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O T E S N O P S E A Y R N R E TO DS IN K C E S FAITIHV AND AI 020 2 / 9 1 H 20 N

A L P N ACTIO

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016 2 / 5 1 20

Towards an AIDS competent Faith Sector Developed with Support from Faith Sector Working Group in the Response to HIV and AIDS

FAITH SECTOR RESPONSE TO HIV AND AIDS IN KENYA ACTION PLAN 2015/2016-2019/2020

Table of Contents Acronyms........................................................................................................................... i Definition of Terms............................................................................................................. ii Forward.............................................................................................................................. iii Acknowledgement............................................................................................................. iv Executive Summary............................................................................................................ v Introduction....................................................................................................................... vi CHAPTER 1: Introduction.................................................................................................... 1 1.1 Background Information...................................................................................................... 1 1.2 The Context......................................................................................................................... 1 1.3 Rationale for this Action Plan.............................................................................................. 2 1.4 Goal and Objectives of the Action Plan............................................................................. 2 1.5 Process of developing the Action Plan............................................................................... 3 1.6 Guiding Principles............................................................................................................... 3 CHAPTER 2: Situational Analysis............................................................................................................ 5 2.1 The HIV Situation in Kenya.................................................................................................. 5 2.2 The Faith Sector................................................................................................................... 6 CHAPTER 3: Faith Sector Interventions and Implementation Framework............................ 9 3.1 Implementation Plan........................................................................................................... 12 CHAPTER 4: Co-ordination and Information Flow................................................................ 18 4.1 Coordination at National Level............................................................................................ 18 4.2 Monitoring and Evaluation.................................................................................................. 18 Referrences........................................................................................................................ 20 ANNEXES Annex 1: List of Faith Sector WG Members............................................................................... 21 Annex 2: List of Task Force Members........................................................................................ 22 Annex 3: HIV Coordination Infrastructure for KASF Delivery..................................................... 23 Annex 4: Indicators ................................................................................................................... 24 Annex 5: Terms of Reference (TOR) for the Faith Sector Working Group (WG)........................ 25

Acronyms AIDS - ART - ARV - CACC CHW - COBPAR - CSOs DHIS - EAK - EBI - EBM EHAIA - eMTCT - EPN - FBOs - FCs - GBV - GoK - HIV - HIV-ICC - HTS - IGA - INERELA+ - KAIS - KASF - KDHS - NACC - NASCOP - OVCs - PEPFAR - PLHIV - PwD - PwP - RH - SAVE - SGBV - SRH - SSDDIM - SUPKEM - TA - UN - UNAIDS - VCT - VMMC - WCC - WG -

Acquired ImmuneDeficiency Syndrome Antiretroviral Therapy Anti-retroviral Constituency AIDS Coordinating Committee Community Health Worker Community Based Program Activity Reporting Civil Society Organizations District Health Information System Evangelical Alliance of Kenya Evidence-Informed Behavioral Interventions Evidence Based Messaging Ecumenical HIV and AIDS Initiative in Africa Elimination of Mother to Child Transmission Ecumenical Pharmaceutical Network Faith-Based Organizations Faith communities Gender-Based Violence Government of Kenya Human Immunodeficiency Virus HIV Inter-agency Coordinating Committee HIV Testing Services Income Generating Activity International Network of Religious Leaders Living with or Personally Affected by HIV Kenya AIDS Indicator Survey Kenya AIDS Strategic Framework Kenya Demographic Health Survey National AIDS Control Council National AIDS and STI Control Program Orphans and Vulnerable Children President’s Emergency Plan for AIDS Relief People Living with HIV People with Disabilities Prevention with Positives Reproductive Health Safer practices, Access to treatment, Voluntary counseling and testing; and Empowerment Sexual and Gender-Based Violence Sexual and Reproductive Health Stigma, Shame, Denial, Discrimination, Inaction and Mis-action Supreme Council of Kenya Muslims Technical Assistance United Nations The Joint United Nations Programme on HIV and AIDS Voluntary Counselling and Testing Voluntary Medical Male Circumcision World Council of Churches Working Group

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Definition of Terms Congregation: This term refers to members of a specific religious group who regularly worship at a church, synagogue, mosque or temple. Congregational leader: The term congregational leader refers to a person of faith who is formally recognized by the congregation of which they are a part, as the reference point, and often the link for the congregation with the religious leaders such as the youth leader, women/men’s leader etc. Faith-Based Organization: This term is defined as a formally structured non-governmental organization founded by a religious congregation or religiously-motivated incorporators and it is explicitly aligned, supportive and accountable to specific faith or interfaith expressions and /or respective religious entities. Faith Community: This term refers to a group of people, regardless of race or creed, joined together by a common focus, goal, or ideas based on the same set of principles or beliefs. Faith Leader: A leader recognized within the faith community. Faith Sector: This term is used to refer to both faith communities and faith-based organizations Gender-Based Violence (GBV): This is defined as any act of violence vetted against a person because of their gender that results in physical, sexual or psychological harm or suffering, including threats of such acts, coercion or arbitrary deprivations of liberty, whether occurring in public or private life. The forms of GBV are sexual, physical, emotional, psychological and socio-economic violence, harmful traditional practices and trafficking in persons. Religious Leader: The term religious leader refers to a person of faith who is formally recognized by the religious community of which they are a part, as the reference point, and often the decision maker, for matters of doctrine, faith, practice and often governance. Sexual Violence: Includes rape, attempted rape, defilement, incest, sexual abuse, sexual exploitation, forced prostitution, torture and trafficking for sexual exploitation.

