PHDA has prioritized strengthening systems primarily within the government to sustain the gains of the HIV response. Some of the ground-breaking work conducted by the PHDA, the University of Manitoba, and its partners has had an impact on programme and policy in Kenya and other counties.
Through work with the government of Kenya, PHDA has proven that:
The role of the government in leading HIV and other public health responses is critical. Technical support to the government can help the government scale up and coordinate the response efficiently and effectively.
Summary of current system strengthening efforts are:
Technical Support Unit for Key Population Programme
PHDA in partnership with UoM continues to provide technical support to NASCOP to sustain effective and efficient HIV prevention programmes for key populations at scale in Kenya.
The Objectives are:
To sustain policy and programmatic focus on key populations in national and county HIV prevention response
To improve the capacity of counties so that they manage and monitor key population programs as per national guidelines
To develop innovative models of interventions for scaling up of programmes to reach KP subpopulations currently left out of interventions
To improve the enabling environment and facilitate the implementation of HIV programming among KPs
To improve the use of data for decision making at the national and county level
Project Initiated in 2012
The project has supported NASCOP to scale up the national KP programme by reaching more than
170, 000 FSW 40,000 MSM 18,000 PWID
Condom and needle syringe distribution to KPs has expanded with the improvement in condom use and new needle- syringe use among KPs. The opioid substitution therapy programme has also expanded with the 26% of the PWID population on the therapy. The project has facilitated the strengthening of the national KP programme of Kenya which is now a global good practice.
Partnership: University of Manitoba, NASCOP and NACC with funding support from the Bill & Melinda Gates Foundation and the USAID through the Epic project.
South to South Learning Network (SSLN)
The South to South Learning Network aims to foster inter-country exchange between Global Prevention Coalition (GPC) countries by sharing best practices for the revitalization and expansion of HIV prevention programmes. The network provides countries with a platform to understand gaps and successes, gain experiential knowledge from peers (countries), harness and share good prevention learnings and empower countries to adapt interventions to the unique African context. The participating countries in the SSLN are Kenya, Ghana, Zambia, South Africa, Malawi, Tanzania, Uganda, Nigeria, Mozambique, and Zimbabwe. The country selection was conducted in a consultative manner with the GPC and was informed primarily by the scale of the country epidemics and
then balanced by the cross-regional geographic coverage ensuring the inclusion of countries.
Project Initiated in 2020
The project had its inception meeting with the 10 countries, after which the team led the country reflection process using the HIV Prevention Self-Assessment Tools (PSAT). The PSAT helped the countries assess and monitor their progress with respect to comprehensive prevention programming and assist in identifying programme areas that could benefit from the learnings and experiences of other countries. The learning network is currently in the second phase where countries are developing their action plans and technical support plans.
Partnership: University of Manitoba, Genesis Analytics, and Global Prevention Coalition (GPC) secretariat at UNAIDS, with funding support from the Bill & Melinda Gates Foundation.
- Bhattacharjee P et al. (2018). Micro planning at scale with key populations in Kenya: Optimising peer educator ratios for programme outreach and HIV/STI service utilization. PLoS ONE 13(11): e0205056. https://doi.org/10.1371/journal.pone.0205056 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211676/pdf/pone.0205056.pdf
- National AIDS and STI Control Programme (NASCOP). The successful chase TSU initiatives reduce HIV risk among key populations in Kenya. Nairobi: Government of Kenya
- National AIDS and STI Control Programme (NASCOP). Towards integrated preservice training for voluntary medical male circumcision in Kenya. Nairobi: Government of Kenya https://www.tandfonline.com/doi/pdf/10.1080/17441692.2020.1770831?needAccess=true&