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You are here: Home Modules Main Case Examples HIV/AIDS in Kenya Monitoring, process, impact, and spin-offs
Monitoring, process, impact, and spin-offs Print E-mail

Evaluation of such a multi-level, far-reaching multiple intervention program is complex and has taken much thought. Monitoring the use of services is ongoing. Efforts to improve monitoring and evaluation of changes in the systems, as well as the population in general, require better information systems through support from international donors who fund the programs (UNAIDS/WHO, 2006).

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  • National monitoring and evaluation system: The Kenya HIV/AIDS national monitoring and evaluation system was developed and launched in April 2005, to track progress on common targets and results, agreed to by all stakeholders. Organizations base their grassroots activities on the targets, but evaluation of the national impact of interventions based on the indicators is yet to be done.

Using monitoring and evaluation results to make adjustments: HIV/AIDS in Kenya

Here’s what the HIV/AIDS multiple intervention program in Kenya found when they used their evaluation findings:

  • High new infection rates: Even though good progress has been made with in HIV/AIDS interventions in Kenya, the rate of new infections remains unacceptably high, and there are major differences in the risk of infection. People still at high risk include:Young girls, non-infected partners of HIV positive individuals, people selling sex and their clients, migrant workers and injection drug users. Although antiretroviral therapy (ART) is increasing available and affordable, treatment still falls far short of need. The interventions need to be strengthened at various levels including examining and addressing what is preventing them from working.
  • Systemic inequities: Reaching more people with multiple HIV/AIDS interventions requires overcoming obstacles including poverty, getting resources where they’re needed and a stronger health-care system. The impact of HIV/AIDS, particularly among orphans, vulnerable children, widows and the elderly is increasingly apparent, exacerbated by high general poverty levels.
  • Information needs: Refining the intervention design to be more effective and getting the knowledge necessary for policy will take more research and evaluation of the impact of interventions so far.
  • Need to address women’s issues: There are problems in serving women with HIV/AIDS. The 2007 UNAIDS country report for Kenya said there were weak links in the planning and implementation of programs addressing women’s issues. Data is often not broken down by gender.
  • Need to finalize program for young people: There was still no comprehensive national HIV program for young people, although consultation was in progress. Ensuring sustainable long-term financing for HIV interventions, linked to harmonizing and aligning interventions is a challenge, with 98 per cent of funding coming from international donors.
Last Updated on Monday, 01 June 2009 08:03