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:

• Geographic coverage has been expanded to include Embu and Meru workplace programs under APHIA II

Eastern with JPHIEGO and PATH

• The target population has been expanded to include adults (25 and over) both men and women including

the business community

• A prevention component has been integrated that is separately budgeted and described under Activity

Number (HVAB APHIA II Eastern) and includes the following elements

> Set up and implement HIV/AIDS workplace programs under APHIA II-Eastern

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Counseling and Testing (#6894, #6983) and OVC (#6891).

2. ACTIVITY DESCRIPTION

HOPE Worldwide Kenya (HWWK) will continue to provide HIV/AIDS education and prevention to 5 sites

within Nairobi slums and Kiambu District. These sites are Dandora, Huruma and Maringo within Nairobi,

and Gachie and Banana in Kiambu. The community program will continue to implement abstinence-focused

activities within schools, churches, youth groups, sports clubs, and other faith-based organizations. Under

the existing USAID/ PACT contract in South Africa, an abstinence-based curriculum, training in abstinence

interventions, and school-based programs were developed and have been used for the last three years.

The abstinence curriculum involves personal and character issues, dating and marriage, drug, substance

and alcohol abuse, peer issues and social pressures. Gender-based violence, rape, and abuse are also

discussed over the intensive 8-hour youth program. These participatory youth discussions follow discussion

guides and are led by trained facilitators. Pre- and post-test evaluations are conducted and young people

are referred to local OVC support programs if their families are affected by HIV/AIDS. Community Action

Teams include parents, teachers and students, and they develop local strategies to reinforce behavior

change among the youth. The intention is that the Community Action Teams plan and implement the

activities with HWWK mentorship. Competent community Workshops will continue to be organized in all the

program sites. Youths in Maringo will be mobilized through football tournaments during the school holidays

and educated on the importance of abstinence. Partnerships with public, private and civil organizations will

be established to strengthen program outputs. A 2-year model will be implemented where the HWWK ABY

program will continue to work with the trained groups for two years on issues such as a comprehensive

HIV/AIDS course, leadership, basic counseling skills and career development. This will increase the quality

of both direct and indirect reach.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

HWWK aims to increase its contribution towards averting new HIV/AIDS infections in Kenya. This will be

achieved by employing multiple strategies that help unmarried young people aged 10-24 to increase

abstinence and secondary abstinence until marriage; increase faithfulness in monogamous relationships

among both youth and the general population; promote HIV testing to encourage abstinence and fidelity,

and help reduce the incidence of gender-based violence, sexual coercion and cross-generational sex

affecting youth. HWWK will train 1,700 individuals to provide HIV/AIDS programs that promote abstinence

and/or being faithful. In addition 30,000 individuals will be reached with community outreach HIV/AIDS

prevention programs that promote abstinence and/or being faithful, and of these 10,000 will receive

abstinence-only messages. The training will continue to create demand for VCT services, and 200 people

will be counseled and tested. In collaboration with partners, free medical camps will continue to be

organized, and 600 people will be reached with care and support through the camps.

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). HWWK

will work through APHIA II Eastern with JPHIEGO and PATH setting up and implementing HIV/AIDS

workplace programs.

5. POPULATIONS BEING TARGETED

Established social institutions such as schools, FBOs, CBOs and NGOs form the main community

structures through which different age groups will be reached. A special ‘A' only curriculum will be

implemented among 10-14 year olds. The goal for this age group is to delay sexual debut and encourage

life skills development. Among the 15-24 year olds, the goal is to increase their knowledge on abstinence

and secondary abstinence options and to reach them with messages about fidelity and

expanded/strengthened "A" and "B" activities. In the younger adults the goal is to increase the practice of

abstinence until marriage among unmarried youth and to decrease infidelity and other harmful behaviors

among both youth and adults. Among parents, teachers and community leaders, the goal is to create a

supportive environment for the youth to practice abstinence and faithfulness.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The Men As Partners (MAP) activities will increase gender equity and address male norms and behaviors

through the training workshops and later on become participants in forming Community Action Teams

(CATs). The CATs will give younger adults an opportunity to magnify the changed behaviour to their peers.

CATs have been used as a strategy to sustain messages and the program will pursue this methodology to

ensure that there is support for the program and for young people making healthy choices.

7. EMPHASIS AREAS

Major emphasis in this program is training and equipping youth with relevant life skills. The youth will be

equipped with negotiation skills to help them make informed choices. The 2-year model will ensure that the

trained persons are thoroughly equipped to deal with a myriad of life and Adolescent Sexual Health issues.

Since football is a crowd puller, football tournaments will be used to mobilize the youth for education on

Activity Narrative: these matters.

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 an activity in Counseling and Testing (#6894).

