Maeneo ya ukurasa huu ni kwa Kiingereza. Hariri tafsiri
FCS Narrative Report
Utangulizi
Kilimanjaro Community Services Trust Fund
KICOSET
HOME BASED CARE TRAINING
FCS/RSG/1/10/240
| Tarehe: FEBRUARY 2011 | Kipindi cha Robo mwaka: APRIL 2011 |
DAVIS G. SHIRIMA
TEL +255754082968
E. MAIL: dshirima2005@yahoo.com
TEL +255754082968
E. MAIL: dshirima2005@yahoo.com
Maelezo ya Mradi
Uimarishaji Asasi za Kiraia
The project aimed at building the capacity of the organization in service delivery by providing Home based care skills to the community volunteers. The skills provided focused not only on proper provision of home based care services but also sensitizing community members on their role in the provision of home based care services for project sustainability.
| Mkoa | Wilaya | Kata | Vijiji | Idadi ya Wanufaika |
|---|---|---|---|---|
| Kilimanjaro | Moshi Municipality | Longuo 'B' | 7690 | |
| Kilimanjaro | Moshi Municipality | Rau | 12929 | |
| Kilimanjaro | Moshi Municipality | Karanga | 11502 |
| Walengwa wa moja kwa moja | Walengwa wasio wa moja kwa moja | |
|---|---|---|
| Wanawake | 31 | 916 |
| Wanaume | 9 | 712 |
| Jumla | 40 | 1628 |
Shughuli na Matokeo ya Mradi
40 skilled home based care volunteers in place
Six Home Based Care sensitization meetings conducted in Longuo, Karanga and Rau
Six Home Based Care sensitization meetings conducted in Longuo, Karanga and Rau
-To conduct a Five days workshop on Home Based Care training to forty community volunteers including People Living With HIV
-To conduct Six Home Based Care sensitization meetings to the community
-To provide Home Based Care to terminally ill patients
- To monitor the implementation of the project
- To write report and submit to FCS
-To conduct Six Home Based Care sensitization meetings to the community
-To provide Home Based Care to terminally ill patients
- To monitor the implementation of the project
- To write report and submit to FCS
- A five days workshop on Home Based Care skills training was conducted at YMCA venue on the first week of February from Tuesday 1st to Saturday 5th. Fifty community volunteers including people living with HIV participated. The workshop which was conducted by the facilitators from Home based care department of Moshi Municipal Council aimed at building the capacity of the community volunteers in Home Based care service provision and sensitizing community members to play a role in providing home based care to the terminally ill patients around their community.
- 39 sensitization meetings were conducted by the community volunteers. These meetings were done in all the three wards as follows; Soweto 17, Karanga 5, longuo 12 and Rau 5. Karanga ward was recently divided into two wards of Karanga and Soweto.
24 house holds were visited for home based care servises which also included provision of education to family members. the education covered stigma and descrimination, diet, cleanliness, management of opportunistic infections, prevention of new infections etc.
C. If any difference, what is the reason?
Six sensitization meetings were planned. These meetings were expected to go parallel with ward or mitaa meetings conducted by the local Government in the respective area. Two strong challenges which interfered our implementation raised in the first month. One of he challenges was some meetings were full of noises more especially those with agendas of agricultural vouchers as people were claiming of unfairness. This made us to change our strategies and focuses some group of people in the community. some of these groups are "vikoba", small christian communities, small bus stops, markets and parent meetings in schools.
D. Resources used
A five days Home Based Care workshop cost was 3,082,000
Sensitization meetings and home based care provision cost 840,000
monitoring cost was 360,000
Reporting 346,000
- 39 sensitization meetings were conducted by the community volunteers. These meetings were done in all the three wards as follows; Soweto 17, Karanga 5, longuo 12 and Rau 5. Karanga ward was recently divided into two wards of Karanga and Soweto.
24 house holds were visited for home based care servises which also included provision of education to family members. the education covered stigma and descrimination, diet, cleanliness, management of opportunistic infections, prevention of new infections etc.
C. If any difference, what is the reason?
Six sensitization meetings were planned. These meetings were expected to go parallel with ward or mitaa meetings conducted by the local Government in the respective area. Two strong challenges which interfered our implementation raised in the first month. One of he challenges was some meetings were full of noises more especially those with agendas of agricultural vouchers as people were claiming of unfairness. This made us to change our strategies and focuses some group of people in the community. some of these groups are "vikoba", small christian communities, small bus stops, markets and parent meetings in schools.
D. Resources used
A five days Home Based Care workshop cost was 3,082,000
Sensitization meetings and home based care provision cost 840,000
monitoring cost was 360,000
Reporting 346,000
A. Intended Results as per appendix E. Key Performance Indicators in the contract
40 community volunteers trained for home based care skills
6 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
B. Actual Outcomes/changes
40 community volunteers trained for home based care skills
39 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
C. Other outcomes/changes originated from implementing the project
1433 people were sensitized during the 39 sensitization meetings held in the three wards.
24 house holds were visited for home based care services where by 63 patients and 132 family members benefited from home based care service and education from the community volunteers.
40 community volunteers trained for home based care skills
6 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
B. Actual Outcomes/changes
40 community volunteers trained for home based care skills
39 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
C. Other outcomes/changes originated from implementing the project
1433 people were sensitized during the 39 sensitization meetings held in the three wards.
24 house holds were visited for home based care services where by 63 patients and 132 family members benefited from home based care service and education from the community volunteers.
6 meetings were to be held parallel with the wards and mitaa meeting organised by the local learders in the wards but due to mis understandings in these meetings and some wards not to have them within our implementation period we opt to change our strategy. we decided to use small groups like during "VIKOBA" , small christian and school parents meetings. we also use small gatherings along the bus stop and market places. This strategy increased our meetings to 39 meetings.
Mafanikio au Matunda ya Mradi
Intended Results as per appendix E. Key Performance Indicators in the contract
40 community volunteers trained for home based care skills
6 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
40 community volunteers trained for home based care skills
6 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
40 community volunteers trained for home based care skills
39 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
39 sensitization meetings conducted in the three wards of Rau, karanga and Longuo
Other outcomes/changes originated from implementing the project
1433 people were sensitized during the 39 sensitization meetings held in the three wards.
24 house holds were visited for home based care services where by 63 patients and 132 family members benefited from home based care service and education from the community volunteers.
1433 people were sensitized during the 39 sensitization meetings held in the three wards.
24 house holds were visited for home based care services where by 63 patients and 132 family members benefited from home based care service and education from the community volunteers.
6 meetings were to be held parallel with the wards and mitaa meeting organized by the local larders in the wards but due to misunderstandings in these meetings and some wards not to have them within our implementation period we opt to change our strategy. we decided to use small groups like during "VIKOBA" , small christian and school parents meetings. we also use small gatherings along the bus stop and market places. This strategy increased our meetings to 39 meetings.
Mambo Mliyojifunza
| Maelezo |
|---|
| Community volunteers can do a lot if capacitated. Our volunteers are people with low level of education and they can be seen as people who can not influence others in anything and more especially in sensitizing other in their role in home based care provision. For this case we have lent that people are capable if facilitated. |
| Still there are people who hide AIDS patients and this is stima and Discrimination which is still around our community. Our volunteers manage to take out 4 hidden patient, 2 from soweto and 2 from Rau after recognizing these from their visits and managed to educate their family members. Now the patients are out and accessing support and other services |
Changamoto
| Changamoto | Namna mlivyokabiliana nazo |
|---|---|
| Provision of home based care is also facilitated by home based care KIT which was a challenge to us as e do not have HBC KIT | We conducted referrals for some opportunistic infections which we could manage by having HBC KIT |
| We expected to use local government meetings organized by local leaders but there were poor management of these meetings | We used other groups of people like VIKOBA, small christian communities and parents school meetings. we also used gatherings in bus stops and markets |
| Some people neglected the use of ARVs claiming that they have been cured by the medicine provided by the one man in Loliondo. This has increased the number of bed ridden patients | Continuing education to people not to abandon ARVs inspite of their beliefs |
Mahusiano
| Wadau | Namna mlivyoshirikiana nayo |
|---|---|
| Health Centres. these are CCP, Rau, Majengo, Shirima Tunda, Sabasaba, Magereza and Korongoni Health centers | Referrals of patients |
| Karanga, Rau and Longuo 'B' Ward Offices | Collaboration and permit to have our agenda in their meetings and also identification of house holds with patients |
| Small community groups. These are small christian communities, "VIKOBA" and schools | To incorporate our agenda within their agendas |
Mipango ya Baadae
| Shughuli Zilizopangwa | Mwezi wa 1 | Mwezi wa 2 | Mwezi wa 3 |
|---|---|---|---|
| No more activities. Our project was only for three months |
Walengwa Waliofikiwa
| Walengwa wa moja kwa moja | Walengwa wasio wa moja kwa moja | ||
|---|---|---|---|
| Wajane na Wagane | Wanawake | 1 | 29 |
| Wanaume | 4 | 17 | |
| Jumla | 5 | 46 | |
| Watu wanaoishi na VVU/UKIMWI | Wanawake | 3 | 25 |
| Wanaume | 5 | 38 | |
| Jumla | 8 | 63 | |
| Wazee | Wanawake | 0 | 162 |
| Wanaume | 0 | 184 | |
| Jumla | 0 | 346 | |
| Watoto Yatima | Wanawake | 0 | 157 |
| Wanaume | 0 | 171 | |
| Jumla | 0 | 328 | |
| Watoto | Wanawake | 0 | 151 |
| Wanaume | 0 | 233 | |
| Jumla | 0 | 384 | |
| Watu wenye Ulemavu | Wanawake | 0 | (Hakuna jibu) |
| Wanaume | 0 | (Hakuna jibu) | |
| Jumla | 0 | (Hakuna jibu) | |
| Vijana | Wanawake | 25 | 188 |
| Wanaume | 2 | 273 | |
| Jumla | 27 | 461 | |
| Watu wengine | Wanawake | (Hakuna jibu) | (Hakuna jibu) |
| Wanaume | (Hakuna jibu) | (Hakuna jibu) | |
| Jumla | (Hakuna jibu) | (Hakuna jibu) |
(Hakuna jibu)
Matukio Mliyoyahudhuria
| Aina ya Tukio | Lini | Mambo uliyojifunza | Hatua zilizochukuliwa |
|---|---|---|---|
| Manage Your Grant (MYG) | february 2011 | Financial management and reporting | improved financial management and reporting system |
Viambatanisho
(Hakuna jibu)
Maoni (0)
KICOSET Profile
1. ABOUT KICOSET
1.1 Background.
The Kilimanjaro Community Service Trust Fund (KICOSET) was founded in 2003 with an overall objective of actively working on HIV and AIDS prevention and impact mitigation programs in Moshi Municipality, Kilimanjaro region.
In January 2009, KICOSET started on a new strategic Plan (2009 - 2014) that among other things seeks to re-invigorate HIV prevention Strategies within its catchments area through enhanced partnerships.
1.2 Vision:
A Community free from HIV and AIDS
1.3 Mission:
KICOSET exists to contribute to a process of Preventing HIV infection, restoring hope and improving the quality of life of persons, families and communities affected by HIV infection and its impacts in Moshi Municipality.
1.4 At Personal Level:
One-to-one counseling, which empowers the infected/affected person to make informed decisions, which improve the quality of life and facilitate the balance between Rights and Responsibilities:
Sensitive and compassionate care which provides early diagnosis and treatment of opportunistic infections and enhances living positively and dying with dignity.
1.5 At Family Level:
Counseling for the family members, which dispels their fears of contracting HIV through casual contact, facilitates care of the infected and affected persons and prepares the family for and supports them during bereavement. Facilitation of provision of home nursing care and nutritional materials.
1.6 At Community Level:
Community counseling which empowers the community to organize an appropriate response to the problems generated by HIV. Facilitation of community planned responses, community evaluation of their responses and mobilization of community resources.
1.7 Philosophy:
“Living Positively with HIV/AIDS”
In practical terms, clients are encouraged to:
• Accept their diagnosis
• Seek prompt medical care
• Practice safer sex
• Continue to earn an income
• Plan for the families and dependants
• Seek counseling
• Maintain a balanced diet
• Have adequate sleep and exercise
• Continue with normal social activities
• Avoid harmful habits such as drinking alcohol and smoking
1.8 Objectives:
• To reduce the rate of new infection among the infected and prevent those who are not infected through HIV prevention programs.
• To offer counseling services to people with HIV/AIDS and their Families.
• To train Counselors for KICOSET and to ensure effective provision of counseling.
• To reduce HIV and AIDS burden to the infected and the affected population of Moshi Municipality through HIV and AIDS support programs.
• To sensitize the public and to promote positive attitudes towards people with HIV/AIDS and their families.
• To minimize the social ills caused by HIV/AIDS through material support to clients and their families.
• To build collaboration in communication and information exchange with other organization, government, other networks, national and international organization.
• To have resource mobilization strategies for the organization sustainability.
• To enhance research aimed at improving HIV and AIDS service delivery through participation, (Research to inform service).
• To build and support community-based efforts initiated to respond to AIDS epidemic.
2. SERVICE AND PROGRAMS
KICOSET's core business includes Home Based Care and Counseling, Peer Education, OVC’s Support.
3. HOME BASED CARE AND COUNSELING
Where and when necessary, home-based care is provided to bedridden clients. During home visits relatives/home caregivers are provided with information by KICOSET trained community Volunteer nurses or KICOSET staff. The home caregivers have adequate basic knowledge to be able to provide Home Nursing and emergency care.
KICOSET initiated a Home Based Care program with an objective of improving care and support systems at homes of the infected and affected families.
Activities implemented under this program include to:
1. Educate the patient and the family members on how to care physically, psychologically, emotionally and spiritually.
2. Insist on adherence to medication and more especially to ARVs.
3. Educate the family practically on how to manage the opportunistic infections.
4. Educate on proper diet keeping in mind the financial status of the family.
5. Insist on how important is to regularly visit clinic for check ups.
6. Give referrals.
7. Provide family counseling.
8. Monitor the day to day health condition of the patients.
9. Collect record.
3.1 COUNSELING
Counseling is the oldest service offered by KICOSET and is the basis upon which the organization was founded.
KICOSET provides psychosocial support in pretest, post test, prevention, and supportive aspects of HIV/AIDS counseling. This service is effective in providing accurate information about HIV/AIDS, STDs, treatment, Family Planning, human rights, appropriate referral Services centers as well as enhancing living positively with HIV/ AIDS. It also promotes prevention of further spread of HIV.
Counseling in KICOSET is accessed by individuals, couples, group counseling to people with common problems, children and family members of index clients.
Counseling takes place at all the KICOSET established service centers, outreach clinics, homes of clients and at hospitals where KICOSET provides support.
Each client in KICOSET is attached to a counselor and there is a lot of mutual trust between the two where principles of different levels of confidentiality are observed. Counseling is always extended to the members of the clients' family in order to promote acceptance of care of people with HIV/AIDS and encouragement to those who may still be in fear of finding out their HIV Sero-status. It also becomes very helpful during bereavement.
KICOSET has a support group of 25 people living with HIV who meet monthly for their psychosocial support group meeting. They are taught about their involvement in HIV work from need identification, planning, implementing, monitoring and evaluation. HIV and AIDS awareness and ARV adherence.
4. PEER EDUCATION
With six Peer Educators, KICOSET manages to reach the communities in Moshi Municipality. Using their innovative techniques such as attractive songs, drama, poems and traditional dance in information delivery, KICOSET is well known around and it has been attracting a huge crowd of people. There are topics arranged for awareness creation, each of these events go parallel with condom distribution exercise.
Peer Educators demonstrates the proper usage of condoms to youth and elderly people.
5. OVC’s SUPPORT
Orphans and Vulnerable Children (OVC) has been an area of focus towards HIV and AIDS impact mitigation programs where by KICOSET has not lagged behind. With the help of Peer Educators, Home Based Care Providers and sensitization meetings, these children are identified where they are and a visit done for confirmation. After a critical investigation, which includes family members, neighbors, Ward Executive Officers and teachers for in school children, a list of OVC’s with their respective needs is developed.
Currently KICOSET has a list of 223 OVC’s identified in the three wards of Longuo, Rau and Karanga who are in need of support and more especially nutrition and school materials. Among these, KICOSET has been supporting only 30 OVC’s materially from SAT as no other donor in place.
School children are facing school facilities problems and hence drop out of school or stigmatized by others. In supporting them materially, will reduce school drop-out and stigma hence good performance that will prepare them to better life in the future.
The school materials provided are: school uniforms which include skirts and shirts for girls, short trousers and shirts for boys, sweaters, shoes and socks. Other school materials are exercise books, pens and pencils. Nutrition support and medication is also provided to the neediest though in a very minimal amount.
KICOSET runs a program to support the social and psychological development of a number of these children depending on available resources. This involves counseling the children and their guardians, supporting them through providing basic education and in life skills training that enable them to live meaningful lives.
6. ADVOCACY AND NETWORKING
KICOSET views HIV/AIDS as a multi-pronged problem that calls for concerted effort from all sectors of life. Through advocacy at local, national and international levels, KICOSET increases awareness on various HIV/AIDS issues and influences the attitudes of all those in high positions in society.
As a result they contribute positively towards the well being of the infected and affected, and they keep the negative effects of the epidemic, such as stigmatization to a minimum.
KICOSET's advocacy aims at sensitizing people with AIDS and society as a whole to understand the rights and responsibilities of the infected.
This is done through:
• Lobbying;
• Collaboration with especially government structures, developmental and AIDS service NGOs, as well as Community Based Organizations that have similar interests.
• Meetings, seminars, conferences at national and international level.
• Workshops, program exchanges, consultations and provision of technical support.
• Commemoration of Candle light, World AIDS Day and other Important Days.
• Periodic Publications and Media Releases.
• Public relations with policy makers and influential national and community leaders.
• Support to community response and mobilization.
• Mobilization of KICOSET Membership.
• Convening of Annual General Meetings.
7. ACHIEVEMENTS
For one to make a fair assessment of KICOSET's achievements since its existence, its important analyzed KICOSET objectives, Vision and Mission. These achievements should be seen at both Outputs and Outcomes level.
Below are some of the KICOSET achievements based on the above mentioned parameters in the last 6 years:
7.1 At the Organizational level
1. An office in place.
2. Well defined catchments area-Moshi Municipality Longuo “B” to start with.
3. A few staff in place (Coordinator, Assistant Coordinator, Book-keeper, Secretary, Office keeper and Counselor).
4. A few Volunteers in place (6 HBG Volunteers, 6 Peer Educators).
5. Office equipments.
7.2 At Community level
Impact is the achievement desired by the organization. Impact can only be seen and measured after a long time of project implementation. It’s too early to talk of impact created by our programs at this level. We can only talk of the outcomes of our programs since 1st October, 2008 as follows:
1. PLHA’s Support
• 6 Psychosocial group support meetings have been conducted.
• 600 kg of rice and 300 liters of cooking oil have been distributed to 25 PLHA’s from October, 2008 to March, 2009 as nutritional support.
• Bus fare for PLHA’s coming for support group and those coming for counseling have been reimbursed.
• We have registered 152 people, who have attended counseling training from October, 2008 to March, 2009.
2. OVC’s Support
• We have supported 31 school children with school materials which include exercise books, shoes, uniforms and food donations.
• We have supported 6 out of the school children with food support.
3. Peer Education
• Two outreach meetings for Peer education are conducted monthly to different places within the catchments areas aiming at creating awareness on issues related to HIV/AIDS.
8. LESSONS LEARNT
KICOSET has learnt lessons regarding the fight against HIV/AIDS. Some of the lessons include the following;
• Political good will and support is critical to success in HIV/AIDS services. It is therefore important to cultivate and improve this asset.
• The quality of PLHA can be greatly improved even without the ARVs: Integrated and timely management of opportunistic infections coupled with good counseling, nutritional support and a supportive environment care can do wonders. This has been a KICOSET's key approach until other interventions like ARVs became available.
• PLHA’s should be taken as senior partners in the fight against AIDS. They are very knowledgeable about their condition and can best determine what is good for them.
• The biggest worries of PLHA relate to their children. If they get assurance of support to their children a heavy load is lifted off their minds. It is therefore important to provide OVC services as they help both the child and the client.
• Communities are willing to be active participants in the fight against HIV/AIDS. They mainly need to be equipped with the basic skills and a little motivation and they can do a lot for themselves. It is important to involve the communities in the design and implementation of community based projects; this enhances participation and community ownership of the programme and helps them to become AIDS competent.
• A behaviour change evolves over time. There is need for sustained efforts in order to bring about lasting behaviour change.
• HIV/AIDS and Poverty are closely intertwined; it is therefore important to develop strategies that tackle both in order to achieve real success.
• HIV/AIDS work is very stressing; especially so for frontline staff. It is therefore important for organizations to arrange for car.
9. CHALLENGES
1. Organization Sustainability.
2. Lack of enough staff and Volunteers.
3. Increasing number of PLHA’s and OVC’s.
4. Transport for office use.
5. Peer education facilities, music system, loudspeakers, costumes, camera, video projector etc.
6. VCT.
7. Condoms and EIC materials.
10. GOVERNANCE AND MANAGEMENT STRUCTURE
KICOSET is a membership organization that is governed by a Board of Trustees (BOT), with a Patron, at the very top.
THE ORGANIZATION STRUCTURE
The KICOSET BOT is a body of Volunteers periodically elected by the General Assembly of members. It provides the policy direction of the whole organization in addition to appointing and supervising the Coordinator.
10.1 The Management Team
KICOSET is headed by Coordinator assisted by Assistant Coordinator, Counselor, Accountant and the Secretary. The team is responsible in identifying needs, planning, implementing, monitoring and evaluating KICOSET day to day programs.
Planning and organizing resource mobilization activities both locally and internationally for organization sustainability is a non stop task of the management team.
10.2Volunteers
KICOSET has twelve Volunteers, six work as Home based Care Volunteers and the rest as Peer education Volunteers as described in the table below as per their gender perspective.
Volunteers Female Male Total
Home Based Care Volunteers 4 2 6
Peer Education Volunteers 3 3 6
Total 7 5 12
1. ABOUT KICOSET
1.1 Background.
The Kilimanjaro Community Service Trust Fund (KICOSET) was founded in 2003 with an overall objective of actively working on HIV and AIDS prevention and impact mitigation programs in Moshi Municipality, Kilimanjaro region.
In January 2009, KICOSET started on a new strategic Plan (2009 - 2014) that among other things seeks to re-invigorate HIV prevention Strategies within its catchments area through enhanced partnerships.
1.2 Vision:
A Community free from HIV and AIDS
1.3 Mission:
KICOSET exists to contribute to a process of Preventing HIV infection, restoring hope and improving the quality of life of persons, families and communities affected by HIV infection and its impacts in Moshi Municipality.
1.4 At Personal Level:
One-to-one counseling, which empowers the infected/affected person to make informed decisions, which improve the quality of life and facilitate the balance between Rights and Responsibilities:
Sensitive and compassionate care which provides early diagnosis and treatment of opportunistic infections and enhances living positively and dying with dignity.
1.5 At Family Level:
Counseling for the family members, which dispels their fears of contracting HIV through casual contact, facilitates care of the infected and affected persons and prepares the family for and supports them during bereavement. Facilitation of provision of home nursing care and nutritional materials.
1.6 At Community Level:
Community counseling which empowers the community to organize an appropriate response to the problems generated by HIV. Facilitation of community planned responses, community evaluation of their responses and mobilization of community resources.
1.7 Philosophy:
“Living Positively with HIV/AIDS”
In practical terms, clients are encouraged to:
• Accept their diagnosis
• Seek prompt medical care
• Practice safer sex
• Continue to earn an income
• Plan for the families and dependants
• Seek counseling
• Maintain a balanced diet
• Have adequate sleep and exercise
• Continue with normal social activities
• Avoid harmful habits such as drinking alcohol and smoking
1.8 Objectives:
• To reduce the rate of new infection among the infected and prevent those who are not infected through HIV prevention programs.
• To offer counseling services to people with HIV/AIDS and their Families.
• To train Counselors for KICOSET and to ensure effective provision of counseling.
• To reduce HIV and AIDS burden to the infected and the affected population of Moshi Municipality through HIV and AIDS support programs.
• To sensitize the public and to promote positive attitudes towards people with HIV/AIDS and their families.
• To minimize the social ills caused by HIV/AIDS through material support to clients and their families.
• To build collaboration in communication and information exchange with other organization, government, other networks, national and international organization.
• To have resource mobilization strategies for the organization sustainability.
• To enhance research aimed at improving HIV and AIDS service delivery through participation, (Research to inform service).
• To build and support community-based efforts initiated to respond to AIDS epidemic.
2. SERVICE AND PROGRAMS
KICOSET's core business includes Home Based Care and Counseling, Peer Education, OVC’s Support.
3. HOME BASED CARE AND COUNSELING
Where and when necessary, home-based care is provided to bedridden clients. During home visits relatives/home caregivers are provided with information by KICOSET trained community Volunteer nurses or KICOSET staff. The home caregivers have adequate basic knowledge to be able to provide Home Nursing and emergency care.
KICOSET initiated a Home Based Care program with an objective of improving care and support systems at homes of the infected and affected families.
Activities implemented under this program include to:
1. Educate the patient and the family members on how to care physically, psychologically, emotionally and spiritually.
2. Insist on adherence to medication and more especially to ARVs.
3. Educate the family practically on how to manage the opportunistic infections.
4. Educate on proper diet keeping in mind the financial status of the family.
5. Insist on how important is to regularly visit clinic for check ups.
6. Give referrals.
7. Provide family counseling.
8. Monitor the day to day health condition of the patients.
9. Collect record.
3.1 COUNSELING
Counseling is the oldest service offered by KICOSET and is the basis upon which the organization was founded.
KICOSET provides psychosocial support in pretest, post test, prevention, and supportive aspects of HIV/AIDS counseling. This service is effective in providing accurate information about HIV/AIDS, STDs, treatment, Family Planning, human rights, appropriate referral Services centers as well as enhancing living positively with HIV/ AIDS. It also promotes prevention of further spread of HIV.
Counseling in KICOSET is accessed by individuals, couples, group counseling to people with common problems, children and family members of index clients.
Counseling takes place at all the KICOSET established service centers, outreach clinics, homes of clients and at hospitals where KICOSET provides support.
Each client in KICOSET is attached to a counselor and there is a lot of mutual trust between the two where principles of different levels of confidentiality are observed. Counseling is always extended to the members of the clients' family in order to promote acceptance of care of people with HIV/AIDS and encouragement to those who may still be in fear of finding out their HIV Sero-status. It also becomes very helpful during bereavement.
KICOSET has a support group of 25 people living with HIV who meet monthly for their psychosocial support group meeting. They are taught about their involvement in HIV work from need identification, planning, implementing, monitoring and evaluation. HIV and AIDS awareness and ARV adherence.
4. PEER EDUCATION
With six Peer Educators, KICOSET manages to reach the communities in Moshi Municipality. Using their innovative techniques such as attractive songs, drama, poems and traditional dance in information delivery, KICOSET is well known around and it has been attracting a huge crowd of people. There are topics arranged for awareness creation, each of these events go parallel with condom distribution exercise.
Peer Educators demonstrates the proper usage of condoms to youth and elderly people.
5. OVC’s SUPPORT
Orphans and Vulnerable Children (OVC) has been an area of focus towards HIV and AIDS impact mitigation programs where by KICOSET has not lagged behind. With the help of Peer Educators, Home Based Care Providers and sensitization meetings, these children are identified where they are and a visit done for confirmation. After a critical investigation, which includes family members, neighbors, Ward Executive Officers and teachers for in school children, a list of OVC’s with their respective needs is developed.
Currently KICOSET has a list of 223 OVC’s identified in the three wards of Longuo, Rau and Karanga who are in need of support and more especially nutrition and school materials. Among these, KICOSET has been supporting only 30 OVC’s materially from SAT as no other donor in place.
School children are facing school facilities problems and hence drop out of school or stigmatized by others. In supporting them materially, will reduce school drop-out and stigma hence good performance that will prepare them to better life in the future.
The school materials provided are: school uniforms which include skirts and shirts for girls, short trousers and shirts for boys, sweaters, shoes and socks. Other school materials are exercise books, pens and pencils. Nutrition support and medication is also provided to the neediest though in a very minimal amount.
KICOSET runs a program to support the social and psychological development of a number of these children depending on available resources. This involves counseling the children and their guardians, supporting them through providing basic education and in life skills training that enable them to live meaningful lives.
6. ADVOCACY AND NETWORKING
KICOSET views HIV/AIDS as a multi-pronged problem that calls for concerted effort from all sectors of life. Through advocacy at local, national and international levels, KICOSET increases awareness on various HIV/AIDS issues and influences the attitudes of all those in high positions in society.
As a result they contribute positively towards the well being of the infected and affected, and they keep the negative effects of the epidemic, such as stigmatization to a minimum.
KICOSET's advocacy aims at sensitizing people with AIDS and society as a whole to understand the rights and responsibilities of the infected.
This is done through:
• Lobbying;
• Collaboration with especially government structures, developmental and AIDS service NGOs, as well as Community Based Organizations that have similar interests.
• Meetings, seminars, conferences at national and international level.
• Workshops, program exchanges, consultations and provision of technical support.
• Commemoration of Candle light, World AIDS Day and other Important Days.
• Periodic Publications and Media Releases.
• Public relations with policy makers and influential national and community leaders.
• Support to community response and mobilization.
• Mobilization of KICOSET Membership.
• Convening of Annual General Meetings.
7. ACHIEVEMENTS
For one to make a fair assessment of KICOSET's achievements since its existence, its important analyzed KICOSET objectives, Vision and Mission. These achievements should be seen at both Outputs and Outcomes level.
Below are some of the KICOSET achievements based on the above mentioned parameters in the last 6 years:
7.1 At the Organizational level
1. An office in place.
2. Well defined catchments area-Moshi Municipality Longuo “B” to start with.
3. A few staff in place (Coordinator, Assistant Coordinator, Book-keeper, Secretary, Office keeper and Counselor).
4. A few Volunteers in place (6 HBG Volunteers, 6 Peer Educators).
5. Office equipments.
7.2 At Community level
Impact is the achievement desired by the organization. Impact can only be seen and measured after a long time of project implementation. It’s too early to talk of impact created by our programs at this level. We can only talk of the outcomes of our programs since 1st October, 2008 as follows:
1. PLHA’s Support
• 6 Psychosocial group support meetings have been conducted.
• 600 kg of rice and 300 liters of cooking oil have been distributed to 25 PLHA’s from October, 2008 to March, 2009 as nutritional support.
• Bus fare for PLHA’s coming for support group and those coming for counseling have been reimbursed.
• We have registered 152 people, who have attended counseling training from October, 2008 to March, 2009.
2. OVC’s Support
• We have supported 31 school children with school materials which include exercise books, shoes, uniforms and food donations.
• We have supported 6 out of the school children with food support.
3. Peer Education
• Two outreach meetings for Peer education are conducted monthly to different places within the catchments areas aiming at creating awareness on issues related to HIV/AIDS.
8. LESSONS LEARNT
KICOSET has learnt lessons regarding the fight against HIV/AIDS. Some of the lessons include the following;
• Political good will and support is critical to success in HIV/AIDS services. It is therefore important to cultivate and improve this asset.
• The quality of PLHA can be greatly improved even without the ARVs: Integrated and timely management of opportunistic infections coupled with good counseling, nutritional support and a supportive environment care can do wonders. This has been a KICOSET's key approach until other interventions like ARVs became available.
• PLHA’s should be taken as senior partners in the fight against AIDS. They are very knowledgeable about their condition and can best determine what is good for them.
• The biggest worries of PLHA relate to their children. If they get assurance of support to their children a heavy load is lifted off their minds. It is therefore important to provide OVC services as they help both the child and the client.
• Communities are willing to be active participants in the fight against HIV/AIDS. They mainly need to be equipped with the basic skills and a little motivation and they can do a lot for themselves. It is important to involve the communities in the design and implementation of community based projects; this enhances participation and community ownership of the programme and helps them to become AIDS competent.
• A behaviour change evolves over time. There is need for sustained efforts in order to bring about lasting behaviour change.
• HIV/AIDS and Poverty are closely intertwined; it is therefore important to develop strategies that tackle both in order to achieve real success.
• HIV/AIDS work is very stressing; especially so for frontline staff. It is therefore important for organizations to arrange for car.
9. CHALLENGES
1. Organization Sustainability.
2. Lack of enough staff and Volunteers.
3. Increasing number of PLHA’s and OVC’s.
4. Transport for office use.
5. Peer education facilities, music system, loudspeakers, costumes, camera, video projector etc.
6. VCT.
7. Condoms and EIC materials.
10. GOVERNANCE AND MANAGEMENT STRUCTURE
KICOSET is a membership organization that is governed by a Board of Trustees (BOT), with a Patron, at the very top.
THE ORGANIZATION STRUCTURE
The KICOSET BOT is a body of Volunteers periodically elected by the General Assembly of members. It provides the policy direction of the whole organization in addition to appointing and supervising the Coordinator.
10.1 The Management Team
KICOSET is headed by Coordinator assisted by Assistant Coordinator, Counselor, Accountant and the Secretary. The team is responsible in identifying needs, planning, implementing, monitoring and evaluating KICOSET day to day programs.
Planning and organizing resource mobilization activities both locally and internationally for organization sustainability is a non stop task of the management team.
10.2Volunteers
KICOSET has twelve Volunteers, six work as Home based Care Volunteers and the rest as Peer education Volunteers as described in the table below as per their gender perspective.
Volunteers Female Male Total
Home Based Care Volunteers 4 2 6
Peer Education Volunteers 3 3 6
Total 7 5 12