Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 441
Country/Region: Kenya
Year: 2008
Main Partner: Academy for Educational Development
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $8,670,000

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $800,000

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:

+ 60,000 people with prevention messages: 20,000 disabled, 20,000 college students and 20,000 high

school students reached by new partners to be identified. 300 peer educators will be trained in HIV/AIDS

issues.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in HVOP (#), HVCT (#) and Palliative Care: Basic Health Care and Support

HBHC (#).

2. ACTIVITY DESCRIPTION.

Capable Partners is a project of AED that acts as an umbrella organization in Kenya. This activity will

contribute to the 2008 targets by implementing a community outreach program that will reach 60,000 people

with prevention messages: 20,000 disabled, 20,000 college students and 20,000 high school students

reached by new partners to be identified. 300 peer educators will be trained in HIV/AIDS issues.

One of their grantees is Handicap International (HI) who will be sub-granting to a number of organizations

working with disabled Kenyans to promote access to HIV/AIDS information. As in most developing

countries, the situation of disabled persons in Kenya is alarming. Many live a life of discrimination, negative

attitudes and exclusion from the mainstream community activities with no access to information or other

basic necessities. Parallel to this is ignorance of the sexuality of the disabled; quite often it is assumed that

disabled people are incapable of having sex or sexual relationships. In all cases, the abuse and

marginalization they suffer combined with the inaccessibility to information and resources, predispose them

to HIV/AIDS. Compounding the problem of vulnerability to HIV exposure is the challenge of communicating

messages about HIV/AIDS. Low literacy rates among disabled individuals and disadvantages in accessing

radio and/or television messages for the deaf and the blind present real challenges to prevention efforts.

Through eight organizations working specifically with people with disabilities, the program will reduce their

risk of acquiring HIV/AIDS by promoting accessibility to HIV/AIDS information and education, developing

appropriate communication materials for the various types of disabilities (the project therefore aims to

translate existing HIV/AIDS information, including information, education and communication materials

produced by National AIDS and STI Control Program into formats such as braille, large print, sign language

etc.); and promoting behavior change among youth with disabilities.

100 peer educators (disabled youth themselves) will be trained in HIV/AIDS issues to reach 20,000. The

peer educators will be expected to assist others to build self-esteem by enabling disabled people to

understand their rights and measures to protect themselves from abuse or unsafe sex and other risky

behaviors that could predispose them to HIV/AIDS. On visiting a VCT centre, a disabled person should

have equal access to testing and advice. They should be able to fully communicate their concerns as well

as understand the advice and support given. This will be made possible by training VCT counselors on the

needs of persons with disabilities and training deaf people to provide VCT services for the deaf. The project

also aims to develop awareness among family members and the community that they have a duty to protect

disabled people from sexual exploitation and to ensure perpetrators face legal action.

The activity includes continuing support to the following sub-recipients for activities integral to this program:

United Disabled Persons of Kenya, Blind and Low Vision Network, Dandora Deaf Self-Help Group, Kenya

Disability Action Network, Kenya Society for the Mentally Handicapped, Nairobi Family Support Services

and the Disabled Group of Trans Nzoia.

This activity will also support a highly successful outreach program focusing on services for street children

operated by Wema Center in Mombasa. Street children lifestyles are characterized by continued

marginalization from basic services and support such as lack of food, proper shelter, education, health care,

parental care and guidance. These children and street youth suffer from a multiplicity of socio-economic

problems that inevitably lead to desperation and anti-social behavior. They constantly encounter sexual

abuse and drug addiction as the most prevalent problems. These problems are caused by widespread

poverty, both in rural and urban areas, domestic violence, retrogressive socio-cultural beliefs and practices

and the far-reaching negative impact of HIV/AIDS on poor families. Young girls are particularly sexually

vulnerable, while boys are more likely to go into crime and drug abuse. With 2007 funds, Wema Center will

scale up services to reach more children and provide additional services in Mombasa in addition to

expanding services in Nairobi and Kisumu. The focus of activities in 2008 will be to consolidate this

expansion.

