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

+ During FY 2009 Samaritan's Purse (SP) will implement activity modifications in response to priority areas

highlighted by ongoing LQAS survey results on key knowledge attitudes and practices indicators.

+ In response to MEASURE Evaluations and USAID's process evaluation of the program, SP will introduce

a new faithfulness focused curriculum titled "One Love" that goes beyond the faithfulness overview that

exists in the current program curricula.

SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

This activity supports education activities ($768,786) that focus on helping youth make healthy choices that

prevent new HIV infections through practicing abstinence, secondary abstinence and faithfulness.

COP 2008

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

• Geographic Coverage: The Meru North district which is the Samaritan's Purse MET program geographic

coverage has been sub-divided into two districts (Igembe and Tigania) but this does not change the

operations of the MET program;

• During 2007, Samaritans Purse and APHIA II Eastern will analyze the similarities and differences between

the MET and the nationally rolled-out KARHP program, both targeting in-school youth and adults, and make

any program revisions necessary to provide comprehensive prevention programming.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Voluntary Counseling and Testing and care programs at faith-based and

government hospitals including Maua Methodist Hospital, Tigania Catholic Mission Hospital, and Nyambene

District Hospital. Additionally this activity relates to VCT activities through the use of Magnetic theatre in

behavior change communication by USAID's implementing partner (APHIA II Eastern) in Eastern province.

2. ACTIVITY DESCRIPTION

Samaritan's Purse implements an ongoing abstinence and behavior change program for youth called MET

(Mobilizing, Equipping, and Training) that focuses on helping youth make healthy choices that prevent new

HIV infections through practicing abstinence, secondary abstinence, and faithfulness. In FY09, the SP-K

program will focus on increasing primary abstinence among unmarried youth especially in Tigania and

Ntonyiri supervisory areas and comprehensive HIV/AIDS knowledge among unmarried youth especially in

Igembe and Tigania supervisory areas. From the latest follow-up survey conducted in February 2008, these

areas have been identified as deficient. To address these concerns with abstinence and faithfulness

focused programming, the SP-K team intends to continue the standard MET cycle of activities, but to modify

them and intensify certain program activities. Specifically, to increase comprehensive HIV/AIDS knowledge

SP-K will: strengthen youth outreach sessions through the presence and participation of program staff, b)

conduct retraining sessions for Youth Educators who score less than 80 percent in post course evaluation

during Initial 5-Day Workshops, and c) working with Community Based Volunteer Teams (CBVT) to conduct

six open outreach days characterized by soccer & volleyball tournaments and community theatre especially

in Igembe and Tigania supervisory areas. To increase primary abstinence among unmarried youth, SP-K

will a) conduct 18 community meetings for parents, church and community leaders on Child Sexual Abuse &

Exploitation, Female Genital Mutilation, and children's rights in order to create an environment that enables

adoption of abstinence as a healthy behavior b) include discussions on abstinence during alternative rites of

passage, Parents' meetings in schools and meetings convened by government administrators, and c) work

with CBVTs to conduct open air outreaches in market centers in Ntonyiri and Tigania supervisory areas

addressing drug & substance abuse and misconceptions on abstinence. Additionally in response to

MEASURE Evaluation's and USAID's recommendations, SP-K will introduce a new faithfulness focused

curriculum titled "One Love" that goes beyond the faithfulness overview that exists in the current program

curricula - "There is Hope" and "It takes Courage"- and addresses skills such as improving communication

among couples, addressing sexual responsibility, building life skills such as negotiation in difficult situations,

and understanding sexuality. Standard program activities will continue involving youth in visiting PLWHA

homes to interact with families and change their perception of them. To increase the uptake of VCT services

among individuals SP will continue to collaborate with already existing VCT centers, health centers and

APHIA II Eastern to avail mobile VCT services in communities where SP conducts workshops. Additionally,

SP will conduct VCT open days where community members will be enlightened on the importance of VCT in

HIV prevention and offered an opportunity for testing. SP will train 1,602 individuals to provide HIV/AIDS

prevention programs that focus on AB. Those trained will reach 54,000 individuals with community outreach

HIV/AIDS prevention programs that promote AB. These sessions will take place in 39 communities in the

Tigania, Ntonyiri, and Igembe supervisory areas within Igembe and Tigania Districts. In addition to ongoing

program monitoring, follow-up surveys in February and August of 2009 will provide management with data

on the program's outcome on knowledge, attitudes, and practices of young people in the target area.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

The MET program targets include 54,000 individuals reached through community outreach programs that

promote abstinence and/or being faithful, and these targets correspond with the Kenya Five-Year Strategy

goals. Those unmarried youth and their peers reached will receive specific messages to choose abstinence

as a life-saving option, and faithfulness will be emphasized for married youth. More narrowly, a significant

percentage of those reached will promote a message of new behavioral norms and legal protections

responsive to the special vulnerability of girls. Another contribution to the Kenya Strategy goals is that a

significant portion of the targets will have messages about the heightened risk of orphans and other

vulnerable children. This activity also focuses on youth as a priority population by promoting youth

campaigns aimed at encouraging a change in sexual behavior, discouraging drug and substance abuse,

focusing on negative peer influence as a way to prevent new HIV/AIDS infections in the community and

developing links between BCC programs and care services for PLWHA.

4. LINKS TO OTHER ACTIVITIES

The MET Program creates linkages between the grassroots implementers and other services. To

underscore the emphasis on abstinence and being faithful, linkages to services for STI treatment and VCT

are necessary. SP will refer youth in need of these services to Maua Methodist Hospital (MMH), the

Activity Narrative: Nyambene District Hospital (NDH), Kangeta Youth Friendly Center and the Ministry of Health (MoH)

supported VCT center in Maua town. SP will network with APHIA II Eastern in providing VCT services to

individuals who turn up during VCT open days. Youth and youth leaders will participate in the care of

PLWHA, and make referrals to the PEPFAR-funded ART and palliative care programs at MMH and NDH.

Linkages between SP's Community Based Volunteer Teams (CBVTs) and APHIA II will help equip CBVTs

with drama skills to pass AB messages through the magnetic theater training.

5. POPULATIONS BEING TARGETED

The MET program targets primarily youth, including girls, boys, primary and secondary school students.

Additionally, program activities target adult men and women, HIV/AIDS-affected families, out-of-school

youth, community leaders, religious leaders, and volunteers. Groups and organizations targeted include

community-based organizations, faith-based organizations and rural communities.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The program addresses gender equity in programming through behavior change messages, mentoring of

vulnerable girls and young women and respectfully challenging male norms and behaviors through

community conversation on sexual abuse and exploitation of children and youth. Training community

mentors and increasing dialogue with community and government leaders aims at reducing violence and

coercion. Open dialogue about HIV/AIDS helps break the stigma and identify the cultural norms contributing

to abuse of children.

7. EMPHASIS AREAS

This activity includes major emphasis on information, education, and communication. Minor emphasis areas

are community mobilization/participation, training, and linkages with other sectors and initiatives.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15003

Continued Associated Activity Information

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

System ID System ID

15003 5440.08 U.S. Agency for Samaritan's Purse 7002 3707.08 $669,587

International

Development

7034 5440.07 U.S. Agency for Samaritan's Purse 4282 3707.07 $634,128

International

Development

5440 5440.06 U.S. Agency for Samaritan's Purse 3707 3707.06 $0

International

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Estimated amount of funding that is planned for Education $768,786

Water

Table 3.3.02: