ACTIVITY UNCHANGED FROM COP 2008

SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

This activity supports secondary cross cutting attributions through education ($239,430) and prevention to

five sites within Nairobi slums and Kiambu District.

COP 2008

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

• Geographic coverage has been expanded to include Embu and Meru workplace programs under APHIA II

Eastern with JPHIEGO and PATH

• The target population has been expanded to include adults (25 and over) both men and women including

the business community

• A prevention component has been integrated that is separately budgeted and described under (HVAB

APHIA II Eastern and includes the following element:

-Set up and implement HIV/AIDS workplace programs under APHIA II-Eastern

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Counseling and Testing (#6894, #6983) and OVC (#6891).

2. ACTIVITY DESCRIPTION

HOPE worldwide Kenya (HWWK) will continue to provide HIV/AIDS education and prevention to 5 sites

within Nairobi slums and Kiambu District. These sites are: Dandora, Huruma and Makadara within Nairobi

and Gachie and Banana in Kiambu. The community program will continue to implement abstinence-focused

activities within schools, churches, youth groups, sports clubs, and other faith-based organizations. Under

the existing USAID/ PACT contract in South Africa, an abstinence-based curriculum for youth aged 10-14

years, was developed and has been used in the last 3 years.

The abstinence curriculum involves personal and character issues, dating and marriage, drugs, substance

and alcohol abuse, peer issues and social pressures. Gender-based violence, rape, and abuse are also

discussed over the program. These participatory youth discussions follow discussion guides and are led by

trained facilitators. Pre and post-test evaluations are held and young people are referred to local OVC

support programs if their families are affected by HIV/AIDS. Community Action Teams (CATs) which include

parents, teachers and learners develop local strategies to reinforce behavior change among the youth. The

tendency is that the Community Action Teams plan and implement the activities with HWWK mentorship.

Competent Community Workshops will continue to be organized in all the program sites. Youths will be

mobilized through football tournaments during the school holidays and educated on abstinence and being

faithful. During these events, other issues recently found to be driving the epidemic will also be addressed.

These include: the vulnerability of young girls, Injecting Drug Use, Men having sex with Men (MSM); and

Prevention with Positives. Information and referrals about condoms will be provided if required. Parents'

forums, workshop and Positive Parenting trainings will be held to reinforce behavior change by youth and

improve communication at home. Partnerships with public, private and other civil society organizations will

be established, and those established will be made stronger to create a synergizing effect on the program

outputs. This will facilitate sustainability of the program after the completion of Track 1 funding in 2010. The

2-year model that has been piloted among some groups will continue to be implemented. In the model,

HWWK ABY program works with the trained groups for two years whilst training them on such issues as: a

comprehensive HIV/AIDS course, leadership, basic counseling skills and career development. This will

increase quality of both the direct and indirect reaches.

Forums which bring the stakeholders together including: Peer-educator, Community Youth Forums and

Sites' CAT meetings will continue to be held. Recommendations made from the findings of the mid-term

program evaluation carried out in 2008 will be implemented to increase the effectiveness of the program in

the communities.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

HWWK aims to make its contribution towards averting new HIV/AIDS infections in Kenya. This will be

achieved by employing multiple strategies that help youth to:

•Increase abstinence and secondary abstinence until marriage among unmarried young people aged 10-24,

their families and communities;

•Increase faithfulness in monogamous relationships among both youth and adults;

•Promote HIV testing to encourage abstinence and fidelity and;

•Help reduce the incidence of gender-based violence, sexual coercion and cross-generational sex affecting

the youth.

Within the 2009 fiscal year, HWWK will train 499 individuals to provide HIV/AIDS programs that promote

abstinence and/or being faithful. In addition 29,929 individuals will be reached with community outreach

HIV/AIDS prevention programs that promote abstinence and/or being faithful. The trainings will continue to

create demand for VCT services and 200 people will be counseled and tested.

During the October 2009-June 2010, 369 more individuals will be trained, 20,000 reached with community

outreach programs; and 150 will be counseled and tested. For the July 2010-September 2010 period, 130

individuals will be trained, 9,929 will be reached with community outreach programs; and 50 will be

counseled and tested.

4. LINKS TO OTHER ACTIVITIES

The AB activities will be linked to other HWWK's Prevention activities in an effort to diversify the approaches

in response to the stage of the epidemic. According to the latest Kenya Aids Indicator Survey (KAIS) 2008

about 80% of the population does not know their HIV status. Quarterly VCT Campaigns will be conducted to

encourage knowledge of HIV status, reaching 3,000 people with VCT messages during the 2009 fiscal year.

