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HIV-Free Generation A Look Back - 2008 – 2010 Tijuana A. James-Traore Global Secretariat

HIV-Free Generation A Look Back - 2008 – 2010 Tijuana A. James-Traore Global Secretariat. Conception - 2007. Nov/Dec 2007 A vision for a partnership between the public and private sector is conceived OGAC convenes initial meetings of selected private sector partners to review HFG concept

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HIV-Free Generation A Look Back - 2008 – 2010 Tijuana A. James-Traore Global Secretariat

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  1. HIV-Free GenerationA Look Back - 2008 – 2010Tijuana A. James-TraoreGlobal Secretariat

  2. Conception - 2007 Nov/Dec 2007 • A vision for a partnership between the public and private sector is conceived • OGAC convenes initial meetings of selected private sector partners to review HFG concept • Coca-Cola, Nike, Warner Bros, Accenture, APCO • Confusion/skepticism/excitement about something new and bold for HIV prevention

  3. 2008: Gestation April 2008 • Partners struggle to define the partnership • HFG Executive Director appointed to be based in Kenya • Sub-groups formed to be led by private sector– communications/messaging, HIV site services, economic opportunities – but didn’t gel • $ 1 million grant provided by the Gates foundation for organizational start up

  4. The Partnership for an HIV-Free Generation is born

  5. HFG – The Early Years September 2008 • HFG, Inc. formed as 501c3 public charity • HFG Kenya creates the G-Pange brand and pillars of G-Pange lifestyle • HFG launched December 5/6 in Nairobi • Youth Event attracted 60,000 attendees!

  6. Partnership for an HIV-Free Generation: The Partners

  7. The Joys of Childhood • HFG brings partners together • 50-80 participants come together • Each moved the partnership to higher levels of understanding, engagement and enthusiasm • Issues, strategy and implementation tackled: • Project proposals conceived • Increased understanding of the needs of PEPFAR implementing partners • Governance structure and roles/responsibilities taking shape • The Global Secretariat established

  8. 2009/2010: The Terrible Two’s • Global and country governance structure still fluid • Continuous redefining of goals, objectives, and processes taking place • Out of conflict comes growth

  9. The development of the country strategy Review of Government of Kenya and PEPFAR youth HIV Prevention Strategies Review of the literature and state-of-the art in HIV prevention Review of current data on the nature of the epidemic in Kenya Assessment of needs resulting from stakeholder meetings, key informant interviews, and contacts with beneficiaries Inputs from HFG leadership and the public and private sectors 9 9

  10. The Partnership for an HIV-Free Generation Our Vision • “A Generation Free from HIV” Mission Statement • To revolutionize HIV prevention interventions and contribute to the improved health and well-being of youth ages 10 to 24 in Kenya, through leveraging public, private and community partnerships. Goal • To support and complement the KNASP-III goal of a 50% reduction of HIV incidence among youth by utilizing the core competencies, resources and experiences of the partners 10

  11. What is The Partnership for an HIV-Free Generation - Kenya? An innovative Public/Private Partnership that: • Is the youth HIV prevention initiative of PEPFAR and a central piece of PEPFAR prevention efforts • Represents a unification of the PEPFAR youth prevention agenda • Exists to accelerate the Government of Kenya HIV prevention strategy • Serves as a broker of private sector partnerships and links those partners to PEPFAR implementing partners 11 11

  12. What The Partnership for an HIV-Free Generation – Kenya is not The Partnership is not: • An implementing partner or traditional NGO • A private sector-led initiative • A donor 12 12

  13. What are we trying to achieve? (2) • Increased youth participation and ownership • Increased availability of and access to quality, client-centered prevention services • Increased knowledge of HIV prevention among youth • Increased access to economic opportunities by youth • Increased practice of safer sex behaviours by youth • An enabling environment for behaviour change 13 13

  14. How do we get there? • Saturation - defined as reaching the same youth in multiple settings with a defined set of information, messages, and services • Integration – takes a holistic approach to reaching and serving youth by integrating and connecting HIV prevention interventions to offer a range of programmes and services that meet the diverse needs of various youth segments. Within the context of HFG this means including at least one activity from each of the 5 GPange pillars to achieve integration 14 14

  15. How do we get there? (2) • Recommended package of services – that are provided on site or through referral that address the health, education, training, employment, recreational and informational needs of youth • A unifying lifestyle brand – defined as the GPANGE brand that encourages young people to adopt a healthy lifestyle • An enabling environment – that respects the rights of young people and empowers them to lead safe and healthy lives 15 15

