APHIA II Western and Eastern Provinces

Overview

As a sub-grantee to Jhpiego in the Eastern Province of Kenya, and a sub-grantee to PATH in Western Province, these USAID/PEPFAR-funded projects built the capacity of the health system to implement the Government of Kenya’s national health policies and the outcomes of HIV and HIV-related health programs in Kenya. EGPAF was responsible for the HIV/AIDS prevention, treatment, and service delivery aspects of the project. In Eastern Province, by the end of the project:

• 53 HIV care and treatment sites in the central and northern parts of Eastern Province were set up;
• Through these sites, a total of 26,562 clients enrolled in HIV care, including 3,076 children. Of these 11,797 were stated on antiretroviral therapy (ART) with 9,277 being reported as active as of September 2010;
• For PMTCT, the project helped establish 432 sites in the province which offered integrated HIV care at the maternal and child health clinics;
• 218,381 women were counseled and tested for HIV;
• 8,518 HIV-positive women were identified and offered prophylaxis;

Follow-up and testing of the HIV-exposed infants at six weeks was done successfully with a mother-to-child transmission rate of 6.5%. In Western Province, by the end of the project:

• Approximately 48,000 people were enrolled into HIV care, about 19,000 of whom received ART, including 2,100 children;
• More than 15,000 HIV-positive pregnant women received ART prophylaxis;
• Over 450,000 HIV-positive pregnant mothers received counseling and testing services.