KEMRI – UCSF FACES Program

June 2014

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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

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Nyanza Providing HIV services in remote, hard-to-reach locations

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HIV Care & TreatmentCare & ART Sites

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Sep '04

Dec '05

Dec '06

Dec '07

Dec '08

Dec '09

Dec '10

Dec '11

Dec '12

Sep'13

Dec '13

Jun '14

0

20

40

60

80

100

120

140128

127

HIV Care Supported Sites ART Sites

HIV Care & TreatmentEnrollment

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Cumulative in care: 146,621Active in care: 81,574

Cumulative on ART: 69002Active on ART: 54,281

Dec '05

Dec '06

Dec '07

Dec '08

Dec '09

Dec '10

Dec '11

Dec '12

Dec '13

Jun '14

020000400006000080000

100000120000140000160000

146621

69002

Cumulative HIV Care Enrollment Cumulative Antiretroviral Treatment

PMTCT Prevention of Mother-to-Child Transmission

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135 PMTCT sitess supported-7,899 women tested for HIV in ANC in the last quarter, among HIV positive pregnant women: 95% women received ARV prophylaxis and 91% of exposed infants

0

50000

100000

150000

200000

250000233223

Counseled, Tested, Received Results

Counseled, Tested, Received Results

Sep '07

Sep '09

Sep '10

Sep '11

Sep '12

Sep '13

Dec-13

Jun '140

2000400060008000

100001200014000160001800020000

18868

EID - Tested via PCR (6 wks & >3 mo)

EID - Tested via PCR (6 wks & >3 mo)

49% of active enrolled adult females in HIV care are on FP

98% of health facilities have integrated FP services within HIV care services

100% of active patients in care assessed for pregnancy status and intentions during their clinic visit

Ongoing FP health talk s and services for women and men

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FPFamily Planning

FP Health Talk

HIV Exposed (HEI) Graduation Celebration

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"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

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HTCHIV Testing and Counseling

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137 Testing Sites Supported90,235 tested in the last quarter

0100000200000300000400000500000600000700000800000900000 831935

Individuals Tested

VMMCVoluntary Medical Male Circumcision

11Community MobilizationGroup Education

Clinical Team

22 supported sites

Oct '08 Dec '08 Dec '09 Dec '10 Dec '11 Dec '12 Jun '140

10000

20000

30000

40000

50000

60000 52575

Cumulative VMMC Surgeries

75 facilities in Nyanza supported 22,143 HIV positive women screened and

managed since 2007◦ 2,340 women screened in the last quarter,

including 1,300 HIV positive women. ◦ 58 women screened positive and were referred for

referred accordingly

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CCSPCervical Cancer Screening and Prevention

Cryotherapy at Mbita District Hospital

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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

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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

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