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

+ Prime Partner Henry Jackson Foundation Medical Research International (HJFMRI) has been

competitively selected to implement this activity in the place of KEMRI.

SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

This activity supports key cross -cutting attributions in education through supporting life skills training and

HIV prevention education within the context of education settings. This will be done in conjunction with the

Ministry of Education. It will involve training of peer educators among school going children, teachers and

parents who will be equipped with communication and leadership skills to enhance their ability to reach their

peers with HIV prevention messages. The cost allocated for this activity will be $5,000.

COP 2008

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

• The introduction of two new interventions in the AB portfolio:

> Magnet Theatre which promotes community behavior change

> Family Matters! which focuses on the family unit as the nucleus to HIV prevention.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Counseling and Testing (#6979) and (#6968).

2. ACTIVITY DESCRIPTION

The Live with Hope Center (LWHC) is a faith-based organization that has been serving the HIV/AIDS needs

of the urban areas of Kericho and its surrounding rural population since 2000. The LWHC has been offering

comprehensive HIV services from prevention activities to support and care. LWHC works in a semi-urban

setting in a congested living area of Kericho where informal data of age at first sex is estimated to be

around 15 for boys and slightly younger for girls in the area. In FY 2006, LWHC exceeded their targets of

reaching 20,000 individuals through their prevention programs that promote abstinence and/or being

faithful. Through their close working relationship with the Ministry of Education, LWHC has been successful

in reaching over 200 schools in the area with their abstinence/be faithful messages since 2004. They have

also created sustainable programs in the schools through the establishment and maintenance of school-

based health clubs that promote healthy living among the student population with a special focus on the

primary schools which serve students under the age of 14. In FY 2009, the LWHC plans to continue working

with the schools in Kericho by bringing the abstinence based curriculum of Creating Positive Relationships

(CPR) to those students in Standards six through eight in 10 additional schools by training teachers and

students in the program, therefore reaching 12,000 students with prevention messages. LWHC will also

continue utilizing health clubs as an initial entry point into the local secondary schools to train peer

educators in the Education for Life program that has been used in training older youth in life skills. The

secondary school health club program will be extended to reach over 5,000 students in FY09. LWHC, in FY

2009, will also extend its AB initiative to the adult population in the larger community by offering Parent-

Child Education programs that emphasize being faithful messages as well as reaching 4,000 parents to

support their children in behavior change. In addition, LWHC will expand the Men as Partners program for

the adult men in the community that focuses on building relationship skills that emphasize fidelity and family

values. The Men as Partners Program together with Families Matter! Program will reach an additional

3,000 individuals. LWHC AB program in FY09 will reach a sum of 33,554 individuals through their different

HIV prevention interventions. In FY 2009, LWHC will train 1,094 individuals in the promotion of HIV/AIDS

prevention through abstinence and /or being faithful by focusing on training peer educators in life skills as

well as training local community leaders in parenting skills that support children in life skills as well as

identified teachers in the local teachers college in comprehensive HIV/AIDS prevention curriculum. The HIV

-positive support group will continue to be the nucleus of the AB program by utilizing HIV-positive adults and

their testimonies as the primary tool for mobilization of individuals into LWHC's AB program.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

Together with the Ministry of Education, the LWHC has concentrated on primary and secondary schools in

the Kericho district in creating AB programs as well as behavior change through the establishment of school

-based health clubs. This initiative will contribute to the overall national AB program that is focusing on

students in the Kenyan school system. The LWHC's AB program in FY 2009 will also continue its training

efforts in the Kericho Teacher Training College which is in accordance with the national Emergency Plan

agenda to train teachers in implementing an HIV/AIDS prevention-based curriculum in the milieu of the

school environment.

4. LINKS TO OTHER ACTIVITIES

LWHC's AB program is linked with community mobilization and awareness campaigns that advertise Live

with Hope's stand-alone counseling and testing site (#6979) as well as other KEMRI South Rift Valley VCT

sites (#6968). By doing so, LWHC uses VCT as another viable option in behavior change. It is also linked

with LWHC's OVC program (# 6973)

5. POPULATIONS BEING TARGETED

LWHC will target specific populations that will benefit from the AB program. This includes the children in

primary schools as the main recipients of the program as well as adults in the community that will also be

targeted this year with the same prevention messages. The adult initiative will bring the HIV

education/prevention curriculum to community groups and religious organizations that exist in the area. In

general, the AB program under the LWHC will also reach the general population of both adults and

children/youth through their education program. LWHC AB program will also continue to reach university

students in the teachers college in the AB program. As a community-based group which has as its primary

support as the local church, LWHC works with both community and faith- based leaders in the

implementation of the AB program.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The AB program under the LWHC will focus on Kenyan girls at the primary level in an attempt at early

intervention to empower the young girl to make smart decisions related to sexuality and reproductive health.

