Building capacity for the utilization of a global evidence resource in HIV and related programs in Kenya Aaron Mulaki, HPP Regina Omban, NACC Wanjiru Mukoma, LVCT Jill Gay, Melanie Croce-Galis and Karen Hardee, What Works for Women & Girls 21 March, 2013
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Aaron Mulaki - Health Policy Project, Futures Group, Kenya
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Building capacity for the utilization of a
global evidence resource in HIV and related programs in
Supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and Open Society Foundations and is carried out under the auspices of USAID’s Health Policy Project and the Public Health Institute
Compiles evidence on interventions that address the needs of women and girls related to HIV outcomes
Spans more nearly 3000 articles and reports with more than 450 interventions from nearly 100 countries
Centralized location - searchable website with evidence for successful gender-specific programming
www.whatworksforwomen.org
Focused on developing countries
Searched SCOPUS, Popline, Medline, gray literature with various methodologies (wom*n and HIV, etc.) for evaluated interventions with measurable outcomes
Guided by consultations/reviews by more than 100 experts
Review currently covers 2008 through January 2012
Ranked evidence using a modified Gray scale into categories: What Works, Promising, Gaps
What Works Methodology
Kenya has a generalized epidemic with a high burden on women and girls.
7.1% living with HIV
Widowed women 20.1%, separated/divorced 16%, polygamous 10.1%, in marriage 7%, never married 4.6%
Young women ages 15 to 24 are four times more likely to be living with HIV than men
Gender roles and norms, violence affect prevention, treatment access
The Kenyan context
Lead authors and partners hold dissemination meetings at national level with NACC
Dissemination in relevant forums including policy meetings
Accompanying curricula developed by a Kenyan NGO and further trainings planned through LVCT/HPP
Local partners to intensify dissemination at county forums to ensure HIV gender plans, priorities are informed by evidence
Implementing What Works at the Country Level
Key Interventions
Half day worth of time to provide an overview to newcomers
Cost of modest refreshments
Computers, Internet
Website publically accessible and static copy available on USB
Resources required
Wide agreement that prevention is still critical and needs to be scaled up
Voluntary medical male circumcision can help women
Condoms are still critical
Sex workers-comprehensive approach required
Women who use drugs/Partners of men who use drugs can benefit from comprehensive harm reduction programs, peer education, sex-segregated group sessions
Treatment is a huge success story, but gender roles and norms affect access for both men and women
Implementing What Works for Women and Girls in Kenya
Evidenced-based approaches usually have a long lag time in adaptation
Civil society and government officials now drawing on the evidence based to revise strategies for the implementation of the National AIDS Strategic Plan
Kenya continues to be both a powerhouse of evidenced-base research and is currently drafting a new HIV/AIDS strategy using the evidence base
Challenges and counter strategies
Publicly accessible summaries of the evidence are highly valued
There is benefit in the global partnership on evidence compilation through country-owned processes
Kenya is leading the way in demonstrating the value of this partnership
Lessons Learnt and Conclusion
What Works Website
For more information, please visit www.whatworksforwomen.org
The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. It is implemented by Futures Group, in collaboration with CEDPA (CEDPA is now a part of Plan International USA), Futures Institute, Partners in Population and Development, Africa Regional Office (PPD ARO), Population Reference Bureau (PRB), RTI International, and the White Ribbon Alliance for Safe Motherhood (WRA).