The AYP Programme (2022 - 2025) offers a risk avoidance, age-tailored combination prevention programme for AYP aged 10-24 years in 14 priority sub-districts. The programme targets AYP (i.e.) AGYW, ABYM, ALHIV and Youth with Disabilities; in and out of school, but will not decline service provision to other populations who are engaged by the programme (i.e. members of the broader community). All PRs will conduct a situational analysis, functionality assessment (see Annex 4) and service mapping exercise for each sub-district to assist with expansion of the community safe spaces and establishing a reliable referrals directory. An AYP will be introduced to the programme through a number of entry points from where s/he would be receiving services via two main service components called the Core Service and Layered Services. S/he would first receive the Core Service and then follow a path of receiving additional services layered over time as required. The layered services are not necessarily provided in specific order but dependent on the risk and needs of the beneficiary. Importantly, a central principle of the AYP Programme is to ensure that there is collaboration and interaction with the other GF funded programmes and cross referrals and information flows at all levels, from programme management at PR level, to providing comprehensive and integrated services to AGYW in community across all 14 sub-districts. The description of the Core and Layered Services includes details of the settings, interventions and services as well as staff structures of sub-recipients who will implement the services.
Both core and layered services (briefly summarised below) will be delivered by funded sub-recipients in three tailored and targeted settings namely schools, TVET/ CETs and dedicated community safe spaces. A fourth “setting” or entry point is the mobile clinic that delivers clinical HIV and SRH related services at different points in the community within or nearby schools, TVETs and safe spaces, largely serving hard to reach or underserved communities. Layered services are categorised into biomedical, behavioral and structural services and can also be delivered by unfunded external service providers in their own settings via referrals from the funded sub-recipients. Figure 9 presents an overview of the Core and Layered Service Components that will be delivered across the various implementation settings described in this document.
After enrollment and consenting the Core Service will consist of six main activities, offered as a private and confidential conversation between an interventionist and a beneficiary:
The assessment and screenings will result in a Service Plan for the sub-recipient which forms part of an agreed journey that each beneficiary is referred to. The service plan will provide the overall guide for the integrated and layered services tailored and responsive to the needs of the beneficiary.
The Layered Services can be categorised into three types of services, namely: