1. Country presentation - Kenya
Dr. Philip Owiti
AMPATH, Kenya

2. Country situation - Kenya
Population (Kenya Demographic Health Survey,2010)
39.4 Million
HIV prevalence (KDHS, 2010)
6% (adults 15-49yrs)
First case diagnosed
1984
Number living with HIV (2008)
>1.4m
Number dead since 1984
Number dying daily
>2m
600
AIDS declared national disaster
1999
TB/ HIV comorbidity (2010)
41%
To present the basic stats about the situation of HIV in Kenya

3. Academic Model Providing Access To Healthcare AMPATH
Started in Nov 2001 as Academic Model for Prevention and Treatment of HIV/AIDS.
Partners
Moi Teaching and Referral Hospital
Moi University Sch of Medicine
Ministry of Health
A consortium of North American Universities led by Indiana University
Started as 2 sites, now 25 sites (in 3/8 provinces)
Caring for 137, 413 HIV+ patients (sept 2007)
109,562 adults
27,851 children
81,680 on ARVs
To use AMPATH to demonstrate a successful HIV care system
Introducing AMPATH
Partners and collaborations: parastatals (health facility and medical sch), international like minded partners and the MOH
Extent/ coverage
Patient base

4. AMPATH care services Provision of ARVs and other therapies
Prevention and Community Mobilization
Fighting Hunger
Fighting poverty and building Self-Sufficiency
Agricultural Extension Services
Helping Orphans
AMPATH Medical Record System (AMRS)
Home Couselling and Testing
Primary Health Care & Maternal and Child Health Care
Chronic Disease Management
Research
To underscore the need for a HIV care system to be comprehensive and innovative in its care services

5. AMPATH as the innovative arm of MOH
Lessons learnt
A stand-alone HIV/TB program has a down side
Demoralizes the other components of MOH care
Other health threats in the community can dwarf HIV eg MCH,NCD
Need for a responsive MOH care system; sustainability
The infrastructure for HIV/TB can be leveraged to lift the entire health care system
Integrate AMPATH with PHC, NCD
PHC – MCH/FP, pediatrics, safe water, facility based pt care, village based pry care +++
NCD – DM, HPTN, Mental health, Oncology +++
Full partnership with MOH; the innovative arm of the gvt.
Achor it all in an electronic medical record system (AMRS)
To highlight the need for HIV care systems to steer forward the country’s health care system. A well thought of HIV care system can be used the innovative arm of the country’s health care system as under the MOH

6. The road is not without potholes…
The purpose of the slide is to underscore, in a second, the fact that multiple challenges have to be overcome in HIV care itself and also the integration with PHC and NCD