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Referral challenges for HIV testing, treatment and care
for in school youth in Nairobi’s informal urban
settlements, Kenya
NOPE BIANNUAL CONFERENCE
18-20th June 2014, NAIROBI
Presented by:
Lily Murei, Global Communities
1
• HOPE program, implemented by Global Communities in
partnership with USAID and Ministry of Education
Science and Technology
• Program seeks to improve HIV and AIDS knowledge,
attitudes and practices among primary and secondary-aged
students through peer, school, and community-based
interventions.
• To ensure prevention the program supports referral for in
school youth by linking them to comprehensive youth
friendly services within the school environs
2
Background
• School referral system is largely non-supportive
environment in school, lack of referral systems in schools,
stigma and discrimination.
• HIV related stigma significantly impacts on uptake of HIV
testing and adherence to HIV treatment.
• Due to stigma and discrimination in school youth are less
likely to undergo testing and or seek treatment
3
The Gap…
• Facilitate assessment of availability and accessibility of
existing comprehensive youth friendly services within
school environs;
• Create awareness of available youth friendly services near
the school;
• Facilitate initial contact of youth with care and support
service providers
4
Objectives
• Mapping of comprehensive youth friendly service delivery
around school environ
• Development of referral directory & A referral tool
• Students referral needs identified
• Referral services that match students self-identified
priority needs guides the referral support service
• Student consent for referral
• Referral process facilitated by Peers, Life Skills
Education/guidance & counselling teachers
5
Methods
6
Results
• Awareness creation on availability of referral directory
and tool
• Referral directory created and shared with partners and
schools
• A referral tool/booklet printed and shared with schools
• Linkage of referral and school health program
• Students referral needs identified
• Referral services that match students self-identified
priority needs guides the referral support service
• Enhance coordination and collaboration to maintain
strong working relations across schools and service
providers
• Scale up awareness among in school youth, to encourage
youth seek support
• Consultations with service providers to ensure accessible
and effective referral.
• Documentation and follow up on referral to determine
reasons for completion or non-completion of referral
7
Conclusions
& Recommendation
Authors- Murei, L; Adera, B; Tilock, K; Wahinya, A &
;Nyagah, F
• USAID PEPFAR
• Global Communities
• MOEST & School Heads/Principals
• KGGA
• NOPE
• SJCC
• SAPTA
8
Acknowledgment
9
Thank you

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Referral challenges for hiv testing, treatment and care

  • 1. Referral challenges for HIV testing, treatment and care for in school youth in Nairobi’s informal urban settlements, Kenya NOPE BIANNUAL CONFERENCE 18-20th June 2014, NAIROBI Presented by: Lily Murei, Global Communities 1
  • 2. • HOPE program, implemented by Global Communities in partnership with USAID and Ministry of Education Science and Technology • Program seeks to improve HIV and AIDS knowledge, attitudes and practices among primary and secondary-aged students through peer, school, and community-based interventions. • To ensure prevention the program supports referral for in school youth by linking them to comprehensive youth friendly services within the school environs 2 Background
  • 3. • School referral system is largely non-supportive environment in school, lack of referral systems in schools, stigma and discrimination. • HIV related stigma significantly impacts on uptake of HIV testing and adherence to HIV treatment. • Due to stigma and discrimination in school youth are less likely to undergo testing and or seek treatment 3 The Gap…
  • 4. • Facilitate assessment of availability and accessibility of existing comprehensive youth friendly services within school environs; • Create awareness of available youth friendly services near the school; • Facilitate initial contact of youth with care and support service providers 4 Objectives
  • 5. • Mapping of comprehensive youth friendly service delivery around school environ • Development of referral directory & A referral tool • Students referral needs identified • Referral services that match students self-identified priority needs guides the referral support service • Student consent for referral • Referral process facilitated by Peers, Life Skills Education/guidance & counselling teachers 5 Methods
  • 6. 6 Results • Awareness creation on availability of referral directory and tool • Referral directory created and shared with partners and schools • A referral tool/booklet printed and shared with schools • Linkage of referral and school health program • Students referral needs identified • Referral services that match students self-identified priority needs guides the referral support service
  • 7. • Enhance coordination and collaboration to maintain strong working relations across schools and service providers • Scale up awareness among in school youth, to encourage youth seek support • Consultations with service providers to ensure accessible and effective referral. • Documentation and follow up on referral to determine reasons for completion or non-completion of referral 7 Conclusions & Recommendation
  • 8. Authors- Murei, L; Adera, B; Tilock, K; Wahinya, A & ;Nyagah, F • USAID PEPFAR • Global Communities • MOEST & School Heads/Principals • KGGA • NOPE • SJCC • SAPTA 8 Acknowledgment