1. Ministry of Health, Kenya
National roadmap on utilization of multi-disease Point-of-Care testing for HIV,TB and HPV in Kenya
Dorcus Abuya

2. EID AND VIRAL LOAD TESTING IN KENYA; Situational Analysis
SOC
Opportunities for POC
The map on the left shows the 8 viral load and EID testing labs in Kenya, shown by the red circles.
The regions colored on the Kenyan map are networked around these 8 labs. For example- the region highlighted light blue- take their samples to the KEMRI-lab in Nairobi.
With the Standard of Care (SOC) system illustrated here, and as far as the UNAIDS targets is concerned, Kenya has attained only 74% of the 1st 90 UNAIDS target (diagnosis). Meaning there is a gap of about 26% to enable Kenya attain the desired 90%.
80% of the target has been attained for ART coverage wit 70% viral load suppression at community level.
While the routine viral load uptake has tremendously improved with the current SOC in place, there still remain missed opportunities in meeting the 3rd 90 targets
Additionally, with the change of EID guidelines that now requires two additional PCR test at 6 and 12 months, coupled with the introduction of birth testing by PCR, it is expected that the number of EID tests will escalate to over tests.
It is therefore evident that the SOC doesn’t meet the country’s demand for HIV testing and introduction of POC is therefore expected to complement the SOC.
Over EID tests annually

3. POC multi-disease implementation document
The NPHLS through partner and stakeholder involvement developed the utilization of multi-disease testing platforms for optimizing EID in Kenya guidelines.
PLHIV
The process has taken into consideration PLHIV or at risk of HIV (HEI) as the central beneficiaries of POC.

4. Key pillars anchoring the POC implementation documents
Strategic information
Leadership and Governance 1 3 4
POC business plan
Quality Management system 7 2
Regulatory approvals 6
Advocacy 5
Product and site selection
&
Integrated specimen and referral system
Capacity Building

5. Leadership & Governance
Strategies
Leadership & Governance
Ensure national inclusion of POC in national plans, policies and guidelines
Establish national and county committees for inclusion of POC in national response.
Transformational leadership
Coordinated and responsive partnerships
Evidence-informed implementation strategies
Regulatory approvals
Support Device Evaluation
Registration of the POC device
Post Market Surveillance

6. NASCOP/NTLP/NPHL/DRH
County POCT Mentors
County TOTs
NASCOP/NTLP/NPHL/DRH
National POCT TWG
National POCT Coordinator
COUNTY Health Management Organs
County POCT TWG
County POCT Coordinator
Manufacturer Application
Trainers
Master Trainers
Facility Health Management Organs
Facility POCT Committee
POCT Supervisor
POCT SDPP

7. Product and site selection
Strategies
integrated mapping of facilities and site selection across all disease programsMapping Identify appropriate products for deployment for POCT
Sample prioritization
Documented criteria set up by all disease programs will be considered for deployment of POCT devices across the sites
Integrated Sample referral networking
A robust TB/HIV point of care (POC) specimen referral network
laboratory handbook that serve as a guide to all HCW
Regular meetings by the county TWGs to review re-networking
Product and site selection
Capacity building
Implement training material for Super and End-User training
Establish and integrate support supervision of POCT
Recertification of end users

8. Quality Management System Strategic information
Strategies
Advocacy
Demand creation to ensure leadership buy in at the County level and engaging communities of PLHIV
Sensitization of community health workers and CSO networks communities on POC vis a vis test and treat
Sustaining the POC foothold
Quality Management System
PT plan for all the test analytes supported by POCService contracts of the POC devices
Lot to lot performance during PT assessment
Regular on-site supervision for corrective action
Quality indicator monitoring
Strategic information
Enhance system capacity to meet lab and program data demand, and transmit quality data.
High quality strategic information used for public health action

9. ROADMAP TO IMPLEMENTATION OF MULTI-DISEASE POC TECHNOLOGIES
2014
2015
Development of POC policies and guidelines
National launch of POC policies and guidelines
2016
Success story
Development of POC implementation plan and utilization of multi- disease testing plan
2017
2017
Scale up of POCT at identified facilities
National launch of POC business plan and multi-disease testing plan
Dec-2018
Piloting of the POC in selected facilities

10. CONCLUSION
The newly developed utilization of multi-disease platforms to optimize EID testing in Kenya document is a promising government initiative by
providing universal access to PLHIV but in addition,
improving health systems to support the service provision,
provide significant system efficiencies and cost savings and increase patient access at county level. .

11. DISCLAIMER ACKNOWLEDGEMENTS
No conflict of interest by all contributing authors
ACKNOWLEDGEMENTS
Ministry of Health
National Public Health Laboratories
National AIDS and STI Control Program
CDC
EGPAF
Kenya Medical Lab Technicians and Technologists Board
UNICEF
CHAI

12. National Public Health Laboratory Services
Ministry of Health
National Public Health Laboratory Services
Thank You