Country Spotlight: Kenya

Country Overview

Of the 98,170 Kenyan children living with HIV in 2015, 77% were receiving life-saving antiretroviral therapy (ART). Thanks in part to the work of the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), ART coverage for children has increased over 30% since 2013.

Our Work in Kenya

EGPAF began working in Kenya in 2003. 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 at the national and county levels, to support the provision of PMTCT and HIV care and treatment services. EGPAF-Kenya also 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. 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

(2015 - 2019) 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.

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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.

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Timiza 90

(2016-2021) The U.S. Centers for Diseases Control and Prevention (CDC)-funded Timiza 90 project supports the implementation and expansion of high-quality, sustainable and comprehensive HIV prevention, care and treatment programs in Kenya. Timiza 90 aims to bring Kenya closer to achieving the ambitious UNAIDS 90-90-90 targets. Through Timiza 90, EGPAF-Kenya is working in high-HIV prevalence Homabay and Turkana counties to provide 1) comprehensive HIV prevention and treatment services (HIV counselling and testing, PMTCT, adult and pediatric care and treatment); 2) laboratory systems strengthening; 3) voluntary medical male circumcision; 4) comprehensive HIV prevention services to key populations (female sex workers, men who have sex with men, orphans and vulnerable children); 5) Enhanced care services for vulnerable children and their families and; 6) strengthened county health systems for sustainable HIV service delivery.

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ViiV Nakinae Akiyar Project: Supporting Community Activities to Strengthen PMTCT, HIV Care and Treatment Services in Turkana County, Kenya

(2016 – 2019) ‘Nakinae akiyar’ is a Turkana phrase that means ‘Give life’. This project will support community activities aimed at strengthening PMTCT and care and treatment services. It will increase coverage of HIV testing, improve adherence rates, and increase retention of mother-infant pairs and their families in care by implementing appropriately designed community-driven interventions that engage clients and existing community health structures. This project will complement efforts of Timiza90 project in Turkana County and implementation will be done in partnership with AIC Lokichoggio, Kakuma Mission Hospital and Lodwar District Hospital.

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Improving the Health and Well-being of Adolescents in Kisumu through Expanded Access to Quality HIV/AIDS Prevention, Care, Treatment and Support Services

(2016-2018) Through this Elton John AIDS Foundation-funded project, EGPAF aims to contribute to the well-being and quality of life of adolescents (15-19 years of age) by ensuring their access to high-quality HIV/AIDS prevention, care and treatment services. The project has four objectives, to 1) increase awareness of and generate demand for HIV/AIDS and reproductive health services among adolescents; 2) increase identification of HIV-positive children; 3) increase the number of adolescents receiving care and treatment and support for HIV/AIDS and reproductive health services; and 4) increase the number of HIV-positive adolescents who are retained in treatment and are virally suppressed.

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Support for Enhanced Identification, Linkage and Retention to Care and Treatment for Children and Adolescents

(2015-2018) Through this project, funded by ELMA philanthropies, EGPAF works to increase access to life-saving HIV care and treatment services among children and adolescents through scale-up of pediatric HIV testing, treatment and retention support services. The project implements a hybrid model of intensified case finding and HIV testing services in epidemic “hotspots”, with the goal of identifying HIV-positive children that have fallen out the PMTCT cascade. To increase access to HIV services, EGPAF utilizes several methods, including: task shifting to ensure a greater number of health workers are offering HIV testing to children and adolescents, procurement of rapid HIV test kits, community stakeholder engagement, and alignment with pre-existing pediatric HIV initiatives.

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Improving Linkage to Care and Optimizing Early Retention of Adolescents with Newly Identified HIV Infection in Homabay County, Kenya

(2015-2017) Funded by ViiV Healthcare Positive Action for Adolescents Fund, this project aims to improve the long-term health outcomes of adolescents (ages 14-18) and young adults (ages 19-21) living with HIV in Homabay County, Kenya. The project implements adolescent- and youth-specific comprehensive HIV care and early retention programs utilizing interlinked facility and community-level components. The program intends to strengthen meaningful involvement of adolescents and young people in their HIV prevention, care and treatment programs, while increasing the capacity of health care workers in the provision of these services.

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Publications

EGPAF Country Fact Sheet: Kenya

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Haba Na Haba: Spotlight on Pediatric Care and Treatment (2015)

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Journal Article: Lessons learned from early implementation of B+: The Elizabeth Glaser Pediatric AIDS Foundation experience (2014)

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Improving Access to HIV Care and Treatment Services Through Decentralization and Integration in Homabay, Kenya (2016)

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PAMOJA: Supporting the Implementation and Expansion of High Quality HIV Prevention, Care, and Treatment Activities at Facility and Community Level in Kenya (2016)

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PAMOJA Photobook

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TIMIZA90 Project Factsheet

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