1. NOPE provides technical assistance and training to workplaces in Kenya, South Sudan, and Tanzania on comprehensive HIV/AIDS programming and behavior change strategies.
2. They have identified 10 best practices for effective workplace HIV/AIDS programming based on their experience, including gaining management buy-in, training peer educators, limiting costs, and enhancing program ownership by workplaces.
3. The document outlines NOPE's approach and lessons learned in implementing programs, and their goals to strengthen policies, programming, and sustainability at the workplaces.
The Inclusion Quality Standards is not about the children already successfully included in settings across Preston. Instead, the focus is on increasing opportunities for those children who are still facing disadvantage. Children who may carry labels that lead to negative attitudes, and those treated less fairly – and who consequently participate less fully. More importantly it is about delivering a quality services to all children, one that enables the autonomy that is fundamental to increased life chances.
Your opportunity to feedback on stakeholder thinking to date.
Identify opportunities and any challenges in the proposed new ways of working.
To be confident we can bring about the proposed changes by ensuring we have expert views from all those who have a role to play in supporting the implementation.
CORE Group Fall Meeting 2010. Using Collaborative Improvement to Achieve Quality Care for Vulnerable Children in Ethiopia. - Nicole Richardson, Save the Children USA
The Inclusion Quality Standards is not about the children already successfully included in settings across Preston. Instead, the focus is on increasing opportunities for those children who are still facing disadvantage. Children who may carry labels that lead to negative attitudes, and those treated less fairly – and who consequently participate less fully. More importantly it is about delivering a quality services to all children, one that enables the autonomy that is fundamental to increased life chances.
Your opportunity to feedback on stakeholder thinking to date.
Identify opportunities and any challenges in the proposed new ways of working.
To be confident we can bring about the proposed changes by ensuring we have expert views from all those who have a role to play in supporting the implementation.
CORE Group Fall Meeting 2010. Using Collaborative Improvement to Achieve Quality Care for Vulnerable Children in Ethiopia. - Nicole Richardson, Save the Children USA
Basics of adult learning
Extension methods in various fields
• Individual Method
Farm and home visits, office calls, phone calls, e-mails, personal letters.
• Group method
method and result demonstrations, study visits, meetings, farmer field schools, extension schools.
• Mass method :
television, radio, leaflets, newspapers
Planning for effective use of the methods.
Role of audio, visual, and audio-visual aids in facilitating use of extension methods
Evaluating effectiveness of various extension methods.
This document highlights the progress of PEER institutionalization, country background, and good practices in Afghanistan, as discussed in the first PEER-PAC meeting.
A program coordinated by ministry of health srilanka and Provincial health departments to control obesity which causes non-communicable diseases (NCD) such as high blood pressure, heart attacks, stroke, and diabetes. Lack of exercise, over eating and mental stress.
We funded a formal academic evaluation to support Toynbee Hall’s Money Mentors Programme in Tower Hamlets, an initiative aimed at improving participants’ financial confidence, increasing their financial capability and reducing financial exclusion. Toynbee Hall is a community organisation that pioneers ways to reduce poverty and disadvantage. Based in the East End of London it has been a catalyst for social reform in the UK for almost 130 years giving some of the country’s most deprived communities a voice, providing access to free advice and support services and working to tackle social injustice.
Question of Quality Conference 2016 - Patient Experience - Innovation in pati...HCA Healthcare UK
The South Somerset Symphony Programme is one of nine Primary and Acute Care systems (PACs) Vanguards born out of Simon Stevens’ Five Year Forward View. To address the problems of an ageing population and an increased burden of long-term conditions, it is essential to have a coordinated response across sectors, putting the patient at the centre of care. The session will look at a joint venture that will hold a single budget for the population and how this enables them to target resources to parts of the system where they can make the most difference to patients.
This document highlights the background, progress of PEER Institutionalization, and good practices in Nepal as discussed in the first PEER-PAC meeting.
1.8 Dr Sory Ghana Presentation LMGConference 29 Jan13HSM-Kenya
Presentation at the First National Conference on Health Leadership, Management and Governance. Session on LMG in Devolved Health Systems: Learning from International Experience.
Basics of adult learning
Extension methods in various fields
• Individual Method
Farm and home visits, office calls, phone calls, e-mails, personal letters.
• Group method
method and result demonstrations, study visits, meetings, farmer field schools, extension schools.
• Mass method :
television, radio, leaflets, newspapers
Planning for effective use of the methods.
Role of audio, visual, and audio-visual aids in facilitating use of extension methods
Evaluating effectiveness of various extension methods.
This document highlights the progress of PEER institutionalization, country background, and good practices in Afghanistan, as discussed in the first PEER-PAC meeting.
