HIV/AIDS Assets and Strategic Focus
The CDC/DGHA Kenya office was launched in March 2000. CDC support includes blood and injection safety, comprehensive HIV prevention and care programs for the military, antiretroviral treatment, palliative care, and TB/HIV activities. CDC also provides critical assistance to build the laboratory capacity and information systems to support these programs.
Strengthening Laboratory Systems and Networks
CDC is partnering with the Kenyan government and WHO on a stepwise laboratory accreditation process to ensure laboratories attain international standards. CDC is also working in close collaboration with Clinton Foundation and the Ministry of Health (MoH) to establish early infant HIV diagnosis as a routine procedure for all HIV-exposed infants from the age of 6 weeks. This has been scaled up to reach 50% of all HIV exposed children currently, and with continued expansion coverage should increase to 75%.
Strengthening Surveillance and Health Information Systems
CDC is strengthening the MoH monitoring and evaluation system by providing technical assistance on the development of indicators and tools, routine data collection, data analysis, and reporting (e.g., development of electronic medical record systems and use of phones for data transfer).
CDC collaborated with the MoH, Kenya National Bureau of Statistics, and other partners to implement the Kenya AIDS Indicator Survey (KAIS) to provide national estimates of HIV prevalence, recent infection rates, and CD4 counts for HIV infected individuals. KAIS results have been instrumental to the MoH in shaping the national HIV/AIDS plan, particularly in the areas of scale-up of HIV testing and in the integration of family planning into Prevention With Positives programs.
CDC’s collaboration with the National AIDS/STD Control Programme (NASCOP) on voluntary medical male circumcision (VMMC) is significant to the successes seen to date in this important prevention initiative. Since the official incorporation of VMMC into the comprehensive national HIV prevention strategy in 2008, CDC has supported 130,000 circumcisions representing 91% of all VMMC conducted for HIV prevention in Kenya.
CDC is helping the Kenyan government to strengthen the national blood transfusion system to serve a model for East Africa, including increasing the supply of safer blood from volunteer non-remunerated donors. CDC is also supporting the injection safety program to reduce unnecessary injections and enhance the safety of necessary injections through training of health care workers, informing policy efforts, and providing commodities as well as reinforcing safe medical waste management systems and infection control.
CDC supports over 50% of adults and children currently on antiretroviral therapy through the PEPFAR program. CDC will continue to support the expansion of adult and pediatric care and treatment in line with the NASCOP goals of increasing the number of HIV infected individuals on antiretroviral therapy to over 80% of those in need, including all HIV infected children aged 18 months and below, and increasing the coverage of HIV infected patients on cotrimoxazole to over 80% by 2013.