HIV PROGRAM DATA REVIEW MEETING 29th-30th May 2017

County Population Estimates Description Estimated proportion (%) Estimated Population 2016 Total population 4463150 Total Number of Households 892630 Children under 1 year (12 months) 3.02 134600 Children under 5 years (60 months) 12.7 564813 Under 15 year population 30.3 1352444 Women of child bearing age (15 – 49 Years) 31.4 1399412 Estimated Number of Pregnant Women 3.2 142434 Estimated Number of Deliveries Estimated Live Births Total number of adolescent(15-24) 20.6 919409 Total number of adults (25-59) 31.5 1405892 Total number of elderly (60+) 0.7 31242

Nairobi County HIV Profile Total County Population-4,463,150 HIV Prevalence-6.1% (9th County In Prevalence Ranking) Female-7.6% Male-4.7% People Living With HIV-171,510 (1st Ranked) OVERALL ADULTS(15+) ADOLESCENTS(10-19) YOUNG ADULTS(15-24) PAEDIATRICS(0-14) People Living With HIV 171,510 163,287 10,758 23,671 8,223 New HIV Infections Annually 4981(5th Ranked) 4,719 1,035 2,282 262 HIV Related Deaths 2437 2,177 175 267 260 Need For ART 157,335 148,999 9521 21,304 8,336 Need For EMTCT 7008 Source: HIV County Estimates 2015

DISCORDANT COUPLES RECEIVING RESULTS (COUPLES ONLY) HTS (2016) SUB COUNTY NAME TOTAL TESTED FOR HIV <15 YRS HIV + 15-24 YRS >25 YRS TOTAL TESTED HIV POSITIVE POSITIVITY RATE NUMBER OF COUPLES TESTED DISCORDANT COUPLES RECEIVING RESULTS (COUPLES ONLY) PROPORTION OF DISCORDANT COUPLES Dagoretti 96264 201 547 5565 6313 7% 6026 269 4% Embakasi west 103123 182 646 2527 3355 3% 6161 324 5% Embakasi East 93259 173 1004 2498 3675 6136 322 Kasarani 120575 136 652 2336 3124 5829 212 Kamukunji 79437 68 251 1432 1751 2% 4199 139 Langata 226664 564 1371 6634 8569 10512 491 Makadara 62563 51 268 1101 1420 3155 131 Starehe 131874 144 726 3283 4153 7233 294 Ruaraka 117529 158 685 2620 3463 5312 244 Westlands 34862 140 211 1059 1410 1896 112 6% County Total 1066150 1817 6361 29055 37233 56459 2538

HTS(FIRST TESTERS: REPEAT TESTERS RATIO) 2015 2016 2017(JAN-MARCH) County NAME FIRST TESTERS REPEAT TESTERS FIRST TESTER: REPEAT TESTERS RATIO Dagoretti 21177 64790 0.3 39682 55727 0.7 11365 28247 0.4 Embakasi West 23634 56253 34958 68520 0.5 7656 15052 Embakasi East 24719 58116 27391 65822 6786 18266 Kasarani 29629 51227 0.6 41119 80133 8342 18549 Kamukunji 21731 47296 26065 52731 5625 13516 Langata 47300 137985 57703 168195 10615 32497 Makadara 9753 23067 12805 50613 1983 13976 0.1 Starehe 30917 65591 45194 87156 8704 25881 Ruaraka 19932 61815 25910 91428 6424 30800 0.2 Westlands 7044 12040 12009 23048 3858 5161 County Total 235836 578180 322836 743373 71358 201945

VMMC Data 2015 2016 2017(JAN-MARCH) Dagoretti 865 0.0 873 3 SUBCOUNTY NAME NO. CIRCUMCISED TOTAL ADVERSE EVENTS % ADVERSE EVENTS Dagoretti 865 0.0 873 3 Embakasi West 323 1 0.3 425 8 Embakasi East 1268 9 0.7 1250 47 Kasarani 3102 6 0.2 3209 88 1.1 Kamukunji 1127 0.1 1852 0.4 19 Langata 2165 3628 52 Makadara 54 42 Starehe 2461 2719 84 Ruaraka 1375 2520 90 Westlands 274 89 County Total 13014 30 16607 12 391

