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

2. County Population Estimates
Description
Estimated proportion (%)
Estimated Population 2016
Total population
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
Women of child bearing age (15 – 49 Years)
31.4
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
Total number of elderly (60+)
0.7
31242

3. 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

4. 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
1817
6361
29055
37233
56459
2538

5. 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

6. 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

7. Circumcised 25 yrs and Above
Period / Data
Circumcised 0-14 yrs
Circumcised 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

8. 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%

9. 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

10. 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

11. 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
(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%)

12. 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

13. 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%)

14. 2016 ART Cascades

16. 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
(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)
(2101,1.6%)
(2236,1.5%)
47,139
(890, 1.9%)

17. ANC Cascade 2016
Syphilis Screening 2016

18. Maternal HIV Cascade 2016
Infant HIV Cascade 2016

19. 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

20. 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