Current HIV national prevention, treatment, and care and support strategies:
The overall goal for Pillar 1 is to achieve Universal Access targets for an integrated, prioritized package of prevention, treatment, care and support services by 2013. This is in line with MDG 6 and contributing to MDG 4 and 5 and in line with the social pillar of Vision 2030. In order to support this goal, systems within the two ministries responsible for health (MoMS and MPH&S) will provide streamlined, consolidated and responsive leadership and governance for HIV services within Pillar 1. All interventions in Pillar 1 will link to other pillars under this Strategic Plan, namely the HIV sectoral mainstreaming pillar (Pillar 2) and the community-based HIV programmes pillar (Pillar 3) through referral, capacity building and quality assurance linkages. Considerable investment will be required to strengthen both institutional and human resource capacity, as well as coordination structures at all national, provincial and district levels across the health sector.
Strategy 1: Provision of cost-effective prevention, treatment, care and support services, informed by an engendered rights-based approach, to realize Universal Access.
Based on the lessons from KNASP II, this Strategic Plan draws heavily on a cost-effectiveness analysis to determine appropriate packages of services (geographical, epidemiological, socio-economic and gendered) to be provided in response to the diversity of the epidemic in Kenya.
The following four impact results are to be achieved by 2013:
- Number of new infections reduced by at least 50% (half)
- AIDS-related mortality (deaths) reduced by 25% (a quarter)
- Reduction in HIV-related morbidity (sickness)
- Reduced socio-economic impact of HIV at household and community level
These services are supported by several partners including the Kenyan Government, PEPFAR partners (USG, CDC, USAID), WHO, UNAIDS, Clinton Foundation (CHAI) and NACC.
This Strategic Plan aims to achieve six outcomes, the following three are related to Pillar 1:
- Outcome 1: Reduced risky behavior among the general, infected, most-at-risk and vulnerable populations
- Outcome 2: Proportion of eligible PLHIV on care and treatment increased and sustained.
- Outcome 3: Health systems deliver comprehensive HIV services.
- Limited interventions to address HIV related risk factors
- Disparity of community competence levels
- Sustainability of HIV programs
- Health Systems Weakness
- Inadequate number and inequitable distribution of Human Resources for Health
- Inadequate Health care financing
- In equitable access to health services
- Challenges in Procurement and Supply management
- Challenges in Coordination of program implementation