Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3588
Country/Region: Kenya
Year: 2009
Main Partner: Population Services International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $12,882,560

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $200,000

ACTIVITY UNCHANGED FROM COP 2008:

1. LIST OF RELATED ACTIVITIES

This activity relates to activities implemented by APHIA II HCM in Abstinence and Being Faithful, Condoms

and Other Prevention, Blood Safety, and Counseling and Testing.

2. ACTIVITY DESCRIPTION

Health Communication and Marketing (HCM) is an integrated project, focused primarily (at least 75%) on

HIV/AIDS prevention care and treatment in support of other PEPFAR activities in Kenya. The purpose of

HCM is to improve health outcomes through increased prevention and other healthy behaviors. This will be

done through marketing and communications activities within the health sector. This activity will also build

the sustainability of local organizations to do this work. The objectives of this activity in HIV/AIDS are to: 1)

Improve the preventive behaviors of Kenyans related to HIV/AIDS, in particular increasing the percent of

men and women aged 15-24 abstaining from sex, promoting fidelity, partner reduction, the correct and

consistent use of condoms in high-risk sexual encounters, and the percent of men and women going for

VCT and receiving their test results (the "ABC" approach). 2) Improve service utilization rates for voluntary

counseling and testing (VCT), and prevention of mother to child transmission (PMTCT) of HIV. This includes

increasing the percentage of pregnant women who access PMTCT services including VCT and increasing

the number of Kenyans who use VCT services and receive their test results. 3) Build the capacity of local

institution(s) in Kenya's commercial, non-governmental, and/or faith-based sectors by working in

collaboration with them to develop and manage a cost-effective marketing, sales, and distribution network

that improves availability and access by key populations to products related to HIV/AIDS; develop and

manage a communications initiative to increase knowledge and change behavior of Kenyans with respect to

HIV/AIDS including interpersonal communication; and develop the management and technical capacity of

these organizations to manage and implement social marketing and communications programs. This

program will not issue sub awards but will pay suppliers of goods and services directly.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

In FY 2009, in PMCT, this partner will develop and disseminate communication messages/materials on

prevention of mother to child activities promoting testing of pregnant women in order to protect the unborn

child from HIV infection. This activity will also target People Living with HIV/AIDS (PLWHAs) and especially

HIV positive couples planning to have a baby. It is anticipated to promote counseling and testing services

and generate demand for PMCT services for both voluntary and provider initiated testing. They will reach

over 6 million people through mass media.

4. LINKS TO OTHER ACTIVITIES

This activity relates to activities in Abstinence and Being Faithful (APHIA II HCM), Other Prevention (APHIA

II HCM), Blood Safety (APHIA II HCM) and Counseling and Testing (APHIA II HCM) through promotion of

networking, referrals and linkages. The Health Communications and Marketing project is a national level

activity that will enforce messages through mass media and interpersonal communication developed in

collaboration with MOH/NASCOP PMCT committee at the national level and projects working at the

regional level. Both NASCOP and these provincial projects will "feed into" the development of population-

specific messages which will strengthen interventions implemented on the ground.

5. POPULATIONS BEING TARGETED

PMTCT messages will primarily focus on adults both male and female, public and private health providers

and NGOs and faith-based programs as well as policy makers.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Messages developed will address gender norms and behavior, increased male involvement in matters

considering the preservation of the family unit, and reduction of stigma and discrimination.

7. EMPHASIS AREAS

HCM is primarily a communications activity focusing on the development of information, education and

communication. However, they will also mobilize communities through interpersonal communication and

make linkages with other sectors for message development.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14979

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14979 4994.08 U.S. Agency for Population 6994 3588.08 APHIA II - $200,000

International Services Health

Development International Communication

& Marketing

7050 4994.07 U.S. Agency for Population 4289 3588.07 APHIA II - $200,000

International Services Health

Development International Communication

& Marketing

4994 4994.06 U.S. Agency for Population 3588 3588.06 APHIA II Health $200,000

International Services Communication

Development International and Marketing

Table 3.3.01:

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $3,306,751

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ This activity will incorporate $200,000 for HIV Free Generation activities targeting youth.