This activity will build on the work being undertaken by I Choose Life. In 2007 CAP is working with ICL to

develop parameters and pilot Youth Empowerment Centers (YEC) in 2 tertiary institutions: Kenyatta

University and National Youth Service in Nairobi,. In 2008 CAP will support ICL to build on the activities in

the YECs in Eldoret Polytechnic and Egerton University to reach significant numbers of the campus

communities with prevention messages. ICL will train 100 peer educators to reach 20,000 youth

Finally, the activity will also support abstinence and be faithful prevention activities carried out Students

Campaign Against Drugs (SCAD) in Nairobi. By integrating HIV prevention messages in anti-drug clubs in

high schools, SCAD will provide information to high school students through training a further 100 peer

educators.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This activity will address some marginalized populations including the disabled and substance-abusers but

will also focus on youth, a primary target population identified in the country strategy.

4. LINKS TO OTHER ACTIVITIES

This activity is linked to the AED/Capable Partners/ Handicap International activities in HVOP (#), HVCT (#),

and HBHC (#). These activities will strengthen those described in this narrative by providing additional

support in material design, outreach, VCT and IEC activities.

Activity Narrative: 5. POPULATIONS BEING TARGETED

The project expects to target a variety of populations with different interventions, particularly disabled youth.

6. KEY LEGISLATIVE ISSUES ADDRESSED

At the moment, little is being done to provide access for the disabled to services on HIV/AIDS, reproductive

health and sexuality. Gender will also be addressed due to a rise in gender-based violence Almost 90% of

violence is sexual in nature. Service providers will be on the look-out for victims of such violence and

appropriate services will be offered to them promptly to avoid complications that may arise. In all project

activities, equity will also be a key focus. Female youth and disabled women in general will be provided with

more access to services. The aim of this will be to provide ‘more at risk' segments of the population with

adequate information for prevention and also care and support as access may have been compromised

because of their condition.

7. EMPHASIS AREAS

The major area of emphasis is capacity building and training. The project will train 300 individuals to

promote prevention behaviors. Peer educators (incl. high school students, university students and disabled

youth themselves) will be trained in HIV/AIDS issues. VCT counselors will be trained on the needs of

persons with disabilities and training a deaf person in counseling to be able to provide VCT services to the

deaf. A minor emphasis is on community mobilization/participation and policy and guidelines through the

development of awareness among family members and the community that they have a duty to protect

disabled people from sexual exploitation and to ensure perpetrators face legal action.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $1,820,000

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:

+ Four new partners addressing substance-abuse will be identified during 2008

+ 75,000 people reached with community outreach promoting HIV prevention.

+ 500 individuals will be trained to promote HIV/AIDS prevention through comprehensive programming.

+ 30 condom outlets will be made available at VCT sites targeting different populations

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in HVOP (#) and HVCT (#).

2. ACTIVITY DESCRIPTION

This activity will reach 75,000 people with community outreach promoting HIV prevention. 500 individuals

will be trained to promote HIV/AIDS prevention, and 30 condom outlets will be made available. Handicap

International (HI) will be sub-granting to a number of organizations working with Persons with Disabilities to

promote access to HIV/AIDS information. As in most developing countries, the situation of disabled persons

in Kenya is alarming. Many live a life of discrimination, negative attitudes and exclusion from the

mainstream community activities with no access to information or other basic necessities. Compounding the

problem of vulnerability to HIV exposure is the challenge of communicating messages about HIV/AIDS. Low

literacy rates among disabled individuals and disadvantages in accessing radio and/or television messages

for the deaf and the blind present real challenges to prevention efforts. Eight organizations working

specifically with people with disabilities will reduce their risk of acquiring HIV/AIDS by promoting

accessibility to HIV/AIDS information and education, developing appropriate communication materials for

the various types of disabilities (formats such as braille, large print, sign language); and promoting behavior

change among youth. 300 peer educators (disabled youth themselves) will be trained in HIV/AIDS issues.

