Teen Club Standardized Implementation Package PIH-EQUIP Teen Club Scale Up 2016-2017 Lilongwe, Malawi Prepared by Julie K. Parent, MSW

Why we do Teen Club… Source: Differentiated Care For HIV: A Decision Framework for ART Delivery, 2016

PIH-EQUIP Teen Club Services Provided Clinical Services: Vital Signs, ART Refills, Consultations, Viral Load Testing, Sexual Reproductive Health Information (ALL ART clinical services) Psychosocial Services: Adherence Counseling, Guardian Support (if needed), Partner Disclosure Education: Staff, Volunteers and/or Mentors will prepare and provide one session from the Baylor Curriculum Recreational Activities: Balls, Board Games, Music, Crafts, etc. Refreshment: A snack and/or beverage

PIH-EQUIP Teen Club Implementation & Logistics Timeframe: Teen Clubs are on Saturdays only to ensure no one misses school. Suggested time is 7:30am-1:30pm. Each facility decides which Saturday (first, second, third or fourth) and can add another Saturday if the group grows too big for only one session. No Teen Clubs weekdays. Curriculum: PIH-EQUIP will use Baylor’s updated curriculum to establish a theme and lead the education talk each month. Teens: Only teens who are fully disclosed can come to Teen Clubs. Teen Club Volunteers: PIH-EQUIP staff will identify facility staff who have time and “heart” to invest in regularly organizing Teen Clubs. This group will receive a small stipend. Teen Mentors: PIH-EQUIP staff will identify Teen Mentors from those who have attended Teen Club, willing to help younger teens and no longer at school. Teen Mentors will be at Teen Clubs and at some regular ART clinics to help adolescents with adherence or disclosure support. Teen Club Preparatory Meeting: The day before a Teen Club, all staff, volunteers and mentors will meet to go over the curriculum for the day and schedule events and logistics. The Teen Club Preparatory meeting should takes 1 or 2 hours and should be done when ART clinic staff and volunteers are available (no during busy ART clinic).

PIH-EQUIP Teen Club BUDGET Quantity Amount (US$) Refreshments The maximum cost per Teen is MK 1,400 per session. This may include a meal (nsima/rice/relish) and/or a drink (juice/milk/Maheu). The number of refreshments provided must match the sign-in sheet or money must be refunded. 1 per Teen US$2.00 Teen Club Volunteers Five volunteers will be asked to organize Teen Clubs. Each person is entitled to a stipend for helping at Teen Club. PIH-EQUIP staff are asked to work with and support the Teen Club Volunteers and can take off a day in lieu if needed. Allowance distribution can rotate each month between all volunteers who play an active role. If a Teen Club has >100 participants, one volunteer (and allowance) can be added for every 20 extra teens. Expert Clients and Teen Mentors are not entitled to a stipend or allowance as attending Teen Clubs should be part of their regular schedule. 1 per volunteer US$4.00 PIH-EQUIP Staff No overtime can be claimed for Teen Club, but a day off in lieu can be taken within a month of the Teen Club taking place. Staff should seek approval from their team lead before taking this day off. 1 day

PIH-EQUIP Teen Club Reporting Tools: PIH-EQUIP Teen Club Register Monthly Teen Club Summary

Thank you!