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

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Recommendations for Replication • The following resources are required for replication: trained personnel, trained policy-makers, laws governing sexual violence and, more broadly, gender-based violence. • Government agencies, particularly the Ministry of Health, should be included from the beginning of the program. • Learn from the existing systems and document the process. • Organizations are increasingly interested in addressing legal and policy issues on sexual violence ADDITIONAL INFORMATION Program References and Resources Kilonzo, N. Comprehensive Post-rape Care in Resource-poor Settings: Lessons Learnt From Kenya, Policy Briefings for Health Sector Reform. Nairobi: Liverpool VCT, Care & Treatment, 2005. Contact Information Liverpool VCT, Care & Treatment P.O Box 19835 – 00202, Nairobi, Kenya Tel: + 254 020 271 4590/5308 / Fax: + 254 020 272 3612 Website: http://www.liverpoolvct.org Dr. Nduku Kilonzo, Director Email: Nduku@liverpoolvct.org Dr. Paul Wekesa, Deputy Director Email: pwekesa@liverpoolvct.org Muchela Hadley, Post Rape Care Program Coordinator Email: hadley@liverpoolvct.org 68
TAP AND REPOSITION YOUTH (TRY) LEAD ORGANIZATIONS: COUNTRY: HIV PROGRAM AREA: Population Council Kenya Prevention, Care and Support OVERVIEW: TRY worked to improve adolescent girls’ reproductive health outcomes by improving their livelihood options. The project primarily targeted out-of-school adolescent girls and young women ages 16–22 in low-income areas of Nairobi. It focused on microfinance, offering savings, credit, business support and mentoring related to small business management, as well as counseling around reproductive health issues such as HIV prevention and mitigation, drug and substance abuse, relationships, child rights and violence against women. TRY also convened workshops with legal experts to educate women about their rights. Three male-only groups addressed male norms and behaviors. By earning and saving, some participants were empowered to resist sexual coercion, insist on condom use and refuse sex. By the project’s end, participating girls had significantly higher incomes and more assets than the control group. However, only the least vulnerable girls strongly benefited from microfinance: most needed social capital (friendships, support groups, safety, etc.) before they could benefit from microfinance assistance. BACKGROUND HIV & AIDS Program Goals TRY improved the economic and social well-being of adolescent girls in Kenya through efforts to increase income, improve control over income, build economic skills, and provide safe and supportive social networks. Gender Strategies Addressed Reducing violence and coercion Addressing male norms and behaviors Increasing women’s legal protection Increasing women’s access to income and productive resources Other: Description of Intervention The overall aim of the project was to reduce adolescents’ vulnerability to adverse social and reproductive health outcomes by improving their livelihood options. The project targeted out-of-school adolescent girls and young women ages 16–22 residing in low-income and slum areas of Nairobi. It sought to increase their access to income by using a modified group-based microfinance model to extend integrated savings, credit, business support and mentoring to out-of-school adolescents and young women. While most existing adolescent HIV prevention efforts educate about reducing risky premarital sexual behavior and encourage participants to “just say no to sex,” these efforts overlook the context of sexual behavior. The Population Council and K-Rep Development Agency (KDA) developed and tested a model to reduce economic vulnerability and increase social connectedness among girls residing in low-income and slum areas of Nairobi. The model used savings, group-based credit and adult mentors to reach young women with livelihoods and social support, as well as reproductive health information. Mentors also periodically organized large 69
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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
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program, and small-scale programs s
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Child Security Project in South Afr
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elated efforts. The Mozambique SSTO
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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 74 and 75: developing memory books, scrapbooks
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 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
Page 124 and 125: Partner Organizations Implementatio
Page 126 and 127: international workshop was convened
Page 128 and 129: THE FATHERHOOD AND CHILD SECURITY P
Page 130 and 131: • 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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