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Forward The National AIDS Control Council (NACC) continues to strengthen partnerships with all stakeholders in the response to HIV and AIDS in Kenya. While recognizing that there is no single preventive approach to reverse the spread of HIV, the faith sector comprising of Faith Communities (FCs) and Faith-Based Organizations (FBOs) have demonstrated sustained motivation and moral authority with resources and outreach capability to significantly reduce new HIV infections1. In addition, they have the power to influence policy changes to address societal, cultural and structural factors that impede individuals’ capacity to prevent HIV infection. According to Kenya Demographic Health Survey (2014), over 97% of the Kenya population was reported to ascribe to religious affiliation. Moreover, there is a growing recognition of an organized progressive inter-faith religious voice in the spheres of governance and development issues in Kenya. Across the country, the faith sector has been involved in HIV prevention, treatment, care and support programmes towards the HIV response. On prevention, the sector has contributed to the promotion of premarital chastity, marital fidelity and delayed sexual debut which have contributed to reduction in the number of sexual partners and ultimately reduction in HIV transmission. However, most of these great efforts have gone unrecognized. To this end, the NACC established a National Technical Working Group (TWG) for the Faith Sector to coordinate and provide leadership towards effective engagement of the sector in the HIV response. This Action Plan, aligned to the current Kenya AIDS Strategic Framework (KASF) 2014/2015-2018/19, has been developed to inform the faith Sectors’ HIV response. It acts as a guide to facilitate mobilization of stakeholders in the sector in the determination and design of prioritized actions and targets to accelerate the response. This calls for accurate, consistent documentation and reporting for effective coordination and monitoring of achievements of the faith sector in the delivery of KASF. This Action Plan for the Faith Sector is a deliberate effort towards the realization of the country’s strategic focus that emphasizes accountability of all stakeholders both at national and county levels for an accelerated HIV response in Kenya. We urge for a continued collaboration and support of the implementation of the Action Plan to realize “A Kenya Free of HIV Infections, Stigma and AIDS related Deaths “ in an effort to end AIDS by 2030.

Dr. NdukuKilonzo DIRECTOR NACC KDHS (2014), P.10

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Acknowledgement The process of developing this Action Plan was highly participatory drawing together stakeholders from across the faith sector. NACC acknowledges the leadership and coordination of this process by the Department of Coordination and Support, Stakeholder Division. We recognize and appreciate the commitment of the Faith Sector Technical Working Group, for their continuous participation in various consultations on the development and review of this Faith Sector Action Plan. The document is a revision of the National Response to HIV and AIDS in Kenya by Faith Communities and Faith Based Organizations (2012-2015). This Action Plan 2015/2016 – 2019/2020 is aligned to the Kenya AIDS Strategic Framework (2014/2015 – 2018/2019). It details the Faith Sector response to the HIV epidemic, contributing to the implementation of the Kenya AIDS Strategic Framework. The NACC commends organizations that participated in the revision process and further review of this document which comprised people from the Faith Sector includingInternational Network of Religious Leaders Living with or Personally Affected by HIV (INERELA+ Kenya),Inter-religious Council of Kenya (IRCK), Supreme Council of Kenya Muslims (SUPKEM), Hindu Council of Kenya, Seventh Day Adventist (SDA), Health Ministries, National Council of Churches of Kenya (NCCK), Christian Health Association of Kenya (CHAK), Organization of African Instituted Churches (OAIC) Evangelical Alliance of Kenya (EAK), St Paul’s University, The Catholic University of Eastern Africa (CUEA), Religious Media Houses, and development partners which include UNFPA, UNAIDS and UNESCO. Further, we appreciate all individuals and organizations who actively participated in the review process and development of this Action Plan. NACC appreciates the contribution of the Faith Sector Working Group and Taskforce whose names are attached as an Annex. We also acknowledge the NACC staff who devoted their time to support the development of this Action Plan. To you all we say thank you and let us work together towards achieving the set targets in this plan by 2020.

Dr. Emmy J. Chesire DEPUTY DIRECTOR COORDINATION & SUPPORT

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Executive Summary The Kenya AIDS Strategic Framework (KASF) 2014/15 – 2018/19 embraces a multi-sectoral approach to HIV programming and emphasizes the importance of participation and accountability in every sector in the HIV response. This calls upon communities to respond to HIV within their local context; and all stakeholders to be aligned and be held accountable for results in the Strategic Framework. HIV and AIDS impacts on socio-economic development of any country and, all sectors including the faith sector must be engaged effectively in the HIV response of the country. Religious leaders across the cultural divide and affiliations have generally perceived and approached HIV and AIDS as a sexual and moral issue leading to increased Stigma, Shame, Denial, Discrimination, Inaction and Mis-Action (SSDDIM) from and within the Faith Sector. Consequently, efforts to promote and scale up HIV testing, counselling, prevention and treatment have been systematically frustrated in the Faith Sector. This necessitated the development of The National Action Plan, now referred to as The FaithSector Action Plan (FSAP), which brings into perspective the reality of HIV issues in the Faith Sector and prioritizes actionable areas of focus. This document was greatly informed by recommendations drawn from the report of the aforementioned 2011 National Religious Leaders Convention on HIV Prevention which adopted the theme: Doing More, and Doing Better: Towards Zero New Infections. In addition, analysis of the recommendations emanating from both regional and country policy frameworks, consultative processes and declarations were taken into account in the formulation of the actions stated herein. This Faith Sector Action Plan is therefore a practical tool for the designing of actions aimed at increasing multi-sectoral and multi-faith involvement. The plan will provideleadership in activities, partnerships, services and collaboration to challenge and reduce HIV and AIDS related Stigma, Shame, Denial, Discrimination, Inaction and Mis-action (SSDDIM) that increase HIV infections and its impacts at all levels. On the other hand, the plan is a practical tool for multiplying Safer practices; Access to treatment; Voluntary counseling and testing; and Empowerment (SAVE).’ The Faith Sector Action Plan takes cognizance of the fact that there is no single preventive approach to an issue as complex as HIV and AIDS. It however, acknowledges that faith communities have the interest, motivation, moral authority, existing resources and outreach capability to stop new HIV infections and confront its impact. In addition, religious leaders have the power to influence policy changes to address societal, cultural and structural factors that impede individual’s capacity to prevent HIV infection and facilitate testing, uptake and adherence to ARVsand treatment among congregants. It is these great resources within the faith sector that this Action Plan hopes to harness in engaging the Faith Sector in Kenya in combating HIV and AIDS.

