KEMRI – UCSF FACES Program March 2014
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Transcript of KEMRI – UCSF FACES Program March 2014
KEMRI – UCSF FACES Program
March 2014
1
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, CCSP Care & Treatment, TB/HIV
Program Overview
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Nyanza Providing HIV services in remote, hard-to-reach locations
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HIV Care & TreatmentCare & ART Sites
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Sep '04
Dec '05
Dec '06
Dec '07
Dec '08
Dec '09
Dec '10
Dec '11
Dec '12
Dec '13
Mar '14
0
20
40
60
80
100
120
140 126125
HIV Care Supported Sites ART Sites
HIV Care & TreatmentEnrollment
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Cumulative in care: 138,501Active in care: 76,846
Cumulative on ART: 63,669Active on ART: 50,187
Dec '05
Dec '06
Dec '07
Dec '08
Dec '09
Dec '10
Dec '11
Dec '12
Dec '13
Mar '14
0
20000
40000
60000
80000
100000
120000
140000
160000142754
66225
Cumulative HIV Care Enrollment Cumulative Antiretroviral Treatment
PMTCT Prevention of Mother-to-Child Transmission
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133 PMTCT Sites Supported
-8,790 women tested for HIV in ANC in the last quarter -949 HIV exposed infants tested in the last quarter (PCR) for HIV
Sep
'07
Sep-
08
Sep-
09
Sep
'10
Sep'
11
Sep
'12
Sep
'13
Dec '1
3
Mar-1
40
50000
100000
150000
200000
250000 224105
Counseled, Tested, Received Results
Counseled, Tested, Received Results
Sep '07
Sep '09
Sep '10
Sep '11
Sep '12
Sep '13
Dec-13
Mar-140
2000400060008000
100001200014000160001800020000 18141
EID - Tested via PCR (6 wks & >3 mo)
EID - Tested via PCR (6 wks & >3 mo)
48% of active enrolled adult females in HIV care are on FP
96% of health facilities have integrated FP services within HIV care services
100% of active patients in care assessed for pregnancy status and intentions during their clinic visit
Ongoing FP health talk s and services for women and men
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FPFamily Planning
FP Health Talk
HIV Exposed (HEI) Graduation Celebration
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"The doctors 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” Mother of a graduating HEI
HIV Counseling and Testing
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HTCHIV Testing and Counseling
10
137 Testing Sites Supported
0
100000
200000
300000
400000
500000
600000
700000
800000
741548Individuals Tested
VMMCVoluntary Medical Male Circumcision
11Community MobilizationGroup Education
Clinical Team
22 supported sites
Oct '08 Dec '08 Dec '09 Dec '10 Dec '11 Dec '12 Dec '13 Mar-14
0
10000
20000
30000
40000
50000
6000049486
Cumulative VMMC Surgeries
75 facilities in Nyanza supported 21,843 HIV positive women screened and
managed for since 2007◦ 2,947 HIV positive women screened in the past
among quarter, among which 160 screened positive were referred accordingly
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CCSPCervical Cancer Screening and Prevention
Cryotherapy at Mbita District Hospital
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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
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Community EngagementWorld AIDS Day – Getting to Zero
Mobilization IEC materials Blood donations Testing Testimonials Display Stand Entertainment Grandma Obama in attendance
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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