Activity Narrative: The education program will use peer education and behavior change messages that challenge gender

norms and behaviors to help protect youth from HIV infection. The LWHC HIV education program also

provides opportunities for individuals in the support group and home-based care program to publicly discuss

their HIV status and promote the reduction of stigma and discrimination that still inhibits many Kenyans from

learning their status and seeking support.

7. EMPHASIS AREAS

The major emphasis area in FY 2009 is community mobilization and participation, encouraging optimal

participation from the local community in the development and active participation in programs that

emphasize abstinence and being faithful. Minor areas are training and workshops for teachers, youth, and

community groups.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14915

Continued Associated Activity Information

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

System ID System ID

14915 4919.08 Department of Live With Hope 6973 238.08 $120,000

Defense Centre

6981 4919.07 Department of Live With Hope 4256 238.07 $100,000

Defense Centre

4919 4919.06 Department of Live With Hope 3209 238.06 $50,000

Defense Centre

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

Estimated amount of funding that is planned for Education $5,000

Water

Table 3.3.02:

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

+ Live With Hope Center OVC Program will support the implementation of OVC activity programs of two

other sub-partners namely: AIC Litein Hospital and Tenwek Mission Hospital's Community Health and

Development Programs

+ $100,000 will support AIC Litein to identify and serve 1500 Orphans and Other Vulnerable Children

+ $ 100,000 will support Tenwek Mission Hospital identify and serve 1500 Orphans and Other Vulnerable

Children

+In 2009, the activity will also focus on establishing appropriate linkages with PMI and ensure that OVC

being supported are also able to benefit from mosquito nets procured by PMI.

+The activity will place an emphasis on the HIV counseling and testing of children with a focus on provider-

initiated home and community-based testing as an entry for care and support services to children. Using the

opt-out approach; the activity will test 90% of OVC enrolled; targeting approximately 5,940 with testing and

counseling. Of those tested, approximately 475 will be identified as HIV-exposed or infected and enrolled

into facility-based HIV care and treatment services to receive cotrimoxazole (CTX), evaluation for ART

eligibility and other basic HIV care services.

+ In 2009, this activity will support the development of OVC standards for Kenya and in supporting quality

improvement approaches for monitoring and improving the quality of OVC programs at the provincial level

+ In FY09, the activity will also focus on integrating prevention activities. The activity will link with prevention

programs to support male circumcision and counseling and testing for OVC as well as prevention with

positives for adolescents.

SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

This activity will support key cross cutting attributions of the budget amounting to $15,000 towards

Economic Strengthening through the support of income generating activities to support increased

household food security. The activity will also attribute a portion of its budget to supporting educational

activities targeting OVC enrolled in the program in the amount of $250,000. A further $5,000 will be

attributed to provision of safe water guards for households looking after OVC.

COP 2008

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Counseling and Testing (#6968), Antiretroviral Therapy program (#6973),

Abstinence and/or being faithful (#6981), Counseling and Testing (#6979) and Orphans and Vulnerable

Children (#7035).

2. ACTIVITY DESCRIPTION

The Live with Hope Center is faith-based organization that has been providing comprehensive HIV/AIDS

services in a markedly underserved and difficult-to-reach area of Kericho as well as its surrounding rural

communities since 2000. The LWHC has been providing spiritual, psychosocial, nutritional, and home-

based care services to over 200 People Living With HIV/AIDS (PLWHA) since the inception of the program.

The LWHC has been an Emergency Plan partner since 2003 in the areas of counseling and testing,

abstinence and being faithful, as well as palliative community health care and support. In FY09, LWHC will

support the implementation of OVC programs in Bureti and Bomet districts through AIC Litein and Tenwek

hospitals respectively. The additional sub-partners will serve a total of 3000 OVC. In FY06, the LWHC

began its OVC program by bridging an existing gap in their service delivery through the extension of care

and support to 500 orphans and vulnerable children (OVC) that already existed on the periphery by being

the dependents of past and present active support group members as well as part of their community health

care program. The LWHC has been struggling to ensure the provision of basic needs and medical services

to these OVC since the inception of their program in 2000 and with the assistance of the Emergency Plan in

FY 2006 the LWHC succeeded in strengthening the community to provide orphan support in the already

existing family environment. The LWHC has been active in the communities in which they serve and have

been instrumental in alleviating the household burden to ensure that families remain together despite the

economic hardships experienced. LWHC also has established a very active support group and community

care system for children living with HIV between the ages of 0 to 18. In FY 2006, LWHC was able to work

closely with the pediatric Antiretroviral Therapy (ART) Program to follow-up the care and support of 100

children infected with HIV. LWHC also works closely with the children of the immediate community who

have been made vulnerable to HIV by establishing an after school program for these children and ensuring

that basic needs of 200 children are ensured on a daily basis. Along with this program LWHC has been

working closely with the Ministry of Education and the Ministry of Home Affairs in establishing care and