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Introduction

CHAPTER 1: Introduction 1.1 Background Information

The Kenya Health Policy 2012-2030 cites AIDS as the leading cause of death, at 29.3%. The Policy therefore gives direction to ensure significant improvement in overall health status of Kenyans in line with the country’s long term development agenda of Vision 2030, the Constitution of Kenya (2010) and global commitments. Kenya has been cited by UNAIDS as one of the few countries in sub Saharan Africa with clear signs of sustained reduction in HIV prevalence (UNAIDS Report 2014)2. There has been a noted decline of prevalence from 14.1% in 1990 to6% in 2015. However, the burden remains high among women at 7.6% against that of men at 5.6%3. Key results in the HIV response have been observed including a reduction of new infections among adults of 19% in 2015 compared to the year 2013 and a 49% reduction of mother to child transmission of HIV compared to 2013. A key gap is HIV among adolescents and young people and particularly young women. With 260,000 young people living with HIV, AIDS is the leading cause of death in among people aged 15 – 24 years. In 2015, approx 50% (35,000) of all adult new HIV infections (Approx 71,000) occurred in this age group. The main reasons for not taking up services or adhering to medication for those already HIV positive (whether from birth or acquired) is for fear of of stigma and discrimination by society. The stigma index showed high HIV related stigma levels. Further, the Modes of Transmission study of 2008 confirmed that most new infections (44%) occur in couples who are engaged in heterosexual sex within a union/regular partnership4.

done. It is notable that the County Governments have all developed County AIDS Plans to guide their response. In the midst of the picture depicted above, and the details provided in the situational analysis in chapter two, the Faith Sector response has a number of opportunities to contribute to the HIV and AIDS response in Kenya.

1.2 The Context

The Constitution of Kenya 2010 introduced a devolved system of government, which provides for one (1) National Government and forty-seven (47) County Governments. The governments at the national and county levels are both distinct and interdependent. The distinctiveness of the governments under the devolved system is determined by the Fourth Schedule of the Constitution of Kenya, which has assigned different functions to the two levels of government. The National Government through the National AIDs Control Council (NACC), developed a National AIDS Strategic Framework (KASF) aimed at guiding the HIV response in the Country. The counties and the various sectors are mandated to use this framework to develop specific actions to contribute to the HIV response. The KASF outlines eight strategic directions with clear targets and indicators that will drive Kenya towards a country free of new HIV infections, AIDS related deaths and stigma.

Between 2013 and 2015, Kenya recorded a 40% increase in persons living with HIV who are on lifelong anti-retroviral therapy, enhanced uptake of services of Kenya’s unique HIV Tribunal. Systems for surveillance, monitoring and evaluation, commodity availability have increasingly been strengthened. Indicators such as new infections among adolescents and young people, are offtarget demonstrating that the work is not yet UNAIDS. Global AIDS Update Report2014. P. NACC, Kenya HIV Estimates 2014. P. 4 Kenya Modes of Transmission Study 2008 2

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Kenya AIDS Strategic Framework (Strategic Directions 1 – 8)

To achieve the goals of Kenya, to get to zero infections, zero stigma and discrimination as prescribed in the KASF, a multi-sectoral approach involving different stakeholders is required. The faith sector, which is represented in both levels of government, recognizes the need to develop an action plan to guide the faith communities, faith based organizations and religious leaders on their contribution to the HIV response at the different levels.

1.4 Goal and Objectives of the Action Plan

1.3 Rationale for this Action Plan

3. To improve the quality of life of PLHIV by providing essential healthcare services

Kenya was confirmed to have a population of 38,610,097 people according to the last official Census that took place in 2009. Estimates, released, indicate that it reached 45,941,977 in 2014. Over 97% of the Kenyan populations ascribe to a religious affiliation (KDHS 2014), and so the Faith Sector has a wide reach cut across from the national to the county and the grass root level.

The goal of the faith Sector Action Plan is to contribute to an HIV and AIDS free society in Kenya. The objectives of the Faith Sector Action Plan are as follows: 1. To utilize faith communities reach and influence, to prevent new HIV infections 2. To reduce stigma associated with HIV and AIDS

4. To support and strengthen service delivery as offered through Faith Based Communities. 5. To improve coordination and reporting mechanisms of the HIV response within the Faith Sector

This Action Plan is geared towards the achievement of the social pillar in The Vision 2030 and aims to provide guidance for the Faith Sector on how to respond to HIV and AIDS at the national and county levels. This is in recognition of Article 43 of the Constitution of Kenya that provides that every person has the right to: the highest attainable standard of health, which includes the right to health care services, including reproductive health care. 2|

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1.5 Process of developing the Action Plan aligned to the Kenya National AIDS Strategic The process of developing the National Action Plan (2012 – 2015) was highly participatory drawing together stakeholders from across the different faiths. The Faith Sector Technical Working Group (TWG) appointed a Taskforce to provide guidance and technical support to the process. In order to incorporate regional perspectives, the content of the document was pre-tested among regional stakeholders. This document was premised on the KNASP III 2009 – 2014. The review of this document commenced in September 2015, and was reviewed by The Faith Sector Working Group (WG) and religious leadership, to incorporate new evidence arising from the different emerging studies. This was

Framework 2014/15 – 2018/19.

1.6 Guiding Principles

The following principles form the basis of this Action Plan: • Learning from lessons of the previous plan, as well as what has worked elsewhere. • Promoting respect, dignity and diversity of the faith communities in the HIV response. • Promoting ownership through anchoring the HIV response within the overall faith development of the communities. • Coordinating the planning, funding and shared responsibility by all stakeholders in the faith sector at County and National levels.

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Situational Analysis

CHAPTER 2: Situational Analysis Introduction

2.1 The HIV Situation in Kenya

This chapter provides a situational analysis of HIV and AIDS in the Country and the role of the faith sector in the response. It provides an overview of the strengths, weaknesses, opportunities and threats (SWOT) analysis of the faith sector to anchor the work of the faith sector in the HIV response.

2.1.1 Prevalence

Total PLHIV - # of children living with HIV - # of AYPs [15 – 24 years) - # of adults living with HIV

The HIV prevalence varies by county with disproportionate HIV burden across Counties. The epidemic is geographically adverse ranging from a high prevalence of 25.7% in Homa Bay County, to a low of approximately 0.2% in Wajir County according to the Kenya HIV and AIDS Profile, 2014. To achieve the highest impact for the HIV response, it is imperative to prioritize interventions based on the level of county prevalence and incidence.

1,517,705 98,169 91,350 1,419,536

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2.1.2 Progress and Status of HIV in Kenya

There has been progress in the implementation of the Strategic Framework. Performance of Kenya as per the AIDS Strategic Framework. With the coordination of the NACC, guidance on planning, prioritization and implementation of HIV interventions, resource mobilization and alignment and with support of partners, Kenya has performed will on key indicators set out in the KASF. The Strategic Directions continuously evaluated and reported.

The table below provides the performance at a glance.

HIV-related stigma and discrimination are widelyrecognised as major barriers to accessing HIV prevention, treatment, care and support services. The strengths of the Faith Sector, guided by this Action Plan will make a great difference in the elimination of stigma and discrimination.

2.2 The Faith Sector

The faith sector comprises of organized groups joined together by a common focus, goal, or ideas based on the same set of principles or beliefs. The faith sector includes the faith community, faith-based organizations, congregations, congregational leaders and religious leaders, as defined in the definition of terms. 6|

FAITH SECTOR RESPONSE TO HIV AND AIDS IN KENYA | ACTION PLAN - 2015/2016-2019/2020

 Inadequate reporting on results and systems to share working practices.

 Over 97% of the Kenyan population ascribe to a religious affiliation (KDHS 2014).  The Reach - Faith structures cut across from national, county , grassroots with contact with a significant number of Kenyans weekly  The mandate and core business of religious leaders is to ensure the well-being of humanity.  The places of worship are considered as credible and their reach is a formidable force for any successful campaign that brings about social transformation in HIV and AIDS.  Approximately 40% of the health care services, including HIV are delivered by the Private Sector of which majority are by faith-basedorganizations.  The declaration of HIV status by respected religious leaders has, and can lead to more members of congregations being tested thereby reducing stigma and discrimination significantly.  Faith communities offer holistic services including spiritual, emotional, social, psychosocial and value-related support for the infected and affected.  Faith communities own media houses that can be used for dissemination of information and messages.  Faith communities own resources that can be used for responding to HIV and AIDS.  Faith communities have existed for as long as humankind, hence self-sustaining.  Faith communities own institutions of learning which can be used for dissemination of HIV messages.  Faith communities have existing structures and forums for dissemination of HIV informationand advocacy.  Most technocrats and professionals ascribe to a faith.  Religion is recognized in the constitution of Kenya as a right.  Diversity in the faith sector adds variety in the HIV and AIDS response.

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 Political goodwill.

 Faith Communities can use schools and universities to integrate and mainstream HIV issues.  There is a growing recognition of an organized progressive interfaith religious response in HIV and AIDS in Kenya.  Available modern technologies such as social media for use in messaging particularly in reaching the youth

 Confusing messages and practices on faith healing that get following but are detrimental to Health and HIV outcomes

 The reach of Faith communities and FBOs in Kenya where they have contact a significant part of the population weekly  The compassion that faith communities offer can be used to promote uptake of services and reduction of stigma  Faith communities have interventions that vary widely in scope and scale that can be utilized to drive the HIV agenda

 Doctrinal differences impact the ability for collective voice and action by faith communities across and within different religions  Emerging trends in the HIV response that conflict with the different faiths.

 Radical religious views are hindering the progressive unified interfaith voice.  Political instability

Threats

Opportunities



 Weak knowledge management and documentation of the faith sector’s HIV response.  Insufficient research to inform faith sector engagement in planning of HIV interventions.  The HIV response within faith communities has not been a priority.  Inadequate capacity for resource mobilization, advocacy, networking, monitoring & evaluation of HIV programmes.  High prevalence of stigma, shame, denial, discrimination, inaction and Misaction (SSDDIM) among faith communities.  Misconceptions of th e interface between faith and science such as faith healing and social norms (e.g. the ‘evil eye’).  Inadequate skills and knowledge to comprehensively deal with HIV, GBV and stigma among faith communities.  Challenges in addressing pertinent Sexual and Reproductive Health (SRH)/ HIVissues affecting adolescent and youth.

Weaknesses

Strengths

Below are a SWOT analysis of this sector.