The peer educators will be expected to assist others to build self-esteem by enabling them to understand

their rights to protect themselves from abuse or unsafe sex and other risky behaviors that could predispose

them to HIV/AIDS. A disabled person should have equal access to HIV testing and advice. This will be

made possible by training VCT counselors on the needs of persons with disabilities including the deaf. They

will develop awareness among family members and the community of the duty to protect disabled people

from sexual exploitation and to ensure perpetrators face legal action. Support continues to the following sub

-recipients for activities integral to this program: United Disabled Persons of Kenya, Blind and Low Vision

Network, Dandora Deaf Self-Help Group, Kenya Disability Action Network, Kenya Society for the Mentally

Handicapped, Nairobi Family Support Services and the Disabled Group of Trans Nzoia. Substance abuse is

acknowledged as a major factor contributing to the spread of HIV. There are two main possible

associations. First, individuals using drugs and alcohol may lose inhibition, leading them to indulge in risky

sexual behavior that exposes them to HIV/AIDS infection. Second, injection drug users (IDUs) expose

themselves to HIV/AIDS through direct blood-to-blood transmission. Comprehensive HIV/AIDS-prevention

programs may help drug and alcohol users to stop using drugs and alcohol, change their behavior and

reduce their risks of acquiring or transmitting HIV/AIDS. In Kenya, there is a growing body of evidence that

supports the need to address issues related to drug and alcohol use and HIV prevention. Recent studies

have shown that there is increasing use of illicit drugs, including heroin, marijuana, and khat, and according

to research by the Kenya Medical Research Institute, alcohol now affects 70 percent of Kenyan families.

Despite this, access to substance abuse and HIV/AIDS-prevention services remains limited. Through the

Capable Partners Program Kenya (CAP Kenya) this activity will strengthen the organizational and technical

capacities of Kenyan organizations implementing programs that prevent the spread of HIV/AIDS among

drug and alcohol users. CAP Kenya will continue to provide grant funding and intensive technical assistance

to eight organizations who will be implementing programs that decrease specific behaviors associated with

drug and alcohol use. 200 members of these organizations will be trained. Organizations that focus on the

following types of interventions will be targeted: 1) Outpatient treatment services 2) Transitional services

between treatment and the community 3) Prevention/risk reduction services, and 4) Skill-based addictions

training for existing and new addictions counselors in both out-patient and in-patient addictions-treatment

facilities. Related partners include the following: Reachout Center Trust (Mombasa), Asumbi (Nairobi), The

Omari Program (Malindi and Lamu), Kenya Urban Apostolate Program (Kisumu), Tuungane (Impact

Research and Development Organisation) (Kisumu), The Redhill Center (Limuru), Family Health Options of

Kenya (Kisumu and Nakuru),SAPTA (Support for Addiction Prevention and Treatment for Africa) (Nairobi).

This activity will also support a highly successful outreach program focusing on services for street children

operated by Wema Center in Mombasa. Street children lifestyles are characterized by continued

marginalization from basic services and support such as lack of food, proper shelter, education, health care,

parental care and guidance. These children and street youth suffer from a multiplicity of socio-economic

problems that inevitably lead to desperation and anti-social behavior. They constantly encounter sexual

abuse and drug addiction as the most prevalent problems. These problems are caused by widespread

poverty, both in rural and urban areas, domestic violence, retrogressive socio-cultural beliefs and practices

and the far-reaching negative impact of HIV/AIDS on poor families. Young girls are particularly sexually

vulnerable, while boys are more likely to go into crime and drug abuse. With 2007 funds, Wema Center will

scale up services to reach more children and provide additional services in Mombasa in addition to

expanding services in Thika and Kisumu. The focus of activities in 2008 will be to consolidate this

expansion. The activity will also support prevention activities carried out by I Choose Life (ICL). In 2007

CAP worked with ICL to develop parameters and pilot Youth Empowerment Centers (YEC) in two tertiary

institutions: Kenyatta University and National Youth Service in Nairobi,. In 2008 CAP will support ICL to

build on the activities in the existing YECs and in two additional tertiary institutions; Eldoret Polytechnic and

Egerton University to reach significant numbers of the campus communities with prevention messages.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This activity will address some marginalized populations including the disabled and substance-abusers but

will also focus on youth, a primary target population identified in the country strategy.

4. LINKS TO OTHER ACTIVITIES

This activity is linked to the AED/Capable Partners/ Handicap International, WEMA and I Choose Life

activities in HVOP (#) and HVCT (#). These activities will strengthen those described in this narrative by

providing additional support in material design, outreach, VCT and IEC activities.

5. POPULATIONS BEING TARGETED

Activity Narrative: The project expects to target a variety of populations with different interventions, particularly disabled youth,

sexually abused young women and substance-abusers.

