KEMRI – UCSF FACES Program

Dec 2011

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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

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Nyanza ProvinceProviding HIV services in remote, hard-to-reach locations

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HIV Care & TreatmentCare & ART Sites

4

Sep '04

Mar '05

Dec '05

Dec '06

Dec '07

Dec '08

Dec '09

Dec '10

Mar '11

Jun '11

Sep '11

Dec '11

0

20

40

60

80

100

120

140

116

102

HIV Care & Treatment Site Growth

HIV Care Supported Sites ART Sites

Hea

lth

Fac

iliti

es

HIV Care & TreatmentEnrollment

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Mar '05 Dec '05 Dec '06 Dec '07 Dec '08 Dec '09 Dec '10 Sep '11 Dec '110

20000

40000

60000

80000

100000

120000

140000

114654

47146

FACES Patient Enrollment & ART Scale Up Over Time

Cumulative HIV Care Enrollment

Cumulative ART

Pat

ien

ts

PMTCT Prevention of Mother-to-Child Transmission

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129 PMTCT Sites Supported

Sep-07 Sep-08 Sep-09 Sep '10 Dec '10 Dec-110

20000

40000

60000

80000

100000

120000

140000

160000140363

Women Counseled, Tested, Received Results PMTCT

Sep-07 Sep-09 Sep '10 Dec '10 Dec-110

2000

4000

6000

8000

10000

12000 10476

Early Infant Diagnosistested via PCR

(6 weeks and >3mo)

HIV Counseling and Testing

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HIV Counseling and Testing

8

Dec '05

Dec '06

Dec '07

Dec '08

Dec '09

Dec '10

Dec-110

50000

100000

150000

200000

250000

300000

240111

Individuals Tested

134 Testing Sites Supported

VMMCVoluntary Medical Male Circumcision

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Oct '08 Dec '08 Dec '09 Dec '10 Dec-110

5000

10000

15000

20000

25000

30000

24373

Cumulative VMMC Surgeries

Community mobilizationGroup Education

Clinical Team

12 supported sites

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Community EngagementWorld 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

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

Best Practices

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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

Best Practices- cont’d

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

Acknowledgements

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