1. Strategic Role in Advocacy

2. Church Health Services Coordination Committee (CHSCC) A Partnership Structure of CHAK, KEC and MEDS Appointed in line with the mandate given by the National Church Leaders Health Partnership Forum held on 29-30 th July 2008 in Limuru Membership includes 4 representatives each from KEC, CHAK and MEDS – including heads of the organizations Chairman and Vice-Chairman positions are rotational between CHAK and KEC every two years and the Secretariat is held by MEDS CHSCC also reports to MOH-FBHS-TWG on partnership issues with Government and monitors implementation of MoU between Government & Faith based health services 2

3. Participants of the National Church Leaders Health Partnership Forum 29-30/7/2008 which endorsed MoU proposal to GoK 3

4. CHSCC organizational structure 4 CHSCC KEC-CHCCHAK CHU MEDS

5. CHSCC TOR developed, approved and signed in Aug 2009 Meetings held monthly Facilitates/coordinates joint strategizing in engaging government Strategizes on common engagement with Donor partners of common interest eg AIDSRelief, PEPFAR & CDC Organizes joint KEC/CHAK consultation with NHIF Forum for sharing experiences, lessons and best practices between CHAK-KEC-MEDS A very promising forum for a common voice for Churches Health Services

6. PS-MoMS, Prof. Ole Kiyiapi & Religious Leaders from KEC, CHAK & SUPKEM during the signing of MoU on 9-7-2009: CHSCC will monitor implementation of the MoU 6

7. AIDSRelief project achievement in statistics: Nov 2009 Total HIV patients on care =60,000 Patients active on ART =40,000 Female=66% Children=12% Monthly enrollment rate = 6% Lost to follow up=13% Retention rate=81% New ART target for year 6 = 15,804 Actual ART enrollment = 7,361 (47%) These statistics are also available per Hospital

8. AIDSRelief Transition process CHAK, KEC and MEDS have engaged on transition strategy discussions jointly under the Church Health Services Coordinating Committee (CHSCC) Feedback on the progress made has been regularly provided to the governance structures of CHAK, KEC and MEDS Transition dialogue with the Consortium Members has been engaging with slow but definite progress. We have been fully engaged in the Transition TWG The Local Partners (KEC, CHAK, MEDS/CHSCC ) are clear on their understanding of what transition should be and are fully committed to the transition challenges Church Leaders representing the Treatment Facilities were updated on the progress in a meeting on 3-2-2010. LPTFs managers have also been updated 8

9. Ecumenical Kenya Caring in Love, Restoring Hope 9

10. MEDS as Prime Recipient with role of Leadership and Grant Management Regional Technical Team (Will have all the necessary technical competencies) Regional Technical Team (Will have all the necessary technical competencies) AR Consortium Provide targeted TA AR Consortium Provide targeted TA Treatment Facilities Ecumenical HIV Care Kenya Project Office (MEDS, KEC, CHAK, UoN) Will have competencies in clinical, Lab, supply chain, QA/QI, project management, community & adherence, counselling, SI, MC & M&E CHSCC-Church Health Services Coordinating Committee (Partnership building, advocacy & coordination) Treatment Facilities MOH & NACC Policy, Guidelines, M&E framework LTO/Academic Partner Specialist TA First level TA, mentorship, supply chain and grant compliance support provided to Treatment Facilities by Regional Teams AIDSRelief Country Management Team-CMT (CMs, MEDS, KEC, CHAK, UoN) NASCOP ARVs, Test Kits, TWGs

11. Church Health Services Coordinating Committee (CHSCC) Shall coordinate advocacy, partnership building and engagement of MOH/NASCOP & NACC as per MoU It will also have a role in project oversight KEC, CHAK and MEDS will continue to participate in Policy development, planning, coordination & M&E meetings of NASCOP and NACC Regular meetings will be held with NASCOP and NACC to update them on the achievements of the HIV Care project CHSCC will participate in, and contribute to the national Joint Annual AIDS Program Review (JAPR) meetings of KNASP III organized by NACC A member of CHSCC has been appointed to the KNASP III Oversight and Performance Monitoring Committee by NACC

12. MEDS as Prime Grant management Ensure compliance Reporting and accountability to the Donor Why MEDS Joint Trust of KEC and CHAK with long term commitment to pharmaceuticals logistics and capacity building for quality health care To ensure a harmonized approach to supporting both CHAK and KEC affiliated HIV Treatment Facilities Experience in managing USG grants CHSCC framework that assures access to other needed competences

13. Role of KEC & CHAK Site Management – sub-grantee contractual role with Treatment facilities mapped in geographical regions Health Systems Strengthening Support for integration of HIV care to the rest of hospital management Advocacy for government support to Treatment Health Facilities with staffing and commodities

14. Church Leaders meeting on AIDSRelief Transition held on 3/2/2010 at Holiday Inn, Nairobi. Gave endorsement, offered their support & requested regular updates/communication

15. Other CHSCC Advocacy engagements USG for Health Systems Strengthening funding National Hospital Insurance Fund – for better rebates to Church Hospitals To MOH for inclusion in various Health Sector policy and planning structures MOH for fair consideration in the roll out of the new Health Sector Service Fund (HSSF), which is a new direct funding mechanism for Health facilities in Kenya With Capacity Kenya for HR Advisor support With UNICEF for IMCI capacity building funding Oversee dissemination and implementation of MoU with GoK

16. Lessons There is strength and synergy in working together in advocacy We have pooled our resources which enables us to tackle diverse issues We are encouraged and empowered to face new challenges and to sustain our advocacy campaigns We are able to mobilize the Church Leaders for effective joint advocacy We shall reclaim the space that is being taken up by some NGO Networks and broader PPP framework