COP 2008

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

• $200,000 of this activity supports the healthy youth initiative and is programmed with funds from the $7

million FY 08 plus up;

• Expand the youth interpersonal program in schools and promote a new youth campaign that addresses

abstinence and behavior change.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Other Prevention (#8930), (#8932), (#8874), (#9040), (#8937), (#8927),

(#8942), Counseling and Testing (#8760), (#8776), (#8777), (#8778), (#8781), (#8782), (#8976), Prevention

of Mother-to-Child Transmission (#8729), (#8733), (#8734), (#8738), (#8752),(#8764), (#7087), HIV/AIDS

Treatment: ARV Services (#8765), (#8774), (#8792), (#8797), (#8805), (#8813), (#8826), (#6899) and

HIV/AIDS Treatment: ARV Drugs (#6997).

2. ACTIVITY DESCRIPTION

In 2009 HCM will develop at least two mass media campaigns and develop interpersonal communication

programs in schools that will reach 100,000 youth. APHIA II Health Communication and Marketing (HCM) is

an integrated project, focused primarily (at least 75%) on HIV/AIDS prevention, care and treatment in

support of other PEPFAR activities in Kenya. The purpose of the HCM award is to improve healthy

outcomes through increased prevention and other healthy behaviors. This will be done through marketing

and communications activities within the health sector. This activity will also build the sustainability of local

organizations to do this work. Through a Public-Private Partnership $200,000 will support the development

of a nationwide follow-on to the highly successful PEPFAR-funded "Nime Chill" youth abstinence campaign.

Discussion is underway to partner with the Coca Cola Foundation for this project, where Coca Cola would

contribute marketing expertise and its access to trucks, kiosks, and other physical structures to display the

abstinence message. The objectives of this activity in HIV/AIDS are to 1) improve the preventive behaviors

of Kenyans related to HIV/AIDS, in particular increasing the percent of men and women aged 15-24

abstaining from sex, promoting fidelity, partner reduction, the correct and consistent use of condoms in high

-risk sexual encounters, and the percentage of men and women going for VCT and receiving their test

results (the "ABC" approach); 2) improve service utilization rates for voluntary counseling and testing (VCT),

and prevention of mother to child transmission (PMTCT) of HIV. This includes increasing the percentage of

pregnant women who access PMTCT services including VCT and increasing the number of Kenyans who

use VCT services and receive their test results; 3) build the capacity of local institution(s) in Kenya's

commercial, non-governmental, and/or faith-based sectors by working in collaboration with them to develop

and manage a cost-effective marketing, sales and distribution network that improves availability and access

by key populations to products related to HIV/AIDS; 4) develop and manage a communications initiative to

increase knowledge and change behavior of Kenyans with respect to HIV/AIDS including interpersonal

communication; and 5) develop the management and technical capacity of these organizations to manage

and implement social marketing and communications programs.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

In 2009, in AB, this partner will develop and disseminate communication messages/materials on abstinence

for youth and build on programs in the education sector targeting in-school youth. It will also promote

messages on secondary virginity and the importance of faithfulness within marriage. This activity will

generate demand for information about abstinence and being faithful, which will be followed up with

interpersonal communication activities.

4. LINKS TO OTHER ACTIVITIES

The Health Communications and Marketing project is a national level activity that will enforce messages

through mass media communication developed in collaboration with projects working at the regional level.

These projects will "feed into" the development of population-specific messages which will strengthen peer

education interventions implemented on the ground.

5. POPULATIONS BEING TARGETED

AB messages will primarily focus on 10-14 year olds, both in- and out-of-school; youth of reproductive age

and teachers, but also adult members of the general population.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Messages developed will address gender norms and behavior, stigma and discrimination.

7. EMPHASIS AREAS

APHIA II HCM is primarily a communications activity focusing on the development of information, education

and communication. However, they will also mobilize communities through interpersonal communication,

make linkages with other sectors for message development (e.g. CT, PMTCT), collaborate with the

education sector, and train individuals in message development and communication. The purpose of the

HCM award is to improve health outcomes through increased prevention and other healthy behaviors. This

will be done through marketing and communications activities within the health sector. This activity will also

build the sustainability of local organizations to do this work. In collaboration with the Ministry of Health, PSI

will also promote medical male circumcision as a proven intervention to reduce transmission of HIV.

