1. SCORE Annual Review 2016 17-21 October 2016 Venue: Jinja – Nile Resort
Lydia Murungi Tomusange
TA – Adolescent Health

2. DREAMS PROGRAM IMPLEMENTATION UPDATE

3. Area of operation AVSI Foundation District: Mukono Sub counties:
Ntenjeru
Mpunge
Nama

4. PARTNERS DREAMS has 2 types of implementers Implementing Partner
St Francis Hospital
Service layering partners
Makerere University Walter Reed Project
RTI
Communication for Health Communities (CHC)
ASSIST project
District leadership
Health Facilities
Community structures (VHTs, local council leaders)

5. Determined, Resilient, Empowered, AIDS –free, Mentored and Safe (DREAMS) Project Implementation framework
Activities
Goal
Identification
Assessment and enrollment and care plan
Categories
Combination social economic strengthening activities
Village Savings and Loans Associations (VSLA)
Apprenticeship Skills
Financial literacy
Community skills
Enterprise selection planning and management
AGYW in Transactional sex
15-24 years - 690
AGYW pregnant or with a child
15-24 years – 1,206
Mapped High prevalence or High risk spots**
Referral from Linkage facilitators
Referral from Health facilities and Schools,
Referral from Police, CDO, PSWO
Referral from CSOs, HIV partners
Referral from structures and individuals: Peers, AGYW, CPC,
Vulnerability Assessment and
Needs Mapping:
HH dev.t plan/ AGYW dev.t plan
Family strengthening and access to critical services
Social Asset Building (life skills trainings)
HIV Counselling and Testing
Violence prevention and Post Violence care
Reduce risk of sex partners (Sexual partner characterization, VMMC)
Parenting and care giver programs
Interventions to mobilize communities for change like dialogues
Referrals to critical services
Reduced HIV Incidence
AGYW in In school
10-14 years – 3,269
15-19 years – 1,610

6. DREAMS Enrollment
5,059 households 1163 coded +3,896 non vatted Households
Membership 9,436 (5540 vatted (female 3272 and males 2268) non vatted
AGYW 5,675: 1779 Coded (not vatted)

7. Core Package of Interventions

8. Start up activities Enrollment of HHs and AGYW- Assigned unique codes
Segmentation of groups (In school, Transactional sex, Pregnant/ Those with child)
Identification of safe spaces and development of AGYW group development plan -100 safe spaces
Recruitment of 36 Mentors
Capacity Building
TOT – Sinovuyo parenting teens model, TOT stepping Stones, GBV training, Life skills training, parenting training, VSLA training)
Training peer facilitators in stepping stone methodology
28 VHTs and Linkage facilitators training on HIV and SRH

9. Training and Deployment of Mentors
Mentors induction/orientation on DREAMS interventions
Social Asset Building and Safe Space Model
Group dynamics and Group management
My Health My Choice, Healthy Choices for a Better future
Mapping Sexual Networks
Basic Counseling Skills
Gender Norms & GBV Prevention
M&E Tools including referral processes

10. Formation of safe space groups
Induction meetings for AGYW ( girls) which serve to
Introduce DREAMS Activity to the girls
Introduce the concept of Safe Space Groups and different identified segments
Dividing AGYW into identified safe space groups segments
Linking safe space groups segments to mentors
Parents/Caregivers sensitization forums on DREAMS
Introduce DREAMS Activity to parents of In-school AGYW
Working with parents of Out of school AGYW

11. Results Progress Strengthening the family
Interventions
Progress
Target
Outputs %
Strengthening the family
Parenting/caregiver programs
2,000
460
23%
Life skills training and stepping stones
3,515
176%
Psychosocial support
1,244
62%
Combined SES
1,633
58%
VSLA
424
Community skills
404
Apprenticeship 89
Financial Literacy 24
Home Visiting
309
15%
Adolescent Friendly Sexual Reproductive Health for girls
Risk reduction messages
5,000
1,685
34%
HIV Counseling and Testing services
3,000
1,741
Gender Based Violence 5
Strengthening the community
Community dialogues
1,337
Decreasing risk in sexual partners
Males accessing VMMC services 79

12. Parenting Training DREAMS uses the SINOVUYO parenting teens model
It targets parents and their Teens
It is a 14 module training with 8 joint sessions and 6 separate sessions
Its complemented by the SCORE parenting model for the AGYW it doesn’t target.

13. Life skills and Stepping stone Training
Stepping stone is an HIV prevention behavioral change approach Quote; “I have attained courage to speak out my mind after the life skills training unlike before when I never used to speak among my peers. I also encourage my fellow youth to go out to test for HIV and know their status. I am now knowledgeable about HIV/AIDS; if I got raped; I would rush straight to hospital by myself or insist I be taken there so I can benefit from PEP” Victoria AGYW

15. Psychosocial Activities
Quotes;
Bamwanje Saudah A- Kla “l have really enjoyed, it has been a long time since l last played nyama nyama game”
Namulema Teopista “ for sure this game has reminded me the good times l used to have with my siblings when we were still young , I think l should start playing it with my children”.

16. Community skills and Apprenticeship

17. Gender Based Violence Prevention
There is increasingly reported cases of GBV after the learning sessions in the AGYW safe spaces
We have protocols for dealing with GBV cases
Quote “There is a belief that the women should have extra patience in relationships, while the men believe that they are meant to be aggressive and not assertive. As a mentor I strive every day to help people change their perceptions and prejudices around gender – as these are among the major causes of sexual and gender based violence.” Munnah – AVSI Foundation DREAMS Mentor

18. HIV Counseling and Testing Services
Best Practice Worked in collaboration with MUWRP and KIFAD. HTS services were offered in the safe spaces/groups for the AGYW and their family members.

19. Linkage to care and treatment
All the identified positive AGYW have been referred to the Health facilities for enrollment into care.
Through case tracing, 80% have been linked and are accessing care.

20. Decreasing risk among male sexual partners
SCORE has adopted the Sexual partner diversity assessment approach from population council as an entry point to identifying males to target.
Characteristic of AGYW Interviewed
# of groups Analyzed 8
# of AGYW interviewed
169
AGYW Age group
15-24 years

21. Male Partners characterizations

22. Most important reasons for involving with male partners

23. Program Response suggested by the AGYW

24. Risk Reduction among Sexual partners
In collaboration with MUWRP organized community dialogues with male partners; 79 tested for HIV and were provided with condoms
TT vaccination provided in preparation for VMMC services.

25. Quote
“Before the DREAMS parenting and life skills training, I used to shout at my child and I did not really communicate well with my husband. Things have now changed. I love my child and treat her very well and through the parenting training module on couple relationship – I learnt how to relate better with my husband. We now share a very good relationship. Through Community skills training, I learnt how to make bags as an income generating activity and I am excited that I can used these skills to earn an income” Sharifa – AGYW

26. Challenges Change in Targets and focus categories
Short implementation period with so many interventions to deliver
Different modes of implementation with our partners MUWRP

27. Plans/opportunities
Training additional staff in Sinovuyo Parenting Teens Model
Training of additional peer facilitators in Stepping stones
OVC Plus up – opportunities for ECD and additional Apprenticeships, and community skills

28. DREAMS Targets- COP 16/17 New VSLA formed 100 VSLA members 2500
Financial Literacy
3000
SPM
Community skills
2000
Apprentices enrolled
700
Apprentices completed and on the job
600
Life Skills/ Stepping Stones
Parenting skills
Risk reduction messages - dialogues
5000
HCT and linkages to care and treatment

29. THANK YOU