Utilizing one2one Sanitary pads initiative as an entry point for HIV and Sexual and Reproductive Health (SRH) information

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Young women are particularly vulnerable to HIV infection compared with young men
3 percent of women age 15-19 are HIV infected, compared with less than one percent of men age 15-19.
Less than 25% reported that they had used a condom at their first sex.
Young women are often willing to participate in transactional relationships for various reasons.
Among young adolescents aged 12 to 14 years, 7% reported ever having sex, with a median age at first sex reported at 10 years, KAIS 2012.
Only 35% of callers at LVCT Health one2one hotline are women.
Girls are confused by changes in their bodies and unsure of how to maintain personal hygiene and prevent stains on their uniforms (FAWE, 2005)

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  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • LVCT Health provides technical assistance to the government of Kenya, other governments in Africa, civil society organizations and private sector in strengthening responses to HIV prevention, care and treatment, sexual and reproductive health (SRH) interventions.
    LVCT Health’s core role is to inform the policy and programming within which HIV and AIDS and wider sexual reproductive health issues can be tackled.
    We conduct research into health systems and operations and advocate for effective, evidence –based government policies
    We invest in communities and health systems across Africa, train health care providers, build organizational capacities and work to secure long term resources for health.
    We work with partners, including national and county governments, community and faith-based organizations and the private sector to deliver accessible, quality HIV and reproductive, maternal and child healthcare to the target populations.
    LVCT Health focuses on those with greatest vulnerability to HIV infection and those with special needs, including survivors of sexual violence (SV), Persons with Disabilities (PWDs), Men who have Sex with Men (MSM), sex workers (SWs), youth including adolescents, young women and girls.
  • Utilizing one2one Sanitary pads initiative as an entry point for HIV and Sexual and Reproductive Health (SRH) information

    1. 1. 1 www.lvcthealth.org Utilizing one2one Sanitary pads initiative as an entry point for HIV and Sexual and Reproductive Health (SRH) information Kibutha A; Maingi C; Muthoni T; Njiru P; Chazara A; Gitau E; Gatimu J; Thiomi J. 6th International Conference on Peer Education, Sexuality, HIV & AIDS 2014 Dates: 16- 18 June 2014
    2. 2. We have rebranded. We are now LVCT Health
    3. 3. Building Partnerships, transforming lives 3 ABOUT LVCT Health www.lvcthealth.org • LVCT Health (formerly known as Liverpool VCT, Care and treatment (LVCT)) is an indigenous Kenyan non- governmental and non-profit organization. • Founded in 1998 and registered in 2001 • LVCT Health envisions healthy societies and uses research results, capacity improvement and policy reform action for equitable HIV, SRH services to the most vulnerable populations. • LVCT health reached 1.3m Kenyans with HTC in 2013 with 80% linkage to care, 40,000 in care, 4300 survivors of sexual violence in 124 MOH facilities and 150,000 youthful callers to one2one hotline.
    4. 4. Building Partnerships, transforming lives 4 Presentation Outline www.lvcthealth.org • Background • Intervention • Results • Lesson learnt • Recommendations
    5. 5. Building Partnerships, transforming lives 5 www.lvcthealth.org …“I was keenly following your discussions and it was very useful. Her tone changed and her voice low aware of her surrounding she asked;- ‘sometimes I get things like small pieces of meat coming out my private parts during periods, is that a problem?’ the counsellor responded to her concern and she was satisfied. Lowering her voice further and looking around to make sure nor student neither a teacher is listening she asked;- sometimes I get white stuffs coming out of my private part, sometimes it is so itchy na naskia kuwaswa (I feel a burning sensation) what could be the problem”
    6. 6. Building Partnerships, transforming lives 6 www.lvcthealth.org I have only two panties and sometimes it is difficult to have them dry especially during rainy season…so this results to me putting them when wet. Sometimes my young sister takes one so I only remain with one. It is very challenging especially during periods because I can’t go to school because I neither have pads nor panties…Agnes, form 3 student.
    7. 7. Building Partnerships, transforming lives 7 Background www.lvcthealth.org • Young women are particularly vulnerable to HIV infection compared with young men • 3 percent of women age 15-19 are HIV infected, compared with less than one percent of men age 15-19. • Less than 25% reported that they had used a condom at their first sex. • Young women are often willing to participate in transactional relationships for various reasons. • Among young adolescents aged 12 to 14 years, 7% reported ever having sex, with a median age at first sex reported at 10 years, KAIS 2012. • Only 35% of callers at LVCT Health one2one hotline are women. • Girls are confused by changes in their bodies and unsure of how to maintain personal hygiene and prevent stains on their uniforms (FAWE, 2005) Source KDHS
    8. 8. Building Partnerships, transforming lives 8 One2one Sanitary Pad Initiative (OSPI) www.lvcthealth.org Aim: to reach girls with sanitary pads whilst offering adolescent friendly SRH/HIV, information, knowledge and awareness among girls aged 12-19 years. Project sites: Machakos, Kajiado, Nairobi, Kiambu & Kisumu Mechanism: Moderated open forums (girl talk and boy talk sessions) facilitated by youth counselors and volunteers
    9. 9. Building Partnerships, transforming lives 9 Process www.lvcthealth.org 1. Selection of schools: Done through the County DOE 2. Initial assessment: Visit selected schools, identify key isses issues affecting girls, school attendance, discussion with school head/ counsellor 3. Actual intervention: Provide information to all students, then have “gal talk” and distribute sanitary pads for 3-4 months and panties 4. Evaluation of Intervention: Done after 3-4 months, identify successes and challenges 5. Feedback to MoE, donors: Through sharing best practices and lessons learnt
    10. 10. Building Partnerships, transforming lives 10 Results www.lvcthealth.org • 17 school reached with the intervention • Over 5000 girls were reached with SRH info, sanitary pads and panties • Improvement in school attendance especially during the menstruation period • Demand for SRH information from the one2one hotline esp. after discussions • Raised self esteem as pads were comfortable, reliable and hygienic
    11. 11. Building Partnerships, transforming lives 11 Lessons Learnt www.lvcthealth.org 1. Integrating SRH info in san pad distribution is an effective way of reaching girls with credible info. 2. Involvement of education official is key in identifying the schools that need help. 3. An understanding of the school prior makes the intervention appropriate to the audience.
    12. 12. Building Partnerships, transforming lives 12 Recommendations www.lvcthealth.org 1. Boys and young men involvement- help in reduction of stigma. 2. Packaging of sanitary pads esp. on the primary school programme- panties & information pack? 3. National coordination and national level reporting mechanisms 4. National level independent TWG/ steering committee
    13. 13. Building Partnerships, transforming lives 13 Pictorial www.lvcthealth.org This is how we do it,
    14. 14. Building Partnerships, transforming lives 14 Thank You CONTACT US: akibutha@lvcthealth.org nairobi@lvcthealth.org www.lvcthealth.org

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