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Aaron Mulaki , HPP Regina Omban , NACC Wanjiru Mukoma , LVCT

Building capacity for the utilization of a global evidence resource in HIV and related programs in Kenya. Aaron Mulaki , HPP Regina Omban , NACC Wanjiru Mukoma , LVCT Jill Gay, Melanie Croce-Galis and Karen Hardee, What Works for Women & Girls. 21 March, 2013. www.whatworksforwomen.org.

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Aaron Mulaki , HPP Regina Omban , NACC Wanjiru Mukoma , LVCT

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  1. Building capacity for the utilization of a global evidence resource in HIV and related programs in Kenya Aaron Mulaki, HPP Regina Omban, NACC WanjiruMukoma, LVCT Jill Gay, Melanie Croce-Galis and Karen Hardee, What Works for Women & Girls 21 March, 2013

  2. www.whatworksforwomen.org • Supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and Open Society Foundations and is carried out under the auspices of USAID’s Health Policy Project and the Public Health Institute • Compiles evidence on interventions that address the needs of women and girls related to HIV outcomes • Spans more nearly 3000 articles and reports with more than 450 interventions from nearly 100 countries • Centralized location- searchable website with evidence for successful gender-specific programming

  3. What Works Methodology • Focused on developing countries • Searched SCOPUS, Popline, Medline, gray literature with various methodologies (wom*n and HIV, etc.) for evaluated interventions with measurable outcomes • Guided by consultations/reviews by more than 100 experts • Review currently covers 2008through January 2012 • Ranked evidence using a modified Gray scale into categories: What Works, Promising, Gaps

  4. The Kenyan context • Kenya has a generalized epidemic with a high burden on women and girls. • 7.1% living with HIV • Widowed women 20.1%, separated/divorced 16%, polygamous 10.1%, in marriage 7%, never married 4.6% • Young women ages 15 to 24 are four times more likely to be living with HIV than men • Gender roles and norms, violence affect prevention, treatment access

  5. Implementing What Works at the Country Level Key Interventions • Lead authors and partners hold dissemination meetings at national level with NACC • Dissemination in relevant forums including policy meetings • Accompanying curricula developed by a Kenyan NGO and further trainings planned throughLVCT/HPP • Local partners to intensify dissemination at county forums to ensure HIV gender plans, priorities are informed by evidence

  6. Resources required • Half day worth of time to provide an overview to newcomers • Cost of modest refreshments • Computers, Internet • Website publically accessible and static copy available on USB

  7. Implementing What Works for Women and Girls in Kenya • Wide agreement that prevention is still critical and needs to be scaled up • Voluntary medical male circumcision can help women • Condoms are still critical • Sex workers-comprehensive approach required • Women who use drugs/Partners of men who use drugs can benefit from comprehensive harm reduction programs, peer education, sex-segregated group sessions • Treatment is a huge success story, but gender roles and norms affect access for both men and women

  8. Challenges and counter strategies • Evidenced-based approaches usually have a long lag time in adaptation • Civil society and government officials now drawing on the evidence based to revise strategies for the implementation of the National AIDS Strategic Plan • Kenya continues to be both a powerhouse of evidenced-base research and is currently drafting a new HIV/AIDS strategy using the evidence base

  9. Lessons Learnt and Conclusion • Publicly accessible summaries of the evidence are highly valued • There is benefit in the global partnership on evidence compilation through country-owned processes • Kenya is leading the way in demonstrating the value of this partnership

  10. What Works Website For more information, please visit www.whatworksforwomen.org

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