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Faith Sector Interventions and Implementation Framework

CHAPTER 3: Faith Sector Interventions and Implementation Framework Introduction

This Faith Sector Action plan, interventions and implementation framework is based on the Faith sector strengths and opportunities as identified in the analysis of Strengths, Weaknesses, Opportunities and Threats (SWOT) provided above. It leverages and aligns the interventions and activities to the faith sector mandate. The activities are a consolidation of the feedback received and refined from the consultative meetings held with the Faith Sector TWG and Religious Leaders consultative, and are aligned to the KASF. The Faith Sector will undertake the following activities: 1. Mainstream HIV messages into Faith teachings and annual Calendars of teachings, activities and events This is aimed at having the Faith Sector Organizations integrate developed and agreed upon messages into their calender of sermons for the year. The development and use of theHIV messages will include the following; i. Identify, package and disseminatenondiscriminatory, stigma free specific texts: chapters and verses (from religious or sacred texts) that address issues relating to HIV and AIDS, ii. Develop faith specific standardized messages to be used in mainstream sermons within differentfaith that relate to HIV including love and non-discrimination, faithfulness, caring, sanctity of sex in married unions, abstinence that will contribute to reduction of new infections, increased quality of life for those who are infected, eliminating stigma and discrimination. iii. Integrate faith based texts from religious teachings of the bible, quoran, Hindi teachings into summons to ensure that every month HIV is discussed in different contexts during weekly religious meetings iv. Include specific HIV and AIDS messages within weekly worship pamphlets and information that are issued out to congregants v. Mainstream HIV and AIDS messages to institutions of learning supported or managed by the Faith community.

2. Utilize faith sector reach to promote HIV services and disseminate information targeting the men, women, adolescent, youth and young people. The may include i. Information to promote HIV prevention, care, treatment and elimination of discrimination can be promoted by the youth and include but not limited to: a. Abstinence, be faithful messaging for adolescents and young people (10-25 years), couples and those in married union b. Love and care messages to reduce stigma and discrimination towards persons living with HIV especially young people, widow(er)s, c. Be faithful messaging for concordant coupes and risk reduction messaging for discordant couples ii. Framing of HIV related messages in the context of doctrine and based on theological teachings for acceptability of HIV related messages during prayer sessions, worship and mass sessions, teaching sessions such as catechism, madrazas. iii. Approval of HIV related messaging as a key part of faith institutions, with these messages being disseminated through the structures of the faith institutions as approved by the decision making organs to promote adherence. iv. Integration of HIV related messages as part of the scheduled almanac of the religious institution/church/mosque or temple to ensure institutionalization of messages. v. Ensuring that faith related organizations, groupings including those of youth, women and men integrate dialogue on HIV, sexual and reproductive health, relationships and encourage uptake of relevant HIV related services such as testing, counselling. 3. Dedicate time and investments by Faith leadership and communities health issues and specifically HIV and AIDS. While HIV services is not the core business of the faith sector, the wellness of people is. With regard to HIV, it is recommended that faith leaders and institutions identify contributions towards enhancing service uptake among faithful as well as added support for those most vulnerable to HIV.

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Propositions include, but are not limited to: i. Focus on the World AIDS Day every year with dedication and investments. ii. One week in a year (prior to the World AIDS Day) emphasis on HIV and AIDS information and where possible HIV services for those who attend congregational gatherings during the week before World AIDS Day. iii. Formally dedicate the teachings of the Friday, Saturday or Sunday, prior to the World AIDS Day to matters related to HIV and AIDS information and messages with a unified message. iv. During the week, the faith leaders and congregations may organize and conduct activities that promote love and care, reduce stigma and discrimination and reduce vulnerability and risk to HIV such as target opharns, widow(er)s. v. Faith communities, as part of giving and service to the poor may identify HIV related projects to support, for instance those of orphans and vulnerable children.

iii. Stigma and discrimination continues in faith institutions and within faith communitis as persons living with HIV are often judged by the communities. This negatively impacts uptake of HIV tesitng and counselling, disclosure among those living with HIV, uptake and adherence to ARVS. Faith leaders need to become antiHIV related stigma champions within the Faith communities. iii. Sexual violence among young people is a primary issue that remains hidden within communities and contributes to HIV and AIDS. Faith leaders hold a unique moral place that can be used to advocate for zero sexual violence. 5. Integration of HIV sensitization and training into the Curriculum for Theological and other religious trainings In order to effect behaviour formation, behaviour change for HIV prevention and treatment, it is imperative that institutionalization of health and physical wellness issues incluidng HIV control is undertaken. Institutional training on faith and doctrine needs to include continuous review on matters health including HIV, sexual and reproductive health and cancer screening and management information. Religious faiths need to have integrate HIV training and sensitization into their training institutions and schools/madrazas, their membership associations such as youth associations, women and men’s associations.

4. Strengthen advocacy and voice on critical issues in the HIV response Faith leaders are community, moral and social leaders that have a unique space of respect and reach with political and technical leadership and therefore can be advocates for key issues in the HIV response. There are gaps and challenges on issues outlined in the Kenya AIDS Strategic Framework, our commitments to international and national targets that require advocacy, including, but not 6. Promote and facilitate continued service limited to: delivery by the Faith sector: i. The need for increased and sustainable The Faith sector as part of the private sector domestic financing is significant, given the provide approximately 40% of health services. long-term need for resources for availability Reporting for direct service delivery including HIV of ART, as long as there is no cure or vaccine. testing services, elimination of mother to child The significant investments must be funded by programmes, ART services, orphans and vulnerable Kenya and advocacy to ensure a mechanism children support, support groups, home based for financing is required. Faith leaders have care and follow up, should be undertaken through a unique voice and access national leaders the regular Ministry of Health, Ministry of Social that can be used to advocate for sustainable Services and National AIDS Control Council CAPR financing. reporting systems as part of routine care and ii. Faith healing of HIV negatively impacts surveillance. Additional activities that faith based outcomes with those who claim healing organizations that provide services can include: defaulting on the use of ARVs. This increases i. Reach out to other faith communities to provide their ill health, their potential to need second education and information on HIV and AIDS line ARV treatment and develop resistance. The ii. A rapid needs assessment at National level and faith community may take this as an advocacy select counties to identify capacity gaps within issue and provide guidance or protocol notes the faith communities, to inform capacity for such matters. building needs for the faith sector may be 10| FAITH SECTOR RESPONSE TO HIV AND AIDS IN KENYA | ACTION PLAN - 2015/2016-2019/2020

undertaken. iii. Additional capacity building in M&E, reporting, stigma and discrimination, and other priority areas within the faith communities may be undertaken.

