KEMRI – UCSF FACES Program June 2014 1.  Launched in September 2004 in Nairobi, Kenya and March 2005 in Kisumu, Nyanza Province, Kenya ◦ PEPFAR funded.

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KEMRI – UCSF FACES Program June

 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 2

3

HIV Care & Treatment Care & ART Sites 4

HIV Care & Treatment Enrollment 5 Cumulative in care: 146,621 Active in care: 81,574 Cumulative on ART: Active on ART: 54,281

6 135 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

 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 7 FP Health Talk

8 "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

9

Testing Sites Supported 90,235 tested in the last quarter

11 Community Mobilization Group Education Clinical Team 22 supported sites

 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 12 Cryotherapy at Mbita District Hospital

13 Community Engagement World 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

14 Community Engagement World 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 15

 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 16

 CDC  Ministry of Health  City council of Kisumu  FACES (KEMRI-UCSF) staff  Other stakeholders (AED, Concern, UNICEF)  Patients and their families 17