This funding is earmarked to support a dynamic, new initiative focused on Kenyan youth. Funding will be

allocated as TBD across agencies (CDC 40%; USAID 40%; DOD 15%; Peace Corps 5%) until partners are

identified for activity implementation. The healthy youth initiative (HYPE) will utilize the core competencies

of private sector partners, the technical expertise of the Kenya PEPFAR team and its partners, and the best

ideas of young people themselves to implement novel approaches to imparting skills for healthy living,

including a focus on HIV prevention, economic opportunity, and gender equality. It will in part be measured

by a goal of a 50% decrease in HIV prevalence in five years among youth (age 10-24) in Nairobi and the

surrounding slums and will be brought to national scale as resources and experience allow.

CDC and the TBD partner will work together closely to develop technical standards and guidance to ensure

that HYPE activities encompass evidence-based prevention strategies. HYPE activities will integrate

prevention across program areas in order to create opportunities for comprehensive prevention approaches.

A careful evaluation of the HYPE activities will be undertaken to ensure that effective and appropriate

messages are reaching the target audience.

Building from private sector expertise, the healthy youth initiative strategies will include traditional behavior

change approaches such as media campaigns as well as innovative interpersonal and electronic

communications. These will be adapted to match young adults' interests and needs with the recognition that

a desire to "belong" and to "be cool," including self-image and peer pressure, are potent determinants of

behavior among youth all over the world. The project will incorporate skills training and economic

opportunities to lift young people out of cycles of desperation and despair, as well as provide links to

education for school dropouts.

Programs will be introduced in modules, both physical and technical, at schools, religious centers, business

centers, and youth internet cafés / clubs to meet youth "where they are" (and where they want to be), as

well as at central sites identified for the establishment and expansion of these interconnected modules. The

healthy youth initiative will include monitoring and evaluation to track reduced HIV prevalence among youth,

behavior change, increased financial security through job creation, and qualitative markers for positive

living. Project evolution and implementation will be thoroughly documented to provide a replicable model.

Youth will be engaged at all levels of developing, implementing, and assessing the initiative with appropriate

involvement of experts and adults in the various areas.

A Program Management Center (PMC) will be established in Nairobi to manage the development of this

initiative and coordinate the financial, in-kind, creative, and other inputs from partners with the needs of

program implementers. FY 2008 funding for the healthy youth initiative will support both the PMC and direct

program implementation.

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 other sites in Kitengela, Kajiado Township, Wote and

Ikutha already identified as underserved.

• $50,000 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 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 30,000 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. HWW will also initiate activities under the Healthy Youth

project initiative (HYPE).

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

During the FY 2008 project period, a total of 30,000 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.

This activitiy requires early funding: $10,000

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Blood Safety implemented by National Blood Transfusion Service (NBTS)

(#) American Association of Blood Banks (AABB) (#), Internews (#), and HC&M (#).

2. ACTIVITY DESCRIPTION

Hope World Wide Kenya (HWWK) mobilizes voluntary non remunerated blood donors for the national Blood

transfusion service from community and faith based organizations. Through this activity HWWK will

disseminate messages for HIV prevention through health living, abstinence, faithfulness in sexual

relationships and where appropriate condom use (ABC) to potential blood donors. Blood donor mobilizers

(50) will be trained to deliver these messages to 100,000 potential blood donors aged 16 - 65 years. It is

estimated that only one in four potential blood donors approached actually become blood donors. This

implies that to obtain 120,000 blood units in 2006, about 480,000 persons may have heard a pre-donation

talk. This activity aims to ensure that HIV prevention healthy living / ABC messages are given at all pre-

donation talks through the development of appropriate messages and training of blood donor mobilizers in

the use of ABC messages for HIV prevention. This will promote awareness of HIV prevention strategies

even for persons who do not donate blood. HWWK is a longtime PEPFAR partner for implementation of

Prevention, counseling and testing who has exhibited significant success in serving hard to reach

populations through innovative approaches such as ‘moonlight VCT'. HWWK will build on lessons learnt

from the prevention and CT programs to implement HIV prevention amongst blood donors. This funding will

be used to provide a standard combined package of donor mobilization and ABC messages for HIV

prevention, training, improvement of community mobilization activities, and referral for counseling and

testing whenever appropriate. This activity will expand existing blood safety programs by Hope Worldwide

Kenya (HWWK) funded as a sub grant of the NBTS Track 1 cooperative agreement. This funding will also

enable HWWK to pursue the "Celebrities for Blood Donation Campaign". The campaign draws in youthful

blood donors through use of local celebrities.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

The blood Safety program aims to increase its contribution towards averting new HIV/AIDS infections in

Kenya. This will be achieved through delivery of ABC messages during mobilization of blood donors

amongst high school students, out-of school youth and workers to encourage 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. This activity will train 50

individuals to provide HIV/AIDS programs that promote abstinence and/or being faithful amongst blood

donors. In addition 100,000 individuals will be reached with HIV/AIDS prevention/ blood mobilization

programs that will promote abstinence and/or being faithful. These activities are consistent with the Kenya 5

-Year Strategy which focuses on HIV prevention.

4. LINKS TO OTHER ACTIVITIES

The ABC activities will be linked to other HIV prevention activities including VCT campaigns and youth HIV

prevention programs implemented by HWWK. Volunteer blood donor mobilization promotes HIV prevention

by minimizing transfusion-related HIV infections estimated by World Health Organization to be 10% of all

HIV cases. All donors will be notified of their test results contributing to number of persons aware of their

HIV status and living positively.

5. POPULATIONS BEING TARGETED

Community based organizations, Faith based organizations and out-of-school youth form the main

populations that will be reached with ABC messages. 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.

6. EMPHASIS AREAS

Major emphasis in this program is HIV prevention with a minor emphasis on training.

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 revised (or expanded) to include expansion of the workplace program to

Kibwezi: Sisal Plantation and Kitengela: EPZ, Mavoko municipality;

+ Expansion of Men as Partners (MAP) programs to the non-military uniformed services nation-wide;

+ MAP training in Kajiado and Eldoret will focus on Gender and Female Genital Cutting as mitigating factors

in the prevention of HIV

+ Prevention with positives to be a main focus of community activities.

+ $28,000 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 (#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 300 people to implement activities focused on sexual risk reduction, and 40

condom outlets will be supported. 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 2008 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.

3,000 STI clients will receive treatment through three project sites. 300 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. 40 condom outlets will

be supported.

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.

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 the entire transport corridor from the costal town of

Mombasa to Busia near the border with Uganda. HWWK provides mobile VCT services to these

populations including Moonlight VCT. This expansion includes opening up of new sites in the vicinity of the

northern corridor, such as in Eldoret and in Makindu.

+ the target population has been expanded to include people living in the informal settlements, especially in

parts of Rift Valley. Moonlight VCT services target female sex workers and their clients along the highway,

matatu drivers and turn-boys and communities that are adjacent to the highway "hot spots".

+ HWWK will make a concerted effort in FY 08 to meet the needs of the communities surrounding fixed VCT

centers by offering home-based CT services to these communities. They will continue providing other

prevention and care services such as Family Planning integration, STI treatment services, prevention with

positives and counselor-assisted disclosure.

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 FY08 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 2008, these programs will be expanded to 10 service

centers. Mobile and Moonlight VCT services will continue to 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 2008, HWW expects to train an additional 50

counselors and increase the number of individuals provided with CT to 50,000. 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 2008 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

Activity Narrative: 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.