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 Wednesday 16 June 2010
 
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Country Profile: Kenya
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AIDS Programmes
National Strategic Framework: 2005/6–2009/10

The monitoring of implementation of HIV/AIDS programmes in KNASP 2005/6-09/10 will be done through the following:Community based quarterly programme activity reports by NGO’s and private sector organisations, health facilities detailing services and outputs by programmes specific to HIV/AIDS. Financial management report by implementers of the programmes

Epidemiological Assessment:

Major vulnerable and affected groups
Vulnerable groups include AIDS orphans, pregnant women and rural populations living in areas with a high burden of disease. Girls and young women are particularly vulnerable to infection. Women 15–24 years of age are more than twice as likely to be infected as men this age. The prevalence of HIV is higher in urban areas: about 10% among pregnant women.

Policy on HIV testing and treatment
The National AIDS Control Council has developed the Kenya National HIV/AIDS Strategic Plan 2005–2010; its overriding theme is social change to reduce HIV/AIDS and poverty. The Sessional Paper No. 4 of 1997 provides a policy framework to guide all partners in Kenya’s response to the challenges of HIV/AIDS. Other supportive policies include a policy on condom use, national guidelines on voluntary counselling and testing, guidelines on national home-based care programmes and services, guidelines on blood safety, guidelines on antiretroviral therapy and guidelines on preventing mother-to-child transmission. National treatment guidelines have been developed, and a new policy on diagnostic testing and counselling was recently finalized and disseminated.

Critical issues and major challenges
One of Kenya’s main bottlenecks to scaling up HIV prevention and care is the acute shortage of trained health workers, especially in rural areas. Kenya also has inadequate health system infrastructure and lacks the resources to improve it. Several areas need to be developed further, including aligning and coordinating partners around the national response, developing a national human resource plan to support scaling up, developing an operational research agenda for antiretroviral therapy and further developing protocols on antiretroviral therapy adherence. Sustainability of the available funding for antiretroviral therapy from partners, including the Global Fund to Fight AIDS, Tuberculosis and Malaria and the United States President’s Emergency Plan for AIDS Relief, is not assured. Treatment literacy is very low, which is associated with very high levels of stigma among health workers and the general population. The cost of drugs and laboratory tests remain high and out of reach for most people. Training curricula need to be harmonized among various implementing partners. Systematic monitoring and evaluation systems are lacking.