6. KEY LEGISLATIVE ISSUES ADDRESSED

At the moment, little is being done to provide access for the disabled to services on HIV/AIDS, reproductive

health and sexuality. Gender will also be addressed due to a rise in gender-based violence. Almost 90% of

violence is sexual in nature. Service providers will be on the look-out for victims of such violence and

appropriate services will be offered to them promptly to avoid complications that may arise. In all project

activities, equity will also be a key focus. Female youth and disabled women in general will be provided with

more access to services.The aim of this will be to provide ‘more at risk' segments of the population with

adequate information for prevention and also care and support as access may have been compromised

because of their condition.

7. EMPHASIS AREAS

The major area of emphasis is capacity building and training. The project will train 500 individuals to

promote prevention behaviors. Peer educators (disabled youth themselves) will be trained in HIV/AIDS

issues. VCT counselors will be trained on the needs of persons with disabilities and training a deaf person

in counseling to be able to provide VCT services to the deaf. A minor emphasis is on community

mobilization/participation and policy and guidelines through the development of awareness among family

members and the community that they have a duty to protect disabled people from sexual exploitation and

to ensure perpetrators face legal action.

Funding for Care: Adult Care and Support (HBHC): $450,000

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

REFERENCES TO TARGETS AND BUDGETS.

1. LIST OF RELATED ACTIVITIES

This relates to Capable Partners activities in Other Prevention (#6830), OVC (#6831), AB (#6832) and CT

(6829).

2. ACTIVITY DESCRIPTION

Capable Partners will support two agencies in Basic Health Care and Support. First, Handicap International

will continue to support the Kitale AIDS Program, building on an effective existing program to provide a

basic package of treatment services, including diagnosis and management of opportunistic infections. The

program will continue to develop referral linkages to programs providing antiretroviral treatment primarily at

4 rural AIDS clinics. Health workers in West Pokot will be trained in the management of opportunistic

infections, sensitization workshops will be held for health facility staff, home-based care providers will be

trained in adherence counseling and 60 volunteers providing HBC and ART adherence support will be

supervised. Handicap will also continue to reinforce the capacity for the management of HIV/AIDS patients

in 6 health centers. These activities will contribute to the provision of a basic package of services to people

with HIV/AIDS, strengthened integration of prevention and treatment services, and strengthening of

networks for HIV care services.

Second, Nazareth Hospital will increase community-based support services to the PLWHAs already enlisted

for support through the ART program and their families. Family-based caregivers drawn from the clients

households will be trained and equipped with information on home-based care, end-of-life care and support,

and responding to the needs of the patients. More emphasis will be placed on supporting OVC and their

carers and 2007 Nazareth will develop a program for more comprehensive community based care for these

children. The nutrition support program for PLWHAs will be scaled up from the existing 350 patients to 400.

Nazareth will address the issue of ART adherence by working with Redhill Centre and other organizations in

the locality to provide rehabilitation and support services for PLWHAs who are alcohol abusers.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

In FY 2007 Handicap International proposes to train: 200 health workers in the management of treatment

for HIV/AIDS, sensitization and ART adherence procedures. Counseling will be provided to 2,500

individuals with HIV. Nazareth will help a total of 200 PLWHA to form support groups and provide

opportunities for its patients on ART to reintegrate into the community. Nazareth Hospital will establish and

equip 5 new PLWHA support groups and continue supporting 5 existing support groups in the community

for income generating activities. 400 people with HIV/AIDS will receive basic community-based support,

including multivitamins, and those who are malnourished will receive nutritional supplementation. In FY

2008 over 2,000 PLWHAs will be receiving ART. In FY 2008, the 250 households with PLWHAs will be

targeted in the provision of skills for care, support and psychosocial support of the PLWHA.

4. LINKS TO OTHER ACTIVITIES

This activity will link with Indiana University's program with Kitale District Hospital in PMCT (#6898).