This activity relates to counseling and testing (Partners: HWWK VCT Program).The many teenage mothers

and child headed families in Huruma, Mathare and Makadara will be referred to the USAID funded OVC

program. This relates to activities in Care and Support (Partners: HWWK OVC Program, NCCK

Clinic).During Community Mobilization Events (CMEs), the majority of youth will be referred to the Blood

Donor Program to give them opportunity to become regular blood donors. This relates to activities in Blood

Safety (Partners: Blood Donor program, NBTS)

Activity Narrative: 5. POPULATIONS BEING TARGETED

Established social institutions such as schools, FBOs, CBOs and NGOs will form the main community

structures through which different age groups will be reached. A special life-skills curriculum will be

implemented among 10-14 year olds. The goal for this age group will be to delay sexual debut and develop

life skills. Among the 15-24 year olds, the goal is to increase their knowledge on abstinence and secondary

abstinence options. In this age group, young women will receive special emphasis owing to their increased

vulnerability. Messages about fidelity and expanded/strengthened "A" and "B" messages will be spread. The

goal is to increase the practice of abstinence until marriage among unmarried youth, together with

fidelity/partner reduction and reduction in harmful behaviors among both youth and adults. This will

contribute to a measurable and sustained decline in HIV incidence, especially among young people. Among

parents, teachers and communities at large, the goal is to create a supportive environment for the youth to

practice abstinence and faithfulness. To increase parent-youth communication and sustenance of behavior

change, the Positive Parenting Program (PPP) will be implemented among parents. The FBOs, CBOs,

NGOs and schools will be capacity built to develop, implement and monitor HIV prevention programs for

youth in their communities.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The Men As Partners (MAP) activities will increase gender equity and address male norms and behaviors

through the training workshops and later on become participants in forming Community Action Teams

(CATs). The CATs will give younger adults an opportunity to magnify the changed behavior to their peers.

CATs have been used as a strategy to sustain messages and the program will pursue this methodology to

ensure that there is support for the program and for young people making healthy choices.

7. EMPHASIS AREAS

The major emphasis in this program is training and equipping youth with relevant life skills. The younger

youth will be equipped with negotiation skills to help them make informed choices. Besides the young

women, children who are orphaned and vulnerable (OVC) will be given emphasis. Studies show that OVC

are more likely to be HIV-infected than other children. To increase the inclusion of Persons with Disabilities

(PWDs) in HIV interventions, several special schools will also be trained in Peer Education. The 2-year

model will ensure that the trained persons are thoroughly equipped to deal with a myriad of life and

Adolescent Sexual Health issues. Resource mobilization from the Government and corporate firms will be

pursued to support MAP, peer education and Community mobilization and Edutainment events.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14815

Continued Associated Activity Information

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

System ID System ID

14815 5538.08 U.S. Agency for Hope Worldwide 6949 3727.08 ANCHOR $425,000

International

Development

6892 5538.07 U.S. Agency for Hope Worldwide 4227 3727.07 ANCHOR $219,442

International

Development

5538 5538.06 U.S. Agency for Hope Worldwide 3727 3727.06 ANCHOR $233,990

International

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* 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 $239,430

Water

Table 3.3.02:

ACTIVITY UNCHANGED FROM COP 2008

SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

This activity supports key cross cutting attributions in Food and Nutrition ($25,297) and will provide goats to

caregivers to enhance food production and consumption at the household level; Economic empowerment

($50,595) through provision of activities aimed at improving economic empowerment at the household level

as well as contribute US$37,947 to education support by paying school levies, providing school uniforms

and fees for target OVC.

COP 2008

1. LIST OF RELATED ACTIVITIES

This activity relates to an activity in Counseling and Testing (#6894).

2. ACTIVITY DESCRIPTION

HOPE Worldwide Kenya (HWWK) will continue to scale up its work in Mukuru Slums and other underserved

areas where it has strong partnerships with local community stakeholders and entry points into OVC care

and support. In 2007 work was extended to Mathari, near Huruma, and Maringo. The work in Mathari is in

collaboration with the Rotary Club of Nairobi. Work in Maringo was born out of collaboration with the Area

Advisory Council whereby the need for work in this area was identified. Related to work being done with

youth in Makindu, youth have been trained in Psychosocial Support and development of Kids Clubs. In

2007 the OVC work linked with the USAID funded ABY programs in Huruma, Dandora, Muchatha, Gachie,

and Makadara to focus on development of Kids Clubs in the schools that have ABY programs. HWWK will

continue to upscale the work being done in the Mukuru Slums where it has strong partnerships with local

community stakeholders and entry points into OVC care and support. In 2007 work progressed within the 3

villages of Kwa Ruben, Kwa Njenga and Lunga Lunga and is provided direct support to 651 OVC through

