Dr judith mathews and maurine murenga, kenyatta university

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Dr judith mathews and maurine murenga, kenyatta university

  1. 1. Presented at African Regional Conference on Universities-Communities Partnerships Dakar, 26 March 2011 Maurine Murenga, Director of “Lean on Me”, Nairobi Kenya & Judith R. Mathews, Fulbright Scholar at Kenyatta University University of Nebraska Medical Center [email_address] Teaching Adolescent Girls to be Change Agents: A Global Program
  2. 2. OVERVIEW <ul><li>OVERVIEW OF PROGRAM </li></ul><ul><li>SUMMARY OF PREVIOUS PROJECTS </li></ul><ul><li>CURRENT PROJECTS </li></ul><ul><li>BARRIERS </li></ul>
  3. 3. Community-Based Participatory Research (CBPR) <ul><li>=community-university partnership to facilitate community change </li></ul><ul><li>UNIVERSITY ROLE: </li></ul><ul><li>Structure & methodology </li></ul><ul><li>COMMUNITY ROLE: </li></ul><ul><li>Id community concerns </li></ul><ul><li>Develop & implement change </li></ul><ul><li>Evaluate & plan for sustainability </li></ul>
  4. 4. g-IMPACT (Global IMPACT for Girls) <ul><li>Collaboration Between: </li></ul><ul><li>“ Girls Incorporated” </li></ul><ul><li>& </li></ul><ul><li>University of Nebraska Medical Center / </li></ul><ul><li>Munroe Meyer Institute </li></ul><ul><li>Omaha, Nebraska U.S.A. </li></ul>
  5. 5. “ Girls Incorporated at Omaha” <ul><li>Community-based Organization for inner city girls </li></ul><ul><li>Serves approximately 500 low-income girls ages 5-18 </li></ul><ul><li>Motto: </li></ul><ul><li>“ Inspiring all girls to be strong, smart, and bold” </li></ul>
  6. 6. “ Girls Incorporated at Omaha” <ul><li>Services: </li></ul><ul><ul><li>After-school program </li></ul></ul><ul><ul><li>Homework help </li></ul></ul><ul><ul><li>Skill training </li></ul></ul><ul><ul><li>Leadership training </li></ul></ul>
  7. 7. gAWAKE (Girls Awake Kenya) <ul><li>Collaboration Between: </li></ul><ul><li>“ Lean on Me” </li></ul><ul><li>& </li></ul><ul><li>Kenyatta University </li></ul><ul><li>Nairobi, Kenya </li></ul>
  8. 8. “ Lean on Me” <ul><li>Community-Based Organization serving adolescent girls living with or made vulnerable by HIV/AIDS, TB, and/or gender violence </li></ul><ul><li>Serves approximately 120 girls, ages 12-25 </li></ul>
  9. 9. “ Lean on Me” <ul><li>Mission: </li></ul><ul><li>“ To provide comprehensive care and support to young women and girls living with HIV and made vulnerable to HIV to enable them live more wholesome lives.” </li></ul>
  10. 10. “ Lean on Me” <ul><li>Services: </li></ul><ul><ul><li>HIV Prevention </li></ul></ul><ul><ul><li>HIV Treatment Support Programs </li></ul></ul><ul><ul><li>HIV Care & Support Program </li></ul></ul><ul><ul><li>Advocacy </li></ul></ul>
  11. 11. COMMUNICATION BETWEEN g-IMPACT & gAWAKE <ul><li>via a specially designed workstation on </li></ul><ul><li>The Community Tool Box </li></ul>
  12. 12. ROLES <ul><li>UNIVERSITIES: </li></ul><ul><ul><li>Develop curriculum & manual </li></ul></ul><ul><ul><li>Assist in measurement & implementation </li></ul></ul><ul><ul><li>Train the trainers </li></ul></ul><ul><li>COMMUNITY ORGANIZATIONS: </li></ul><ul><ul><li>Give feedback on curriculum & manual </li></ul></ul><ul><ul><li>Recruit girls </li></ul></ul><ul><ul><li>Lead girls in implementing intervention </li></ul></ul><ul><ul><li>Assist in training future trainers </li></ul></ul>
  13. 13. Program Overview <ul><li>A Community-Based Participatory Research (CBPR) program for adolescent girls </li></ul><ul><li>Purpose: </li></ul><ul><ul><li>empower girls to become change agents in their own community </li></ul></ul><ul><ul><li>develop and implement an community-based project focusing on children’s health </li></ul></ul>
  14. 14. <ul><li>The Community Tool Box </li></ul><ul><li>http://ctb.ku.edu/ </li></ul><ul><li>Format: </li></ul><ul><ul><li>12-week program consisting of 8 modules </li></ul></ul><ul><ul><li>Modules are an adaption of 16 modules from: </li></ul></ul>
  15. 15. Modules <ul><li>Starting our Project </li></ul><ul><li>Deciding Our Community Needs </li></ul><ul><li>Deciding What We Want to Do </li></ul><ul><li>Planning Our Project </li></ul><ul><li>Evaluating Our Project </li></ul><ul><li>Doing Our Project </li></ul><ul><li>Making Sure Our Project Continues </li></ul><ul><li>Celebrating Our Successes </li></ul>
  16. 16. 1. Starting Our Project <ul><li>a. Understand the Root Cause: </li></ul><ul><li> “ Why did Sonni die?” </li></ul>Circles of Influence SONNI Individual Behavior Social, Family, Community Living Conditions Society
  17. 17. <ul><li>b. Learn about Activism </li></ul><ul><li>c. Choose an Advisory Board </li></ul>
  18. 18. 2. Deciding Our Community Needs re: Children’s Health
  19. 19. 3. Deciding What We Want to Do <ul><li>a. Sort pictures by: </li></ul><ul><ul><ul><li>Safety </li></ul></ul></ul><ul><ul><ul><li>Health Hazards </li></ul></ul></ul><ul><ul><ul><li>Risky Behavior </li></ul></ul></ul><ul><ul><ul><li>Girls Only Issues </li></ul></ul></ul>
