CCIH 2015 Carl Henn Breakout 4C

AMERICAN INTERNATIONAL HEALTH ALLIANCE PARTNERSHIP: KCCB AND DEPAUL

We do development

differently

AIHA, KCCB-Kenya, and DePaul University

• AIHA is funded primarily by USG donor agencies (CDC, HRSA, USAID, etc.) • Twinning Center for HIV/AIDS: Five year, $80 million HIV program. Funded

by the Health Resources Services Administration (HRSA) via COP process. • Rapid realignment underway to support PEPFAR 3.0 priorities (90-90-90) • Unique model is “twinning.” Key elements; how and why twinning works:

• Peer-to-peer relationships, institution-to-institution partnerships; AIHA support • Subject matter experts motivated by vocation or by aspiration to volunteer! • Voluntary contributions and leveraging of resources (often 1:1 match!) • Demand driven; recipient institutions participate in selecting partners • Model works. Organizations actually compete for a chance to volunteer

• KCCB as the host institution; DePaul University as the “resource” partner

American International Health Alliance, HIV/AIDS Twinning Center Program

Background - Kenya, KCCB, and DePaul KENYA • Nearly half the population lives below the poverty line (UNICEF) • Fourth largest HIV epidemic in the world by number infected • >1.6 million people are HIV positive, including 190,000 children (UN)* • Relationship between poverty and HIV is complex PARTNERS • KCCB – Assembly of the Catholic Bishops in Kenya; through the

Education Commission, the Church runs 30% of all educational institutions in the country throughout 26 dioceses.

• DePaul University – The U.S.’ largest Catholic university; based in Chicago.


School-Based Twinning Partnership in Kenya


AIHA HIV/AIDS Twinning Center

DePaul University (“graduated” in 2013)

Kenya Conference of Catholic Bishops (KCCB) National Team

KCCB Dioceses (24) and Parishes

KCCB Schools (1,600+)

• Multidisciplinary – implementing a multi-pronged and community-based partnership

• Volunteer-driven – annually leverages over 400,00 expert volunteer hours

Programming Package • Goal: Increase KCCB capacity to: • develop, implement, monitor and evaluate school-based

and radio-based HIV prevention programs for youth, • Reduce new HIV infections among youth, and • use an integrated approach in Kenyan primary schools. • “Making Life’s Responsible Choices” (MLRC) program, a

school-based life skills intervention for youth (ages 11-14) • “Families Matter! Program” (FMP), a community-based

intervention parents and caregivers of youth (ages 11-14) • “Love Life, Talk and Live!” a radio messaging campaign • Radio Waumini, a nation-wide Catholic radio station • Reinforces positive behavior change lessons • Interviews, music, skits, and other dynamic and engaging

messaging techniques for the larger community


Communities At-Large (RADIO)

Parents & Caregivers

(FMP)

Individuals (MLRC)

Making Life’s Responsible Choices (MLRC) • Targets in-school youth (ages 11-14) • Seven modules provide a holistic approach: Self-Awareness Human Sexuality Healthy Relationships Drugs/Substance Abuse HIV/AIDS and STIs Behaviour Change Child Safety and Protection

• Incorporates Christian & African/Kenyan values • Train-the-Trainer (TOT) teacher model • School-based intervention during school year


Judith, a teacher’s story

• “The lessons of MLRC teach coping skills that are useful not only for pupils, but also for teachers. I came back a new woman,” she says with a laugh. “It’s changed the way I talk with my own children. I don’t look for what they did wrong all the time and I’m much more open with them ... even about subjects like HIV/AIDS.”


Families Matter!” Program (FMP)

• Target: parents/caregivers of youth enrolled in MLRC • Community-delivered human sexual risk

reduction and parenting intervention • Adaptation at two levels:

• Kenyan audience • DePaul, KCCB, and developer for Catholic audience

• Complements MLRC by helping parents reinforce communication & similar key messages at home


“Love Life, Talk, and Live!”

• Radio program on Catholic radio station, “Radio Waumini” • Utilizes a theory-informed “intermedia approach;” promotes

behavior change by combining mass media and interpersonal communication

• 15-minute programs reinforce key messages (MLRC, FMP) • “Call-in session’’ encourages participation on HIV topics


Program Results (since 2005)

REACH: 722,153 youth (ages 11-14) 8,799 parents and caregivers TRAINING: 3,418 teachers 1600+ schools (KCCB network)

Program Reach (since 2005)

• MLRC began in selected schools in 15 Dioceses in 2006 as a pilot.

• It has since been scaled up to 24 of the 26 Dioceses throughout Kenya

• FMP piloted in one diocese in 2009 • expanded to a total of 4 Dioceses • Targeted evaluation carried out in

2012-13 • Publication is pending


Achievements • Reinforces the ability of youth to manage sexual risk behaviors that

places one at risk of HIV infection • Equips youth with skills, knowledge and attitudes to help them avoid

risky healthy behaviors • Provides facts on HIV/AIDS & other STIs, and the knowledge to make

informed decisions in matters of human sexuality • Teaching-learning resources for teachers approved by Kenya Institute

of Curriculum Development (former Kenya Institute of Education). • Embraced by other Christian denominations and other religions • Improved parent/caregiver and child relationships are critical in HIV

prevention among youth American International Health Alliance, HIV/AIDS Twinning Center Program

Sustainability • MLRC is a homegrown HIV intervention for youth • Embraced by parents, teachers, communities and religious congregations • Decentralized from KCCB to the Parish level; Parishes have taken full

ownership of the MLRC program including in non-high risk areas Voluntary Contributions: • US: Technical experts from DePaul University • Kenya: 3,380 MLRC teachers, 700 heads, 25 Education Secretaries and 15

Religious Education Advisors volunteer their time and skills; • Approximately 500,000+ hours of voluntary effort contributed annually


Sustainability • MOH HIV Policy (2013) advocates for appropriate, comprehensive

sexual education for youth • MLRC meets criteria • MLRC curriculum is in the process of being certified by a national

body (National AIDS & STI Control Programme-NASCOP), • Upon certification it is eligible for full public funding • MLRC is sensitive to various religious and cultural values • It is successful among Christians and other faith groups

• MOE and Teachers Service Commission are fully invested in it


Contact Information KCCB – General Secretariat Augusta Muthigani, National Executive Secretary Commission for Education & Religious Education [email protected] AIHA, Washington DC Carl Henn, Director, HIV/AIDS Twinning Center [email protected] Silas Goldfrank, Senior Program Associate [email protected]


mailto:[email protected]

mailto:[email protected]

THANK YOU!


CCIH 2015 Carl Henn Breakout 4C

Healthcare