Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3575
Country/Region: Kenya
Year: 2009
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $744,340

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $467,760

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

+I Choose Life activities will be expanded to include University of Nairobi campuses in Parklands, Upper

Kabete, and United States International University (USIU).

COP 2008

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

• Increase the total number of trained student peer educators to 800, providing life skills training for new

peer educators (PEs) and refresher training for continuing PEs;

• Continue to strengthen and expand small behavior change communication (BCC) groups where PEs will

introduce and reinforce ABC messages through ongoing, regular interaction with the students in the group

reaching at least 25,000 students with AB messages;

• Continue to disseminate the radio series developed in 2007 to reach an additional 50,000 individuals with

AB prevention messages;

• Collaborate with the School of Journalism at the University of Nairobi as well as campus theatre groups

and other student clubs and organizations to build their capacity to understand and incorporate ABC

prevention messages into their ongoing work on campuses;

• Synthesize and package lessons learned after nearly four years of implementing the intervention with ICL;

• Develop and implement a transition plan with ICL to promote sustainability, scale-up of the intervention

activities and graduation to a primary partner if possible.

1. LIST OF RELATED ACTIVITIES

As the target population is at risk for sexual activity and it may not be possible to practice abstinence and

faithfulness only, the activity is linked to Condoms and Other Prevention (#6887).

2. ACTIVITY DESCRIPTION

Since FY 2005, FHI/CRTU has collaborated with "I Choose Life" (ICL) to reach youth in special groups with

ABC messages in a balanced way. In FY 2009, ICL will continue to increase the total number of trained

student peer educators to 650 and reach 50,000 students with AB messages on University of Nairobi

campuses including the main campus, KNH campus, Chiromo, Kikuyu and Lower Kabete. Ongoing life skills

training and small behavior change communication (BCC) groups will continue to be further refined and

expanded to ensure additional students are equipped with personal values, attitudes and life skills to

prevent HIV infection and unintended pregnancy. FHI/CRTU and ICL will continue to strengthen life skills

training, particularly to address gender equity issues, and cover all campuses of University of Nairobi to

incorporate information about family planning in the ongoing peer education and BCC program. Radio will

continue to be used to reach students with vital health and ABC prevention messages that resonate with

university youth. The radio series developed in 2007 will continue to be disseminated to reach an additional

50,000 with ABC prevention messages. FHI/CRTU will also collaborate with the School of Journalism at the

University of Nairobi as well as campus theatre groups and other student clubs and organizations to build

their capacity to understand and incorporate ABC prevention messages into their ongoing work on

campuses. FHI/CRTU will conduct a project evaluation to evaluate the effectiveness and costs of the

intervention. Also, FHI/CRTU will synthesize and package lessons learned after nearly four years of

implementing the intervention with ICL. Findings from the evaluation and lessons learned will be

disseminated. Also, FHI/CRTU and ICL will begin developing and implementing a transition plan to promote

sustainability and scale-up of the intervention activities.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

These activities will contribute to prevention targets by targeting special youth groups, i.e. university

students. Behavior change among university students is expected to have a multiplier effect as university

students are viewed as "successful" role models by other youth. These activities are consistent with the

Kenya Five-Year Strategy targeting young people as full partners in defining and delivering programs and

messages.

4. LINKS TO OTHER ACTIVITIES

As the target population is at risk for sexual activity which may not be possible to abstain from, the activity is

linked to OP interventions as well. This activity is also related to Condoms and Other Prevention

implemented by FHI/CRTU (#6887).

5. POPULATIONS BEING TARGETED

This activity targets university students.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Key legislative issues include gender by addressing male norms and behaviors for university students that

will result in reduced violence and coercion against others. Other issues addressed include stigma and

discrimination since it is key for effectiveness of peer educators who are volunteers.

7. EMPHASIS AREAS

The major emphasis area for this activity is project evaluation. Since FHI is also imparting skills to ICL to

carry out these peer education prevention activities, local organization capacity development is a minor

emphasis area. ICL uses a network of peer educators to disseminate prevention messages, making

development of network/linkages/referral systems minor emphasis areas. Gender issues, particularly

addressing male norms and behaviors as well as reducing violence and coercion, are also emphasized.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14790

Continued Associated Activity Information

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

System ID System ID

14790 5130.08 U.S. Agency for Family Health 6945 3575.08 Contraceptive $600,000

International International Research

Development Technology and

Utilization

6889 5130.07 U.S. Agency for Family Health 4225 3575.07 Contraceptive $340,000

International International Research

Development Technology and

Utilization

5130 5130.06 U.S. Agency for Family Health 3575 3575.06 Contraceptive $300,000

International International Research

Development Technology and

Utilization

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Reducing violence and coercion

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 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $276,580

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

+ Condom messaging targeting both males and females (different direct targeting) will be developed and

distributed to 800 peer educators at Kenyatta University. 50,000 students will receive the specific

messaging.

