1. DEVELOPING DATA ESTIMATES –
MAKING ADOLESCENTS AND YOUNG PEOPLE COUNT TO REACH THOSE MOST AT RISK AND IN NEED
By: Ulrike Gilbert-Nandra, Chief HIV, UNICEF KENYA

2. Objectives & Methodology
Objectives: To generate and utilize adolescent HIV data estimates for national level and counties
Between late 2015 and June 2016: Review of programme data, estimates development using Spectrum, consultations with government, CSOs and development partners.
In partnership with the NACC led national HIV estimates working group, NASCOP, CDC, UNAIDS, WHO, NEPHAK, Avenir Health and other partners
9 million adolescent girls and boys between years
2014 declared L-MIC with 42% living in poverty
2013 Devolution - From 8 provinces to 47 counties with health functions assigned to county governments
National HIV Estimates and since 2014 county HIV profiles
No adolescent aged disaggregated HIV programme data
Critical for UNICEF to support our partners to generate new data on adolescent to inform plans, programmes and allocation of resources

3. RESULTS: New HIV Infections in Adolescents and Young People in Kenya
Nearly half of all new HIV infections in young people, with 2/3 in girls
Every day, 49 new HIV infections in year olds
According to UNAIDS Kenya saw new HIV infections in 2015, or 213 new infections ever day. Of these new infections nearly half were among young people years, with 2/3 or 65% in girls and young women. Even more important to note is the high number of new infections in girls years, where every day we see 49 new infections.
Kenya is a large country with vast variations in its HIV epidemic across the counties. So it was important to understand where adolescent living with HIV live. This motivated the partners to further disaggregate the data for subnational level and by age.
Source info here: UNICEF NACC Analysis of Kenya HIV Estimates for 2015

4. Adolescents 10 to 19 years living with HIV by county
Nearly 50% of all adolescents living with HIV, live in six counties:
Homabay
Kisumu
Siaya
Nairobi
Migori
Mombasa
We found that nearly half of all adolescents living with HIV ( of the ) live in only six of the 47 counties: ranging from in Homabay, in Kisumu to 5005 in Mombasa. Why is this important? This is important to inform target setting for programmes, allocation of resources and monitoring of progress.
Source : UNICEF-NACC Analysis of Kenya HIV Estimates for 2015.

5. AIDS related death in adolescents 10-19 years old by county
Nearly 80% of AIDS related deaths among adolescents occur in five other counties
Two adolescents living with HIV die every day in Kiambu county
Of the 2793 deaths in adolescents living with HIV, AIDS related deaths are highest in Kiambu county with 635, then Muranga with 476
Source : UNICEF-NACC Analysis of Kenya HIV Estimates 2015.

6. HIV infections in adolescents 10-19 years by county
62% of new infections in adolescents occur in same six counties
Every day in Homabay, 8 adolescents get HIV
Every day in Mombasa, 2 adolescents get HIV
Ranging from Homabay with 2945 new HIV infections (8 infections every day) , Kisumu 2688 to Mombasa with 681 new HIV infections
Source : UNICEF-NACC Analysis of Kenya HIV Estimates 2015.

7. Deep Dive: Adolescent Assessment for Mombasa County
Mombasa county total population 1.2 million people with 17% ( ) adolescents years
Net secondary school enrollment: Girls 22% (12,335), Boys 31% (15,207)
Children Cash Transfer Coverage
Number of children
Number
Coverage
Children living in poverty
                                  154,983
Orphans
                                    29,920
CT-OVC
13,117
Other NSNP
                                       2,648
TOTAL NSNP
                                    15,765
10.2%
Source : UNICEF Analysis of Estimates, Data from Kenya NSNP Single Registry, Census 2009, KHIBS 2005

8. Deep Dive: Adolescent Assessment for Mombasa County
Results of the adolescent assessment informed the new County AIDS Strategic Plan
Demand for data from decision makers
Accountability at all levels

9. Conclusions
Critical to strengthen age/sex disaggregated data at sub national level to re-sharpen the focus: WHO, WHERE and HOW LONG
Complement HIV data with sectoral data to inform the WHAT and HOW
‘Who is dying where’ pointing to issues related to quality of services in medium and low burden counties
Demand for data from decision makers that its being used
Data alone is not sufficient - Views and spaces for adolescent and young people living with HIV (Sauti Skika)

10. ACKNOWLEDGEMENTS National AIDS Control Council Kenya (NACC)
National AIDS and STI Control Programme (NASCOP)
Communities of people living with HIV: NEPHAK, WOFAK, Sauti Skika
County governments and NGOs (LVCT Health)
UNICEF Headquarters and UNICEF East and Southern Regional Office
Avenir Health

11. THANK YOU