and condom promotion to youth and young adults in potentially high-risk areas of

Mlolongo, Ongata Rongai, Thika and selected sites in Embu and Kilifi. The RAY project provides condoms

and targeted other prevention services to high risk populations through intensified community education to

youth out of schools and in underserved locations such as upcoming slums which host migrant populations.

Condoms and other behavioral interventions will be provided at hotspots along the Mombasa highway at

Mlolongo near Nairobi and among quarry, transport and jua kali (small scale business) workers in Ongata

Rongai. Additional sites for expanded programs will continue to be identified adjacent to existing project

sites. Most importantly, KANCO's RAY project will provide targeted interventions for Positive Prevention

through multiple behavioral interventions for individuals with HIV. Adolescent girls and women who test

positive through the CT activity will be referred for reproductive health services to help prevent unintended

pregnancies. RAY will provide linkages to STI treatment and particularly focus on STI screening and

treatment for individuals with HIV and their partners. It will promote leadership by individuals with HIV in the

positive prevention campaign. The RAY project's monitoring and evaluation system will be improved and

targeted information, education and communication materials will be developed and distributed through

existing youth resource centers. Significant changes from 2006 to 2007 in this activity will be that RAY will

initiate activities that address alcohol and drug abuse as an important determinant in reducing HIV sexual

risk behavior. It will undertake to work with the estimated 60 bars in Mlolongo and Ongata Ronagi with

targeted alcohol and HIV risk reduction messages. Quarry workers, usually being migrant workers in the

building industry and truckers among others will receive targeted risk reduction messages including an

intensified campaign on correct and consistent condom use. The project will also ensure referrals and follow

up for ART and basic care and treatment for opportunistic infections.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

KANCO's RAY project will reach 45,000 at risk youth and adults, particularly individuals with HIV in its'

project sites. It will train 50 peer educators, 100 bar workers on alcohol abuse and other essential

gatekeepers in the quarry settlements, transport and small-trade sectors. 100 youth will be trained in theatre

skills particularly among the out of school youth population and linkages will be established with at least 10

health providers to serve youth in STI treatment and referrals for care and treatment. 50 condom outlets will

be established. There will be increased access to HIV behavior change information through its existing

resource centers. KANCO will target serving high-risk youth populations including among the fishing and

beach communities, long-distant truckers' stops, slum population and other urban youth. These efforts will

contribute to promoting HIV preventive behaviors among youth as well as increase access to HIV/AIDS

prevention services for high risk and underserved populations, including improved provision of STI services

particularly among individuals with HIV and their partners.

4. LINKS TO OTHER ACTIVITIES

KANCO's OP activities relate to activities in KANCO AB activity (#6939) and CT (#8748). This project will

establish essential linkages with 10 health care providers for specialized and youth friendly STI treatment,

opportunistic infections and where necessary ART care. Services will be integrated with existing community

structures such as youth groups, faith communities and parents associations. The Kenya Medical

Association will particularly develop linkages with health care providers to improve access to adolescent

care and treatment services for HIV people identified through the program.

5. POPULATIONS BEING TARGETED

This activity will target adult men and women of reproductive age including secondary school and university

students. It will also work with people living with HIV/AIDS, HIV/AIDS affected families and

widows/widowers. It will involve community based organizations and faith based organizations as well as

NGOs. It will target most at risk populations including truckers, commercial sex workers, men who have sex

with men, partners, clients of CSWs with a particular focus on trucking hotspots. It will work also with out of

school youth in slums an peri-urban locations. It will target bar workers and brothel owners in beer hot spots

and mobile populations working in quarries and large agricultural farms and industrial firms. KANCO will

continue working with volunteers and community, program and religious leaders. It will work with rural

populations in selected sites. Alongside involving teachers in its AB programs, this activity will also work

with teachers for other prevention education. Nurses from the private and public sector will be a target

especially for STI treatment.