  16. Cross-cutting issues integrated into all activities Gender mainstreaming to ensure equity and to address the unique vulnerabilities of girls Youth leadership and participation in the design, planning, implementation and evaluation of programmes Family, community and government engagement to support youth and youth prevention programmes Human rights acknowledging and promoting the right of young people including those with special needs to the information and services that contribute to their safety and well-being Stigma and discrimination addressed at all levels of programme implementation 16 16

  17. Introducing GPANGE – The Five Pillars • GJUEHALI YAKO– Know your health and HIV status, and that of your partner • GFAHAMISHE – Increase knowledge and awareness of HIV and other life skills • GAMINI – Believe in yourself • GINUE – Increase economic empowerment • GKINGE – Avoid risky behaviour 17 17

  18. How the Partnership works (2) • Determines priorities • Sets the strategic direction • Defines targets • Mobilizes public health experts • Provides funding through existing mechanisms, i.e., PEPFAR, USAID, CDC, etc. • Monitors and evaluates interventions USG & GoK • Partnership for an HIV-Free Generation – Kenya • Coordination • Mobilization • Technical Support Private • Supports the public health agenda by providing funding & additional resources • Applies business models to public health programmes, where needed • Develops brand recognition • Applies commercial competence in reaching youth • Develops complementary products Implement-ing Partners • Offers technical expertise, local understanding and field experience • Drives programme implementation • Provides on-the-ground resources • Ensures community access • Ensures relevance to community needs and priorities 18

  19. What are our guiding principles? (Crosscutting) Our prevention efforts must: • Be guided by the policies of the Government of Kenya and the national prevention strategy (KNASP III) • Ensure that the private sector is supporting public health goals and objectives • Meaningfully engage local partners at the outset • Ensure that interventions demonstrate outcomes • Be driven by data and evidence • Strengthen the capacity of communities (individuals and institutions) to sustain prevention efforts • Be geared towards having sustainable impact • Ensure efficiency and effectiveness in interventions supported 19 19

  20. What are our guiding principles? (Youth-specific) Our prevention efforts must: Make the health and well-being of youth a priority, with a central focus on young women and girls Meaningfully engage and promote youth leadership and participation Meet youth wherever they are Reflect targeted interventions that meet the unique needs and vulnerabilities of various population segments of youth Include secondary prevention among HIV+ youth 20 20

  21. What are our guiding principles? (Community-based) Our prevention efforts must: Address stigma and discrimination for people living with HIV and AIDS (PLWHAs) Involve community leaders and families as partners Promote cultural norms and values that encourage the healthy growth and development of young people Respond to the needs of the community, reflecting a grassroots approach 21 21

  22. Phase One – Partner Activities Supported • GPANGE Mass Multi-Media • Shuga, the movie and discussion guide • Staying Alive in a Box • Radio and TV • G-PANGE website • IEC/BCC materials for various youth segments • GJUE One Million • Social mobilization, including magnet theater and community-based events • HIV Counseling and Testing 22 22

  23. Phase One – Partner Activities Supported (2) 3. GATE – GAMINI Annual Talent Explosion • Theater for development • Community mobilization 4. Girl Involvement • Designed to enhance the participation of women and girls in HIV prevention activities • Technical support provided to implementing partners 23 23

  24. Phase One – Partner Activities Supported (3) 5. Pamoja Mtaani • Piloted computer-based game for health education • Applying lessons learned to enhance and scale up the game 6. Mukuru Mapping • Community mobilization and engagement for programme planning and development • Community asset identification for programme sustainability Model for replication 24 24

  25. Phase One – Partner Activities Supported (4) 7. Huru • Reusable sanitary pads for disadvantaged girls to reduce school absenteeism during the monthly period • Provide life skills training through peer education programs to the girls in schools • Offer employment opportunities in the manufacture of the pads 25 25 25

  26. Lessons Learned Prevention Understanding the prevention landscape and drivers of the epidemic are essential in developing an appropriate response Make sure activities and projects are integrated across the program to avoid having stand alone outputs 26 26 26

  27. Lessons Learned Stakeholder Engagement Country level buy-in and support are required Supporting the government strategic goals and objectives is essential Youth involvement at various levels is essential to making programs relevant Keep parties appropriately informed through a proactive and comprehensive communications approach 27 27 27

  28. Lessons Learned Public Private Partnerships Understanding how the private sector works and the private sector understanding how the government works is essential in minimizing frustration on both parts The development of a PPP takes significant time and investment. In this case less is more. Make sure activities and projects are integrated across the program to avoid having stand alone outputs 28 28 28

  29. Asante Sana

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