Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW

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developing memory books, scrapbooks that use stories, photos, and important documentation to help HIV-positive parents ensure that their children will have some linkage to their past. Men are also trained as “Ambassadors of Hope,” individuals who publicly acknowledge their HIV status to fight stigma in the community. To increase the legal protection of women, the program trains paralegals and community mediators in alternative dispute resolution. These community mediators work closely with village elders and chiefs to resolve civil disagreements at the community level instead of going through the expensive and time-consuming court processes. Aggrieved parties are referred to the appropriate law enforcement agencies for information and support. The program also works to increase access to income and productive resources for single women household heads, offering them training on basic business skills, providing access to business products, and creating linkages with microfinance institutions. The program also offers household food security trainings to women to ensure they can produce enough food to feed their families (as opposed to depending on relief food), which includes skills in multi-story gardens, kitchen gardens and organic farming. This training is supported with the provision of seeds and farm equipment. In addition, the program provides vocational training, including hairdressing, fashion and design, and information technology, to young girls who have dropped out of school. Target Audience Orphans, vulnerable children, and their families Level of Intervention Community Geographic Location Nakuru Municipality, Nakuru District, Rift Valley Province Timeframe • Pilot phase: October 2005–September 2007 • Currently: October 2008–ongoing Funders • Pilot phase: FHI • Currently: The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the United States Agency for International Development (USAID) Partner Organizations Implementation partners: • Ministry of Health, Kenya • Baraka Agricultural College • Child Care International • Family AIDS Initiative Response (FAIR) • Kenya Girl Guides Association (KGGA) • Learning and Development Kenya • SafeWater and AIDS Project • Society for Women and AIDS in Kenya (SWAK) • Tumaini na Fadhili • Appropriate Grass Roots Interventions (AGRI) • Muslim Association of Nakuru 60
• Mwangaza College • WorldView Kenya IMPLEMENTATION AND RESULTS Start-up and Implementation Process As a first step, the program cultivated local buy-in through several stakeholder meetings. The program assessed all CBOs offering services to children and selected 12 to offer services to clients through a contractual agreement with FHI. Drop-in centers were identified within community facilities. Community volunteers were selected through interviews and trained on the program requirements. Clients then were recruited to participate in the program, and service delivery and monitoring were started. The Ministry of Health (MOH) is a key partner in this program. In the initial stages, before anti-retroviral therapy became free in Kenya, the MOH offered free anti-retroviral therapy to all clients in the program. The MOH also donated five acres of land to the project, which became a high-yield modern farm producing an average of 1.7 tons of fresh vegetables per week. The vegetables are used to feed HIV-positive families within the program as well as in-patients at the provincial general hospital. Also in collaboration with the MOH, the program built a pediatric comprehensive care center at the provincial general hospital, where the number of children receiving anti-retroviral therapy has increased from about 30 in 2006 to 1,478 as of August 2008. Through the government’s Children’s Department, a networking committee was formed to support the services being given to children. Nuru ya Jamii also leverages FHI’s strong working relationship with the Provincial Administration Office, especially in the areas of legal support, food and nutrition. The Provincial Administration, including the local chiefs and district officer, supplemented the farm-raised vegetables Nuru ya Jamii produced with dry foods, such as rice and beans, to ensure the community drop-in centers could provide food rations for the neediest families. Local Involvement/ Ownership The program was designed so that the community plays a key role. Community members and local CBOs implement most of the program components. Drop-in centers, the hubs of activities, were all selected from community churches and halls. Community volunteers serve clients within their own residential areas. Resources are leveraged from the community, churches and chiefs offices within the area. In addition, the program builds CBO capacity to run the program with little initial support. More and more components are being handed over to local CBOs to run. Evaluation Methodology • Monitoring: Each trained volunteer has a diary to document daily progress within each household they visit. Volunteers leave the diary in the houses of the clients to show that the clients were visited and what action was taken as a result of the visit. All information is collated and analyzed in monthly reports. 61
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| AIDS AIDSTAR-One Support and Tech
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INTEGRATING MULTIPLE GENDER STRATEG
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CONTENTS Acronyms..................
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Mama’s Club Memory Book .........