Circumcised 25 yrs and Above Period / Data Circumcised 0-14 yrs Circumcised 15-24 yrs Circumcised 25 yrs and Above Jan to Mar 2016 165 283 309 Apr to Jun 2016 667 423 262 Jul to Sep 2016 2004 760 415 Oct to Dec 2016 8512 2017 212 Total 11348 3483 1198 Total circumcised January-March 2017 were 391 HIV positive-27 (7%) HIV Negative-349 Uknown-11

Exposure Status to HIV/PEP Given (2016) SUB COUNTY NAME Exposure STATUS TOTAL NUMBER OF EXPOSURES TOTAL PEP GIVEN PERCENTAGE (PEP/Total Exposure) OCCUPATIONAL SEXUAL ASSAULT OTHER REASON Dagoretti 30 254 458 742 722 97.3% Embakasi West 79 107 674 860 854 99.3% Embakasi East 35 94 172 301 267 88.7% Kasarani 12 52 233 297 292 98.3% Kamukunji 6 43 247 296 290 98.0% Langata 122 124 959 1205 1184 Makadara 7 216 177 400 330 82.5% Starehe 38 87 718 843 840 99.6% Ruaraka 25 62 495 582 529 90.9% Westlands 3 9 55 67 64 95.5% COUNTY TOTAL 357 1048 4188 5593 5372 96.0%

CONDOM DISTRIBUTION SUB COUNTY NUMBER DISTRIBUTED IN 2015 NUMBER DISTRIBUTED IN 2016 NUMBER DISTRIBUTED IN 2017(JAN-MARCH) Starehe 500,000 300,000 Makadara 200,000 - Langata Westlands Ruaraka 230,000 100,000 Dagoretti 400,000 Kasarani Kamkunji Embakasi West 150,000 Embakasi East TOTAL 2,630,000 2,000,000 1,000,000 male condoms were distributed during the International condoms day in 2015 200,000 male condoms and 5,000 female condoms were distributed during the one week ASK trade fair in October 2015 130,000 male condoms were distributed during the ICD 2016 at Huruma 200,000 Male condoms were distributed during the ICD 2017 at the archives-CBD

PREP PRE EXPOSURE PROPHYLAXIS APRIL 2017(1/2) SUBCOUNTY Clients on PREP Discordant couples Adolescent Girls and young Women(18-24) Female Sex workers MSMs General Population TOTAL RUARAKA 4 3 7 20 34 MAKADARA KASARANI KAMUKUNJI 10 LANGATA 17 WESTLANDS PREP

First 90: Identification and Linkage Indicators 2015 2016 2017(Jan-March) Total Persons Tested 825055 1,066,150 27,497 Couple Testing 43690 56,459 15,579 Total Children HIV +Ve(<15 yrs) 1792 1817 308 Total Children(<15 yrs) Newly Enrolled in care 3028 1857 334 %Linkage =Children Newly Enrolled/Children +ve 169% 102% 108% Total Children currently in care 7823 7370 7811 Total Adults HIV +ve 33045 35430 7134 Total Adults Newly Enrolled in care 24459 24612 6160 %Linkage =Adults Newly Enrolled/Adults +ve 74% 69.5% 86.3% Total Adults currently in care 131762 125169 131606 Total HIV +ve 34837 37247 7442 Total Newly Enrolled in care 27487 26469 6494 %Linkage = Total Newly Enrolled/Total +ve 79% 71% 87% Total Currently in care 139585 132539 139417 ANC Mothers Tested for HIV 131458(90%) 140934(89%) 37634(90%) ANC/PNC/L&D Mothers Tested for HIV 149040 (101.6%) 165877(104.3%) 43102 (103.6%) ANC/PNC/L&D Mothers Turning HIV +ve ( only new +ve) 3755(2.5%) 4154(2.5%) 1221(2.8%)

Second 90: Treatment Indicators 2015 2016 2017(Jan-March) Total Children currently in care 7823 7370 7811 Total Children Currently on ART(In brackets indicate %age on ART= children on ART/Children on care) 6803(87%) 6939(94%) 7322(94%) Total Adults currently in care 131762 125169 131606 Total Adults Currently on ART(In brackets indicate %age on ART= adults on ART/adults on care) 115047(87%) 120016(96%) 128847(98%) Pregnant mothers(ANC+L&D+PNC) HIV +VE(KP and New +ve) 8211 9356 2678 Total PMTCT Prophylaxis(In Brackets %age) 7109(87%) 8777(94%) 2257(84%) Infant Prophylaxis(In Brackets %age) 6960(85%) 8910(95%) 2174(81%) Total TB/HIV clients(Get info from TIBU) 4357 4165 TB Patients Starting on (In brackets put %age=TB pts on ART/Total TB/HIV clients) 4081(94%) 3646(88%) 309

