Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4273
Country/Region: Kenya
Year: 2007
Main Partner: Population Council
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $550,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $150,000

This is a Targeted Evaluation. This project, titled "An assessment of alcohol and substance abuse risk among slum-dwelling youth in Nairobi and Mombasa" aims at assessing the alcohol and substance-use risk behavior of urban slum-dwelling adolescents in Nairobi and Mombasa. The information will serve as a basis on which interventions aimed at alcohol and substance-use risk reduction among slum-dwelling youth can be implemented and youth brought into mainstream society. The assessment will be in the form of a quantitative survey with about 1,000 slum-dwelling males and females in 4-5 informal settlements in Nairobi, and about 500 of their counterparts in Mombasa. A TE Background Sheet can be found under Supporting Documents.

Funding for Testing: HIV Testing and Counseling (HVCT): $150,000

1. LIST OF RELATED ACTIVITIES This activity is related to activities in abstinence/being faithful (#7026) and condoms and other prevention (#9052).

2. ACTIVITY DESCRIPTION Horizons project will expand activities related to counseling and testing and alcohol and drug abuse counseling. In FY 2007 Horizons will expand activities related to alcohol and drug abuse in VCT setting as risk factors that are rarely addressed in HIV counseling. Since HIV testing involves counseling about high-risk behavior, it provides an opportunity to advise a client about factors that trigger risky sexual behavior such as alcohol consumption. This activity will expand to 15 sites in three different parts of Kenya. The alcohol and VCT study baseline survey was completed in June 2006 and a data interpretation workshop was held in July. Report writing is in progress. Horizons is working with Liverpool VCT to develop the first draft of the training manual for VCT providers and expect to conduct provider training by October 06 in 9 sites (with COP 06 funds). With COP 2007 funds, training of VCT counselors in alcohol and drug abuse counseling will continue to cover 15 sites. And with 2007 funds Horizons will conduct follow-up survey to assess impact of the intervention. 50 VCT counselors will be trained in counseling on alcohol and drug abuse counseling.

These activities also include support to the following sub recipients for activities integral to the program: Liverpool VCT

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA The alcohol abuse study will contribute to the development of a comprehensive risk reduction approach, an essential part of CT services for high-risk populations such as substance abusers. It will be used to guide decisions on whether or not to include alcohol and substance abuse issues in counseling for HIV testing. The VCT training curriculum will also be revised to include this topic. These activities will contribute to the Kenya 5-Year Strategy which focuses on HIV prevention. Targets in this project will contribute to numbers counseled and tested for HIV/AIDS.

4. LINKS TO OTHER ACTIVITIES This activity will be linked to all of the VCT/CT activities described in this COP since they will improve responsiveness of HIV counseling to client needs and expand demand and access to these services. It is also directly linked to AB activities (#7026) and OP activities (#9052) under Population Council.

5. POPULATIONS BEING TARGETED The target populations are VCT clients (men and women of reproductive age), health care providers in both the private and public sector (counselors and their trainers and supervisors) as well as community based groups active in CT activities. Activities will also be targeting host government workers especially with the National AIDS control program staff.

6. KEY LEGISLATIVE ISSUES ADDRESSED Gender will be address as alcohol abuse is a negative male norm and behavior, and leads to violence and coercion directed against women. If VCT counselors can help men and women understand and reduce this behavior, violence against women could be reduced. This activity will also address stigma and discrimination.

7. EMPHASIS AREAS Strategic information is the major emphasis area and training is minor areas. This continuing activity is answering questions of importance to the entire CT area. In addition, this activity is being carried out in sites supported by PEPFAR and use clients of these sites as their study populations.

Funding for Treatment: Adult Treatment (HTXS): $250,000

1. LIST OF RELATED ACTIVITIES This activity relates to all other activities in the HTXS program area.

2. ACTIVITY DESCRIPTION This is an ongoing study. It builds on current research by Population Council/Horizons in Mombasa being implemented with COP 2006 funds. The COP 2006 activity comprises of an intervention to reduce HIV risk among patients on HAART and HIV+ patients on preventive therapy. It is being implemented by study partner ICRH, and will start in November 2006. It comprises the following: a) partner testing, b) status disclosure to sex partners, and c) consistent condom use. The intervention is also availing patient education materials, availing provider education about sexual risk reduction and condom use, and availing referral as appropriate. It will be based on materials being developed under a broader PwP initiative by CDC. Currently the intervention is designed to last six months. COP 2007 funds will allow the intervention to continue for 6 additional months and to conduct the impact assessment at the end of the intervention.

3. CONTRIBUTION TO OVERALL PROGRAM AREA HIV/STI prevention programs among individuals on HIV treatment is lacking in Kenya, and Africa in general. But as PEPFAR goals are met, there will be a larger proportion of sexually active PLHWA who could increase HIV transmission if they are not adequately educated and informed about safer sexual practices, both to protect others from infection and themselves from re-infection. This activity will contribute to a better understanding of how interventions can reach this important population.

4. LINKS TO OTHER ACTIVITIES This activity benefits from the link to existing research by Population Council/Horizons in Mombasa. It benefits from the in-depth formative investigations that have laid the groundwork for an intensive and successful ARV investigation in Kenya. The intervention study links with all activities in the ARV services program area.

5. POPULATIONS BEING TARGETED The study and intervention is targeting patients on treatment for HIV/AIDS, whether they are on HAART or on preventive treatment such as Cotrimoxazole, fluconazole and INH. It includes both men and women, and women comprise the larger (60%) proportion of the sample.

6. EMPHASIS AREA This activity has a major emphasis on targeted evaluation and minor emphasis on community mobilization and participation.

7. KEY LEGISLATIVE ISSUES ADDRESSED Gender, by addressing male norms and behaviour related to sex.

Subpartners Total: $0
Liverpool VCT, Care and Treatment: NA
Christian Health Association of Kenya: NA
Plan International: NA