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KEY ACTIVITIES OBJECTIVES Mainstream HIV messages into Faith sector activities

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faith communities

A launch of the HIV message booklet held

Number of dissemination forums held

Participate in the launch

A booklet of HIV Review and validate messages validated HIV and AIDS messages

Religious Leaders Facilitate identification and participation of their

Support NACC with the dissemination and launch of the HIV message booklet

Drafting of messages and Incorporating comments from Religious leaders and prepare the messages for printing

Technical support and oversight of the development process

Working Group Work with theologians to identify relevant texts from holy books for HIV messaging

TIME FRAME October 2016

Facilitate printing of adequate copies of the HIV message booklet ; The dissemination and the launch

April 2017

Provide technical Jan -March 2017 assistance to support the working group to draft the messages and briefs to be presented to faith leader for validation Receive the validated document and approve for and facilitate printing

NACC Dialogue with Religious leaders to mainstream HIV messages into Faith Sector activities

RESPONSIBLE INSTITUTIONS OUTPUT A booklet of standardized messages for the

Printing, Number of HIV dissemination and message booklet launch printed

Drafting and validation of the messages

SPECIFIC ACTIVITIES Develop standardised nondiscriminatory HIV/ sexual violence messages based on the religious texts through consultative meetings

3.1 Implementation Plan

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Reach out to congregation with HIV prevention information with specific target on adolescent and youth, couples and single adults

KEY ACTIVITIES OBJECTIVES

1,000,000 adolescent and young people reached 500,000 couples reached

100,000 single adults reached

Faithfulness and risk reduction messages for couples:

HIV prevention messages to the single adults (widows, widowers, single parents etc.)

HIV information integrated into the existing curricula for Theological and other religious trainings

Review and integrate HIV and AIDS information into the Curriculum for Theological and other religious trainings

Abstinence and chastity messaging for adolescents and young people (1024 years)

5,000.000 people reached OUTPUT with integrated HIV messages. (Countrywide)

Integration of HIV SPECIFIC messages into ACTIVITIES sermons, activities and events.

Identify fora for dissemination of messages

Identify fora for dissemination of messages

Monitor and report utilization of the HIV messages

Monitor and report utilization of the HIV messages

Provide technical assistance and facilitate the monitoring

Provide technical assistance and facilitate the monitoring

Provide technical assistance and facilitate the monitoring

Monitor implementation

To provide technical To provide technical assistance and monitor assistance and build implementation capacity of tutors to implement.

Facilitate the reach of Monitor and report adolescent and youth utilization of the with HIV messages. HIV messages every quarter

Approve inclusion of HIV Module in curriculum of Theological

Broadcast HIV messages through mass media (radio, TV, newspapers) at least once a quarter

Ongoing

Ongoing

Ongoing

Ongoing

RESPONSIBLE INSTITUTIONS Integrate messages Develop tools for Provision of technical Ongoing TIME into sermons, activities reporting. assistance and Religious Leaders Working Group NACC FRAME and events at least receiving of the once in a quarter reports. (e.g. Identify OVC and organize visitation to homes of people affected by HIV)

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Strengthen advocacy and voice on critical issues in the HIV response

KEY ACTIVITIES OBJECTIVES Reduce stigma associated with HIV and AIDS Provide TA to religious leaders and WG on how to support and involve PLHIV meaningfully in congregations

NACC Provide technical assistance and facilitate the monitoring

TIME FRAME Ongoing

Identify funding opportunities and lobby for faith sector allocation

Advocate for resource Identify advocacy allocation to the HIV forums for response at all levels participation of religious leaders

Strengthen linkages and build the capacity of religious leaders to participate in high level discussions or meetings on resource allocation e.g. MTEF.

Provide technical Provide technical From March 2017 support and oversight assistance (Ongoing) of the development process Support the Validate and approve dissemination of the the guidance Facilitate the guidance. document dissemination Facilitate the Disseminate the monitoring guidance document to congregations

Provision of relevant information on faith healing

Ensure meaningful involvement of PLHIV in congregations

Number of PLHIV meaningfully involved in congregations A guidance document developed and disseminated

Religious Leaders Working Group Facilitate dialogue and Follow-up, monitor, forums to incorporate document and report the messages Support the religious Create a safe space leaders on how for disclosure of to involve PLHIV HIV status within meaningfully in congregations congregations

OUTPUT Number of congregations reached with stigma and discrimination messages Number of dialogue forums held

Health financing Finances allocated and resource for the HIV mobilizing for HIV- response related services

Develop and disseminate a guidance document on faith healing

Facilitate dialogue between religious leaders and PLHIV at County and National Levels

SPECIFIC ACTIVITIES Incorporate messages on reduction of stigma and discrimination into sermons, activities and events.

RESPONSIBLE INSTITUTIONS

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KEY ACTIVITIES OBJECTIVES Monitoring and Evaluation OUTPUT Implementation of the Action Plan monitored

Working Group Document progress updates

Provide information for the portal Interact, utilize the information on the portal

Learning and sharing forums

Provide information for the portal Interact, utilize the information on the portal Market the portal

Compile and submit quarterly reports to the Faith Sector desk at the NACC

Coordinate the collection and uploading of information for the portal Market the portal

Feb. 2017

To facilitate WG Quarterly meetings Quarterly reports to HIV ICC Create and position a specific person in the Faith Sector desk at the NACC

Disseminate the From July 2016 revised COPBAR tool Build capacity on reporting.

Provide technical June/July 2018 assistance Facilitate the midterm review at County and National level.

