A FACES Initiative To Prevent Cardiovascular Diseases In Nyanza Province, Kenya

1. A FACES Initiative To Prevent Cardiovascular Diseases In Nyanza Province, Kenya Herikuzuiakulikokuuguza

2. Overview of the presentation • Cardiovascular Disease (CVD) in Kenya • Geography and Demography of Target Groups • CardioCulture Program • Outreach Plan • Budget • Monitoring and Evaluation

3. CVD Chronic Health Connection Three prevalent chronic diseases in Kenya are inter-related HIV Obesity

4. Health Indicators for Women in Kenya Overweight/Obese women are prevalent in all three groups mentioned above Source: World Health Organization - NCD Country Profiles, 2011. Kenya.

5. Kenyan women believe that physical capability is in proportion with body size

6. Nyanza Province, Kenya has: Our project chooses Nyanza province for its distinct characteristics High HIV Prevalence High Population Density Sedentary Lifestyle Nyanza

7. Working with 15-30 year old HIV+ women gives us many benefits to make the greatest long term impact • Benefit of working with 15-30 year old HIV+ women groups: • High Obesity And CVD Incidence • Power To Change Cultural Change • Long Manifestation Period: 15 years • Existing Contact With Health System

8. Goal:reduce and prevent the risk of CVD in 15-30 year old HIV+ women in Nyanza Province As a part of Family AIDS Care and Education Services (FACES), CardioCulture will help the target group

9. CardioCulture prevents CVD by changing both diet and exercise patterns of the target groups Ischaemic Heart Disease Hypertensive Diseases Cerebrovascular Disease Cardiovascular Disease Overweight/ Obese Risk Factor HIV+ Approach Diet Exercise Peer circles Community Garden Football Intervention Components Change Perception of weight Nutrition Education

10. CardioCulture aims at developing women to be role models in their communities Participants will… • Develop Healthy Lifestyles • Communicate Health Information • Practice Regular Exercise And Better Nutrition • Learn Leadership Skills • Exemplify Healthy Body Image • Support Others With HIV And CVD

11. CardioCulture will impact about 10,000 women at the end of year four Estimated Impact: 10,000 women

12. Different networking channels are necessary to reach out to target groups and partners NGO partnerships Policy Advocacy Media Campaign: TV and Radio

13. A detailed budget plan is ready to implement the project 100% = $15 million over four years

14. CardioCulture will use questionnaire to evaluate the outcome of the initiative • Individual Needs Evaluation • Monthly Health Evaluation • Quarterly Image Assessment and Program Evaluation

15. “Project Management” application can also help evaluate CardioCulture’s internal operation • Measured criteria: • Progress • Participation • Retention • Text Tracking • Administration

16. Why CardioCulture… • Targeted • Innovative • Multi-dimensional • Measurable • Practical • Sustainable

17. Thank You!

18. Group Contributions • Elizabeth Cahill: Research “Project Management” Application, Assessment and Technology • Taryn Ellis: Research CVD in Kenya • Anna Gage: Create Budget, Research Partners, and Draft Outreach Plan • Crystal Ki: Research Demographics and Geography • Kelli Paice: Design Specific Programs • Minh Tang: Create Business and Expansion Plans

19. References • Kimaiyou, S. (2012). Academic Model for Prevention and Treatment of HIV/AIDS.” AMPATH Kenya. Web. http://www.ampathkenya.org/our-programs/communicable-diseases/ • Bloomfield, G.S. et al. (2011). “Chronic noncommunicable cardiovascular and pulmonary disease in sub-Saharan Africa: An academic model for countering the epidemic”. American Heart Journal. 161:5. • Bloomfield, G.S et. Al. (2011). “Hypertension and Obesity as Cardiovascular Risk Factors among HIV Seropositive Patients in Western Kenya.” Public Library of Sicence. 2011.6.7 • Kenya National Bureau of Statistics (KNBS) and ICF Macro. 2010. Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro. • Martha Youth Sports Association. (2010). “Strategic Plan 2010-2019.” MYSA. Web. http://www.mysakenya.org/resources.html • Ministry of Medical Services. 2008. Reversing the trends: the second national health sector. Strategic plan of Kenya. July 2008. • Oparanya, W.A. 2010. 2009 Population and housing census results. 31 August 2010. • United States Agency International Development. (2012). AMPATH. Web http://kenya.usaid.gov/programs/health/83 • World Health Organization. 2011. NCD Country Profiles: Kenya. Web. http://www.who.int/nmh/countries/ken_en.pdf

20. APPENDICIES

21. Appendix AAMPATH Partnership

22. Appendix BMYSA Partnership

23. Timeline Media Campaign Recruit and enroll women Conduct formative assessment Conduct Final Evaluation Evaluation & Survey Football and gardening Recruit and train peer leaders Develop SMS platform Repeated in each year of expansion Year One: Kisumu Town Year Two: Kisumu District & Masena, Muhoroni Year Three: Other Nyanza urban areas Year Four: Expand to other provinces

24. The Baldrige Model

25. Comparison of HIV prevalence across Kenyan provinces Source: Kenya Demographic And Health Survey 2008-09