HIV/AIDS Organisations
 Ministry of Health
Contact person: Dr Hezron O. Nyangito, permanent secretary Tel: +20 27 17 077
Location: P.O. Box 30016
Nairobi, Kenya		 Fax: +20 27 23 234
  Email:
  Web:
What we do:
 National AIDS Control Council
Contact person: Prof. Alloys Orago, director Tel: +20 271 51 09
Location: P.O. Box 61307-00200
Nairobi, Kenya		 +20 271 12 61
  Fax: +20 271 12 31
  Web:
What we do:
 AIDSETI, Kenya
Contact person: Dorothy Onyango Tel: +254 02 217 039
Location: Nairobi, Kenya Fax:
  Email:
  Web:
What we do:
 ActionAid Kenya
Contact person: Tel: +254 20 444 0440 / 4 / 9
Location: Kenya Head Office - Nairobi
2nd Floor AACC Building, Waiyaki Way,
P.O. Box 42814
00100 Nairobi, Kenya		 Fax: +254 20 444 5843
  Email:
  Web: www.actionaid.org
What we do:
 African Medical and Research Foundation (AMREF)
Contact person: Daraus Bukenya Tel: +254 20 699 300
Location: P.O. Box 30125, Nairobi Fax: +254 20 606 340
  Email:
  Web: www.kenya.amref.org
What we do: Control of HIV, TB and STIs, clinical outreach services, development of health learning materials, training and undertaking of consultancies.
 The Association of People with AIDS in Kenya, (TAPWAK)
Contact person: Rowlands G. Lenya Tel: +254 20 603 421
Location: P.O. Box 30583-00100
G.P.O. Nairobi, Kenya		 Fax: +254 20 603 421
  Email:
  Web:
What we do: Education; training; counselling; formation of AIDS Club in schools; income generating activities for women; orphan support; day care programmes and distribution of education materials.
 Centre for African Family Studies (CAFS)
Contact person: Aloys Ilinigumugabo Tel: +254 20 4 448 618
Location: P.O. Box 60054
00200 Nairobi, Kenya		 Fax: +254 20 4 448 621
  Email:
  Web:  www.cafs.org
What we do: Skills and capacity building in reproductive health; training; technical assistance; networking; partnership development for sharing information and enhancing collaboration; conference and consultancy services; research.
 Eastern and Southern Africa Counselling Association (ESACA)
Contact person: D.H. Balmer Tel: +254 20 786 310
+254 20 796 283
Location: P.O. Box 39086
Nairobi, Kenya		 Fax: +254 20 786 310
  Email:
  Web: www.esaca.or.ke
What we do: Promotes networking; coordination of standards of counselling; workshops; training; capacity building of counsellors.
 Family Health International (FHI) - HIV/AIDS Prevention & Care Dept.
Contact person: John McWilliam Tel: +254 20 713 911/9
Location: P.O. Box 38835
Nairobi, Kenya		 Fax: +254 20 726 130
  Email:
  Web: www.fhi.org
What we do: Research studies; capacity building; prevention programmes; training and education of country researchers, service providers, programme managers and health communicators; scientific publishing; information dissemination.
 Global Network Of People Living With HIV/AIDS (GNP+) - African Secretariat NAP+
Contact person: Michael Angaga Tel: +254 20 228 776
Location: P.O. Box 30218
Nairobi, Kenya		 Fax: +254 20 251 324
  Email:
  Web: www.naprap.org
What we do:
 Grace Centre International
Contact person: Julius Murang’a Gichure Tel: +254 722 834 712
Location: Dept of Health and Medicine, HIV/AIDS
P.O. Box 2682
Nairobi, Kenya		 Fax: +254 20 317 617
  Email:
  Web: www.intergrance.freeservers.com
What we do: HIV/AIDS care and support; empowerment of PWAs and orphans; advocacy; awareness and prevention; stigma and discrimination reduction; VCT and counselling.
 International Community for the Relief of Starvation and Suffering (ICROSS-KENYA)
HIV/AIDS Unit
Contact person: W Nyambati Tel: +254 20 30 340 022/40189
Location: P.O. Box 507, Ngong Hills
Nairobi, Kenya		 Mobile: +254 72 511 642
Fax: +254 20 742 938
  Email:
  Web: www.kenyaweb.com/icross
What we do: HIV education; prevention programmes for high risk groups; health clinics; training of health workers and home care for AIDS patients; aids orphans; applied operational epidemiology; cultural anthropology of AIDS; STD control through peer groups; capacity building.
 Kenya AIDS And Drugs Alliance (KADA)
Contact person: Tel: +254 20 315 524
Location: P.O. Box 1876, 0200 City Square
Nairobi, Kenya		 +254 20 217 660
  Fax: +254 20 248 390
  Email:
What we do: Information and education forums on HIV treatments and herbal medicine; advocacy and lobbying for treatment access; awareness; counselling and testing; income generating projects; resources centre; home based care and hospital visits.
 Kenya AIDS Intervention/Prevention Project Group (KAIPPG)
Contact person: James A. Onyango Tel: +254 056 641 004
Location: Physical Address: Mosacco Plaza, Mumias
P.O. Box 2448
Kakamega 50100, Kenya		 Fax:
  Email:
  Web: www.kaippg.org
What we do: Communities based projects, support for individuals and their families; rehabilitation of malnourished children; training of AIDS widows in proper nutrition and the care of vulnerable children; training of healthcare workers in home-based care for people living with AIDS.
 Kenya AIDS NGO Consortium (KANCO)
Contact person: Allan Ragi Tel: +254 202 717 664
+254 202 715 008
Location: P.O. Box 69866-00400
Nairobi, Kenya		 Fax: +254 202 714 837
  Email:
  Web: www.kanco.org
What we do: Leading national HIV/AIDS network in Kenya; building capacity of civil society organizations to respond to HIV/AIDS; involvement in policy development and advocacy; grant making and grant management; provision of practical HIV/AIDS information and documentation of community responses; media and workplace education; prevention, care and support.
 Kenya Aids Watch Institute (KAWI)
Contact person: Edward Karanja Tel: +254 20 726 083
Location: P.O. Box 10013
00100 GPO
Nairobi, Kenya		 Fax: +254 20 726 613
  Email:
  Web: www.kenyaaidsinstitute.org
What we do: Monitoring organization established to gather and disseminate objective information and critical analysis of the effectiveness and relevance of all the current and future anti-HIV/AIDS programmes.
 Kenya Evangelical Lutheran Church
Contact person: Britt Thorell Tel: +254 20 780 454
Location: P.O. Box 54128
002 00 Nairobi, Kenya		 Fax: +254 20 780 454
  Email:
  Web: www.kelc.org.ke
What we do: Prevention; awareness; information; education; policy and strategic plan for HIV/AIDS work that puts the issue of AIDS on top of the church's agenda.
 Kenya Network of Women with AIDS (KENWA)
Contact person: Ms Asunta Wagura, executive director Tel: +254 20 676 6677
Location: City Gate House, 2nd Floor
Murang’a Road
P.O. Box 10001-00100
Nairobi		 Mobile: +254 72 267 7122
  Fax: +254 20 676 0970
  Email:
What we do: Advocacy; support; self-help; counselling.
 Kenya Voluntary Women Rehabilitation Centre
Contact person: Elizabeth N. Ngugi Tel: +254 20 718 895
Location: P.O. Box 21419
Nairobi, Kenya		 Fax: +254 20 712 007
  Email:
  Web:
What we do: Education; counselling; prevention; advice; information; homecare; care of orphans; social and vocational training; credit facility for sex workers; care of child prostitutes and abused children.
 Mathare Youth Sport Association
Contact person: Peter Serry Tel: +254 20 763 614
Location: P.O. Box 69038
Nairobi, Kenya		 Fax: +254 20 763 614
  Email:
  Web: www.mysakenya.org
What we do: Education; advocacy; support services; training of peers educators; education directed to youth and people in the Mathare slums.
 Network Of African People Living with HIV/AIDS (NAP+)
Contact person: Michael Angaga Tel: +254 2 228 776
Location: P.O. Box 30218
Nairobi, Kenya		 Fax: +254 2 312 888
  Email:
  Web: www.naprap.org
What we do: Represents the needs of people living with HIV/AIDS; peer education; support and information services; lobbying for access to effective treatments and services.
 Network of people with HIV/AIDS in Kenya (NEPHAK)
Contact person: Tel: +254 20 729 502/29
Location: Fax: +254 20 729 504
  Email:
  Web:
What we do:
 Norwegian Church Aid (NCA)
Contact person: Peter Mbae Njogu, programme co-ordinator Tel: +254 20 608 283/608 284/608 508
Location: P.O.Box 52802, Wilson Airport
Nairobi, Kenya		 Fax: +254 20 608 511
  Email:
  Web: www.nca.no
What we do: Support; advice; information; education; prevention.
 Orphans Development Programme International
Contact person: Kathleen Okatcha Tel: +254 20 441 872
Location: P.O. Box 66043
Nairobi, Kenya		 +254 20 441 255
  Email:
  Web: http://odpi.wertsoft.com
What we do: Promotes care and support for children living in difficult circumstances, their foster families and communities in Africa.
 Women Fighting AIDS in Kenya (WOFAK)
Contact person: Tel: +254 020 273 0952
Location: Fax: +254 020 272 5455
  Email:
  Web: www.wofak.org.ke
What we do:
 UNAIDS Country Co-ordinator
Contact person: Erasmus Morah Tel:
Location: Block Q, Room 119
UN Gigiri complex
Nairobi		 Fax:
  Email:
  Web:
What we do:
 UN Theme Group on HIV/AIDS, Chair
Contact person: Heimo Laakkonen, UNICEF Tel: +254 20 622 045
Location: UN Gigiri Complex
Nairobi, Kenya		 Fax: +254 20 621 093
  Email:
  Web:
What we do:
Sources: - The Presidents Emergency Plan for AIDS Relief (PEPFAR)
- The World Bank
- World Health Organization
- United Nations Educational, Scientific and Cultural Organization (UNESCO) Country Profiles
- United Nations Population Division, Department of Economic and Social Affairs. 2005. “World Population Prospects: The 2004 Revision.” New York.
- The Joint United Nations Programme on HIV/AIDS (UNAIDS)

