Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1246
Country/Region: Kenya
Year: 2009
Main Partner: Program for Appropriate Technology in Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $2,139,685

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $957,860

ACTIVITY UNCHANGED FROM COP 2008

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Counseling and Testing and Condoms and other Prevention.

2. ACTIVITY DESCRIPTION

In 2008, the Uniformed Services program was supported thru the KEMRI Coag and managed to introduce

the Men As Partners Program in the Uniformed Services Training colleges for new recruits. Each year, the

combined services which comprise uniformed services i.e. Kenya Police, Kenya Wildlife Service, National

Youth Service and the Administrative Police recruits. Due to the nature of their jobs and age, the uniformed

services personnel are in high risk of acquiring STIs and HIV. Collectively, these services recruit over

20,000 young men and women aged 18-24 annually. Most of these young people are out-of- school youth.

The spouses and children of Uniformed staff are equally at risk of acquiring HIV. The activity aims at

identifying adolescent children of staff and the recruits at the entry point of their uniformed careers and

targeting specific behaviours that are consistent with ensuring prevention of HIV. Efforts to build skills of

young people and communication for their parents through the "Families Mater Initiative" will be

strengthened in view of protecting young people from HIV acquisition. The program will also address

pervasive gender stereotypes and male behaviors that are relevant to uniformed services personnel. Due to

the wide distribution of Uniformed services installations, the program will train peer educators to promote

abstinence and faithful programs. During the FY07/08 period, the Uniformed Services Chaplains were

trained on Behavior Change Communication and Pastoral counseling including HIV counseling and Testing.

This initiative will be supported to enable the chaplains reach many uniformed personnel, their spouses and

children with behavior change communication and HIV education, counseling and information during their

routine interaction with the uniformed Population. The major emphasis of the AB component of the program

will contribute to the outcome of changed social norms to promote HIV prevention behaviors among the

youth who constitute a part of the population highly vulnerable to HIV infection. This will ensure larger

numbers are reached with HIV prevention efforts and adults become actively involved as supportive

mentors for youth. A total of 95,786 individuals will be reached with messages that promote HIV prevention

through Abstinence and/or Being Faithful, while 665 individuals will be trained.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

AB activities within the Uniformed Services Program will contribute to FY09 prevention targets for Kenya,

especially among young recruits who are entering the Non-Military Uniformed Services. The activities will

also focus on the youthful dependants within the non-military camps and young people living within their

neighborhood of the camps in order to address the prevention needs of the whole non-military uniformed

services.

4. LINKS TO OTHER ACTIVITIES

This activity is linked to the Counseling and testing activity by promoting VCT services as a way of

promoting secondary abstinence. The activity also links to the Condoms and Other Prevention activities by

offering comprehensive prevention messages for the non-military community.

5. POPULATIONS BEING TARGETED

This activity targets young adults and adolescents, both men and women in reproductive age. It will have a

special focus on the non-military personnel who, due to the nature of their duties are vulnerable to HIV

transmission. Particular emphasis will be placed on young non-military recruits and young dependants of

uniformed staff residing inside the camps as well as young people living in the neighborhood of the camps.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Through the skill building in communication and behaviour change that occurs as part of the Families Matter

Initiative, the activity will address pervasive gender stereotypes and male behaviors that are relevant to

uniformed services personnel, including gender based violence, stigma and discrimination. The involvement

of both male and female in AB activities will promote gender equity in HIV/AIDS programs to ensure women

are not left out of these important prevention activities.

7. EMPHASIS AREAS

The major emphasis will be improving parental communication with their children and training of recruits

and youth who live within the camps as peer educators to promote abstinence and Being faithful activities.

Minor emphasis areas include workplace programs, information, education and communication and

community youth participation/mobilization.