Third 90: Retention and Viral Suppression Indicators 2015 2016 2017(Jan-March) Children Currently on ART 6803 6939 7322 Total viral loads done on Children(In brackets put %=viral loads done/children on ART) 4119(60%) 5703(82%) 1532(21%) Total viral loads suppressed among children (In brackets %= suppressed/viral loads done on children) 2966(72%) 4120(72%) 1104(72%) Adults Currently on ART 115047 120016 128847 Total viral loads done for adults(In brackets put %=viral loads done/adults on ART) 47738(41%) 75112(63%) 21022(16%) Total VL suppressed among adults ((In brackets %= suppressed/viral loads done on adults) 41532(87%) 65774(88%) 18533(88%) Total Currently on ART 121850 126955 136169 Total viral loads done (In brackets put %=viral loads done/total on ART) 51857(43%) 80815(64%) 22554(18%) Total VL suppressed (In brackets %= suppressed/viral loads done) 44498(86%) 69894(86%) 19637(87%)

2016 ART Cascades

New Positive at ANC /L&D/PNC 3755(2.5%) 4154(2.5%) 1221(2.8%) Indicator 2015 2016 2017(Jan-March) Expected pregnancies 127894 133050 35,415 In need for PMTCT 4882 7002 1751 New ANC visits 146672 158967 41597 4th ANC Visits 81855(56%) 91967(58%) 23,793(57%) Tested at ANC /L&D/PNC 149040 (101.6%) 165877(104.3%) 43102 (103.6%) KP at ANC /L&D/PNC 4456 5202 1457 New Positive at ANC /L&D/PNC 3755(2.5%) 4154(2.5%) 1221(2.8%) Identified HIV+ve preg women (total +ve) 8211 9356 2678 Maternal prophylaxis (%age) 7109(87%) 8777(94%) 2257(84%) Infant prophylaxis (%age) 6960(85%) 8910(95%) 2174(81%) Skilled deliveries of HIV +ve women 2338(28%) 2614(28%) 954(36%) Male partners tested (In brackets indicate number and %age +ve) 11,153 (7%) 11896(7%) 4271(10%) Discordant couples 702 456 136 PCR < 1 Year 7262 10770 4045 PCR +ve confirmed (EID Nascop ) 362(5%) 503(4.7%) 102(2.5%) Infants initiated HAART < 1yr 145(43%) 163(32%) 57(56%) Syphillis tested(in brackets indicate those positive) 130090 (2101,1.6%) 147398 (2236,1.5%) 47,139 (890, 1.9%)

ANC Cascade 2016 Syphilis Screening 2016

Maternal HIV Cascade 2016 Infant HIV Cascade 2016

EID Data 2015 2016 2017(Jan-March) County Identified HIV+ve pregnant women HEIs with 1st DNA PCR(%) Total Positive(%) No accounted for on EID website(%) 8234 6660 340 9607 7869 502 2471 3877 184

TB/HIV 2015 2016 2017(Jan-March) Number of TB/HIV Co Infected 4357 4165 Number of TB/HIV Co Infected on ART(In brackets %age) 4081(94%) 3646(88%) 309 TB Screening of HIV Patients(Number and as a %age of all PLHIV) 49549(35%) 54896(41%) 67752(49%) No. of adults started on IPT 27024 31793 3200 % coverage of IPT{adults on IPT/No. of Eligible adults(Never had IPT in last 2 years)} 22% 48% 48.5% No. of children started on IPT 3995 5542 934 % coverage of IPT{children on IPT/No. of Eligible children(Never had IPT in last 2 years)} 53.5% 73% 83% Total No. of PLHIV started on IPT 31019 37335 4134 % coverage of IPT{Total PLHIV on IPT/No. of Eligible PLHIV(Never had IPT in last 2 years)} 24% 51% 52% Can we get data on estimated TB/HIV cases?- NUMBER OF TB/HIV COINFECTED ARE ACTUAL NUMBERS Also, among adults started on IPT, how many were receiving ART? ALL ON IPT ARE ON ART