Online Program

Kasarani OVC program evaluation (KOPE)

Tuesday, November 5, 2013 : 1:15 p.m. - 1:30 p.m.

Rosy Chhabra, PsyD, Pediatrics, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY
Jill Raufman, MS, MPH, Global Health Center, Global Health Center, Albert Einstein College of Medicine, Bronx, NY
Nehama Teitelman, MPH, Center for Public Health Sciences, Albert Einstein College of Medicine, Bronx, NY
Ellen Johnson Silver, PhD, Preventive Intervention Research Center for Child Health, Albert Einstein College of Medicine, Bronx, NY
Laurie J. Bauman, PhD, Preventive Intervention Research Center, Albert Einstein College of Medicine/Yeshiva University, Bronx, NY
Orphans and vulnerable children affected by HIV/AIDS (OVC-HIV) are disproportionately poor, malnourished, lack shelter, education, health care, and are at increased risk for acquiring HIV. St. Francis Community Hospital, Kasarani, Kenya provides essential services to 1,200 OVC-HIV and formed a partnership with Einstein to assess the need for HIV prevention and mental health (MH) focused programs for OVC 13-17 years. Community members including youth identified program needs through five focus groups. That information generated a needs assessment survey for OVC youth to document needed program components. We are reporting data from the mental health (MH-6 items) and HIV knowledge/attitudes (HKA-19 items) survey components only. Focus groups highlighted vulnerability of OVC's regarding lack of access to health information and support from adults, peer relationships in terms of risk behavior and need for building self-esteem. The data from 79 entered youth surveys (n=250 collected) had a mean age of 15.2; 54% were male and 42% had single parent. For MH, about 25% reported feeling lonely 'most of the time' (49% - 'some of the time'); 16% reported seriously considering suicide, 19% had plans and 24% had attempted it (1-6 or more times). For HKA, almost 82% knew where to get tested for HIV but only 36% knew how to use a condom or were aware of its effectiveness (34%). The current data suggests a need to address MH issues and promote HIV prevention education and condom skills for OVCs. We will combine local community wisdom and academic empirical expertise for program development.

Learning Areas:

Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
Describe the process of identifying community needs for program development through an international academic-community partnership. Demonstrate the process of building community capacity for conducting program needs assessment.

Keyword(s): Adolescent Health, International Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the PI of the study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.