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HIV and Concurrent Relationships
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HIV and Concurrent Relationships
In Kenya, one specific behavior is playing a major role in the transmission of HIV: concurrent sexual partnerships. PSI and the Government of Kenya address this issue head-on through a groundbreaking communications campaign.
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Produced by Population Services International in collaboration with USAID, UKAID, and the Government of Kenya.

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Segment 1

JIMMI GATHU ["Mpango wa Kando" Spokesperson]
Are you married? So you're sitting with your husband, right? Do you know if he has a girlfriend?
TITLE
Roughly 33 million people are living with HIV/AIDS, twenty million plus in Sub-Saharan Africa. In Kenya, one behavior is playing a major role in transmission: concurrent sexual partnerships.
JIMMI GATHU
There is only one way to stop HIV from destroying your marriage. It's simple. Guys, leave your side arrangement. Avoid HIV.
TITLE
PSI and the government of Kenya address this issue head-on through a groundbreaking communications campaign: "Mpango wa Kando."
DR. NICHOLAS MURAGURI [Director, National AIDS/STD Control Program]
Forty-four percent of new HIV infections occur in people who are either married or are in partnerships. These people in partnerships also have other partners, who also have other partners, who are not using condoms. And therefore, the chance that in that network somebody has HIV -- it spreads like brushfire to the rest of the families.
TITLE
Your spare wheel could have a spare wheel who has a spare wheel who has a spare wheel who has HIV. HIV now spreads fastest in marriages. Here's the reason why.
JIMMI GATHU ["Mpango wa Kando" Spokesperson]
I must admit that one of the things that surprised me was the aspect of also women playing a part in it.
DR. NICHOLAS MURAGURI
We got a strong voice, people said, "No, no, no, you are condemning men only. Women also do that." So we made some TV spots for women as well.
JIMMI GATHU
Mama, how are you? So you are in an outing of your woman self help group? So that man standing next to you is definitely not your husband, right? Do you know research shows nearly half of all new HIV infections are happening in marriages like yours?
ERICK WAGA [Research Consultant for PSI]
Concurrent partnership really is a great factor in the spread of HIV because you find that these people, when they have these partners, trust comes in. So you find that these partners stop using condoms throughout all the partners.
LUCY MAIKWEKI [HIV Deputy Director, PSI]
PSI Kenya started to take on the campaign boldly, because primarily there are very few organizations that do national level mass media communications.
TITLE
Giving Kenya something to talk about.
TONY NJUGUNA [Creative Director, SCANAD]
For this particular brief it became quite an interesting angle for social marketing. We’ve got a social responsibility to improve the lives of the people that we are trying to talk to.
TITLE
Social marketing (so shel mar kit ing) n. 1. The application of marketing concepts and techniques to influence behavior among a target audience in order to benefit themselves and society.
LUCY MAIKWEKI
We pre-tested various concepts, various taglines, various names and eventually we came up with Mpango wa Kando, which was what people felt describes this loving, long-term side relationship.
JIMMI GATHU
Somebody needed to say something. And so we did. Shock transmits, then, to how important this campaign is.
TONY NJUGUNA It makes sense, it's logical, and I think that's what really made the campaign work
that it's real; it's a social message.
TITLE
Sparking conversations in the community.
DR. NICHOLAS MURAGURI
The Mpango wa Kando campaign is obviously achieving its goal. Part of the goal was to start a debate, so you'll hear people discuss it in pubs, in family outings, in the church. These things were never discussed.
TOM NGARAGARI [Behavior Change Communication Coordinator]
They identify with the campaign, and then now the discussion starts. The good thing is that they are coming together and talking about it and finding solutions to it.
TITLE
Moving forward...
LUCY MAIKWEKI
Looking at what will motivate people now to move from awareness to actual behavior change.
TITLE
...to prevent HIV/AIDS.
DR. NICHOLAS MURAGURI
If you look around, all families, all Kenyans, don't want HIV. You cannot talk about the issue of HIV and not talk about concurrent partnerships.
LUCY MAIKWEKI
For me, success in the long term for this campaign would be lower HIV prevalence amongst people in married, co-habiting relationships.
DR. NICHOLAS MURAGURI
It's something that cannot be done overnight, it's something that we need to work on until it becomes a social norm change that discourages people from having concurrent multiple partnerships.
TITLE
PSI. Healthy lives. Measurable results.