View
215
Download
0
Category
Preview:
Citation preview
KEMRI – UCSF FACES Program
Jan 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 Care & Treatment, TB/HIV
Program Overview
2
Nyanza ProvinceProviding HIV services in remote, hard-to-reach locations
3
HIV Care & TreatmentCare & ART Sites
4
Dec '05
Dec '06
Dec '07
Dec '08
Dec '09
Dec '10
Dec '11
Dec '12
Mar '13
020406080
100120140 123
120
HIV Care Supported Sites ART Sites
HIV Care & TreatmentEnrollment
5
Cumulative in care: 130,392Active in care: 70,614
Cumulative on ART: 57,659Active on ART: 44,753
Dec '05
Dec '06
Dec '07
Dec '08
Dec '09
Dec '10
Dec '11
Dec '12
Mar '13
020000400006000080000
100000120000140000
130392
57659
Cumulative HIV Care EnrollmentCumulative Antiretroviral Treatment
PMTCT Prevention of Mother-to-Child Transmission
6
132 PMTCT Sites Supported
0
50000
100000
150000
200000 186056
Women Counseled, Tested, Received Results PMTCT
Sep '07 Sep '09 Sep '10 Sep '11 Sep '12 Mar '130
2000
4000
6000
8000
10000
12000
14000
1600014709
Early Infant Diagnosis - Tested via PCR
HIV Exposed (HEI) Graduation Celebration
7
"The doctors at Lumumba 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"
Kisumu East district organized a successful HIV exposed infant graduation ceremony and celebration for 60 infants that had completed 18 months of follow-up and were HIV negative.
HIV Counseling and Testing
8
HTCHIV Testing and Counseling
9
138 Testing Sites Supported
Dec '05 Dec '06 Dec '07 Dec '08 Dec '09 Dec '10 Dec'11 Dec '12 Mar '130
100000
200000
300000
400000
500000
600000488294
Individuals Tested
VMMCVoluntary Medical Male Circumcision
10Community MobilizationGroup Education
Clinical Team
16 supported sites
Oct '08
Dec '08
Dec '09
Dec '10
Dec '11
Dec '12
Mar '13
0
10000
20000
3000030921
Cumulative VMMC Surgeries
11
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
12
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
13
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
14
CDC Ministry of Health City council of Kisumu FACES (KEMRI-UCSF) staff Other stakeholders (AED, Concern, UNICEF) Patients and their families
Acknowledgements
15
Recommended