KEMRI – UCSF FACES Program

Jan 2013

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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 Care & Treatment, TB/HIV

Program Overview

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

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HIV Care & TreatmentCare & ART Sites

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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

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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

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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

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"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

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HTCHIV Testing and Counseling

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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

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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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