Kids Clubs and Support Groups. Indirect support was given to over 500 children through trainings in PSS

and Kids Clubs in Mukuru, Mathari, and Makadara. In 2007 HWWK continued to facilitate direct support to

OVC through capacity building of local CBOs, NGOs, FBOs, Community Leaders, and Schools, and Rotary

partnerships, with a target of direct support to 1,000 OVC. Community stakeholders will be incorporated into

the process of establishing these support mechanisms to increase effectiveness through community

ownership and participation. HWWK will work closely with the Department of Children's Services through

Provincial and District Children's Officers and Area Advisory Councils. This will facilitate a mechanism for

identification of the most needy OVC and caretakers for training and support. Close collaboration will be

maintained with local VCT and PMTCT centers, as well as with community health clinics, schools and

FBOs, and other relevant care and social services. Rotary Clubs, and HWWK staff and volunteers will be

actively engaged in providing community support, including identification of resources and staff to sustain

activities. Partners will help establish links with vocational training sites to support older OVC with skills

training, mentoring, and apprenticeships. HWWK will work closely with the Department of Children's

Services (DCS) to provide training in PSS and Kids Clubs to caretakers, teachers, and others where the

DOCS is providing support through the Cash Transfers for support of OVC. Currently HWWK is working

with 191 caregivers in Mukuru Slums who care for 651 children. Through 2009 the goal is to continue

strengthening this group and increasing their capacity to train, educate, and build the capacity of

themselves and other caretakers in their communities. Focus is on maintaining quality of service provision

to the caretakers, children, and ultimately to the communities. In 2007 400 staff, caretakers, and

organizational members were trained in caring for OVC. HWWK staff and volunteers have experience in

community mobilization approaches and will continue to facilitate skills-building workshops in communities

on Capacity-Building Strategies. Key national, local and community representatives will be invited to

participate in the workshops so as to gather their insight on appropriate approaches to program

implementation. This will help consolidate buy-in, collaboration, establish communication channels and

promote OVC and youth participation. Experienced local HWWK trainers will use participatory and outcome-

based training methodologies. Topics will include those such as global and country specific overview of

statistics and projections of the HIV/AIDS epidemic and its impact on children and families; ‘Best Practice'

strategies for developing and strengthening effective community-based OVC responses; transferring of

technical skills needed to carry out the methodological framework for developing competent communities;

and identify other partner training needs around OVC issues. In 2007 HWWK provided 2 sub-grants to

NGOs who have a focus on child care with the primary goal of strengthening community and household

responses. HWWK will provide technical assistance to sub recipients on organizational capacity

development and programmatic issues. Regular mentoring and feedback sessions will be held to review

program progress, effectiveness, and level of potential sustainability. The 2009 goal is to reach 8,000

children. This will be done through services provided through the Kids Clubs, trained caregivers and

providers, community partner organizations, and OVC served through sub grants. A big focus will be on

integration and coordination between community-based agencies, and combined coordinated efforts with

community leaders and stakeholders, and the government of Kenya, donors, and civil society.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

HWWK's 5 year goal for the number of OVC reached is 25,300. In 2009, HWWK will reach 8,000 OVC and

train 600 caregivers inclusive of community leaders, volunteers, community stakeholders, and partner

organizations.

4. LINKS TO OTHER ACTIVITIES

Services will be linked to VCT through HWWK youth programs in the targeted communities, local schools,

clinics, and service organizations.

5. POPULATIONS BEING TARGETED

Activities target children and families infected and or affected in the community. Also caregivers and

providers of care to the OVC, community based organizations and NGOs who provide service and care to

OVC, and community health care providers, leaders, and stakeholders.

6. KEY LEGISLATIVE ISSUES ADDRESSED

Issues include increasing gender equity in the HIV/AIDS programs and increase in women's access to

Activity Narrative: income and productive resources.

7. EMPHASIS AREAS

Major emphasis in this program is on training caregivers/ providers, and the community, to care for OVC.

Minor focus will be community mobilization and human resources.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14816

Continued Associated Activity Information

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

System ID System ID

14816 5460.08 U.S. Agency for Hope Worldwide 6949 3727.08 ANCHOR $450,000

International

Development

6891 5460.07 U.S. Agency for Hope Worldwide 4227 3727.07 ANCHOR $311,228

International

Development

5460 5460.06 U.S. Agency for Hope Worldwide 3727 3727.06 ANCHOR $208,929

International

Development

Emphasis Areas

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities $25,297

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $50,595

Education

Estimated amount of funding that is planned for Education $37,947

Water

Table 3.3.13: