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KEMRI – UCSF FACES Program
Dec 2013
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, CCSP Care & Treatment, TB/HIV
Program Overview
2
Nyanza ProvinceProviding HIV services in remote, hard-to-reach locations
3
HIV Care & TreatmentCare & ART Sites
4
124
HIV Care & TreatmentEnrollment
5
Cumulative in care: 138,501Active in care: 76,846
Cumulative on ART: 63,669Active on ART: 50,187
PMTCT Prevention of Mother-to-Child Transmission
6
132 PMTCT Sites Supported
47% of active enrolled adult females in HIV care are on FP
93% of health facilities have integrated FP services within HIV care services
Ongoing FP health talks and services for women and men
7
FPFamily Planning
FP Health Talk
HIV Exposed (HEI) Graduation Celebration
8
"The doctors really supported me. They told me to adhere to my medications and clinic dates. I followed everything they told me and today I am here with my baby graduating and my baby is HIV negative. I don’t know what to tell all the doctors here the only thing I can say is that God bless you” Mother of a graduating HEI
HIV Counseling and Testing
9
HTCHIV Testing and Counseling
10
137 Testing Sites Supported
Dec Dec Dec Dec Dec Dec DeDec Dec
0
200000
400000
600000
800000
669272
Individuals Tested
VMMCVoluntary Medical Male Circumcision
11Community MobilizationGroup Education
Clinical Team
25 supported sites
Oct '08 Dec '08 Dec '09 Dec '10 Dec '11 Dec '12 Dec '130
10000
20000
30000
40000
50000
6000048737
Cumulative VMMC Surgeries
75 facilities in Nyanza supported 18,896 women screened and managed for
since 2007◦ 1,995 HIV positive women screened in the past
among quarter, among which 263 screened positive were referred accordingly
12
CCSPCervical Cancer Screening and Prevention
Cryotherapy at Mbita District Hospital
13
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
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Community EngagementWorld AIDS Day – Getting to Zero
Mobilization IEC materials Blood donations Testing Testimonials Display Stand Entertainment Grandma Obama in attendance
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
15
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
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CDC Ministry of Health City council of Kisumu FACES (KEMRI-UCSF) staff Other stakeholders (AED, Concern, UNICEF) Patients and their families
Acknowledgements
17