1. KEMRI – UCSF FACES Program Jan 2013 1

2.  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  Care & Treatment, TB/HIV Program Overview 2

3. 3

4. HIV Care & Treatment Care & ART Sites 4

5. HIV Care & Treatment Enrollment 5 Cumulative in care: 130,392 Active in care: 70,614 Cumulative on ART: 57,659 Active on ART: 44,753

6. 6 132 PMTCT Sites Supported

7. 7 "The doctors at Lumumba 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" Kisumu East district organized a successful HIV exposed infant graduation ceremony and celebration for 60 infants that had completed 18 months of follow-up and were HIV negative.

8. 8

9. 9 138 Testing Sites Supported

10. 10 Community Mobilization Group Education Clinical Team 16 supported sites

11. 11 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

12. 12 Community Engagement World AIDS Day – Getting to Zero  Mobilization  IEC materials  Blood donations  Testing  Testimonials  Display Stand  Entertainment  Grandma Obama in attendance

13.  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 13

14.  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 14

15.  CDC  Ministry of Health  City council of Kisumu  FACES (KEMRI-UCSF) staff  Other stakeholders (AED, Concern, UNICEF)  Patients and their families 15