Treatment Map
HIV/AIDS Statistics and Information for 2005:
Adult HIV Prevalence Rate (%): 6.1%
No. Of People living with HIV/AIDS: 1.3 million
No. Of HIV Testing & Counseling Sites: 630
No. Of People in need of ART:  273000
No. Of People years On ART (Oct. 2006): 90,000
No. Of Sites Reportedly Distributing ART (Oct. 2006): 261
No. Of People on ART Public Sector (Oct. 2006): 54,000 in public and mission hospitals
Estimated No. Of People on ART Private Sector & NGOs
(Oct. 2006):		 36,000
No. Of People Expected to be on ART (2006 End)
(Oct. 2006):		 110,000
Front Line Drug Regimen: AZT D49 + 39c + nevirapine (EFV)
 Following promises from donors, Kenya will soon be moving to AZT as its frontline regimen.
*PMTCT Regimen: Nevirapine
HIV/AIDS Fund Disbursements:
Total Funds Disbursed By The Global Fund as of Sept. 2006: US$89,835,935
Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP) as of Sept. 2006: US$ 50 million
Total Funds Disbursed By PEPFAR During 2005 Fiscal Year: US$142,937,153

Sources: National AIDS and STI Control Programme (NASCOP)

Indicators
Demographics (United Nations Population Fund):
Population: 34,256,000
Population aged 15-59: 18,186,000
Urban population: 14,263,000
Under 5 mortality per 1000 births: 118
Male life expectancy: 51 years
Female life expectancy: 50 years
Combined average life expectancy: 50.5 years
Combined average life expectancy 1975-1980: 56.2 years
Education (UNESCO, 2004):
Males with secondary education as percentage of secondary school-age youths: 50 percent
Females with secondary education as percentage of secondary school-age youths: 46 percent
Literacy rates (UNESCO, 2004):
Percentage of literate males aged 15 or older: 90 percent
Percentage of literate females aged 15 or older: 78.5 percent
Combined literacy rate for aged 15 or older: 84.3 percent
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