Information about abstinence and being faithful will be shared with those who volunteer to undergo

circumcision.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14980

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14980 5090.08 U.S. Agency for Population 6994 3588.08 APHIA II - $4,210,650

International Services Health

Development International Communication

& Marketing

7052 5090.07 U.S. Agency for Population 4289 3588.07 APHIA II - $2,360,000

International Services Health

Development International Communication

& Marketing

5090 5090.06 U.S. Agency for Population 3588 3588.06 APHIA II Health $700,000

International Services Communication

Development International and Marketing

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Reducing violence and coercion

Workplace Programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $1,875,809

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ HCM will implement a mass media campaign addressing self efficacy.

+ HCM will implement a mass media campaign addressing condom use in regular relationships.

+ HCM will implement IPC activities reaching 150,000 high risk groups with self efficacy messages.

+ This activity will incorporate $300,000 for HIV Free Generation activities focusing on youth.

COP 2008

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

•HCM will develop at least 2 mass media campaigns that address high risk behavior such as alcohol abuse

and trusted partner and condom use. HCM will develop interpersonal communication activities that will

reach 500,000 individuals and train 1,000 individuals in HIV prevention activities.

•HCM will continue promotion of male circumcision as an effective preventive intervention.

•HCM will also spend $200,000 to implement the "Healthy Youth Programs Initiative" also known as Hype.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Abstinence and Being Faithful (#8950), (#8725), (#8731), (#9070),

(#9074), (#8994), (#8989), Condoms and Other Prevention Activities (#8930), (#8932), (#8874), (#9040),

(#8937), (#8927), (#8942), Counseling and Testing (#8781), (#8782), (#8976), (#8776), (#8778), (#8777),

(#8760), and Prevention of Mother-to-Child Transmission (#8764), (#8752), (#8729), (#8733), (#7087),

(#8738), (#8734). It also relates to HIV/AIDS Treatment: ARV Services (#6899) and HIV/AIDS Treatment:

ARV Drugs (#6969).

2. ACTIVITY DESCRIPTION

In 2009 HCM will develop at least 2 mass media campaigns that address self efficacy and condom use in

regular relationships. HCM will develop interpersonal communication activities that will reach 150,000

individuals and distribute condoms through 58,619 outlets. Health Communication and Marketing (HCM) is

an integrated project, focused primarily (at least 75%) on HIV/AIDS prevention care and treatment in

support of other PEPFAR activities in Kenya. The purpose of the HCM award is to improve health outcomes

through increased prevention and other healthy behaviors. This will be done through marketing and

communications activities within the health sector. This activity will also build the sustainability of local

organizations to do this work. The objectives of this activity in HIV/AIDS are to 1) Improve the preventive

behaviors of Kenyans related to HIV/AIDS, in particular increasing the percent of men and women aged 15

to 24 abstaining from sex, promoting fidelity, partner reduction, the correct and consistent use of condoms

in high-risk sexual encounters, and the percent of men and women going for voluntary counseling and

testing (VCT) and receiving their test results (the "ABC" approach); 2) Improve service utilization rates for

VCT, and prevention of mother to child transmission (PMTCT) of HIV. This includes increasing the

percentage of pregnant women who access PMTCT services, including VCT, and increasing the number of

Kenyans who use VCT services and receive their test results; 3) Build the capacity of local institution(s) in

Kenya's commercial, non-governmental, and/or faith-based sectors by working in collaboration with them to

develop and manage a cost-effective marketing, sales, and distribution network that improves availability

and access by key populations to products related to HIV/AIDS; develop and manage a communications

initiative to increase knowledge and change behavior of Kenyans with respect to HIV/AIDS including

interpersonal communication; and develop the management and technical capacity of these organizations

to manage and implement social marketing and communications programs. This activity will support 58,619

condom outlets nationwide, e.g. in hotels, kiosks, bars and other public places.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

In FY 2009, in OP, this partner will develop and disseminate communication messages/materials on

condoms and other prevention targeting over-14 year old youth and high-risk populations. It will also

promote messages on abstinence and the importance of faithfulness within marriage to approximately

500,000 members of the target population. This activity will generate demand for information about

condoms and other prevention interventions, however as there will not be outreach activities, these targets

do not apply.