5. POPULATIONS BEING TARGETED

The populations being targeted include Caregivers (of PLWHA and OVC) including public health workers,

Orphans and Vulnerable Children and People living with HIV/AIDS. People Living with Disabilities are also a

primary target.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The key legislative issue addressed will be stigma and discrimination through the mainstreaming of

disability into HIV/AIDS policy papers in the country. At the moment little is being done to provide access to

this category of people to services on HIV/AIDS, reproductive health and sexuality. Gender will also be

addressed due to a rise in gender-based violence of which almost 90% are sexual in nature. Service

providers will be on the look-out for victims of such violence and appropriate services will be offered to them

promptly to avoid complications that may arise. In all the activities of the project equity will also be a key

focus. Female youth, women in general and PWDs will be provided with more access to services and

attention will also be given to them in order to bridge the gap between them and the other members of the

society on matters related to the project objectives. The aim of this will be to provide these ‘more at risk'

segments of the population with adequate information for prevention purpose and also care and support as

access may have been compromised because of their condition. A final legislative area is a Wrap Around

for Microfinance/Micro-credit due to the establishment and equipping of 10 PLWHA support groups in the

community for income generating activities.

7. EMPHASIS AREAS

The major area of emphasis is Local Organization Capacity Development with minor emphasis areas in

Development of Network/Linkages/Referral Systems due to the linking of ART with community and

development initiatives. Other minor emphasis in Linkages With Other Sectors and Initiatives (through

prevention-based activities like VCT, Behavior Change Communication and community education),

Community Mobilization/Participation and training.

Funding for Care: Orphans and Vulnerable Children (HKID): $4,300,000

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

REFERENCES TO TARGETS AND BUDGETS.

Other changes since approval in COP 2007:

+AED/Capable Partners is funded to convene the participating sites of the Muangalizi initiative (University of

Washington, Eastern Deanery AIDS Relief Program, New York University, TBD/Moi University School of

Medicine, and KEMRI/South Rift Valley) on a quarterly basis and to develop and monitor standard

indicators. As Capable Partners also serves as an umbrella organization funding nearly 50 grassroots

organizations (many of them OVC programs), they will help the sites develop referral links to needed

community support services. Finally, they will secure contracted legal/ethical, child psychology/psychiatry

and other consulting services to be made available to all sites during the course of the one-year

development phase of the initiative.

1. LIST OF RELATED ACTIVITIES

This relates to Capable Partners activities in Other Prevention (#6830), Palliative Care (#6827), AB (#6832)

and CT (#6829).

2. ACTIVITY DESCRIPTION

USAID placed support to organizations under an umbrella grant mechanism, the Capable Partners Program

(CAP) implemented by the Academy for Educational Development (AED). The Capable Partners Program is

designed to strengthen the organizational capacity and sustainability of NGOs, NGO networks, intermediate

support organizations (ISOs) and coalitions. In Kenya, the Capable Partners Program strengthens the

organizational and technical capacity of organizations working at the community level with HIV/AIDS-

affected orphans and vulnerable children, organizations working more broadly to address HIV/AIDS in

Kenya and NGOs in other sectors that plan to introduce an HIV/AIDS component into their work. The

program manages grant funds to organizations that have been selected through competitive processes.

AED's experience in grants management has shown that a grant program is most effective when technical

and institutional capacity building are incorporated in the grant-making process. With FY 2007 PEPFAR

funds, the Capable Partners Program supported between 35 and 40 partners delivering services to OVC. In

FY 2008 the Capable Partners Program will continue to support the same number of partners. Having

worked with many of these organizations for a number of years, the focus in FY 2008 will be to scale up

their activities to reach more OVC with quality services. It is anticipated that most organizations will have

developed the capacity to manage larger grants. All activities are planned within the scope of the national

program guidelines on OVCs with a focus on the programming principles and strategies in the priority areas

of intervention. In particular, the government's OVC guidelines will be followed, as well as all other pertinent

guidelines issued by the Ministry of Home Affairs and the National AIDS Control Council. This activity

includes support to the following sub-recipients for activities integral to the program: - ACE Africa; Beacon of

Hope; Child Welfare Society of Kenya; Church World Services; Community Asset Building and

Development Action; Community Livelihood Development Forum (COLIDEF); CREADIS; Health Education

Africa Resource Team (HEART); Helpage International; Homeless Children Intl.; Hope Valley Family

Institute (HVFI); Hope Worldwide; KENWA; Kenya Basic Support Foundation; Makindu Children's Centre;

Neighbours in Action; Rafiki wa Maendeleo; RAPADO; Ripples International; SFIC; St Camillus Dala Kiye;

St Mary's Medical Centre, Kapsoya; Tesia Isanga Organisation; Tropical Institute for Community Health;

Twana Twitu; Wajir South Development Association (WASDA); WEM Integrated Health Services

(WEMIHS); Wema Center; Women and Youth Against AIDS and Poverty (WAYAAP); Youth Action for Rural

Development; New grants (6).