support programs for the OVC identified as living on the streets or detained in the children's rehabilitation

center where over 300 boys and girls out of 400 have been mandated for correctional services through the

juvenile justice system due to being made vulnerable by HIV-AIDS. In FY 2009, LWHC will continue to ramp

up the existing programs that are directly identifying the most vulnerable children in Kericho and ensuring

that the core areas of essential services are met. In FY 2009, LWHC through a child counselor will work

closely with the Kericho District Hospital through Mwangalizi project in the identification and follow-up

psycho-social support of OVC in the pediatric ART program including issues surrounding disclosure. LWHC

will continue to bolster the family centered approach to care for OVC by training 260 existing care givers in

the provision of basic care and support and the possible psychosocial needs of the OVC.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

The LWHC will target 6,600 OVC by continuing care and support through the provision of nutrition,

education, food security, psychosocial support, shelter and protection either through primary direct support

or supplemental support as outlined in the PEPFAR OVC guidance. This target is inclusive of 3000 OVC

that will be served by AIC Litein and Tenwek Mission hospitals respectively. The LWHC is consistent with

the 5-Year Strategy of caring for the OVC by strengthening partnerships with the local government systems

and other community organizations in providing comprehensive and quality services with the best interest of

the child in mind.

4. LINKS TO OTHER ACTIVITIES

This activity is linked to Henry Jackson Foundation Medical Research International (HJFMRI) South Rift

Valley (SRV) - Kericho District Hospital anti-retroviral therapy: ARV (#6973). The LWHC has actively

Activity Narrative: worked with HJFMRI/SRV Kericho District Hospital in the early identification, diagnosis, and subsequent

treatment of over 100 children currently receiving anti-retroviral viral (ARV) medication. They will continue to

link their OVC program with the HJFMRI/SRV counseling and testing (CT) program (#6968) in the provision

of early diagnostic testing and counseling to at-risk children orphaned by parent(s) who were HIV positive.

LWHC will also integrate their OVC program with their existing abstinence and/or being faithful program

(6981), HJFMRI/SRV AB program and HJFMRI/SRV OVC-Mwangalizi project to ensure that the OVC

receive proper training in the prevention of HIV infection/re-infection. Coordination will also be done with the

partner OVC program Samoei Community Development Program in coordination of OVC programs (7035)

in Kericho, Bureti and Bomet districts.

5. POPULATIONS BEING TARGETED

The LWHC OVC program will target People affected by HIV/AIDS by focusing on training the existing

caregivers of OVC in basic care and support; linking care and support to HIV positive children by improving

basic access to health care and ART; assisting HIV/AIDS affected families by paying for school fees and the

provision of proper nutrition; ensuring the community based support for OVC; by augmenting the support to

People Living with AIDS in their ability to care for their children and by assisting widows or widowers with

the burden of caring for the OVC. In order to ensure that the OVC interventions continue to strengthen the

community efforts to provide care and support, the LWHC will continue to use volunteers from the churches

and other community based groups. Street children will also be a focus in FY 2009 to target in assessing

the impact HIV-AIDS had on their homeless status and address the specific needs of the population.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The LWHC will ensure that local community based structures continue to provide for the needs of the OVC

by being an integrated part of the wrap-around services that exist to ensure the basic nutritional,

educational, legal, and psycho-social needs of the OVC are successfully cared for. Wrap-around services

will be ensured by the LWHC partnering with local government offices and other agencies in the delivering

of comprehensive services to the OVC.

7. EMPHASIS AREAS

The LWHC will focus the majority of their efforts on community mobilization/participation in their OVC

program. The 5-Year Strategy in Kenya regarding OVC is to develop and strengthen local structures to

adequately address the needs of the OVC and LWHC together with her sub-partners AIC Litein and Tenwek

hospitals will dedicate their efforts in ensuring that existing resources are improved to address the wide

spectrum of needs of the OVC in Kericho, Bureti and Bomet. The LWHC will continue to focus part of their

emphasis on human resources in order to ensure the supply of skilled and competent staff that can ensure

the needs of the OVC are met as well. They will also focus part of their efforts in the training needs of the

caregiver as well as the larger community to ensure quality services are provided.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14916

Continued Associated Activity Information

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

System ID System ID

14916 4929.08 Department of Live With Hope 6973 238.08 $300,000

Defense Centre

6982 4929.07 Department of Live With Hope 4256 238.07 $250,000

Defense Centre

4929 4929.06 Department of Live With Hope 3209 238.06 $200,000

Defense Centre

Emphasis Areas

Gender

* Increasing women's access to income and productive resources

* Increasing women's legal rights

* Reducing violence and coercion

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

Estimated amount of funding that is planned for Economic Strengthening $15,000

Education

Estimated amount of funding that is planned for Education $250,000

Water

Estimated amount of funding that is planned for Water $5,000

Table 3.3.13: