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Presented at African Regional Conference on Universities-Communities Partnerships
Dakar, 26 March 2011
Maurine Murenga, Director of “Lean on Me”, Nairobi Kenya&
Judith R. Mathews, Fulbright Scholar at Kenyatta UniversityUniversity of Nebraska Medical Center
Teaching Adolescent Girls to be Change Agents:
A Global Program
OVERVIEW1. OVERVIEW OF PROGRAM2. SUMMARY OF PREVIOUS PROJECTS3. CURRENT PROJECTS4. BARRIERS
Community-Based Participatory Research
(CBPR)=community-university partnership to
facilitate community change
UNIVERSITY ROLE:Structure & methodologyCOMMUNITY ROLE:Id community concernsDevelop & implement changeEvaluate & plan for sustainability
g-IMPACT (Global IMPACT for Girls)
Collaboration Between:“Girls Incorporated”
&University of Nebraska Medical
Center /Munroe Meyer Institute
Omaha, Nebraska U.S.A.
“Girls Incorporated at Omaha”
Community-based Organization for inner city girls
Serves approximately 500 low-income girls ages 5-18
Motto: “Inspiring all girls to be strong,
smart, and bold”
“Girls Incorporated at Omaha”
Services: After-school program Homework help Skill training Leadership training
gAWAKE(Girls Awake Kenya)
Collaboration Between:“Lean on Me”
&Kenyatta University
Nairobi, Kenya
“Lean on Me”
Community-Based Organization serving adolescent girls living with or made vulnerable by HIV/AIDS, TB, and/or gender violence
Serves approximately 120 girls, ages 12-25
“Lean on Me”
Mission: “To provide comprehensive care
and support to young women and girls living with HIV and made vulnerable to HIV to enable them live more wholesome lives.”
“Lean on Me”
Services: HIV Prevention HIV Treatment Support Programs HIV Care & Support Program Advocacy
COMMUNICATION BETWEENg-IMPACT
&gAWAKE
via a specially designed workstation on
The Community Tool Box
ROLES
UNIVERSITIES:Develop curriculum & manualAssist in measurement &
implementationTrain the trainers
COMMUNITY ORGANIZATIONS:Give feedback on curriculum & manual Recruit girlsLead girls in implementing intervention Assist in training future trainers
Program OverviewA Community-Based Participatory Research (CBPR) program for adolescent girls
Purpose: empower girls to become change agents in their own community
develop and implement an community-based project focusing on children’s health
The Community Tool Box
http://ctb.ku.edu/
• Format: • 12-week program consisting of 8 modules• Modules are an adaption of 16 modules from:
Modules1. Starting our Project2. Deciding Our Community Needs3. Deciding What We Want to Do4. Planning Our Project5. Evaluating Our Project6. Doing Our Project7. Making Sure Our Project
Continues8. Celebrating Our Successes
1. Starting Our Projecta. Understand the Root Cause:
“Why did Sonni die?”
Circles of
Influence
SONNI
Individual Behavior
Social, Family, Community
Living Conditions
Society
b. Learn about Activism
c. Choose an Advisory Board
2. Deciding Our Community Needs re: Children’s Health
3. Deciding What We Want to Do
a. Sort pictures by:
SafetyHealth HazardsRisky BehaviorGirls Only Issues
b. Evaluate each problem by:
Serious………………………………
Affects lots of people………………
Happens a lot………………………
Happens over a long time………..
Important to other people in our community……………....
Using these
symbols:
c. Vote on Topic
4. Planning Our Project
a. Research Topic Talk to local people Read at library or online Learn about other projects tackling
problem
b. Develop an Interventiona. Based on research, generate 2-3
intervention ideas
b. Evaluate Intervention Ideas
How important is this project?..............................
How much does it cost?...........................
Can we do this project in 8 weeks? …........................
Will our community help us?.....................
Can we do this at “Lean on Me”?............................................
How much do I like this project?.......................................
Using these
symbols:
a. Plan in advanceb. Measure target behaviorc. Measure changes in girlsd. Measure changes in community:
a. Immediateb. Long-Termc. Sustainability
5. Evaluating Our Project
a. Organize Projectb. Make an Action Planc. Delegate Responsibilityd. Actual Intervention = 8 weeks
6. Doing Our Project
a. Plan for sustainability Continuation of Project Policy Change
b. Present project to: Local people Conferences
c. Training
7. Making Sure Our Project Continues
a. Gather board, parents, girls for celebration
b. Share project with others
7. Celebrating Our Success
PREVIOUS PROJECTS1. GIRLS INC:
LEAD POISONING HEALTH AWARENESS FAIR
150 participants
Girls Inc Policy Change
Improved Knowledge
2 children identified with high lead levels
Coalitions with 2 agencies
PREVIOUS PROJECTS2. GIRLS INC:
CHILD ABUSE PREVENTION “LOCK-IN”
50 participants
DVD Produced
Improved Knowledge
Coalitions with 3 agencies
CURRENT PROJECTS
1. g-IMPACT: GIRLS INC (Omaha)2. gAWAKE: “LEAN ON ME” (Nairobi)
2 manuals developed (culturally adapted)For girls For instructors
Development of a “Workstation” on the Community Tool Box
THE COMMUNITY TOOL BOXhttp://ctb.ku.edu/
SAMPLE OF WORKSTATION
CONTENT OF WORKSTATION
1. Information re: specific project2. Ability to keep and analyze data from
project3. Communication between girls at 2 sites
CURRENT PROJECTS1. g-IMPACT
Currently Working On Step # 4
CURRENT PROJECTSg-IMPACT
Topic Selected =“lack of healthy choices
being made about eating and exercise”
CURRENT PROJECTS
2. gAWAKE
a. Four women working on adapting the program
b. Five girls identifiedc. Manual revisedd. Kenyan research permit obtained
CURRENT PROJECTS
2. gAWAKE
c. CHALLENGE: UNMC Institutional Review Board is
balking due to vulnerability of girls and to international nature of project:
Identification of subjects Recruitment Informed consent Risk & minimization of risk
FUTURE DIRECTIONS
1. Address IRB challenges, possibly recruit girls less vulnerable while continuing to apply for approval for
“Lean on Me”
2. Apply for funding to expand the program in both Kenya & USA
3. Inclusion of faculty from Kenyatta University’s Department of Gender Studies
4. Future training of trainers in other parts of Kenya
SUGGESTIONS?
QUESTIONS?