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

Activities that will be implemented under the Capable Partners Program will continue to support the National

Plan of Action for Orphans and Vulnerable Children. In FY 2008 CAP will work with each partner to expand

their coverage and reach at least 25% more OVC. CAP will assist all partners in the design and delivery of

quality programs consistent with national policies and initiatives for orphans and vulnerable children.

Through its partners, CAP will reach 40,000 OVC with care and support, and will train 10,000 providers and

caretakers of OVC.

4. LINKS TO OTHER ACTIVITIES

CAP has developed an excellent working relationship with the Department of Children's Services in the

Office of the Vice President and Ministry of Home Affairs. This will enable CAP to create linkages between

sub-recipients and children's officers in the districts in which projects are being implemented. At the

community level, organizations will be assisted to create and sustain linkages with other appropriate USG-

funded programs. These are programs that have interventions aimed at: strengthening community

mechanisms to cope with the impact of HIV/AIDS, prolonging the lives of and providing care and support to

PLWHAs, and linking with other programs providing and promoting Palliative Care: Basic Health Care and

Support (#6827), Abstinence and Be Faithful (#6832), Counseling and Testing (#6829) and Other

Prevention (#6830). This activity is linked to APHIA II's HBHC activity (#5285) for home based care

services, CT activity (#4190) for counseling and testing and ARV Services (#5367) for treatment.

5. POPULATIONS BEING TARGETED

This activity primarily targets orphans and vulnerable children, adolescents, particularly girls, as well as

young adults, caregivers and community-based and Faith-based organizations as well as NGOs.

6. KEY LEGISLATIVE ISSUES ADDRESSED

None

7. EMPHASIS AREAS

The major emphasis is Local Organization Capacity Development and the minor emphases are training,

and development of network/linkages/referral systems

Funding for Testing: HIV Testing and Counseling (HVCT): $500,000

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 and expanded to include regions where the Capable Partners

program is implementing OVC programs

+ the target population has been revised and expanded to include OVCs. The numbers of people counseled

and tested will include OVCs and disabled populations.

1. LIST OF RELATED ACTIVITIES

This activity relates to AED/Capable Partners activities in AB (#6832), OP (#6830), and OVC (#6831).

2. ACTIVITY DESCRIPTION

In 2008, this activity will provide counseling and testing services to 12,000 individuals through 6 outlets and

train 25 providers. Handicap International began operations in Kenya in 1992 and currently has 4 location

offices: Nairobi (Country office), Garissa, Kitale and Kakuma. The organization has developed two

integrated HIV/AIDS projects. In Kitale, Trans Nzoia district, the project includes prevention in the

communities, churches and schools, Voluntary Counseling and Testing (VCT), reinforcement of the care

network through government and faith-based partners, and support of people living with the virus and their

families using home based care, support groups and micro-credit. The Capable Partners program is

currently funding the youth-friendly VCT and Reproductive Health center called Chanuka, which means ‘get

smart'. Chanuka serves as a model VCT for reaching youth at risk and initiating behavior change. In FY

2007 the program will continue to use behavior change communication as a key strategy to sensitize the

youth on the dangers of HIV/AIDS and promote positive behavior in the context of HIV. The project aims to

increase the level of intervention by targeting both the youth in-school and the youth out-of-school.

Mobilization exercises will target the churches, schools, and tertiary institutions and youth groups and train

additional youth groups in each of the eight administrative divisions in Kitale district. The project will

continue encouraging the youth and other community members to go for HIV testing at the existing VCT

sites in the district. In order to reach communities and especially the youth in the remote areas of the district

who are unable to access fixed VCT centers, Handicap International will continue to provide a mobile VCT

service in Kitale district as well as West Pokot. A full mobile team comprising of trained VCT counselors will

be deployed for this purpose. To ensure quality, counselors will continue attending monthly supervision

meetings organized by the District AIDS and STI Coordination Office (DASCO) and according to the

requirements of NASCOP. Staff members will continue to attend external Quality Assurance workshops in

Nairobi as facilitated by Liverpool VCT and Care. In addition, 16 young people will be trained as VCT

counselors. The Chanuka Youth Centre will continue providing quality VCT service to youths with special

emphasis on the female youths. In FY 2006 Chanuka moved to new premises and in FY 2007 at least 270

youth will receive counseling and testing. Through another AED CAP Kenya project Chanuka will make

services accessible to youth with disability by bringing in specialists to provide appropriate counselors for

different disabled groups. Post-Test Clubs and Peer Educators Clubs will be established in West Pokot.