TIME NACC FRAME Facilitate the review Half-yearly meetings And disseminate the progress updates

Shared learning Participate in the faith Support shared Facilitate the learning Ongoing forums on faith sector responses learning within the and sharing forums sector responses to faith sector HIV at County and Facilitate conferences National levels e.g. every two years, annual Convention quarterly interfaith -Identify meetings, religious forums etc.

A faith sector portal created in the Maisha Maarifa Hub

Review the quarterly reports

Faith Sector Support the utilization Sensitize faith indicators captured of the COPBAR tool organizations on the in the COPBAR tool COPBAR tool

Participate in the mid- Organize and carry out term review the mid-term review at County and National level.

Religious Leaders Receive progress updates and give feedback

RESPONSIBLE INSTITUTIONS

Utilize the COPBAR Quarterly reports tool for reporting compiled and and documentation submitted

Align Faith Sector reporting to the COPBAR

Conduct a midMid-term review term review of the report action plan

SPECIFIC ACTIVITIES Action Plan progress review meetings

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KEY ACTIVITIES OBJECTIVES

SPECIFIC ACTIVITIES Identify faith community leaders who are champions and advocates on HIV issues OUTPUT Shared names of religious leaders who are champions and advocates on HIV issues

Religious Leaders Each Faith Sector network to provide information on Faith leaders who are champions and advocates of HIV issues

Working Group Capacity build the Faith Sector advocates of HIV issues

NACC Provide information and tools for reporting on HIV

RESPONSIBLE INSTITUTIONS TIME FRAME Ongoing

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Co-ordination and Information Flow

CHAPTER 4: Co-ordination and Information Flow 4.1 Coordination at National Level

The Faith Sector Working Group is a sub-Committee established by the NACC to facilitate engagement and leveraging of Faith Communities in the HIV response under the HIV Interagency Coordinating Committee (ICC). It is the link between the Faith community and the NACC and will report quarterly to the HIV ICC through the NACC.

4.2 Monitoring and Evaluation

A National Monitoring and Evaluation framework exists and is the basis upon which routine and periodic surveillance is done and national reporting with feedback to stakeholders and partners is done. Although the Faith sector has been key to the HIV response, including at the council level of the National AIDS Control Council, the contribution of the faith sector, outside of faith based organizations delivering HIV services has not been reported. To ensure that the HIV response of the faith sector is monitored and reported, all monitoring efforts of HIV in the faith sector will align itself to the national M & E framework and will be reported through the Community AIDS Progress Report (CAPR). The faith sector will undertake the following activities:

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1. The Faith Sector working group will liaise with the Monitoring and Evaluation unit to develop key indicators that will track progress on the faith sector action plan. 2. The faith communities will be encouraged to report on the CAPR system on a monthly basis to ensure reporting of their contribution. 3. A feedback mechanism through a routine quarterly or bi-annual breakfast meeting with faith leaders will be utilized to discuss progress as reported by the Faith sector working group that is tasked with tracking progress of implementation. 4. A quarterly briefing on progress of implementation of the action plan will be prepared and disseminated to the faith sector and availed at the NACC website. 5. A Biennial HIV Prevention Convention for Religious Leaders as part of the Maisha Conference or other National AIDS Review processes shall be undertaken with feedback and reporting provided. 6. County level faith sector response shall be strengthened through advocacy by NACC for incorporation of members of the faith sector into County level structures and processes.

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TWG

HIV COMMUNICATING

MIPA

HR & LWG

Development Partners Forum

Working Group on

Implementing Partners

FAITH SECTOR WG

HIV ICC

NSC-TWG

PUBLIC SECTOR TWG

County HIV Committees

NACC SECRETARIAT

M&E/SI TWG

KASCOM

KASF Monitoring Committees

NASCOP LED TWG

Global Fund TWG HIV Testing and Counselling TWG Care & Treatment TWG Condom TWG Key Populations TWG Commondity Quantification & forecasting TWG

HIV PREVENTION TWG

HIV FINANCING Committees

KASF Working Groups

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Referrences 1. Republic of Kenya (2010). The Constitution of Kenya. 2010 2. Republic of Kenya (2008). Kenya Vision 2030: Sector Plan for Health 2008-2012. 3. Republic of Kenya (2012). Kenya Health Policy 2012 - 2030. 4. Republic of Kenya (2014). Kenya AIDS Strategic Framework 2014/15 – 2018/19. National AIDS Control Council, Kenya 5. National AIDS Control Council (2009). Kenya Modes of Transmission. Kenya HIV Prevention Response and Modes of Transmission Analysis, Final Report. March 2009. 6. Republic of Kenya. (2014). Kenya HIV Prevention Revolution Roadmap: Countdown to 2030. National AIDS Control Council, Kenya. 7. Republic of Kenya. (2014). Kenya HIV County Profiles. National AIDS Control Council, Kenya. 8. Kenya National Bureau of Statistics (KNBS) et al. (2014). Kenya Demographic Health Survey 2014 9. Republic of Kenya. (2012) Kenya AIDS Indicator Survey 2012: Final Report. National AIDS and STI Control Programme (NASCOP), Kenya. 10. UNAIDS. (2016). Global AIDS Update. 11. Memorandum of Understanding between the Government of Kenya, and Christian Health Association of Kenya (CHAK), Kenya Episcopal Conference (KEC) and Supreme Council of Kenya Muslims (SUPKEM) of October 2008. 12. Religious Leaders Convention Report of 2010

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Annexes Annex 1: List of Faith Sector WG Members 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24.

