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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
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
Source info here: UNICEF NACC Analysis of Kenya HIV Estimates for 2015
RESULTS: New HIV Infections in Adolescents and Young People in Kenya
15-19 20-24 Total0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
28% 42%35%
72% 58%
65%
Male Female
17,76517,998
35,763
• Nearly half of all new HIV infections in young people, with 2/3 in girls
• Every day, 49 new HIV infections in 15-19 year olds
Source : UNICEF-NACC Analysis of Kenya HIV Estimates for 2015.
Adolescents 10 to 19 years living with HIV by county
Nearly 50% of all adolescents living with HIV, live in six counties: 1. Homabay2. Kisumu 3. Siaya4. Nairobi5. Migori6. Mombasa
H o ma B
ay
K i su m
uS i a
y a
N a i r o b i
Mi g
o r i
Mom
b as a
K ak amega
N aku ru
Bu s i aK i s
i i
Mac h ak o s
K i am
b uK i l i
fi
Bu n go ma
Maku en i
K i t u i
U as i n G
i sh u
Tr an s Nz o i a
Meru
N y ami r a
Tu r kan a
K wal e
K a j i ad o
V i hi g
a
K er i ch o
N aro k
Mu ran ga
Nan d i
Bo met
Emb u
Ta i t a Tav et a
Th a r aka
N yer i
L a i ki p
i a
B a r i ngo
N yan d aru a
K i r i ny aga
Man d er a
Wes t P
o k o t
El gey o M
arakwet
G ar i ss a
Isi o
l o
Samb u r u
Mar s ab i t
Tan a Ri v
er
L amuW
aj i r0
2000
4000
6000
8000
10000
12000
14000
16000
18000
Adolescents 10-19 years living with HIV by County
cOUNTIES
Source : UNICEF-NACC Analysis of Kenya HIV Estimates 2015.
AIDS related death in adolescents 10-19 years old by county
K i am
b u
Mu r an g a
Ny er i
K i ri n
y ag a
Ny an d ar u a
H o ma B
a y
K i su m
uS i a
y a
Na i ro b i
K ak ameg a
Nak u r u
Mi g
o r i
Mo m
b a sa
B u s i a
B u n go ma
Uas i n G
i sh u
Tr an s Nzo i a
K i l ifi
Tu r k an a
K a j i ad o
Ma c h ak o s
V i hi g
a
K w a l e
Mak u en i
K i tu i
K i si i
K e r i ch o
Na r o kM
er u
Ny ami r
a
Nan d i
B o me t
Ta i ta T
a v e t a
Man d er a
L a i ki p
i a
Emb u
G a r i ss a
B a r i ng o
Th a r ak a
Wes t P
o k o t
E l gey o M
a r ak wet
Wa j i r
S amb u r u
I si o
l o
Ta n a Ri v
e r
L amu
Ma r s ab i t
0
100
200
300
400
500
600
700
AIDS-related deaths among adolescents 10-19 years 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
Source : UNICEF-NACC Analysis of Kenya HIV Estimates 2015.
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
H o ma B
ay
K i su m
uS i a
ya
Mi g
o r i
Na i ro b i
Mo m
b asaK i s
i i
Mac h ako s
Nyami r
a
Maku e n i
K i tu i
K i l ifi
Me r u
K i am
b u
K wa l e
Naku r u
K akame ga
Emb u
Uas i n G
i sh u
Tr an s Nzo i a
Bu s i a
Ta i ta T
av e t a
Th ar aka
Mu r an ga
Tu r k an a
Bu n go ma
K a j i ad o
K e r i ch o
Nar o k
Nye r i
V i hi g
a
Nan d i
Bo me t
Nyan d ar u a
K i ri n
y ag a
I si o
l o
L a i ki p
i a
Mar sab i t
Tan a Ri v
e r
Bar i ngoL am
u
We s t P
o ko t
E l ge yo M
ar akwe t
Man d e r a
Samb u r u
Gar i ssa
Waj i r
0
500
1000
1500
2000
2500
3000
3500
Adolescent HIV infections 10-19 years by county
cOUNTIES
Num
ber o
f new
infe
ction
s
Source : UNICEF Analysis of Estimates, Data from Kenya NSNP Single Registry, Census 2009, KHIBS 2005
Deep Dive: Adolescent Assessment for Mombasa County
Children Cash Transfer Coverage Number of children Number Coverage
Children living in poverty
154,98
3
Orphans
29,920 CT-OVC 13,117
Other NSNP
2,648
TOTAL NSNP
15,765 10.2%
• Mombasa county total population 1.2 million people with 17% (202.668) adolescents 10-19 years
• Net secondary school enrollment: Girls 22% (12,335), Boys 31% (15,207)
Living with HIV
HIV infections
AIDS related death
0 1000 2000 3000 4000 5000 6000
5005
681
120
Adolescents 10-19 years HIV Estimates for Mombasa County
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
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)
• 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
ACKNOWLEDGEMENTS
THANK YOU