4. LINKS TO OTHER ACTIVITIES

The Health Communications and Marketing project is a national level activity that will enforce messages

through mass media and interpersonal communication developed in collaboration with projects working at

the regional level. These projects will "feed into" the development of population-specific messages which

will strengthen peer education interventions implemented on the ground.

5. POPULATIONS BEING TARGETED

OP messages will primarily focus on over 14 year olds, adults and high-risk populations such as substance-

abusers and street youth.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Messages developed will address gender norms and behavior, stigma and discrimination.

7. EMPHASIS AREAS

HCM is primarily a communications activity focusing on the development of information, education and

communication. However, they will also mobilize communities through interpersonal communication, make

linkages with other sectors for message development (e.g. CT, PMTCT), and train individuals in message

development and communication.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14982

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14982 5006.08 U.S. Agency for Population 6994 3588.08 APHIA II - $2,389,350

International Services Health

Development International Communication

& Marketing

7051 5006.07 U.S. Agency for Population 4289 3588.07 APHIA II - $1,185,000

International Services Health

Development International Communication

& Marketing

5006 5006.06 U.S. Agency for Population 3588 3588.06 APHIA II Health $1,400,000

International Services Communication

Development International and Marketing

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

Health-related Wraparound Programs

* Child Survival Activities

* Family Planning

* Malaria (PMI)

* Safe Motherhood

* TB

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Biomedical Prevention: Blood Safety (HMBL): $300,000

ACTIVITY UNCHANGED FROM COP 2008

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Abstinence and Being Faithful (#7052), Other Prevention (#7051), PMCT

(#7050), and Counseling and Testing (#7049).

2. ACTIVITY DESCRIPTION

Health Communication and Marketing (HCM) is an integrated project, focused primarily (at least 75%) on

HIV/AIDS prevention care and treatment in support of other PEPFAR activities in Kenya. The purpose of the

HCM award is to improve health outcomes through increased prevention and other healthy behaviors. This

will be done through marketing and communications activities within the health sector. This activity will also

build the sustainability of local organizations to do this work. The objectives of this activity in the blood

Safety program are i) Develop appropriate IEC packages for internal and external customers of the NBTS

including blood donors, user hospitals and blood bank personnel. Blood donor mobilization material will be

revised to incorporate messages for prevention of HIV through abstinence, faithfulness and where

appropriate, condom use. ii) Build the capacity of local institution(s) in Kenya's commercial, non-

governmental, and/or faith-based sectors by working in collaboration with them to develop and manage a

cost-effective marketing, sales, and distribution network that improves availability and access by key

populations to products related to blood donor mobilization and appropriate blood use and develop the

management and technical capacity of these organizations to manage and implement social marketing and

communications programs. iii) Develop brand identity for the National Blood Transfusion service (NBTS).

iv) Develop appropriate donor recognition materials. v) Increase altruistic regular blood donation among

Kenyans. This activity will not provide any sub awards.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

In FY07, in Blood safety, this partner will develop and disseminate communication messages/materials

targeting the general population and promoting blood donation to save lives. It will also promote messages

to encourage blood donors to join blood donor clubs. This activity will contribute indirectly to reduce HIV

transmission through blood transfusion.

4. LINKS TO OTHER ACTIVITIES

The Health Communications and Marketing project is a national level activity that will enforce messages

through mass media and interpersonal communication developed in collaboration with the National Blood

Transfusion Services and regional blood transfusion centers. These projects will "feed into" the

development of population-specific messages which will strengthen blood donation and utilization activities

implemented on the ground.

5. POPULATIONS BEING TARGETED

Blood Safety messages will primarily focus on the general population, In- and out-of-school youth; youth of

reproductive age and teachers.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Messages developed will address stigma and discrimination.

7. EMPHASIS AREAS

HCM is primarily a communications activity focusing on the development of information, education and

communication. However, they will also mobilize communities through interpersonal communication, make

linkages with other sectors for message development (e.g. CT, PMTCT), and train individuals in message

development and communication.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14981

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14981 8804.08 U.S. Agency for Population 6994 3588.08 APHIA II - $240,000

International Services Health

Development International Communication

& Marketing

8804 8804.07 U.S. Agency for Population 4289 3588.07 APHIA II - $350,000

International Services Health

Development International Communication

& Marketing

Emphasis Areas

Gender

* Addressing male norms and behaviors

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.04:

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $100,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ the activity description has been expanded to include specific information on activities.

