a sourcebook of hiv/aids prevention programs volume 2

Primary School Action for Better Health, Kenya 125specifically directed to. Health workers visited more than 90 percent ofschools in the health worker variation; church leaders visited 71 percentin their variation. The topics discussed and the messages brought byhealth workers and church leaders were not influenced by PSABH training:both made abstinence the dominant prevention message. In theminority of cases where health workers spoke about condoms, theyprovided information and addressed individual questions. Church leadersplaced abstinence within a religious and cultural context, providingbiblical and faith-based reasons for abstaining rather than focusing onfear of HIV.• Peer supporters were well received by students and teachers alike and hada positive impact on both the level of school programming and studentknowledge, attitudes, and beliefs. Students rated peer supporters highlyon all characteristics and tasks. Peer supporters were better able thanteachers to speak directly to students about their concerns related tofamily, sex, boyfriends/girlfriends, condoms, and pressures to be sexuallyactive. Selection of peer supporters who can provide the best role modelswith respect to sexual activity is important. Students question when peersupporters say one thing and do another.Cost-EffectivenessAn important feature of the project design was the ability to follow the costand effectiveness of activities, in particular to track the cost and impact ofTable 6.2: Distribution of Project Costs in Nyanza RegionITEMPERCENTAGE OF TOTAL SPENDINGProject componentDesign, printing, and distributing school teaching-learning materials 22School and community training 15Personnel 15Capacity building of trainers 10Research 10Training of peer supporters 8Offices 7Equipment 4Sensitization of schools not included in program activities 3Mobilization/field planning 2Training at teacher training colleges 1Development of training materials 1MoEST liaison 1Kenyan technical advisers 1Source: Cf BT.(c) The International Bank for Reconstruction and Development / The World Bank