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RH HIV Integration. Kenya Experience Margaret Gitau National AIDS and STI Control Program Ministry of Public Health and Sanitation. Background. Pop. 40 Million (2009 Est.) CPR 46% (KDHS 2008/09) TFR 4.6 (KDHS 2008/09) FP unmet needs 24% (KDHS 2008) HIV prev.15-64yrs= 7.1% (KAIS 2007)
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RH HIV Integration Kenya Experience Margaret Gitau National AIDS and STI Control Program Ministry of Public Health and Sanitation
Background • Pop. 40 Million (2009 Est.) • CPR 46% (KDHS 2008/09) • TFR 4.6 (KDHS 2008/09) • FP unmet needs 24% (KDHS 2008) • HIV prev.15-64yrs= 7.1% (KAIS 2007) • HIV prevalence among 15-64: women=8.4%; Men5.4% (KAIS 2007) • HIV prevalence among pregnant women 9.6%, (KAIS 2007) • Unmet need for FP among HIV infected -50% (KAIS 2007)
Enabling Factors/Achievements Supportive Policy environment Service provision guidelines- FP,FP VCT, PMTCT, VCT, ART, HBC, Adolescent RH Broad Based RH/HIV Integration Committee Ability to leverage partners funds for integration Evidence based decision Making Training material and decentralized trainers National RH HIV Integration Strategy
Challenges Resources- Financial, Human, Infrastructure Sustained Advocacy/ Consensus Building Scope of services ( how comprehensive?) Training (Segmented VS Integrated) Lack of Integrated Reporting Tools Commodities- Shortage, distribution
Lessons Learnt Ministry of Health ownership/involvement Critical Broad based RH HIV Integration committee crucial Advocacy a continuous process Stakeholders Consensus building Inbuilt Monitoring and Evaluation Documentation- Constant