Skip to content

http://miptoolkit.com/

Increase font size Decrease font size Default font size default color orange color green color
You are here: Home Modules Main Case Examples HIV/AIDS in Kenya Identifying intervention options
Identifying intervention options Print E-mail

Kenya identified a range of interventions aimed at different system levels and adopted an integrated framework.

Ontario Public Health PractionersMultiple HIV/AIDS interventions: Comprehensive and holistic approach

HIV/AIDS interventions in Kenya are guided by a national framework for 2005-2010 (MOH, 2005) and are aimed at national, provincial, district, community, household and individual levels. They involve people from the public and private sectors, civil organizations and community-based organizations. Most of those involved focus on specific interventions at different levels. The interventions focus on holistic approaches aimed at prevention, care and social support (MOH, 2005).

Prevention

Intensifying HIV prevention and enhancing access to treatment has been a major focus in addressing HIV/AIDS (Seckinlgin, 2007). Prevention interventions allow for the inherent differences among groups. People who are particularly vulnerable include commercial sex workers and their clients, intravenous drug users, discordant couples, women and young girls, migrant workers, prisoners and police and military personnel.

Early preventive interventions

focus on changing behaviour to avoid risky sexual practices and reduce infection. They include:

  • information, education and communication;
  • peer education programs for youth;
  • condom promotion;
  • voluntary counselling and testing;
  • the ABC formula for preventing HIV: Abstain from sex, Be faithful to one another and use Condoms;
  • safer blood transfusions;
  • preventing mother-to-child transmission; and
  • integrating life-skills education into primary school.

Interventions for people living with HIV/AIDS to reduce morbidity and mortality include:

  • clotrimoxazole prophylaxis;
  • Isoniazid prophylaxis;
  • Promoting safe drinking water to prevent diarrhea;
  • Providing micronutrients and vitamin A;
  • Promoting condom use;
  • Counselling and support for family members;
  • Promoting insecticide-treated bed nets to prevent malaria (Mermin et al., 2005).

Evidence of successful preventive interventions includes:

  • A peer-education program among vulnerable Kenyan men achieved 60 per cent adherence to at least one of the ABC strategies (Fergurson, Pere, Morris, Ngugi, & Moses, 2004).
  • A randomized controlled trial to study the impact of improved sexually-transmitted disease management and behavioural interventions on HIV incidence in rural Uganda showed the interventions were adequately implemented.

The specific interventions included

  • Information-Education-Communication (IEC) Programs and care for sexually transmitted disease;
  • Social marketing of condoms; and
  • Offering voluntary testing and counselling .
Last Updated on Monday, 01 June 2009 08:07