A program coordinated by ministry of health srilanka and Provincial health departments to control obesity which causes non-communicable diseases (NCD) such as high blood pressure, heart attacks, stroke, and diabetes. Lack of exercise, over eating and mental stress.
We funded a formal academic evaluation to support Toynbee Hall’s Money Mentors Programme in Tower Hamlets, an initiative aimed at improving participants’ financial confidence, increasing their financial capability and reducing financial exclusion. Toynbee Hall is a community organisation that pioneers ways to reduce poverty and disadvantage. Based in the East End of London it has been a catalyst for social reform in the UK for almost 130 years giving some of the country’s most deprived communities a voice, providing access to free advice and support services and working to tackle social injustice.
Question of Quality Conference 2016 - Patient Experience - Innovation in pati...HCA Healthcare UK
The South Somerset Symphony Programme is one of nine Primary and Acute Care systems (PACs) Vanguards born out of Simon Stevens’ Five Year Forward View. To address the problems of an ageing population and an increased burden of long-term conditions, it is essential to have a coordinated response across sectors, putting the patient at the centre of care. The session will look at a joint venture that will hold a single budget for the population and how this enables them to target resources to parts of the system where they can make the most difference to patients.
This document highlights the background, progress of PEER Institutionalization, and good practices in Nepal as discussed in the first PEER-PAC meeting.
1.8 Dr Sory Ghana Presentation LMGConference 29 Jan13HSM-Kenya
Presentation at the First National Conference on Health Leadership, Management and Governance. Session on LMG in Devolved Health Systems: Learning from International Experience.
Support of HIV Prevention initiatives and programmes at Karen Hospital are entrenched in the treatment
Outreach programmes to corporate, companies the universities around Karen area
Target: those who have not been tested for HIV/AIDS to carry out tests and know their statuses in order to take control of their lives
Success: More enquiries and actual use of the contraceptives both duo method and dual protection.
Presentation by Kris Eale for 2019 AfrEA Strand: Equity in evaluation
Where are beneficiaries’ voices when evaluating the effectiveness of community programmes?
The Current State of Play of Community Health Workers Training Programs in Su...germainsky
Literature Review, Commissioned of the One Million Community Health Workers Campaign by mPowering Frontline Health Workers, through support from USAID & Intel
Home Child Care Provider and Home Support Worker ProgramsIngress Immigration
Discover fulfilling career paths through our Home Child Care Provider and Home Support Worker Programs. Gain essential skills, nurturing children or providing vital assistance to individuals in need. Our comprehensive programs offer hands-on training, empowering you to make a positive impact at home. Unlock your potential and embark on a rewarding journey in caregiving.
visit here for more details: https://ingressimmigration.com/home-child-care-provider-and-home-support-worker-programs/
From 2011 - 2017 The Big Lottery funded the Improving Futures programme, funding 26 VCSE-led projects to provide early intervention support. Ecorys UK led a consortium that undertook the evaluation. This PPT report summarises the main findings.
The WHO among many interventions to prevent MTCT of HIV also recommend HIV retesting of previous HIV negative pregnant women in the 3rd trimester, during labour and delivery and the breast-feeding period
aids conference 2016, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatment
aids conference 2016, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatment
aids conference 2014, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatment
aids conference 2014, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatmement
aids conference 2016, hiv and aids, hiv interventions, hope program, kenya, nope kenya, people living with hiv, uptake of hiv testing and adherence to hiv treatme
34-63% of counties have maternal health tracer drugs but 18-39% of child health tracer drugs available
Large disparities in the availability of first line HIV drugs (0-50%)
Kisumu, Kisii, Vihiga, and Siaya consistently top third in drug availability
Transzoia, E-Marakwet, Nandi, Nyeri & T.River bottom
11 maternal health tracer drugs
11 child health tracer drugs
First-line drugs for HIV
ACT, first line treatment for malaria
4FDC, intensive treatment for tuberculosis
Metformin, preferred OGLA treatment for diabetes
The company has the following services under care and treatment:
HTC services
ART services
Counselling services
PMCT
VMMC
Home-based care services
Support group.
These services are offered for free to both employees and community members. The company also offers outpatient services which charges consultation fee, lab charges and medication for non-employees.
KNBTS estimates Kenya’s annual need for blood to be 200,000-250,000 units annually.
Collection is about 160,000 units.
There is a deficit of about 40,000-90,000 units annually.
However WHO recommends 10-20 units of blood per 1000 population.
Kenya population (2009) was 38,610 097* which would put Kenya’s need to a minimum of 380,000 units annually.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
2. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
NOPE Background
• A local NGO established in 2001 by Peer Educators
within IMPACT project regions of Rift Valley, Coast and
Rift Valley. Our Mandate lies within expansion of the
Behaviour Change Communication strategies. This
includes moving Peer Education from isolated projects to
expanded comprehensive HIV and AIDS programs at the
workplaces and community levels. Currently working
with over 40 workplaces; private and public sectors in
Kenya, South Sudan and Tanzania.
4. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
As an organization we believe in comprehensive
programming based on proven steps towards HIV and AIDS
programming in the Workplaces ( Tea Farms, Flower Farms).
The ‘must- follow’ steps that have borne fruits include:
a. Entry assessment before program formulation
b. Advocacy for Management buy-in of the program and steering
by the Human Resource Department
c. Management Sensitization of top and middle line managers
d. Identification, recruitment, orientation prior to and training of
Peer Educators
e. Feedback to the workplaces with program implementation
1. Creating effective socio-ecological
environment for programming
5. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
Involvement of top and middle line managers
Oserian ED leading at the 2005 WAD
Sher Peer Educators, HRM With The Executive
Director during the launch of Sher HIV and AIDS
Policy in 2005
6. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
2. Addition: Expertise in workplace policy formulation
• NOPE has added a feather to the project by availing tact and
the required level of expertise in Policy formulation for
workplaces to eliminate going into program without policy
and vice versa. The workplaces that have benefited so far are
many but the ones in the region include:
Workplace Type of Assistance
1 KWS Policy design and Formulation
Undergoing ratification for approval
2 Oserian Policy, Formulation, Design and
Dissemination
3 Sher Agencies Policy Formulation, Design and
dissemination
7. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
3. Limiting costs to the workplaces and the
project in program implementation
• This forms a main aim of NOPE while assisting the workplaces. The
strategies put in place to facilitate this include
Ensuring minimal cost to production time by peer educators
during Peer Education activities. They are trained in identifying
the most appropriate timings for activities
Facilitating cost-sharing between the project and workplaces.
Example include the Peer Education training at Oserian and
Unilever Tea Kenya
Facilitating linkages between workplaces, GOK and the project.
E.G, referral for training of W/Place service providers in PMTCT
and Counseling supervision by GOK
Sourcing for alternative funding by the companies ie from
NACC
8. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
4. Enhancing ownership and strategic
management of the program by the
workplaces
• NOPE has been doing this by
– Enhancing ownership and leadership of the programs
by the workplaces (Committes, Focal Persons)
– Giving constant feedback to the workplaces on the TA
areas of program assistance they get from NOPE
– Taking action on the information needs and
facilitating similar action by the workplaces (E.g.
Thematic approach to coordinators quarterly
meetings and specific workplace programs)
9. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
Case study:
The realized low participation of women in access to and
utilization of services in one of the flower farms
There was a realization that more men were accessing
HIV testing and care services at one workplace from the
Peer Education referral facilities and the coordinators
reports. During the monthly zone-leaders meeting with
the coordinator and the TA provider, a theme was
coined: Women; our mothers, our sisters and our
daughters. Lets care for them!
This deliberate theme led to realization that led to:
i. Special focus on women and access to services by peer
educators and identification of barriers
ii. Improvement of attitude by service providers
iii. Eventual increase in VCT and PMTCT uptake by women
iv. More women being trained in Community and Bereavement
counseling to handle their specific issues
10. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
5. Enhancing the capacity of Peer Educators to move
beyond HIV and AIDS education only
• The current curriculum we are using goes beyond the
medical perspectives of HIV and AIDS hence
encompassing:
– Values based approach e.g. Relationship Vs Prevention
– Sexuality Vs Abstinence and faithfulness
– Gender dimensions in HIV and AIDS
– 52 week guideline for workplace Peer Education (implying active
Peer Education for over 2-3 years): Tools for implementation
– Alternative problem posing techniques (training in using video,
fish bowl, bridges of hope, power walk etc relevant to
Workplaces
11. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
6. Documentation of workplace initiatives
• NOPE has managed to workplaces in
documenting workplace programs efforts
and achievements. This culminated in
– Development of a Management Advocacy
Package for workplaces to enhance program
adoption and adaptation
– Development of 54 week guide for workplace
Peer Educators
– Continuous monitoring and documentation of
specific workplace efforts, internet/intranet
12. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
7. Peer education as part of the larger programming puzzle
• Earlier realization: Most workplaces and TA
providers have based the outcome of program
on the outcome of Peer Education initiatives.
• Current position: Peer Education forms part of
the puzzle towards improving qualities of lives at
the workplaces. NOPE deliberately assists
workplaces to have peer education function
within larger policy environments, health care
services, psychosocial support and other areas
of interventions-Company policies, FKE, ILO and
the National strategic plans
13. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
8. Peer education as part of the programming puzzle 2….
This can be seen in:
Workplace Other interventions Linkages
Oserian Policy, PMTCT, STI mgt, OI & TB
mgt, ART, Community
Counseling, HBC, HIV testing,
FBO interventions, YIS
interventions
GOK,FHI, SWAK,
YMCA, KGGA,
NACOHAG
Sher Policy, PMTCT, STI mgt, OI & TB
mgt, ART, Community
Counseling, HIV counseling and
testing, FBO interventions, YIS
interventions
GOK,FHI, SWAK,
YMCA, KGGA,
UTKL Policy, PMTCT, STI mgt, OI & TB
mgt, ART, Community
Counseling, HBC, HIV testing,
FBO interventions, YIS
interventions
GOK,FHI, Walter
Reed, KTGA
14. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
9. Creating Linkages and Net Working
• Workplace Coordinators are regular participants
in workplace forums; Nairobi, Central and Rift
Valley.
• Conferences
• Linkages to external sources of services, where
applicable
15. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
10. Identification of unique program needs
• VCT needs-
• Consumption of the existing services
• Confidentiality
• Service provider needs
• Youth needs
• Management support
• M&E
• Documentation needs
• Rejuvenation
16. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
Lessons learnt
1. TA provision has to be strategic. There needs to be (a
sort of) MOU between workplaces and the TA
providers for sustainability of such programs and
eventual exit plan
2. Proper orientation of peer educators prior to a training
is essential for result-oriented approaches and
sustained intrinsic motivation among peer educators
3. Entry to workplaces has to be strategic and systematic
as some players do not have capacity to implement
comprehensive programs yet preferred by the
workplaces
17. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
Lessons learnt contd…..
4. Enhancing ownership of programs by workplaces is the
only way to sustainable programs. They have to see
themselves as the implementers and Project as TA
providers and part of strategic linkages
5. Magnet Theatre and Peer Education can compliment one
another especially at the agricultural estates: The estates
have static populations and peer educators have high
information base. The theatre training also acts a
motivation to peer educators and adds variety to
facilitation techniques peer educators have. E.g. at Sher
6. There are workplaces in Nakuru that have been doing
something in their own ways and what they need is
strategic support mechanisms
7. With reduction of Peer Education activities, other
program components are also likely to suffer. A
realization from Naivasha w/place program initiatives
18. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
Lessons learnt… 3
8. It is easier to work in workplaces that have clear structures to
integrate HIV and AIDS programming.
Factor Workplace A e.g.
Oserianl Celtel
Other workplaces
Clear
management
structures
and functions
It is easy to fit HIV and
AIDS programming as
part of HR function
HR head might be having other
functions hence HIV unlikely to
be given the priority it deserves
Existing budget
allocation
With existing Budget
allocation e.g. training
budget, it is easy to carry
out activities
Policy
dissemination
and application
It is vital t disseminate HIV
and AIDS policies.
The policy application is based on
each individual's supervisor or
manager’s interpretation
19. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
Providing
controlled housing
to staff
The Staff are easily
reached and monitoring
the reach and outcome
is easier
Without housing or controls,
the reach is not strategic
hence we might assume that
the workers are reached as
bandwagon/blanket in the
community
Program ownership
hence sustainability
Easier as the
management structure
makes it easier for buy-
in and feedback
mechanisms towards
sustainability
Not easy. Staff likely to
compare themselves with
other community based
interventions and place more
demand on the project TA
providers
Conclusion:
There is no magic bullet towards targeting and managing each
workplace program. Blanket or bandwagon approaches hence cannot
apply equally in all workplaces
21. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
Challenges and constraints
1. Receiving feed back, still a challenge
2. Harmonization of feedback in the
workplaces
3. Who owns the information in Peer
Education initiatives? Is the Peer
Educator a postbox or the recipient of
the mail of behaviour change?
4. Time
22. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
Future…..?
1. The workplace policies will have a statement on the
roles and responsibilities of employees unlike the
current ILO and FKE guidelines that have little emphasis
on the role of employees in prevention, service
utilization, care to stakeholders and fellow employees,
treatment care and support activities other than stigma
and discrimination
2. We will emphasize on strategic orientation of Peer
Educators on one-one and as a group to limit fast rate
of drop-outs that we have witnessed at places where
these steps were not followed. This implies slowing the
pace between identification, recruitment and eventual
training of Peer Educators
23. NATIONAL ORGANIZATION
OF PEER EDUCATORS
Innovative Options for Behavior Change
Future…..2?
3. Workplace policies covering the informal sector
workplaces…”everywhere is a workplace…including
NGOs and our own houses….
4. MOUs with workplaces to avoid situations where they
see the project as the end consumer of results…”this
your project syndrome”
5. Enhance Technical assistance in BCC and programming
in the workplaces