Chanuka will continue to produce and disseminate youth focused IEC materials for the out-of-school

population and an interactive magazine for the school-based populations. The activity will reach 6,000

individuals for counseling and testing (2500 Chanuka, 3500 mobile VCT), will train 16 individuals in CT, and

will fund CT services in one static site and five mobile sites.

3. CONTRIBUTION TO OVERALL PROGRAM AREA

This activity will contribute to the FY 2007 targets of number of individuals counseled and tested and

trained. Handicap International will contribute to the overall program area with six service outlets that

provide counseling and testing, 6,000 individuals will receive counseling and testing and 16 individuals will

be trained to provide VCT.

4. LINKS TO OTHER ACTIVITIES

This activity is linked to: AED-Capable Partners AB activity (#6837); AED-Capable Partners OP activity

(#6830); and AED-Capable Partners OVC activity (#6831). This activity will also be linked to treatment, care

and support activities in the regions of operation.

5. POPULATIONS BEING TARGETED

The main target population is Special Populations including 1) persons with different types of disabilities

(deaf, blind, mentally and the physically disabled) and 2) out-of-school youth. In the general population

parents and guardians will also be involved especially for the mentally challenged to support in providing

information and helping them access HIV services. Training will include public health workers in Sign

Language for VCT. Groups/Organizations include CBOs and NGOs.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The project will address issues of stigma reduction and discrimination, as it has been the major factor

hindering access to HIV services by PWDs. It will work to promote the rights of disabled people for equal

access to HIV/AIDS related prevention and intervention measures and to influence the Government policies

to be inclusive of needs of PWDs. Gender equity is also key in this project, as within the disability fraternity

issues of women with disabilities have not been well articulated and would therefore be put into

consideration in all activities. The Chanuka Youth Centre will continue providing quality VCT service to

youths with special emphasis on the female youths.

7. AREAS OF EMPHASIS A major area of emphasis is Training, including youth reproductive health and

sexuality training and the training of youth VCT counselors and training religious leaders as agents of

change in HIV/AIDS context. Three youth groups will also be trained in each of the eight administrative

divisions in Kitale district. Miinor area of emphasis will be in community mobilization/participation and the

develpment of network/linkages/referral systems.

Funding for Health Systems Strengthening (OHSS): $800,000

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

REFERENCES TO TARGETS AND BUDGETS.

1. LIST OF RELATED ACTIVITIES

This activity is linked to Capable Partners' work in the areas of Abstinence and Be Faithful (#6832), Other

Prevention (#6830), and Counseling and Testing (#6829). This activity also relates to other private public

partnerships in HVAB (#7052), HBHC (#8755), and HTXS (#8765).

2. EMPHASIS AREAS

The major emphasis area for this activity is improving systems for HIV/AIDS prevention.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This activity will enhance sustainability by emphasizing HIV/AIDS prevention and developing private sector

participation in prevention activities.

4. ACTIVITY DESCRIPTION

Capable Partners Program (CAP) implemented by the Academy for Educational Development will continue

supporting its partner ACE Communications. ACE Communications will continue the information

campaigns for discordant couples implemented in COP'07 ($100,000). It will initiate an activity to address

male circumcision ($200,000). The information campaign for discordant couples will use a mix of media

including radio, docu-drama video, calendars, billboards, pamphlets, community social events, and

educational seminars for community leaders. In 2008 ACE will continue to intensify the campaign in Bondo,

Rachuonyo and Suba districts and to develop sustained linkages with VCT and couples counseling

services. Communication programs through the local Luo language, however, have a reach beyond Bondo

district and will benefit 8 other districts of Nyanza and that of diaspora communities in Nairobi and Nakuru.