Activity Narrative:

6. KEY LEGISLATIVE ISSUES ADDRESSED

This activity will address gender equity in HIV/AIDS programs and will particularly enhance youth

participation in its programs. It will address male norms and behaviors and reduction of violence and

coercion as well as stigma and discrimination. Out of school youth and CSWs will be assisted to increase

their access to income and productive resources through the youth crafts and other initiatives.

7. EMPHASIS AREAS

Major emphasis will be community mobilization/participation. Minor emphasis will include development of

network and referral systems particularly youth HIV care referral networks. Through its resource centers,

KANCO will provide information, Education and Communication strategies and training to its project

partners and community volunteers. KANCO's main role in the partnership is Quality assurance, quality

improvement and supportive supervision. Human resource will also be a minor emphasis as KANCO

employs a modest number of staff.

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

+ target population has been expanded to include other high risk groups such as men who have sex with

men (MSM)

+ in FY 2008, KANCO will cover institutions of higher learning such as universities and colleges. They will

engage the leadership of these institutions on the best strategy for each institution. In some institutions a CT

campaign strategy may be appropriate, whereas other institutions would prefer information and education

and referral information. The education component will be linked the PEPFAR funded AB and OP activities.

1. LIST OF RELATED ACTIVITIES

This activity is related to activities in AB (#6939) and OP (#6938).

2. ACTIVITY DESCRIPTION

The Kenya AIDS NGOs Consortium (KANCO) is an umbrella organization, which was formed in 1994, to

support non-governmental organizations (NGO's) working in the area of HIV/AIDS in Kenya. Since FY

2005, they have received support from the President's Emergency plan to implement HIV prevention

activities. They have done so in collaboration with other NGOs, who have expertise or experience in a

specific area. In CT they have worked mainly with WHEMIS in the Thika area. In FY 2008 KANCO will

provide counseling and testing services to 10,000 people, both adults and youth. They will train 20

counselors who will work in 10 mobile and static VCT sites located in Nairobi and in neighboring towns of

Thika, Athi River and Ongata Rongai. Both the mobile and the static sites will have a youth emphasis,

whereby they will serve as comprehensive youth centers. KANCO will also coordinate the provision of

mobile VCT services to communities in the target areas. These include slum dwellings in Athi River and

around the Mlolongo area inhabited by migrant workers and Ongata Rongai which has quarry workers.

KANCO will also target truckers, sex workers and their partners and the jua kali (informal sector) workers by

providing mobile VCT services at the Mlolongo hotspot at convenient hours, including late in the night to

cater for truckers and those clients who would be more available at night. The RAY project's monitoring and

evaluation system will be improved and a data base set up to closely monitor the counseling and testing

interventions. KANCO will also work closely with health service providers to offer diagnostic testing and

counseling alongside STI screening and treatment. Following on from the provision of CT services, the

project will also ensure referrals and follow up for ART and basic care and treatment for opportunistic

infections.

3. CONTRIBUTION TO OVERALL PROGRAM AREA

The CT services that will be provided by KANCO will contribute modestly towards less than 1% of the total

CT target supported by the President's Emergency plan in FY 2008. However, their support for high risk

groups like commercial sex workers and migrant workers is important. Also, their work in the informal

commercial sector (Jua Kali) is noteworthy.

4. LINKS TO OTHER ACTIVITIES

This activity will be linked to KANCO's AB (#6939) and OP (#6938) activities.

5. POPULATION BEING TARGETED

As stated above, this activity will target high risk groups such as commercial sex workers, together with their

clients, truckers and migrant workers. It will also target the out of school youth.

6. KEY LEGISLATIVE ISSUES ADDRESSED

This activity will reduce the HIV related stigma and discrimination, as well as address the problem of gender

in-equity. This will allow women and girls to access HIV/AIDS services without any obstacles or limitations.

7. EMPHASIS AREAS The activity will have a major emphasis on community mobilization and minor

emphasis in capacity building for other organizations. To a lesser extent, the activity will focus on the

production of information, education and communication materials. Another minor emphasis area is in the

field of human resources.