1. 1 Wanjiru Mukoma, Jane Thiomi 21 July 2016, 7:00 to 8:30 am, Session Room 5 International AIDS Conference, Durban, South Africa Using innovation and technology to offer HIV and SRH information to adolescents and young people: lessons from the LVCT Health one2one program

2. Building Partnerships, transforming lives2 www.lvcthealth.org About LVCT Health Kenyan NGO Operations and implementation science Research Policy advocacy and TA Integrated HIV Service delivery Research Policy Practice -HTC -SGBV/PRC -Combination HIV prevention -SRH -Maternal Health

3. Kenya’s Demographic trends

5. Building Partnerships, transforming lives5 www.lvcthealth.org Youth program of LVCT Health www.one2onekenya.org Integrated HIV services – general population; adolescents and young people living with HIV; girls and young women; adolescents exploited through sex, most at risk youth one2one integrated digital program- OIDP

6. Building Partnerships, transforming lives6 www.lvcthealth.org Toll free hotline OIDP purpose: harness the growing utilization of digital technologies by adolescents and youths to provide SRH/ HIV/ GBV information and linkage to services Population: 10-24 years Reach: national Staffing: young counselors & nurses –general counseling, trauma, GBV, substance use

7. Building Partnerships, transforming lives7 www.lvcthealth.org OIDP purpose: harness the growing utilization of digital technologies by adolescents and youths to provide SRH/ HIV/ GBV information and linkage to services Staffing: young counselors & nurses –general counseling, trauma, GBV, substance use

8. Building Partnerships, transforming lives8 www.lvcthealth.org

9. Building Partnerships, transforming lives9 www.lvcthealth.org OIDP Platforms performance;July2015-June2016 PlatformTotal 119038,241 Facebook330,434 Twitter (Followers)1,307 Messages received and responded27,384 Messages sent out in bulk 10 291

10. Building Partnerships, transforming lives10 www.lvcthealth.org Largest Toll free hotline for HIV related info for youth Short code – 1190 App 10,000 calls monthly Open 12 hours 8am-8pm Based at safaricom call centre – real time detailed data Hotline “My number one place to look for information is the 1190 ” (Kisumu Youth)

11. Caller demographics April 2015 – March 2016 166,678 calls were received at the hotline Age 10-14 years – 3% 15-19 years – 22% 20-24 years – 50% >25 years – 25% Sex In 2015: 62% female, 38% male (due to TV adverts on FP) 11

12. Building Partnerships, transforming lives12 www.lvcthealth.org Hotline

13. Caller demographics 13

14. Reasons for Calling one2one Hotline Most common reasons Interpersonal relationship issues (personal, social, and emotional); Pregnancy and Birth control and HIV AIDS STI concerns By gender Males – relationships, sexual relations & HIV Female – pregnancy, birth control, abortion, sexual abuse 14

15. Questions posted on bulk sms platform Bulk sms platform used to send out information and receive feedback Also useful for appointment reminders for ART (increased from 77% to 83% in 6 months) 15

16. Referrals Callers are referred for appropriate services near them and followed up with phone calls Services include FP, ANC, HTC, HIV care, GBV, other socio-media platforms “They referred me and called me about after one week to see if I got the service”(Nairobi, Youth) “Yeah when I called them the first time I told them the problem I had then after about three weeks they called back and asked if my problem was solved and I was satisfied and if I was happy with them that was very perfect (Kisumu, Youth) 16

17. Building Partnerships, transforming lives17 www.lvcthealth.org Peer led awareness

18. Building Partnerships, transforming lives18 www.lvcthealth.org Challenges Identification of the most marginalized youth to use the one2one platform (especially sex workers, injecting drug users and the MSM population) Scale up – additional space and counselors required to handle workload especially when there are media advertisements Hotline Systems gaps – dynamic data management systems Inadequate Youth Friendly Services to refer clients to Continuous capacity building of counselors on emerging needs of adolescents and youth Sustained financing for hotline

19. Building Partnerships, transforming lives19 www.lvcthealth.org Opportunities/considerations Potential for supporting HIV/SRH interventions – HIVST, PrEP, FP Policy influence – use data to inform policy – *Used lessons to inform guidelines on quality for health helplines with Dept of standards in MOH Confidential platform for adolescent KPs to access information – linkage with KP programs Expand range of services e.g. linkage to opportunities for employment creation and skills training, civic education ICT- New dynamic ways and methods of reaching young people; quick, bite size, in their language, convenient Age appropriate methodologies Gender plays a role in how information is given and received

20. Building Partnerships, transforming lives20 www.lvcthealth.org OIDP Performance Interval July2015-June2016

21. Building Partnerships, transforming lives21 www.lvcthealth.org Contacts www.lvcthealth.org One2onekenya.org wmukoma@lvcthealth.org