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ACRONYMS AED AEMCI AIDS AMREF AOSCI
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ACKNOWLEDGEMENTS We would like to t
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EXECUTIVE SUMMARY The public health
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INTRODUCTION The public health and
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• Identify current, promising pro
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• Snowball sampling of gender and
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LIMITATIONS This compendium is limi
Page 24 and 25: program, and small-scale programs s
Page 26 and 27: Child Security Project in South Afr
Page 28 and 29: elated efforts. The Mozambique SSTO
Page 30 and 31: RECOMMENDATIONS 1. Programs should
Page 32 and 33: PROGRAM DESCRIPTIONS TARGETING AND
Page 34 and 35: transmission and explain how the pr
Page 36 and 37: Tel: + 267 319 1816 / Fax: + 267 31
Page 38 and 39: Sessions center around small group
Page 40 and 41: Supervision occurs on two levels: s
Page 42 and 43: issues. • Involve uniformed perso
Page 44 and 45: a new bridge to the health care sys
Page 46 and 47: and among working girls, 77 percent
Page 48 and 49: ETHIOPIAN RADIO SERIAL DRAMAS TO PR
Page 50 and 51: • Ministry of Health Evaluation p
Page 52 and 53: 64 percent at baseline. • Ethiopi
Page 54 and 55: • Conduct a post-intervention sur
Page 56 and 57: promotes HIV prevention through pee
Page 58 and 59: Evaluation Methodology • Monitori
Page 60 and 61: ADDITIONAL INFORMATION Program Refe
Page 62 and 63: and produces materials in media tha
Page 64 and 65: During implementation, participants
Page 66 and 67: • Communities claim ownership of
Page 68 and 69: part of this strategy, Maanisha has
Page 70 and 71: the cultural practices and sexual b
Page 72 and 73: Langata Road, P.O Box 27691 - 00506
Page 76 and 77: • Quantitative data collection: D
Page 78 and 79: POST RAPE CARE LEAD ORGANIZATIONS:
Page 80 and 81: Funders • Trócaire • The U.S.
Page 82 and 83: Recommendations for Replication •
Page 84 and 85: seminars with invited guest speaker
Page 86 and 87: Local Involvement/ Ownership Commun
Page 88 and 89: ADDITIONAL INFORMATION Program Refe
Page 90 and 91: treatment of sexually transmitted i
Page 92 and 93: • National Survey on the Reproduc
Page 94 and 95: woman’s ability to negotiate and
Page 96 and 97: skills, human rights, and monitorin
Page 98 and 99: empowers them to make healthier cho
Page 100 and 101: Service on replication. TIOS is als
Page 102 and 103: WOMEN FIRST (MULHERES PRIMERO) LEAD
Page 104 and 105: Funders • Canadian International
Page 106 and 107: $45,000 $40,000 $35,000 $30,000 $25
Page 108 and 109: MALE NORMS INITIATIVE LEAD ORGANIZA
Page 110 and 111: IMPLEMENTATION AND RESULTS Start-up
Page 112 and 113: assistance is no longer necessary i
Page 114 and 115: collaboration with relevant governm
Page 116 and 117: involvement in protecting the right
Page 118 and 119: assertiveness, puberty and gender-b
Page 120 and 121: traditional practices, and knowledg
Page 122 and 123: POLYCLINIC OF HOPE CARE AND TREATME
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Partner Organizations Implementatio
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international workshop was convened
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THE FATHERHOOD AND CHILD SECURITY P
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• Community leaders including tra
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After the session, 100 percent beli
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KwaZulu-Natal and OR Tambo, Eastern
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Gender and HIV component (Sisters-f
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Evaluation Results • Cluster rand
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Rural South Africa: A Cluster Rando
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accompanied by djembe drumming. Onc
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staff intended for partner organiza
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ADDITIONAL INFORMATION Program Refe
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Young men also build knowledge arou
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• Project completion report: The
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character, Matlakala, is in an abus
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• The Presidency • Society For
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society stakeholders. • While eve
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4. Contraception, conception and me
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IMPLEMENTATION AND RESULTS Start-up
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Challenges and Unforeseen Outcomes
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WOMEN’S HEALTH COOP, PRETORIA LEA
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female condoms to distribute in com
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to contraceptives (particularly con
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• Periodic household surveys: A b
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Resources Promises an Exciting Year
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stressed families in their home env
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generating activities and home visi
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LESSONS LEARNED AND CHALLENGES Key
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HIV & AIDS COUNSELING AND SERVICES
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Timeframe 1987-ongoing; the current
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multisectoral approach and that res
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Peer educators also aim to increase
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Challenges and Unforeseen Outcomes
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In collaboration with legal organiz
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Replication and Scale-up Activities
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THE SASA! ACTIVIST KIT FOR PREVENTI
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Timeframe 2008-ongoing Funders •
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• Engaging a cross-section of act
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CORRIDORS OF HOPE II LEAD ORGANIZAT
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Geographic Location Seven towns: Ka
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of HIV counseling and testing and t
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APPENDIX 1: ONLINE SEARCH PROCESS T
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APPENDIX 2: SURVEY INSTRUMENT BACKG
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1.10 Does the project address incre
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Section 5: LESSONS LEARNED AND FEAS
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Country Program Name Lead Organizat
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Gender Strategy Addressed Type of H
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AIDSTAR-One John Snow, Inc. 1616 No
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