Ndunge Kiiti, PhD Senior Director, Partnership Development MAP International CCIH Conference

1. Faith Communities Responding to HIV/AIDS in Africa: Building Curriculum for Theological Institutions Ndunge Kiiti, PhD Senior Director, Partnership Development MAP International CCIH Conference Germantown, MD May 30, 2005

2. Presentation Overview • The Context • Why the Church? • MAP Responses • Building Curricula for Theological Institutions: • Community/Diploma Level: Choosing Hope – 8 Modules • Under Graduate Level: Three-Unit HIV/AIDS Curriculum • Post Graduate Level: MA/PGD in Pastoral Care & HIV/AIDS • Challenges • Lessons Learnt • Conclusion “Health and Hope for a Hurting World”™ Since 1954

3. The Context • Waves of the HIV&AIDS Epidemic in Africa • Silent wave of the HIV infection • Destructive phase of the illness • Stigma and discrimination - primarily against HIV infected persons • Children orphaned and affected by the disease • Grandmothers-- ‘New Mothers’ of Africa (Adapted from M. J. Kelly, Luwisha H’se, Lusaka, Zambia, Sept. 04) • Provision of ARVs • PEPFAR: place 2 million on treatment; prevent 7 million new infections; provide care and support for 10 million • WHO: ‘3 X 5’ Goal • National Responses: Kenya’s Goal: From 25,000 (2004) to 95,000 (2008)

4. The rapid spread of HIV in Africa is devastating families and whole communities, and threatening to cripple entire economies. HIV & AIDS is leaving: Children without parents, Families without bread winners Schools without teachers, and Hospitals without doctors and nurses...! The Problem

5. Facing AIDS • Relevance of churches will be determined by their response • Re-examine human conditions, which promote the pandemic; • Relationships • Build healthy covenants with one another • Mend broken relationships • Review church structures that marginalize women and children • Response • “Look, listen, learn and understand!” • Levels—individual, local, national, regional and international “Health and Hope for a Hurting World”™ Since 1954

6. Why the Church? • Advocacy for and on behalf of the voiceless • Access to a wide audience • Hope—Eternal Perspective • Holistic Approach • Infrastructure • Integrity • Resources • Sustainability • Track Record “Health and Hope for a Hurting World”™ Since 1954

7. Evolution of MAP’s Response • Research • Training • Material Development & Dissemination • Advocacy and Policy Development • Networking and Partnerships • Institutional Capacity Building “Health and Hope for a Hurting World”™ Since 1954

8. MAP INTERNATIONAL’S FRAMEWORK FOR BUILDING CAPACITY OF THE CHURCH TO RESPOND TO HIV/AIDS IN AFRICA HIV/AIDS Policyformulation and and StrategyDevelopment Capacitybuildingandand organizationaldevelopment Advocacy Interventions and andand programs Sensitizationand Mobilization Scalingupthe Responsethes response

9. Building the Curriculum: The Beginning “Health and Hope for a Hurting World”™ Since 1954

10. Building Curriculum (1) • 1999: Policy Leaders Workshop on HIV/AIDS held in Mombasa, Kenya. • 2000: Integration of Curriculum into institutions • “Choosing Hope” First taught at St. Paul’s United Theological College—Limuru, Kenya • Consultation on Development of a Degree Level HIV/AIDS Curriculum held in Nairobi, Kenya

11. Building Curriculum (2) • 2001: TOT Workshop for East & Southern Africa regions held in Nairobi, Kenya • 2003: First Cohort of students enroll for the MA/PGD in Pastoral Care & HIV/AIDS Program – at SPUTC • 2004: Second Cohort of Students enrolled at SPUTC “Health and Hope for a Hurting World”™ Since 1954

12. Expansion into Regional Institutions • Bishop Gaul College (Harare, Zimbabwe) • College of Transfiguration (Grahamstown, RSA) • Cornerstone Christian College (Cape Town, RSA) • Uganda Christian University (Mukono, Uganda) • St. John’s Anglican Seminary (Kitwe, Zambia) • St. Mark’s Theological College (Dar es Salaam, Tanzania) • St. Paul’s United Theological College (Limuru, Kenya) “Health and Hope for a Hurting World”™ Since 1954