2. ACTIVITY DESCRIPTION

HOPE Worldwide Kenya (HWWK) will continue to scale up its work in Mukuru Slums and other underserved

areas where it has strong partnerships with local community stakeholders and entry points into OVC care

and support. In 2007 work was extended to Mathari, near Huruma, and Maringo. The work in Mathari is in

collaboration with the Rotary Club of Nairobi. Work in Maringo was born out of collaboration with the Area

Advisory Council whereby the need for work in this area was identified. Related to work being done with

youth in Makindu, youth have been trained in Psychosocial Support and development of Kids Clubs. In

2007 the OVC work linked with the USAID funded ABY programs in Huruma, Dandora, Muchatha, Gachie,

and Makadara to focus on development of Kids Clubs in the schools that have ABY programs. HWWK will

continue to upscale the work being done in the Mukuru Slums where it has strong partnerships with local

community stakeholders and entry points into OVC care and support. In 2007 work progressed within the 3

villages of Kwa Ruben, Kwa Njenga and Lunga Lunga and is provided direct support to 651 OVC through

Kids Clubs and Support Groups. Indirect support was given to over 500 children through trainings in PSS

and Kids Clubs in Mukuru, Mathari, and Makadara. In 2007 HWWK continued to facilitate direct support to

OVC through capacity building of local CBOs, NGOs, FBOs, Community Leaders, and Schools, and Rotary

partnerships, with a target of direct support to 1,000 OVC. Community stakeholders will be incorporated into

the process of establishing these support mechanisms to increase effectiveness through community

ownership and participation. HWWK will work closely with the Department of Children's Services through

Provincial and District Children's Officers and Area Advisory Councils. This will facilitate a mechanism for

identification of the most needy OVC and caretakers for training and support. Close collaboration will be

maintained with local VCT and PMTCT centers, as well as with community health clinics, schools and

FBOs, and other relevant care and social services. Rotary Clubs, and HWWK staff and volunteers will be

actively engaged in providing community support, including identification of resources and staff to sustain

activities. Partners will help establish links with vocational training sites to support older OVC with skills

training, mentoring, and apprenticeships. HWWK will work closely with the Department of Children's

Services (DCS) to provide training in PSS and Kids Clubs to caretakers, teachers, and others where the

DOCS is providing support through the Cash Transfers for support of OVC. Currently HWWK is working

with 191 caregivers in Mukuru Slums who care for 651 children. Through 2008 the goal is to continue

strengthening this group and increasing their capacity to train, educate, and build the capacity of

themselves and other caretakers in their communities. Focus is on maintaining quality of service provision

to the caretakers, children, and ultimately to the communities. In 2007 400 staff, caretakers, and

organizational members were trained in caring for OVC. HWWK staff and volunteers have experience in

community mobilization approaches and will continue to facilitate skills-building workshops in communities

on Capacity-Building Strategies. Key national, local and community representatives will be invited to

participate in the workshops so as to gather their insight on appropriate approaches to program

implementation. This will help consolidate buy-in, collaboration, establish communication channels and

promote OVC and youth participation. Experienced local HWWK trainers will use participatory and outcome-

based training methodologies. Topics will include those such as global and country specific overview of

statistics and projections of the HIV/AIDS epidemic and its impact on children and families; ‘Best Practice'

strategies for developing and strengthening effective community-based OVC responses; transferring of

technical skills needed to carry out the methodological framework for developing competent communities;

and identify other partner training needs around OVC issues. In 2007 HWWK provided 2 sub-grants to

NGOs who have a focus on child care with the primary goal of strengthening community and household

responses. HWWK will provide technical assistance to sub recipients on organizational capacity

development and programmatic issues. Regular mentoring and feedback sessions will be held to review

program progress, effectiveness, and level of potential sustainability. The 2008 goal is to reach 8,000

children. This will be done through services provided through the Kids Clubs, trained caregivers and

providers, community partner organizations, and OVC served through sub grants. A big focus will be on

integration and coordination between community-based agencies, and combined coordinated efforts with

community leaders and stakeholders, and the government of Kenya, donors, and civil society.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

HWWK's 5 year goal for the number of OVC reached is 25,300. In 2008, HWWK will reach 8,000 OVC and

train 600 caregivers inclusive of community leaders, volunteers, community stakeholders, and partner

organizations.

4. LINKS TO OTHER ACTIVITIES

Services will be linked to VCT through HWWK youth programs in the targeted communities, local schools,

clinics, and service organizations.

5. POPULATIONS BEING TARGETED

Activities target children and families infected and or affected in the community. Also caregivers and

providers of care to the OVC, community based organizations and NGO's who provide service and care to

OVC, and community health care providers, leaders, and stakeholders.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Issues include increasing gender equity in the HIV/AIDS programs and increase in women's access to

income and productive resources.

7. EMPHASIS AREAS

Major emphasis in this program is on training caregivers/ providers, and the community, to care for OVC.

Minor focus will be community mobilization and human resources.