COP 2008

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

•In FY 2008 FHI/CRTU will continue to gather strategic information and identify; lessons learned to support

integration of the activity with other partners, in particular APHIA II Nairobi;

•Disseminate lessons learned, including providing technical assistance to APHIA II partners to apply those

findings within their activities; and

•Begin to develop and implement a transition plan with KU to promote sustainability and scale-up of

activities.

1. LIST OF RELATED ACTIVITIES

This activity is related to Condoms and Other Prevention Activities (#8874) and Abstinence and Be Faithful

Programs (#6889) and will lay the groundwork to hand over activities to APHIA II Nairobi in 2008.

2. ACTIVITY DESCRIPTION

Findings from the formative assessment (2005 COP) and lessons learned from the pilot intervention (2006

COP) have been rolled out in 2008 through additional communities in Nairobi to reach more housegirls with

HIV prevention messages. Therefore, FHI/CRTU proposes in FY 2009 to continue to gather strategic

information and identify lessons learned to support integration of the intervention with other partners. The

activity scaled-up the intervention beyond Bahati Church to two additional faith-based institutions in Nairobi.

100 trained peer educators will reach an additional 500 housegirls with HIV and unwanted pregnancy

prevention messages. The 2008 mass media campaign will continue with existing radio stations which will

air HIV and unintended pregnancy prevention messages to reach 50,000 housegirls as well as the

communities in which they work to create awareness of their vulnerability. CRTU will work with Kenyatta

University (KU)'s Linguistics department to develop communications materials to be channeled through the

local radio stations. In order to enhance the quality of the materials, CRTU will continue their sub-contract

with a communications agency (possibly University of Nairobi's School of Journalism) to help design the

messages. FHI will continue to provide technical assistance to five local faith-based organizations (FBOs) to

design interventions to reach housegirls with prevention messages. Kenyatta University will be a sub-

recipient ($135,000) to carry out these activities.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

These activities will contribute to the 2008 prevention targets by targeting special youth groups, i.e.

housegirls. Reaching these hard-to-reach out-of-school youths is consistent with the Kenya Five-Year

Strategy targeting young people as full partners in defining and delivering programs and messages.

4. LINKS TO OTHER ACTIVITIES

This activity also relates to OP activities (#8874) and AB activities (#6889).

5. POPULATIONS BEING TARGETED

This activity targets out-of-school youth (girls) and women working as housegirls/women, as well as

religious leaders and volunteers working in faith-based organizations.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Key legislative issues focus on gender, specifically on increasing gender equity in HIV/AIDS programs while

also addressing male norms and behaviors.

7. EMPHASIS AREAS

The major emphasis is on information, education and communication with minor emphases on training,

community mobilization, and local organization capacity development.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14791

Continued Associated Activity Information

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

System ID System ID

14791 4965.08 U.S. Agency for Family Health 6945 3575.08 Contraceptive $200,000

International International Research

Development Technology and

Utilization

6887 4965.07 U.S. Agency for Family Health 4225 3575.07 Contraceptive $300,000

International International Research

Development Technology and

Utilization

4965 4965.06 U.S. Agency for Family Health 3575 3575.06 Contraceptive $300,000

International International Research

Development Technology and

Utilization

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

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 3.3.03:

Funding for Strategic Information (HVSI): $0

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

+ Build the capacity of 12 additional field-based HIV/AIDS program staff in APHIA II regions in targeted

evaluation and SI generation activities using the approach developed under COP06 for building targeted

evaluation skills of staff working with other HIV/AIDS organizations apart from NASCOP.

+ Conduct training on data use using the data-for-decision-making strategy developed in COP06. Sixteen

trainers and 320 service providers in APHIAII regions will be trained in data-for-decision-making at the

provincial and district levels through cascade trainings.

+ Undertake an assessment to evaluate the availability and utility of computers for data capture, analysis

and reporting in selected districts and equip and train district personnel on computer utilization for the same

purpose. The number and distribution of districts will depend on the felt

SECONDARY CROSS CUTTING BUDGET ATTRIBUTIONS

This activity supports key cross-cutting attributions in human capacity development through training of GOK

and USG partner personnel in HMIS, M&E and Surveillance both at national and regional level.