New/Continuing Activity: Continuing Activity

Continuing Activity: 19420

Continued Associated Activity Information

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

System ID System ID

19420 19420.08 HHS/Centers for Program for 12000 12000.08 Uniformed $300,000

Disease Control & Appropriate Services Project

Prevention Technology in

Health

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS 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): $981,825

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

+ Prime partner PATH has been competitively selected to implement the activity

COP 2008

1. LIST OF RELATED ACTIVITIES.

This activity relates to activities in Abstinence and Be Faithful Programs, Counseling and Testing, Palliative

care: Basic Health Care and Support.

2. ACTIVITY DESCRIPTION

The proposed activities include community outreaches to promote correct and consistent use of condoms

among the Non-Military Uniformed Services personnel who are most at risk of HIV infection and who

engage in high risk behaviors. Proper condom supply channels will be put in place to ensure availability in

all uniformed Services camps, station and parks and colleges countrywide. Regular monitoring of condom

utilization and refills will be done. Units will be required to file reports on both male and female condom use

on monthly basis. Peer educators will be trained to distribute condoms as they conduct the other peer-led

activities. Where applicable, members of the surrounding community who routinely interact with members of

uniformed services will be involved. Additional activities will focus on youth entering the uniformed services.

Due to the nature of their jobs and age, the uniformed services personnel, in Particular the Kenya Police,

Administration Police, Kenya Wildlife service and the National Youth Service are in high risk of acquiring

STIs and HIV. Collectively, these services recruit over 20,000 young men and women aged 18-24 annually.

Most of these young people are out-of- school youth. They will be targeted in the focused program referred

as "Men As Partners" in their training colleges/institutions to strengthen behavior change and address

gender norms and stereotypes that put them at risk of HIV acquisition. Uniformed instructors will be trained

as Trainers of Trainers (TOT) to educate all recruits on all aspects educate all recruits on all aspects of

comprehensive HIV prevention including risks of cross generational sex, multiple concurrent partnerships,

male involvement on gender based violence, benefits and risks of Male circumcision and encouragement to

knowing ones HIV status as well as the partners status. Links will be established to promote Prevention with

Positives (PWP) activities. These activities will result in reaching 208,900 individuals with HIV prevention

information, training of 621 staff as well as establishing 500 condom outlets.

3. CONTRIBUTION TO OVERALL PROGRAM AREA

OP activities within the Uniformed Services will contribute to the overall Emergency Plan for FY 2009

prevention targets for Kenya. This activity contributes to Kenya's strategy of reducing new infections by

reducing the risk of HIV acquisition/transmission among young people.

4. LINKS TO OTHER ACTVITIES

This activity is linked to CT activity targeting to serve unformed services personnel, since all OP activities

will at all times encourage routine counseling and testing among Uniformed Services personnel, their

families and the community personnel they routinely interact with. This OP activity is also linked to

Uniformed Services AB activity that promotes prevention among the youth of the uniformed community.

5. POPULATION BEING TARGETED

The OP activities will reach the most at risk populations of uniformed personnel, their families and

discordant couples. It will also reach the civilian population living and working in the uniformed workplaces

and also the host population living in the uniformed services neighborhood. HIV/AIDS affected families

PLWHAs will be a target for prevention with positives.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The activity will address the issues of male norms and behaviors, since most of Uniformed services

personnel are young men. It will also challenge traditional male norms and stereotypes that have been

identified as contributing to sexual coercion, gender based violence and multiple concurrent sexual

partnerships. The Uniformed services program will address stigma and discrimination that often is a

significant obstacle to adopting behaviors that contribute to HIV prevention.

7. EMPHASIS AREA

The major emphasis area for this activity will be workplace program for the non-military uniformed services.

Training will also be an emphasis area to ensure appropriate Human Capacity development capable of

ensuring sustainable HIV prevention within uniformed Services. Other emphasis areas will be information,

education and communication to promote behavior change. Supervision and quality assurance will be

supported.

New/Continuing Activity: Continuing Activity

Continuing Activity: 19422

Continued Associated Activity Information

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

System ID System ID

19422 19422.08 HHS/Centers for Program for 12000 12000.08 Uniformed $652,500

Disease Control & Appropriate Services Project

Prevention Technology in

Health

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

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 3.3.03:

Funding for Testing: HIV Testing and Counseling (HVCT): $200,000

1. ACTIVITY DESCRIPTION AND EMPHASIS AREAS

The Non-military Uniformed Services received support from the Emergency Plan to implement a

comprehensive HIV/AIDS program since FY 2005. The Non-Military Uniformed Services comprises of the

Kenya Police, The Administration Police, The National Youth Service and the Kenya Wildlife Service.

Activities in these uniformed groups have previously been supported thru the Community Housing

Foundation (CHF) CoAg. In FY09 this program will be implemented and managed by PATH. One of the key

components of this program is HIV testing and counseling (HTC), which is required, both for prevention and

to ensure access to care. The Uniformed Services population can be classified as a high-risk population,

due to a high proportion of the personnel being posted away from their families and living in communal

settings. A comprehensive HIV/AIDS program, including HTC is therefore essential in the Uniformed

Services Population. In FY 2009 Uniformed Services will expand its CT activities in both the static sites and

through community and mobile (outreach) activities. Old operational sites will be maintained while 5 new CT

sites will be created, to have a total of 25 sites, either stand alone or integrated in Health facilities. Core

activities will include training and continued support to the existing VCT sites and counselors, introducing

them to new counseling protocol especially PITC approach. By so doing Uniformed Services will have

adequate capacity to provide HTC to an additional estimated 20,000 people, including staff and their

dependants, civilian employees, and the general population living in the general area. All those who test

HIV positive will be referred to the nearest Uniformed Service clinics for care. In terms of training, 200

people (mostly health care workers) will be trained and retrained in Provider-Initiated Testing and

Counseling (PITC), while lay counselors, including PLWHA, will be trained in VCT. In FY 2009, the

Uniformed Services program will intensify mobile VCT services targeting the distant uniformed camps with

no fixed site in all regions in Kenya (Nairobi, Eastern, Central, Rift Valley, Western and Coast). In addition,

greater involvement of people living with HIV/AIDS (GIPA) will be sought and encouraged as one of the

ways of reducing the stigma associated with HIV. Quality assurance (QA) for both counseling and testing

will be expanded to cope with increased service uptake during the planned scale up in FY 2009. The QA

program will be done in keeping with national and international standards. QA for counseling will involve

monthly support supervision to practicing counselors.

2. CONTRIBUTIONS TO OVERALL PROGRAM AREA

The Uniformed Services CT program will contribute to the overall national CT target by providing CT

services to the Non-military Uniformed Officers and their dependants, as well as civilians living in the

neighborhood of Uniformed Services camps. The mobile VCT services will improve access to HIV

prevention and care services in remote areas that do not have fixed VCT sites, thus ensuring better access

to CT services and contributing to universal access. This activity will also contribute substantively to

Kenya's 5-year strategy that emphasizes universal knowledge of HIV status amongst Kenyans. Links

between CT services and medical sites where AIDS care and treatment are available.

3. LINKS TO OTHER ACTIVITIES

This activity is part of a comprehensive HIV care and treatment program within the Uniformed Services

program and it is linked to other services such as AB, OP, TB/HIV and ART. Linkages between CT services

and care outlets will be harmonized and strengthened to improve utilization of care opportunities in the

Uniformed Services health infrastructure through PEPFAR funding.

4. POPULATIONS BEING TARGETED

This activity will mainly target the Non-military uniformed personnel, their dependants and members of the

general public in the immediate neighborhoods. The Uniformed Services Health facilities and VCT sites are

open to the general public and are popular health service delivery points for the surrounding communities.

New sites will include facilities with large populations and will be placed strategically to optimize service

delivery.

5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

There are no secondary cross-cutting budget attributions for this activity.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS 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: