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KEMRI – UCSF FACES Program
Dec 2011
1
Launched in September 2004 in Nairobi, Kenya and March 2005 in Kisumu, Nyanza Province, Kenya◦ PEPFAR funded through CDC
Goal◦ Strengthen local healthcare systems to increase high-quality,
comprehensive HIV prevention, care, and treatment services Technical Support in partnership
with Ministry of Health (MoH) Service Provision by the MOH Program areas
PMTCT, PITC, VMMC Care & Treatment, TB/HIV
Program Overview
2
Nyanza ProvinceProviding HIV services in remote, hard-to-reach locations
3
HIV Care & TreatmentCare & ART Sites
4
Sep '04
Mar '05
Dec '05
Dec '06
Dec '07
Dec '08
Dec '09
Dec '10
Mar '11
Jun '11
Sep '11
Dec '11
0
20
40
60
80
100
120
140
116
102
HIV Care & Treatment Site Growth
HIV Care Supported Sites ART Sites
Hea
lth
Fac
iliti
es
HIV Care & TreatmentEnrollment
5
Mar '05 Dec '05 Dec '06 Dec '07 Dec '08 Dec '09 Dec '10 Sep '11 Dec '110
20000
40000
60000
80000
100000
120000
140000
114654
47146
FACES Patient Enrollment & ART Scale Up Over Time
Cumulative HIV Care Enrollment
Cumulative ART
Pat
ien
ts
PMTCT Prevention of Mother-to-Child Transmission
6
129 PMTCT Sites Supported
Sep-07 Sep-08 Sep-09 Sep '10 Dec '10 Dec-110
20000
40000
60000
80000
100000
120000
140000
160000140363
Women Counseled, Tested, Received Results PMTCT
Sep-07 Sep-09 Sep '10 Dec '10 Dec-110
2000
4000
6000
8000
10000
12000 10476
Early Infant Diagnosistested via PCR
(6 weeks and >3mo)
HIV Counseling and Testing
7
HIV Counseling and Testing
8
Dec '05
Dec '06
Dec '07
Dec '08
Dec '09
Dec '10
Dec-110
50000
100000
150000
200000
250000
300000
240111
Individuals Tested
134 Testing Sites Supported
VMMCVoluntary Medical Male Circumcision
9
Oct '08 Dec '08 Dec '09 Dec '10 Dec-110
5000
10000
15000
20000
25000
30000
24373
Cumulative VMMC Surgeries
Community mobilizationGroup Education
Clinical Team
12 supported sites
10
Community EngagementWorld AIDS Day – Getting to Zero
Participated in the large procession from the Kondele ground to the Jomo Kenyatta Sports Ground
Dr. Oyaro, FACES Country Director singing his Pata Pata song, which has an eliminating MTCT theme
Kisumu Marathon – 300 participants including 30 program members.
Rongo hosted its first World AIDS Day Run as well
Mobilization IEC materials Blood donations Testing Testimonials Display Stand Procession Entertainment Marathon
Family Model of Care Decentralization Integration of Services
◦ FP, HAART, TB services Task Shifting
◦ Lay workers◦ Nurses
Hiring through the Ministry of Health Electronic Medical Records System Mentorship for the MoH staff ULIZA HIV Clinicians Hotline Defaulter Management
Best Practices
11
Greater Involvement of PLWAs- Support Groups Community Strategy Support More GoK Involvement and Healthcare System
Strengthening Platform for PHEs/studies
◦ Cervical cancer screening and prevention◦ TB prevention in children◦ Shamba Maisha (Agriculture-microfinance intervention)◦ SHAIP (Study of HIV and Antenatal care Integration into HIV clinic)◦ FP integration study◦ MaMas (Maternity in Migori and Aids Stigma Study)◦ The HIV Neurology Study
Best Practices- cont’d
12
CDC Ministry of Health City council of Kisumu FACES (KEMRI-UCSF) staff Other stakeholders (AED, Concern, UNICEF) Patients and their families
Acknowledgements
13