Country Spotlight: Kenya
Our Work in Kenya
The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) began working in Kenya in 2000. The program started as a small, privately-funded prevention of mother-to-child HIV transmission (PMTCT) program and has since grown into one of the largest HIV prevention, care and treatment programs in the country. We support sustainable programs that move the government of Kenya closer toward its mission to end pediatric AIDS. We collaborate with multiple partners, including Kenya’s Ministry of Health, to support the provision of PMTCT and HIV care and treatment services. In addition, EGPAF provides essential technical and organizational capacity-building assistance to community-based organizations throughout supported regions.
EGPAF-Kenya participates in national HIV and AIDS technical advisory committees for PMTCT; adult and pediatric HIV treatment; HIV prevention; and monitoring and evaluation. Our work with these committees enables development of policies to support those affected by HIV and AIDS. EGPAF. We are a member of the national steering committee for elimination of mother-to-child HIV transmission and the First Lady’s Beyond Zero campaign that advocates for programs to reduce maternal and infant mortality rates in Kenya. EGPAF supports the Kenyan government to develop policies, guidelines, and health worker training curricula that enhance the scale-up of national HIV and AIDS programs.
EGPAF-Kenya is also dedicated to advancing basic and operations research to strengthen the effectiveness of the global HIV and AIDS response. Our past research activities have included an evaluation of mobile phone technology and its impact on PMTCT service utilization, as well as an assessment of which model of service delivery most effectively reaches HIV-exposed infants with HIV prevention, identification, care and treatment services.
Key Projects in Kenya
Optimizing Early Infant Diagnosis of HIV through Point-of-Care Testing
This four-year multi-country project, implemented with funding by and in collaboration with UNITAID, aims to improve access to early infant HIV diagnosis (EID) and early initiation of ART for HIV-positive infants and young children by placing point-of-care (POC) EID platforms in high-volume facilities in Kenya. These POC machines enable service providers to test patients and get results on-site within one patient visit, linking more HIV-positive clients to counselling and care. Initial implementation will occur in Homa Bay and Migori Regions. The project will then be scaled up to other counties in collaboration with the National AIDS and Sexually Transmitted Infections Control Program, county governments, and other partners and donors.
Zuia Ukimwi Imarisha Afisa (ZUIA) or Prevent HIV, Strengthen the Officer Project
(2014-2019) Under this CDC-funded project, EGPAF supports provision of sustainable, high quality, evidence-based HIV prevention, care and treatment services to members of the non-military uniformed services (Kenya Police Service, the Administration Police Service, the Kenya Wildlife Services, the National Youth Service, and the Kenya Forestry Service) and their surrounding host communities. The ZUIA project works with the uniformed services’ AIDS control units to build their technical knowledge and HIV service delivery skills. The project’s technical and organizational capacity-building efforts aim to fully transition the oversight, management, and implementation of HIV prevention, care and treatment services to the non-military uniformed services, ensuring long-term sustainability of HIV services offered to this important cadre.
Supporting the Implementation and Expansion of High Quality HIV Prevention, Care and Treatment (Pamoja Project)
(CDC/PEPFAR: 2010-2016) The U.S. Centers for Diseases Control and Prevention (CDC)-funded Pamoja project seeks to strengthen management, oversight, and implementation of high quality, comprehensive, and sustainable HIV services in Kenya. Through Pamoja, EGPAF-Kenya is working to integrate the delivery of HIV prevention, care and treatment services into maternal and child health settings, TB units, and general health service delivery sites to improve client access to and retention in HIV care and treatment. The project supports scale up of TB/HIV co-management, HIV viral load testing, EID, and social protection interventions for orphans and vulnerable children. Through capacity-building interventions for local health authorities, the project ensures local sustainability of high quality, comprehensive HIV services.
Under Pamoja, EGPAF-Kenya has also made improvements in the national reporting system through pioneering the use of WhatsApp, wherein monthly data reports from hard-to-reach locations are submitted instantly to the Ministry of Health. This innovative resource has reduced the reporting cycle from one month to one day, allowing health program managers to more effectively address data or health service delivery issues. WhatsApp is now being expanded to all five sub-counties in Turkana County in Northern Kenya.
Accelerating Children’s HIV/AIDS Treatment (ACT) Initiative Project
(2014-2016) The ACT Initiative is a two year initiative jointly funded by Children’s Investment Fund Foundation and the U.S. President’s Emergency Plan for AIDS Relief. Through this project, EGPAF expands the scope of preexisting programs in Homa Bay, Turkana, Nyanza, and the Western regions. Under ACT, EGPAF aims to scale up identification of HIV, linkages to HIV care and treatment, and retention in treatment among HIV-positive infants, children and adolescents. EGPAF’s support for ACT will be directed to all levels of the national health system, from direct service delivery to county and national-level coordination of activities.
AIDS, Population, and Health Integrated Assistance Plus (APHIAplus) Western Kenya Project
Funded by the U.S. Agency for International Development (USAID) and led by PATH, EGPAF works to build capacity at the community, facility, sub-county, and county levels in Nyanza and Western regions. The APHIAplus project aims to improve the management and delivery of high quality PMTCT, pediatric, adolescent, and adult HIV care and treatment services through technical assistance offered to the sub-county and county health management teams.
Community-Based Organization Technical Assistance Project
(2011-2016) EGPAF-Kenya provides technical and organizational capacity-building to local HIV prevention, care and treatment service organizations under this project funded by ViiV Healthcare’s Positive Action for Children Fund. EGPAF works with local community-based organizations to promote maternal and child health service utilization, increase EID and follow-up of HIV-exposed infants, and improve the retention of mothers and their families in HIV care and treatment services. The project provides technical assistance to local partner organizations through training, mentorship, supportive peer learning, and routine supportive supervision activities to improve both organizational systems and the overall quality of services.