1. Micro-planning: The Sex Workers Outreach Programme (SWOP) Experience Nairobi, Kenya  
Authors: Rhoda Wanjiru*, Collins Mudogo1, Paul Sore1, Gloria Gakii1, Festus Muriuki1, Julius Munyao1, L. Gelmon1; Joshua Kimani1 *Corresponding author 1SWOP

2. Introduction
Sex Workers Outreach Program (SWOP) is a University of Manitoba, Nairobi program
Aims to scale-up a combination of evidence-based, cost- effective HIV prevention interventions for KPs in Nairobi
Funding by CDC-PEPFAR grant
Services on offer include biomedical, behavioural and structural interventions
Has two core teams outreach and clinical
Outreach utilizes - peer-led, hotspot-based and also employs other outreach & mobilization strategies.

3. Coverage SW NO. 27116 HOTSPOTS 1364 ORW 40 PE 245 S2s 14 PHDP 8
ADVOCACY 9
P.O 11

4. Outreach strategies
Initially, group meetings were organised by peer educators in the hotspots
One on one approach was then adopted for sustainability
The one on one approach had its own shortcomings
This created a need to scale up the one on one approach thus need for microplanning in addition to other current strategies including;-
SMS reminders
Clinic extension
Medical camps
Satellite clinics

5. Micro-planning Adopted from the Avahan India AIDS Initiative in 2013
A data -driven approach which aims to increase ownership by PEs/ ORWs
Utilizes microplanning tools as well as MoH KP tools
Occurs at hotspot level and individual level
Micro-planning tools and activities feed into the MoH outreach tools

6. Hotspot Load Map Shows hotspot location
Helps prioritize the sites for outreach depending on number of sex workers
Provides an understanding of the area of coverage

7. Hotspot Analysis Profiles hotspots in terms of; Helps in determine;
Operating time
Level of violence
Type of sex workers operating in the site
Age of the sex workers operating in the site
Client volume
Helps in determine;
Best time for outreach
Need for violence reduction activities
Peer educator

8. Contact Listing
Enables outreach workers to know the contacts of the shortlisted peers and help in final PE selection
Also helps understand the networks to avoid duplication when allocating sex workers to PEs.

9. Peer Plan
Involves profiling individual sex workers- No of clients, age, type of sex and level of violence
Helps in planning outreach activities- commodity requirement, tracing lost to follow up and prioritization of sex workers based on risk profile

10. Gap Analysis Includes gaps in; contacting the estimated sex workers
condom distribution
Clinical service uptake
Plans are then developed to counter the gaps
Helps understand risk reduction challenges

11. Outcomes More consistent, accurate and less duplicated data
Individualized commodity requirement
Individualized risk profiling
Improved retention and tracing of the lost to follow up

12. Outcome Contd

13. Outcome Contd.

14. Challenges Illiteracy among some of the peer educators
Too much paperwork
Hostile environments in some hotspots
Some hotspots do not allow commodity distribution
Assumption applied ‘one condom one shot’ is not always true
PE turnover

15. Conclusions
Micro-planning is an effective outreach approach in peer led models
Implementation should be situational as hotspots have varying setups
Terminology and legality of sex work influences how well micro planning can be implemented

16. Acknowledgement MOH - GOK CDC- PEPFAR University of Manitoba
University of Nairobi
SWOP staff
Sex workers
Other partners a