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
Introduction
• Sex Workers Outreach Program (SWOP) is a University
of Manitoba, Nairobi program
• Aims to scale-up a combination of evidence-based, costeffective 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.
Coverage
SW NO.
27116
HOTSPOTS ORW
1364
40
PE
245
S2s
14
PHDP
8
ADVOCACY
9
P.O
11
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
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
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
Hotspot Analysis
• Profiles hotspots in terms
of;
 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
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.
Peer Plan
• Involves profiling
individual sex workersNo of clients, age, type
of sex and level of
violence
• Helps in planning
outreach activitiescommodity
requirement, tracing
lost to follow up and
prioritization of sex
workers based on risk
profile
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
Outcomes
• More consistent, accurate and less duplicated data
• Individualized commodity requirement
• Individualized risk profiling
• Improved retention and tracing of the lost to follow up
Outcome Contd
Outcome Contd.
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
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
Acknowledgement
MOH - GOK
CDC- PEPFAR
University of Manitoba
University of Nairobi
SWOP staff
Sex workers
Other partners
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