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Using Innovation and Technology to Offer HIV and SRH Information to Adolescents and Young People: Lessons from the LVCT

Learn about the LVCT Health one2one program in Kenya, which uses digital technologies to provide HIV and SRH information and linkage to services for adolescents and young people. Discover the program's toll-free hotline, bulk SMS platform, peer-led awareness, and challenges and opportunities for scaling up and expanding services.

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Using Innovation and Technology to Offer HIV and SRH Information to Adolescents and Young People: Lessons from the LVCT

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  1. Using innovation and technology to offer HIV and SRH information to adolescents and young people: lessons from the LVCT Health one2one program Wanjiru Mukoma, Jane Thiomi 21 July 2016, 7:00 to 8:30 am, Session Room 5 International AIDS Conference, Durban, South Africa

  2. About LVCT Health • Kenyan NGO • Operations and implementation science Research • Policy advocacy and TA • Integrated HIV Service delivery Research -HTC -SGBV/PRC -Combination HIV prevention -SRH -Maternal Health Policy Practice Building Partnerships, transforming lives www.lvcthealth.org

  3. Kenya’s Demographic trends

  4. Kenya’s Demographic trends

  5. Youth program of LVCT Health • www.one2onekenya.org • Integrated HIV services – general population; adolescents and young people living with HIV; girls and young women; adolescents exploited through sex, most at risk youth • one2one integrated digital program- OIDP Building Partnerships, transforming lives www.lvcthealth.org

  6. Toll free hotline • OIDP purpose: harness the growing utilization of digital technologies by adolescents and youths to provide SRH/ HIV/ GBV information and linkage to services • Population: 10-24 years • Reach: national • Staffing: young counselors & nurses –general counseling, trauma, GBV, substance use Building Partnerships, transforming lives www.lvcthealth.org

  7. OIDP purpose: harness the growing utilization of digital technologies by adolescents and youths to provide SRH/ HIV/ GBV information and linkage to services • Staffing: young counselors & nurses –general counseling, trauma, GBV, substance use Building Partnerships, transforming lives www.lvcthealth.org

  8. Building Partnerships, transforming lives www.lvcthealth.org

  9. OIDP Platforms performance;July2015-June2016 Building Partnerships, transforming lives www.lvcthealth.org

  10. Hotline “My number one place to look for information is the 1190 ”(Kisumu Youth) • Largest Toll free hotline for HIV related info for youth • Short code – 1190 • App 10,000 calls monthly • Open 12 hours 8am-8pm • Based at safaricom call centre – real time detailed data Building Partnerships, transforming lives www.lvcthealth.org

  11. Caller demographicsApril 2015 – March 2016 • 166,678 calls were received at the hotline Age • 10-14 years – 3% • 15-19 years – 22% • 20-24 years – 50% • >25 years – 25% Sex • In 2015: 62% female, 38% male (due to TV adverts on FP)

  12. Hotline Building Partnerships, transforming lives www.lvcthealth.org

  13. Caller demographics

  14. Reasons for Calling one2one Hotline Most common reasons • Interpersonal relationship issues (personal, social, and emotional); • Pregnancy and Birth control and • HIV AIDS • STI concerns By gender • Males – relationships, sexual relations & HIV • Female – pregnancy, birth control, abortion, sexual abuse

  15. Questions posted on bulk sms platform • Bulk sms platform used to send out information and receive feedback • Also useful for appointment reminders for ART (increased from 77% to 83% in 6 months)

  16. Referrals • Callers are referred for appropriate services near them and followed up with phone calls • Services include FP, ANC, HTC, HIV care, GBV, other socio-media platforms • “They referred me and called me about after one week to see if I got the service”(Nairobi, Youth) • “Yeah when I called them the first time I told them the problem I had then after about three weeks they called back and asked if my problem was solved and I was satisfied and if I was happy with them that was very perfect (Kisumu, Youth)

  17. Peer led awareness Building Partnerships, transforming lives www.lvcthealth.org

  18. Challenges • Identification of the most marginalized youth to use the one2one platform (especially sex workers, injecting drug users and the MSM population) • Scale up – additional space and counselors required to handle workload especially when there are media advertisements • Hotline Systems gaps – dynamic data management systems • Inadequate Youth Friendly Services to refer clients to • Continuous capacity building of counselors on emerging needs of adolescents and youth • Sustained financing for hotline Building Partnerships, transforming lives www.lvcthealth.org

  19. Opportunities/considerations • Potential for supporting HIV/SRH interventions – HIVST, PrEP, FP • Policy influence – use data to inform policy • *Used lessons to inform guidelines on quality for health helplines with Dept of standards in MOH • Confidential platform for adolescent KPs to access information – linkage with KP programs • Expand range of services e.g. linkage to opportunities for employment creation and skills training, civic education • ICT- New dynamic ways and methods of reaching young people; quick, bite size, in their language, convenient • Age appropriate methodologies • Gender plays a role in how information is given and received Building Partnerships, transforming lives www.lvcthealth.org

  20. OIDP Performance Interval July2015-June2016 Building Partnerships, transforming lives www.lvcthealth.org

  21. Contacts • www.lvcthealth.org • One2onekenya.org • wmukoma@lvcthealth.org Building Partnerships, transforming lives www.lvcthealth.org

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