COP 2008

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

+In this program area, the APHIA Health Communication and Marketing activity will work to broaden cultural

acceptance of medical male circumcision as a prevention intervention to reduce the risk of HIV

transmission. This will be done through media campaigns as well as interpersonal communication.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in abstinence/be faithful (#8989), condoms and other prevention (#8942),

counseling and testing, and adult care and treatment (#9059).

2. ACTIVITY DESCRIPTION

Health Communication and Marketing (HCM), in collaboration with the Ministry of Health, APHIA II regional

partners, and other non-governmental and private sector stakeholders will, in support of the Ministry's Male

Circumcision (MC) strategy, implement communication activities geared towards promoting safe

circumcision for uncircumcised males in Kenya. Specifically, PSI will: 1) Support the Division of Health

Promotion (DHP) in implementing an advocacy and PR initiative aimed at creating an enabling environment

leading to the long term acceptance of MC as a standard practice among those communities who do not

practice MC; and 2) In partnership with identified IRDO and APHIA 2 Nyanza implement targeted IEC and

BCC campaigns as part of HIV prevention measures in urban and rural communities with special reference

to the traditionally non-circumcising communities within Nyanza. These activities will be geared towards

increasing demand for MC service sites in the area.

PSI will work within the framework of the MOH's MC communication strategy to implement activities geared

towards: creating demand and an enabling environment throughout Nyanza Province; and promoting MC

nationally via a Luo-speaking radio program. This will not be tied specifically to generating demand for

specific MC service sites, but will create social support, and address disinhibition risk. In line with the

Ministry of Health's MC communication strategy, the primary target of these activities will be sexual active

18-30 year old men. This group will be reached primarily through interpersonal communications outreach

activities in formal and informal work-based organizations, such as agricultural plantations, boda boda

(bicycle taxis) groups and fishing associations. An enabling environment will also be facilitated through

established cultural gatherings such as market days and barazas. HCM will train its staff in the necessary

technical background and, in collaboration with the DHP, develop or adapt existing IEC materials to be used

in outreaches. HCM staff will utilize adult learning techniques to increase awareness and knowledge on MC,

its benefits and limitations. It is envisioned that outreach activities will be implemented a number of times at

the same sites to disseminate appropriate information and generate social support. Initially, "positive

deviants" as early adopters will be encouraged and supported.

When and where appropriate, voluntary medical male circumcision (VMMC) messaging will be incorporated

into existing HIV BCC and condom outreach activities for increased efficiency and effectiveness. All

communication material will be pre-tested extensively with the target audience and members of the general

population to ensure cultural relevance and correct message take out.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This APHIA II HCM project will contribute to the Male Circumcision policy that envisages adoption of MC as

one of the HIV prevention strategies.

4. LINKS TO OTHER ACTIVITIES

This activity relates to activities in Abstinence/be faithful (#8989) and condoms and other prevention

(#8942) to promote health behaviors.

5. POPULATIONS BEING TARGETED

This activity targets 18 to 30 year old men and their family members living in both rural and small urban

settings. It targets unmarried as well as married males, those who are HIV negative. It also targets women

to change their social norms and to support men during the healing period after undergoing VMMC.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The activity will promote prevention by encouraging males to adopt healthy behavior.

7. EMPHASIS AREAS

This APHIA II HCM activity has a major emphasis on training, quality assurance, and supportive

supervision. It also has a major emphasis on community sensitization.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14986

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14986 12505.08 U.S. Agency for Population 6994 3588.08 APHIA II - $100,000

International Services Health

Development International Communication

& Marketing

12505 12505.07 U.S. Agency for Population 4289 3588.07 APHIA II - $100,000

International Services Health

Development International Communication

& Marketing

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

Health-related Wraparound Programs

* Malaria (PMI)

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.07:

Funding for Care: Adult Care and Support (HBHC): $4,000,000

ACTIVITY UNCHANGED FROM COP 2008

1. LIST OF RELATED ACTIVITIES

This activity relates to all activities in HBHC and PDCS.

