kemri – ucsf faces program june 2014 1. launched in september 2004 in nairobi, kenya and march...
TRANSCRIPT
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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