  20. 20. b. Evaluate each problem by: <ul><li>Serious……………………………… </li></ul><ul><li>Affects lots of people……………… </li></ul><ul><li>Happens a lot……………………… </li></ul><ul><li>Happens over a long time……….. </li></ul><ul><li>Important to other people </li></ul><ul><li>in our community…………….... </li></ul>Using these symbols:
  21. 21. <ul><li>c. Vote on Topic </li></ul>
  22. 22. 4. Planning Our Project <ul><li>Research Topic </li></ul><ul><ul><li>Talk to local people </li></ul></ul><ul><ul><li>Read at library or online </li></ul></ul><ul><ul><li>Learn about other projects tackling problem </li></ul></ul><ul><li>Develop an Intervention </li></ul><ul><ul><li>Based on research, generate 2-3 intervention ideas </li></ul></ul>
  23. 23. b. Evaluate Intervention Ideas <ul><li>How important is this project?.............................. </li></ul><ul><li>How much does it cost?........................... </li></ul><ul><li>Can we do this project in 8 weeks? …........................ </li></ul><ul><li>Will our community help us?..................... </li></ul><ul><li>Can we do this at “Lean on Me”?............................................ </li></ul><ul><li>How much do I like this project?....................................... </li></ul>Using these symbols:
  24. 24. <ul><li>Plan in advance </li></ul><ul><li>Measure target behavior </li></ul><ul><li>Measure changes in girls </li></ul><ul><li>Measure changes in community: </li></ul><ul><ul><li>Immediate </li></ul></ul><ul><ul><li>Long-Term </li></ul></ul><ul><ul><li>Sustainability </li></ul></ul>5. Evaluating Our Project
  25. 25. <ul><li>Organize Project </li></ul><ul><li>Make an Action Plan </li></ul><ul><li>Delegate Responsibility </li></ul><ul><li>Actual Intervention = 8 weeks </li></ul>6. Doing Our Project
  26. 26. <ul><li>Plan for sustainability </li></ul><ul><ul><li>Continuation of Project </li></ul></ul><ul><ul><li>Policy Change </li></ul></ul><ul><li>Present project to: </li></ul><ul><ul><li>Local people </li></ul></ul><ul><ul><li>Conferences </li></ul></ul><ul><li>Training </li></ul>7. Making Sure Our Project Continues
  27. 27. <ul><li>Gather board, parents, girls for celebration </li></ul><ul><li>Share project with others </li></ul>7. Celebrating Our Success
  28. 28. PREVIOUS PROJECTS <ul><li>GIRLS INC: </li></ul><ul><li>LEAD POISONING HEALTH AWARENESS FAIR </li></ul>150 participants Girls Inc Policy Change Improved Knowledge 2 children identified with high lead levels Coalitions with 2 agencies
  29. 29. PREVIOUS PROJECTS <ul><li>2. GIRLS INC: </li></ul><ul><li>CHILD ABUSE PREVENTION “LOCK-IN” </li></ul>50 participants DVD Produced Improved Knowledge Coalitions with 3 agencies
  30. 30. CURRENT PROJECTS 1. g-IMPACT: GIRLS INC (Omaha) 2. gAWAKE: “LEAN ON ME” (Nairobi) <ul><li>2 manuals developed (culturally adapted) </li></ul><ul><ul><li>For girls </li></ul></ul><ul><ul><li>For instructors </li></ul></ul><ul><li>Development of a “Workstation” </li></ul><ul><li>on the Community Tool Box </li></ul>
  31. 31. THE COMMUNITY TOOL BOX http://ctb.ku.edu/
  32. 32. SAMPLE OF WORKSTATION
  33. 33. CONTENT OF WORKSTATION <ul><li>1. Information re: specific project </li></ul><ul><li>2. Ability to keep and analyze data from project </li></ul><ul><li>3. Communication between girls at 2 sites </li></ul>
  34. 34. CURRENT PROJECTS 1. g-IMPACT Currently Working On Step # 4
  35. 35. CURRENT PROJECTS g-IMPACT Topic Selected = “ lack of healthy choices being made about eating and exercise”
  36. 36. CURRENT PROJECTS 2. gAWAKE <ul><ul><li>Four women working on adapting the program </li></ul></ul><ul><ul><li>Five girls identified </li></ul></ul><ul><ul><li>Manual revised </li></ul></ul><ul><ul><li>Kenyan research permit obtained </li></ul></ul>
  37. 37. CURRENT PROJECTS 2. gAWAKE <ul><ul><li>c. CHALLENGE: </li></ul></ul><ul><li>UNMC Institutional Review Board is balking due to vulnerability of girls and to international nature of project: </li></ul><ul><ul><ul><ul><li>Identification of subjects </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Recruitment </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Informed consent </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Risk & minimization of risk </li></ul></ul></ul></ul>
  38. 38. FUTURE DIRECTIONS <ul><li>1. Address IRB challenges, possibly recruit girls less vulnerable while continuing to apply for approval for </li></ul><ul><li>“ Lean on Me” </li></ul><ul><li>2. Apply for funding to expand the </li></ul><ul><li>program in both Kenya & USA </li></ul><ul><li>3. Inclusion of faculty from Kenyatta </li></ul><ul><li>University’s Department of Gender Studies </li></ul><ul><li>4. Future training of trainers in other parts of Kenya </li></ul>
  39. 39. SUGGESTIONS? QUESTIONS?

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