At the same time work will continue to develop linkages with government and other partners to ensure that

quality VCT, couples counseling and other follow-up services are available in these districts. ALSO, In

COP'08 ACE Communications will strengthen capacity for male circumcision services in 6 districts in the

southern part of Nyanza Province. Support will be provided to 40 MOH facilities in Nyanza province for

improving the quality of MC services. Support to improve MC services will be provided in district hospitals

and faith-based facilities. These will include renovations, equipment, and commodities as well as advocacy

and training among service providers. The advocacy work will focus on increasing the acceptability of male

circumcision as a preventive intervention. Advocacy efforts will target community leaders, particularly the

Luo Council of Elders. These will be pursued particularly where other PEPFAR-supported activities such as

VCT, care and treatment are provided.

For COP'08, CAP will continue supporting its partner, the Kenya HIV/AIDS Private Sector Business Council

(KHPSBC) ($300,000). KHPSBC will continue its assistance to SMEs in the a)provision of technical

assistance for HIV/AIDS-related workplace programs and policy development, b) training targeted

individuals as workplace HIV focal points for HIV-related policy development and training peer educators

and counselors to be agents of change in prevention, stigma and discrimination reduction; c) training

employees of targeted companies and equipping them with information and prevention messages to

promote behavior change and adoption of VCT as an entry into to care and treatment, and equipping them

with the skills for community mobilization for prevention; and d) production and distribution of relevant

training and institutional capacity building materials in HIV-related prevention, care and treatment. The

target SMEs will include the flower farms surrounding Lake Naivasha, other horticultural industries, and

other agricultural enterprises. This activity will support testing of cost sharing mechanism and arrangements

for payment of HIV/AIDS preventive services obtained from providers operating under public-private

partnerships. This payment mechanism will encourage public-private partnerships such as the Child and

Family Wellness Shops and the Gold Star Network.

Finally, CAP Kenya will also work with the Ministry of Youth Affairs to enable them to target tertiary

institutions including universities and polytechnics throughout the country with prevention, anti-crime and

substance abuse messages ($100,000). This will involve partner such as the university-based I Choose Life

to train 150 peer educators and teachers who will reach 20,000 youth and teachers.

5. LINKS TO OTHER ACTIVITIES

This activity is linked to Capable Partners' work in the areas of Abstinence and Be Faithful (#6832), Other

Prevention (#6830), and Counseling and Testing (#6829). This activity also relates to other private public

partnerships in HVAB (#7052), HBHC (#8755), and HTXS (#8765)

6. TARGETS

Number of local organizations provided with technical assistance for HIV-related policy development (Not

applicable)

Number of local organizations provided with technical assistance for HIV-related institutional capacity

building - 10

Number of individuals trained in HIV-related policy development (Not applicable)

Number of individuals trained in HIV-related institutional capacity building - 50

Number of individuals trained in HIV-related stigma and discrimination reduction (Not applicable)

Number of individuals trained in HIV-related community mobilization for prevention, care and/or treatment -

20,200

Subpartners Total: $100,000
Africa Focus: NA
Beacon of Hope: NA
Church World Service: NA
Mothers' Rural Care for AIDS Orphans: NA
Neighbors in Action: NA
Ripples International: NA
St. Camillus Dala Kiye Children Welfare Home: NA
Tropical Institute of Community Health and Development: NA
Makindu Children's Centre: NA
Handicap International: NA
Nazareth Hospital: NA
ACE Communications: NA
Kenya HIV/AIDS Private Sector Business Council: $100,000
Kenya Network of Women with AIDS: NA
Community Research in Environment and Development Initiatives: NA
Rural AIDS Prevention and Development Organization: NA
Child Welfare Society of Kenya: NA
Franciscan Sisters of the Immaculate Conception: NA
Twana Twitu: NA
Wema Centre: NA
Tropical Institute of Community Health and Development: NA
Health Education Africa Resource Team: NA
ACE Communications: NA
Community Development Action: NA
Help Age International: NA
St. Mary's Medical Center, Kapsoya: NA
Wajir South Development Association: NA
Hope Worldwide: NA
Asumbi Mission Hospital : NA
Reachout Centre Trust: NA
Impact Research and Development Organization: NA
I Choose Life: NA