COP 2008

1. LIST OF RELATED ACTIVITIES This activity is related to all other Strategic Information activities in COP

2007.

2. ACTIVITY DESCRIPTION FHI/CTRU in collaboration with the National AIDS and STI Control Program

(NASCOP) and Kenyatta University (KU) received COP 2005 funds to train 4 Masters students in targeted

evaluation and generation of strategic information (SI). In order to have widespread impact of HIV/AIDS

programming in the country, COP 2006 funds were committed to support training of an additional 4 Masters

and 2 PhD students in targeted evaluation; FHI will continue to work closely with NASCOP, KU and a

representative of the SI ITT to select and train these additional students. Also, using information generated

in COP 2005, a dissemination strategy will be developed and implemented to facilitate utilization of the

students' findings in relevant PEPFAR program areas, namely HTXD, HVCT and MTCT. In COP 2007,

FHI/CRTU, NASCOP and KU propose to undertake the following activities: Continue the collaborative

selection and support approach used in COP 2006 to identify and train 6 additional Kenyatta University

students in targeted evaluation and SI generation in order to increase the human resource base for

HIV/AIDS targeted evaluation in Kenya. Prior to selection of the 6 students, a meeting will be held with

NASCOP to identify priority strategic information and targeted evaluation areas that the students can

potentially address through their theses. The students will then develop projects that: 1) are relevant to

identified capacity gaps at NASCOP as well as other local HIV/AIDS service delivery

organizations/institutions; and 2) will generate SI to feed into PEPFAR program areas and activities. Once

students have identified the PEPFAR program area they plan to address, Interagency Technical Team (ITT)

representatives for these areas will be integrally involved in the students' work through quarterly meetings in

order to provide guidance for students' projects and regularly review their progress. In addition, 12

additional field-based HIV/AIDS program staff will be trained in targeted evaluation and SI generation

activities using the approach that will be developed under COP 2006 for building targeted evaluation skills

of staff working with other HIV/AIDS organization apart from NASCOP. The activity will also ensure

dissemination and utilization of students COP 2006 targeted evaluation findings. The dissemination strategy

to be used in COP 2007 will be developed by FHI and its partners under COP 2006 to ensure dissemination

and utilization of the SI generated by this ongoing activity within the MOH and other key organizations

involved in HIV/AIDS programming. Finally, FHI will conduct training on data use using the data-for-decision

making strategy developed in COP 2006. In this process, 16 trainers and 320 service providers will be

trained in data-for-decision making at the provincial and district levels through cascade trainings. In COP

2006, capacity building activities with NASCOP and its partners will involve identification of gaps in

utilization of data for decision making and planning. This gap analysis and development of appropriate

strategies to address the identified gaps conducted during COP 2006 will be carried out by one or two of the

students in collaboration with FHI and its partners. FHI/CRTU will sub-contract ($250,000) Kenyatta

University as their main sub-partner to accomplish these activities.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

Currently, there is limited local capacity to conduct targeted evaluations relevant to HIV/AIDS. An in cases

where some capacity exist such as in national Universities, this capacity is disconnected to the mainstream

HIV/AIDS activities being conducted by NASCOP and with support of the USG. This activity therefore builds

on the FY 2006 activity that supported Kenyatta University and NASCOP to improve the national M&E

systems as well as contributing to the Emergency Plan's training outputs.

4. LINKS TO OTHER ACTIVITIES This activity is related to the Strategic Information activity to be carried

out by CPC-MEASURE (#6988) that provides technical assistance and capacity building at the National

HIV/AIDS Control Council (NACC).

5. POPULATIONS BEING TARGETED

The population targeted are University students and program managers at NASCOP.

6. EMPHASIS AREAS

The major emphasis area addressed is capacity building; minor is M&E systems.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17886

Continued Associated Activity Information

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

System ID System ID

17886 17886.08 U.S. Agency for Family Health 6945 3575.08 Contraceptive $150,000

International International Research

Development Technology and

Utilization

Emphasis Areas

Health-related Wraparound Programs

* Child Survival Activities

* Family Planning

* Malaria (PMI)

* Safe Motherhood

* TB

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $0

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.17:

Subpartners Total: $0
I Choose Life: NA
Kenyatta University: NA
Cross Cutting Budget Categories and Known Amounts Total: $0
Human Resources for Health $0