2. ACTIVITY DESCRIPTION

Two major obstacles in the provision of HIV care in rural areas are 1) a dispersed population with limited

transportation and 2) extreme poverty with lack of electricity, sanitation, clean water. Despite these

obstacles, Kenya has experienced a rapid increase in the number of HIV care and treatment providers in

most areas of Kenya. Unfortunately comprehensive HIV prevention is rarely included in clinical programs,

and prevention-focused programs that provide care vary in quality. Despite the antiretroviral treatment

expansion, majority of HIV-infected people do not receive care. In FY 2005, PEPFAR Uganda developed a

Basic Care Package (BCP) that provided a means to prevent many of the opportunistic infections (OI) that

occur with PLWAs as well as prevention from malaria. By utilizing a ‘package' approach they were able to

avoid the typical stock outs of primary care facilities and ensure clientele received a complete set of drugs

and prophylactic measures that avoid OIs, provide vitamins to improve health and condoms to decrease the

dangers of infecting their spouses. A critical part of this package was the inclusion of cotrimoxizole. Studies

throughout Africa have demonstrated an almost complete prevention of Pneumocystis jiroveci pneumonia

as well as reductions in malaria, bacterial pneumonia, toxoplasmosis, diarrhea, sinusitis through the daily

use of this drug. The partner will coordinate with other USG implementing partners to make basic care

packages (BCP) available to PLWAs. The BCP will consist of the following components: 1 long lasting

insecticide treated net (LLINs), 100 condoms, 4 bottles of WaterGuard safe water system, daily

multivitamins, 1 water storage vessel, cloth for filtering water and IEC material on malaria, diarrhea, VCT,

PMTCT, cotrimoxizole, nutrition, and mental/social well-being. Re-supply of short term consumable items

(condoms, WaterGuard, multivitamins) will be carried out to all PLWAs on a continuing basis. Cotrimoxazole

will be provided through the Mission Competitive Procurement/TBD and be available at the local health

dispensaries. The goal is that 400,000 BCPs will be distributed to 400,000 patients over the year. The

partner will be responsible for procuring, packaging and shipping the BCPs to regional warehouses, as well

as re-supply of consumable items. Standardized IEC materials will also be included in the BCP. All USG

partners will source the BCPs from the partner for onward distribution to Comprehensive Care Centers,

PLWA CBOs and other PLWA targeted distribution points operating in their catchment areas. IPs will be

responsible for peer education training and other interpersonal communications to promote the correct use

of BCPs. IPs will also be responsible for tracking use and monitoring possible leakage.

3. CONTRIBUTIONS TO OVERALL PROGRAME AREAS

This activity will contribute to the FY 2008 targets by providing 400,000 PLWAs with standardized essential

elements of care that will extend and improve their lives. In addition, through the provision of condoms in

the basic care package the activity will be supporting prevention particularly among discordant couples. The

set of services will be provided regardless of stage of HIV disease or clinical condition in facility-based and

in home-based settings. It is consistent with the 5-year strategy by focusing on rapidly scaling up palliative

care services.

4. LINKS TO OTHER ACTIVITIES

This activity is linked to all HBHC and PDCS activities.

5. POPULATIONS BEING TARGETED

This activity targets people living with HIV/AIDS and their families by providing essential care services

including bed nets, thereby reducing malaria in other family members as well.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The key legislative issue being addressed by this activity is reduction of Stigma and Discrimination by

improving the health of PLWAs and allowing them to care for their children and possibly return to work.

7. EMPHASIS AREAS

There are four areas of emphasis. Commodity procurement will be utilized to purchase the materials used in

the basic care package. Community Mobilization/Participation will be essential to ensure the basic care

packages reach PLWAs. The Development of Network/Linkages/Referral Systems will be needed since

many of these kits will be distributed through the regional partners. Logistics will be important for the same

reason.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17027

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17027 8849.08 U.S. Agency for Population 6994 3588.08 APHIA II - $6,000,000

International Services Health

Development International Communication

& Marketing

8849 8849.07 U.S. Agency for To Be Determined 4954 4954.07 Basic Care

International Package

Development

Emphasis Areas

Health-related Wraparound Programs

* Family Planning

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.08:

Funding for Care: Orphans and Vulnerable Children (HKID): $200,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ Prime partner Population Services International has been competitively

SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

This activity will contribute $160,000 of its budget to human capacity development by building the capacity

of local institution(s) in Kenya's commercial, non-governmental, and/or faith-based sectors by working in

collaboration with them to develop and manage a cost-effective marketing, information and communication

strategy, and distribution network that improves availability and access by key populations to information

related to HIV/AIDS.

COP 2008

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Abstinence and Being Faithful (#8950, #8725, #8731, #9070, #9074,

#8994, #8989), Counseling and Testing (#8760, #8776, #8777, #8778, #8781, #8782, #8976), PMTCT

(#8729, #8733, #8734, #8738, #8752, #8764) and ARV Services (#8765, #8774, #8792, #8797, #8805,

#8813, #8826).

2. ACTIVITY DESCRIPTION

Health Communication and Marketing (HCM) is an integrated project, focused primarily (at least 75%) on

HIV/AIDS prevention care and treatment in support of other PEPFAR activities in Kenya. The purpose of the

HCM award is to improve health outcomes through increased care, prevention and other healthy behaviors.

This will be done through marketing and communications activities within the health sector. This activity will

also build the sustainability of local organizations to do this work. The objectives of this activity in HIV/AIDS

is to build the capacity of local institution(s) in Kenya's commercial, non-governmental, and/or faith-based

sectors by working in collaboration with them to develop and manage a cost-effective marketing, information

and communication strategy, and distribution network that improves availability and access by key

populations to information related to HIV/AIDS; develop and manage a communications initiative to increase

knowledge and change behavior of Kenyans with respect to HIV/AIDS including interpersonal

communication; and develop the management and technical capacity of these organizations to manage and

implement social marketing and communications programs. This will improve the care and understanding of

orphans and vulnerable children and their caregivers.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

In FY 2009, this partner will develop and disseminate communication messages/materials on OVC issues in

a wider forum. It will also promote messages on abstinence and the importance of faithfulness within

marriage. This activity will generate demand for information about OVC and caregivers. However no direct

targets will be achieved but more population will be enlightened on OVC issues and it is assumed that more

OVC and caregivers will be reached indirectly.

4. LINKS TO OTHER ACTIVITIES

The Health Communications and Marketing project is a national level activity that will enforce messages

through mass media and interpersonal communication developed in collaboration with projects working at

the regional level. These projects will "feed into" the development of population-specific messages which

will strengthen peer education interventions implemented on the ground. This activity has links in the

following activities: Abstinence and Being Faithful (#8950, #8725, #8731, #9070, #9074, #8994, #8989),

Counseling and Testing (#8760, #8776, #8777, #8778, #8781, #8782, #8976), PMTCT (#8729, #8733,

#8734, #8738, #8752, #8764) and ARV Services (#8765, #8774, #8792, #8797, #8805, #8813, #8826).

5. POPULATIONS BEING TARGETED

OVC messages will primarily focus general population, caregivers, widows, widowers, policy makers,

community and religious leaders as well as community-based and faith-based organizations.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Messages developed will address gender norms and behavior, stigma and discrimination.

7. EMPHASIS AREAS

HCM is primarily a communications activity focusing on the development of information, education and

communication. However, they will also mobilize communities through interpersonal communication, make

linkages with other sectors for message development (e.g. CT, PMTCT), and train individuals in message

development and communication.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14983

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14983 9053.08 U.S. Agency for Population 6994 3588.08 APHIA II - $400,000

International Services Health

Development International Communication

& Marketing

9053 9053.07 U.S. Agency for Population 4289 3588.07 APHIA II - $600,000

International Services Health

Development International Communication

& Marketing

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $160,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13:

Funding for Testing: HIV Testing and Counseling (HVCT): $2,900,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ Multi-media edutainment interventions will include key messages to clarify the importance of knowing HIV

status and encourage couples to access CT services.

+ The private health providers' reproductive health network will also increase awareness of and referral to

CT services.

+ Provide technical assistance to NASCOP and NACC to develop a national CT communication strategy

+ This activity will provide support for the annual National HIV Testing Campaigns.

COP 2008

Change since the COP was approved in 2007:

+ HCM will develop 3 media campaigns that promote PITC and other types of counseling and testing

promotion.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Abstinence and Being Faithful, Other Prevention, Blood safety, and

PMTCT.

2. ACTIVITY DESCRIPTION

In 2009, HCM will promote CT services through a multimedia edutainment intervention. Health

Communication and Marketing (HCM) is an integrated project, focused primarily (at least 75%) on HIV/AIDS

prevention care and treatment in support of other PEPFAR activities in Kenya. The purpose of the HCM

award is to improve health outcomes through increased prevention and other healthy behaviors. This will be

done through marketing and communications activities within the health sector. This activity will also build

the sustainability of local organizations to do this work. The objectives of this activity in HIV/AIDS are to 1)

Improve the preventive behaviors of Kenyans related to HIV/AIDS, in particular increasing the percent of

men and women aged 15-24 abstaining from sex, promoting fidelity, partner reduction, the correct and

consistent use of condoms in high-risk sexual encounters, and the percent of men and women going for

VCT and receiving their test results (the "ABC" approach). 2) Improve service utilization rates for voluntary

counseling and testing (VCT), and prevention of mother to child transmission (PMTCT) of HIV. This includes

increasing the percentage of pregnant women who access PMTCT services including VCT and increasing

the number of Kenyans who use VCT services and receive their test results. 3) Build the capacity of local

institution(s) in Kenya's commercial, non-governmental, and/or faith-based sectors by working in

collaboration with them to develop and manage a cost-effective marketing, sales, and distribution network

that improves availability and access by key populations to products related to HIV/AIDS; develop and

manage a communications initiative to increase knowledge and change behavior of Kenyans with respect to

HIV/AIDS including interpersonal communication; and develop the management and technical capacity of

these organizations to manage and implement social marketing and communications programs. This

program will not issue sub awards but will pay suppliers of goods and services directly.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

In 2009, in CT, this partner will develop and disseminate communication messages/materials on counseling

and testing promoting provider initiated testing and continues VCT promotion especially targeting the couple

testing and discordant couples. It is anticipated to promote counseling and testing services and generate

demand for CT services for both voluntary and provider initiated testing through 3 mass media campaigns.

They will reach over 6 million through mass media.

4. LINKS TO OTHER ACTIVITIES

This activity relates to activities in Abstinence and Being Faithful, Other Prevention, Blood safety, and

PMTCT. The Health Communications and Marketing project is a national level activity that will enforce

messages through mass media and interpersonal communication developed in collaboration with

MOH/NASCOP CT committee at the national level and projects working at the regional level. Both NASCOP

and these provincial projects will "feed into" the development of population-specific messages which will

strengthen interventions implemented on the ground.

5. POPULATIONS BEING TARGETED

CT messages will primarily focus on adults both male and female, public and private health providers and

NGOs and faith-based programs. This activity will also work with the National AIDS Control Program staff

and policy makers in the coordination of efforts in this program area.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Messages developed will address gender norms and behavior, stigma and discrimination.

7. EMPHASIS AREAS

HCM is primarily a communications activity focusing on the development of information, education and

communication. However, they will also mobilize communities through interpersonal communication and

make linkages with other sectors for message development. Funds will be used to carry out media and

public education activities in CT. The specific areas to be supported include Media campaigns at various

levels, production of educational materials for both health facilities and in the community and the

development of a CT communication strategy for Kenya. In 2009 this activity will focus on three main areas;

the HIV testing week (RRI), PITC and, door-to-door CT.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14985

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14985 4930.08 U.S. Agency for Population 6994 3588.08 APHIA II - $2,750,000

International Services Health

Development International Communication

& Marketing

7049 4930.07 U.S. Agency for Population 4289 3588.07 APHIA II - $1,850,000

International Services Health

Development International Communication

& Marketing

4930 4930.06 U.S. Agency for Population 3588 3588.06 APHIA II Health $1,050,000

International Services Communication

Development International and Marketing

Emphasis Areas

Gender

* Addressing male norms and behaviors

Workplace Programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.14:

Subpartners Total: $0
Johns Hopkins University: NA
Cross Cutting Budget Categories and Known Amounts Total: $160,000
Human Resources for Health $160,000