13. Building Curriculum (3) • CHOOSING HOPE: 8 Modules designed to be used in Practical Theology Courses and other Educational Ministries of the Church: • Understanding HOPE: By Knowing facts about HIV/AIDS • Discovering HOPE:Through Our Biblical Foundation • Spreading HOPE:By mobilizing the Church to engage in HIV/AIDS ministries • Developing HOPE:By Changing Feelings and Attitudes about HIV/AIDS • Sharing HOPE:Through pastoral care to families affected by HIV/AIDS • Offering HOPE:Through HIV/AIDS pastoral counseling • Giving HOPE: To Parents and Youth for AIDS-free living • Ministering HOPE:Through Home Based Care to PLWA

14. Building Curriculum (4) • Undergraduate Program • Unit One: • Human Sexuality and HIV/AIDS • Unit Two: • The Christian/Church Response to HIV/AIDS Pandemic • Unit Three: • Program Development • Specialization (Areas of Interest) • Methods of Teaching, Assessment and Evaluation

15. Building Curriculum (5) • MA/PGD in Pastoral Care and HIV/AIDS • Aims and Objectives • To equip practitioners working in the field of HIV/AIDS interventions to become • critically reflective (learning methodology) • theologically informed • professionally grounded in carrying out research • skilled in relating faith and HIV/AIDS

16. Building Curriculum (6) • Community Transformation • To facilitate practical field experiences • 50 current students working in the field • 1,250 community activists impacted • 25,000 in the community reached “Health and Hope for a Hurting World”™ Since 1954

17. MA/PGD Main Subjects Part 1 Leading to Post Graduate Diploma Global, Regional and Local Dimension Human Sexuality Dimension Social Sciences Dimension Pastoral Care Practice dimension Theological & Spiritual Dimension Ethical & Legal Dimension Strategic Dimension Part 2 Leading to MA Degree Dissertation based on Specialist Elective Dimension – One of: Advocacy Counseling Models of Care Micro-enterprise Development Building Curriculum (7) “Health and Hope for a Hurting World”™ Since 1954

18. Building Curriculum (9) • Base Group Model (Esther) • Transforming her Kiserian, Ngong Community • Working with a ‘Base Group’ of 20+ members • Composition (doctors; chief; teachers; community health workers; caretakers for PLWHA and others) • Exemplifying community and NGO partnerships and networks “Health and Hope for a Hurting World”™ Since 1954

19. Esther and some of her Base Group Members “Health and Hope for a Hurting World”™ Since 1954

20. Challenges • Stigma, Silence, Denial • Discriminating against PLWAs • Sex & Sexuality: Taboo subjects • Lack of Skills for Caring for the Infected and Affected • Limited Theological Depth Among Clergy & Laity • Limited Resources—Information, Financial and Managerial • Caregiver Burnout • Lack of Networking with Government and NGO’s “Health and Hope for a Hurting World”™ Since 1954

21. Key Lessons Learnt (1) • Dissemination of information versus training • The ‘Messenger’ is as important as the ‘Message’ • Comprehensive Educational Materials must be provided • Integration of Monitoring and Evaluation • Research guides program interventions • Targeting Church Leadership at top level and grass roots level “Health and Hope for a Hurting World”™ Since 1954

22. Key Lessons Learnt (2) • Networking and Partnerships paramount • Translate theory to practice • Momentum is developed through commitment • Church leadership motivated and mobilized with understanding of biblical mandate • Holistic approaches insure effectiveness • Prayer makes a difference “Health and Hope for a Hurting World”™ Since 1954

23. The Uganda Experience • What Lessons can we learn from Uganda’s response…? • HIV Infection rate (%) : Pregnant Women (ANC), Uganda, 1985-2000 “Health and Hope for a Hurting World”™ Since 1954

24. Conclusion • It is about multiplication: • “And the things you have heard me say in the presence of many witnesses, entrust to reliable men who will also be able to teach others” (St. Paul, in 2 Timothy 2:2). “Health and Hope for a Hurting World”™ Since 1954