Adolescent Program for HIV Positive Youth in Informal Settlements of Nairobi Open Access

Conrad, Bayle Opal (2013)

Permanent URL: https://etd.library.emory.edu/concern/etds/707957749?locale=en
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Abstract

Lea Toto, a community-based HIV/AIDS treatment and care program located in urban settlements of Nairobi, Kenya, provides comprehensive support for children infected with the disease. However, as their clients age into adolescence there are few programmatic support options available. This special studies project aims to create a feasible adolescent program plan to be implemented at Lea Toto sites in Nairobi. A needs assessment conducted at Lea Toto Kibera in the summer of 2012 provided knowledge of client needs through surveys and a focus group with adolescent clients, surveys with adolescent caregivers, and in-depth interviews with key Lea Toto staff members. Furthermore, the behavioral health theories of social support, empowerment, and stigma were utilized to better inform the structure of the program. These sources of information formed the basis of a program plan which includes suggested goals, objectives, activities, indicators, timeframe, and a monitoring and evaluation plan for an adolescent program focused on increasing social support, empowerment, and skill-building among HIV positive adolescents. This program plan is accompanied by an activities manual with ten modules and several activities to be used with adolescents at Lea Toto. This project provides insight on gaps in service provision for HIV positive adolescents while also providing Lea Toto with a flexible program to be offered to their growing population of adolescent clients.

Table of Contents

Table of Contents

Chapter I: Introduction

1.1 Inroduction and Rationale

1.2Problem Statement

1.3 Purpose Statement

1.4 Objectives

1.5 Significance

1.6 Definition of Terms

Chapter II: Literature Review

2.1 Introduction

2.2 Issues Faced by HIV Positive Youth

2.3 Needs of HIV Positive Youth

2.4 Summary and Relevance

Chapter III: Needs Assessment Methods and Results

3.1 Introduction

3.2 Needs Assessment Methods

3.3 Adolescent Survey Results

3.4 Caregiver Survey Results

3.5 Focus Group Results

3.6 Staff Key Informant Interview Results

3.7 Theoretical Framework

3.8 Summary and Relevance

Chapter IV: Program Plan

4.1 Introduction

4.2 Program Goals and Objectives

4.3 Program Activities and Indicators

4.4 Program Roles

4.5 Program Timeframe

4.6 Monitoring and Evaluation

4.7 Activities Manual

Chapter V: Discussion and Recommendations

5.1 Introduction

5.2 Program Limitations and Implications

5.3 Recommendations

5.4 Conclusions

References

Needs Assessment Appendices

Appendix A: Adolescent Survey Instrument

Appendix B: Caregiver Survey Instrument

Appendix C: Adolescent Focus Group Instrument

Appendix D: Staff Interview Instrument

Monitoring and Evaluation Appendices

Appendix E : Adolescent Support Group Meeting Records

Appendix F: Adolescent Client Satisfaction Survey

Appendix G: Counselor Assessment

Appendix H: Psychosocial Health Questionnaire

Appendix I: Knowledge of Secondary Prevention

Activities Appendix
Appendix J: Activities Manual

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