Bakary Chemaswet

Supreme Council of Kenya Muslims (SUPKEM)

Francis Kuria

Inter- religious Council of Kenya (IRCK)

Imelda Namayi

National Council of Kenya (NCCK)

Jane Ng’ang’a

INERELA+

Maryann Mwangi

St Paul’s University

John Okello

Seventh Day Adventist Church (SDA)

Pastor Nyabuto Marube

Church of Christ in Kenya

Patricia Chamia

Inter - religious Council of Kenya (IRCK)

Pastor Yobes Nyagaka

Baraton University / Central Kenya Conference

Paul Wangera

Deliverance Church

Bishop James Okombo

Network of Church Leaders Tackling HIV (NECLECTAH)

Washington Odongi

Evangelical Alliance of Kenya (EAK)

Rev. Rose Mbula

Salvation Pro-claimers

Major Rebecca Nzuki

Salvation Army

Tabith Rono

Christian Health Association of Kenya (CHAK)

Catherine Theuri

Kileleshwa Covenant Community Church (KCCC)

Dr Emmy Chesire

National AIDS Control Council (NACC

Dr. Bathsheba Osoro

National AIDS Control Council (NACC)

Faith Macharia

National AIDS Control Council (NACC

Reuben Musundi

National AIDS Control Council (NACC

John Ohaga

National AIDS Control Council (NACC

Father Joseph Mutie

OAIC

John Kikeetio

Catholic University of East Africa (CUEA)

Dr. Daniel Kabira

Kenya Conference of Catholic Bishops (KCCB)

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Annex 2: List of Task Force Members 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28.

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Dr. Emmy Chesire Dr Francis Kuria Dr. Bathsheba Osoro Imelda Namayi Patricia Chamia Jane Nganga Bakary Athman Chemaswet Mark Mwathi Pastor Nyabuto Marube David WaruiMugenyo Andrew Onyango Okoth MwauraWanjohi Washington Tom Ochieng Aquilla Watson Odanga Rev. Margaret Muchai Bishop James Okombo Maryann Mwangi Pastor YobesNyagaka Tabitha Rono Eunice Odongi Francis Mutua Catherine Theuri Peter Okaalet Major Rebecca Nzuki Major Rose Mbula Fr. Joseph Mutie Lillian Langat Faith Macharia

- - - - - - - - - - - - - - - - - - - - - - - - - - - -

NACC IRCK NACC NCCK Inter-religious Council of Kenya KENERELA SUPKEM Central Kenya Conference/ Seventh Day Adventist Church of Christ in Kenya OAIC – Kenya OAIC – Kenya MOEST Evangelical Alliance of Kenya NCCK Evangelical Alliance of Kenya NECLECTAH St Paul’s University Baraton University Church/Central Kenya Conference CHAK NACC Youth Advisory Panel - UNFPA Kileleshwa Covenant Community Church Okaalet & Associates Salvation Army Salvation Pro-claimers OAIC NACC NACC

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Annex 3: HIV Coordination Infrastructure for KASF Delivery

Source: KASF, P. 61

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Annex 4: Indicators Nationally, the faith sector will monitor progress on implementation of this action plan by reporting on the following indicators: 1. No of theological training Institutions mainstreaming HIV and AIDS training curriculum. 2. No. of congregations promoting safer practices and messages. 3. No of congregations initiating HIV services. 4. No of people trained on proper nutrition 5. No of faith communities implementing action plans on GBV-HIV 6. No of RL trained on treatment literacy. 7. No of congregations mainstreaming HIV and AIDS. 8. No of congregations with internal resources for HIV & AIDS activities 9. A comprehensive database of service providers 10. A guidance document on faith healing in place. 11. No. of Faith sector conventions held 12. No. of faith-based organizations and Faith communities participating in World AIDS Day and other HIV focused events. 13. Increased number of stigma free messages, reviewed, developed and adopted. 14. Increased number of Faith sector trained and reporting HIV activities to NACC. 15. Increase in evidence based programming and HIV interventions in the faith communities. 16. No of religious leaders participating in county and National level meetings 17. No. of faith communities reporting on HIV & AIDS.

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Annex 5: Terms of Reference (TOR) for the Faith Sector Working Group (WG) Background The Faith Sector WG is a team of faith leaders and FBO program managers drawn from various faiths denominations and religious institutions to provide technical support to the HIV response. It works under the leadership of the Head of Stakeholders Coordination at the NACC. Purpose To facilitate engagement and leveraging of Faith Communities in the HIV response through sharing of information, formulation of guidelines, prioritization of strategies and programmes, backstopping ongoing processes and responding to outstanding and emerging HIV issues intersecting with matters of faith. Scope of Work i. Periodic review the Faith Sector Action Plan, track performance and report to the HIV ICC. ii. Mobilize the Faith Sector to advocate on key issues on HIV and AIDS iii. Organise bi-annual conventions and annual forums for religious leaders and communities on the HIV and AIDS response iv. Compile and Submit progress report on HIV and AIDS Faith Sector to the HIV ICC v. Identify and coordinate a response to emerging issues in the implementation of the Faith Sector Action Plan. vi. Support quarterly Faith Sector sharing forums at all levels to enhance participation and reporting on HIV and AIDS activities vii. Strengthen effective representation of Faith communities at National and County levels related to HIV responses. viii. Advocate for resource allocation to the Faith Sector. ix. Lobby for representation of the Faith Sector WG in committees mandated to vet and approve funding proposals for HIV Faith related activities at the National and County Level x. Identify capacity gaps among the Faith sector and recommend a way forward on the same. xi. Identify of appropriate communication channels. xii. Coordinate the reporting of HIV and AIDS related activities by the Faith Sector xiii. Enhance networking and partnership within the Faith Sector and create linkages with other stakeholders. xiv. Support shared learning at International, Regional, National and County levels on HIV and AIDS. xv. Create a Faith Sector portal in the Maisha Maarifahub for sharing of information

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Landmark Plaza, 9th Floor, Argwings Kodhek Road P.O. Box 61307 - 00200 Nairobi, Kenya Tel: 254(020) 2896000, 2711261 Fax: 254 (020) 2711231, 2711072 Email: [email protected] www.nacc.or.ke