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KEMRI – UCSF FACES Program Sep 2013. 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
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KEMRI – UCSF FACES Program Sep 2013
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
Nyanza ProvinceProviding HIV services in remote, hard-to-reach locations
HIV Care & Treatment Care & ART Sites 124
HIV Care & Treatment Enrollment Cumulative in care: 136,805 Active in care: 75,318 Cumulative on ART: 62,001 Active on ART: 48,669
PMTCT Prevention of Mother-to-Child Transmission 131 PMTCT Sites Supported
HIV Exposed (HEI) Graduation Celebration "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
HTCHIV Testing and Counseling 137 Testing Sites Supported
VMMCVoluntary Medical Male Circumcision Clinical Team Group Education Community Mobilization 25 supported sites
Cervical Cancer Screening and Prevention (CCSP) CCSPCervical Cancer Screening and Prevention • 72 facilities in Nyanza supported • 16,901 women screened and managed for since 2007 • 3,856 women screened in the past among which 124 (5%) screened positive and of those 24 (13%) were suspicious for cancer and were referred accordingly Cryotherapy at Mbita District Hospital
Community Engagement World AIDS Day – Getting to Zero • Mobilization • IEC materials • Blood donations • Testing • Testimonials • Display Stand • Procession • Entertainment • Marathon 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
Community Engagement World AIDS Day – Getting to Zero • Mobilization • IEC materials • Blood donations • Testing • Testimonials • Display Stand • Entertainment • Grandma Obama in attendance
Best Practices • 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- cont’d • 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
Acknowledgements • CDC • Ministry of Health • City council of Kisumu • FACES (KEMRI-UCSF) staff • Other stakeholders (AED, Concern, UNICEF) • Patients and their families