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You are here: Home Modules Module Examples Introduction Examples Example 3 - A nation-wide MIP: HIV/AIDS in Kenya project
Example 3 - A nation-wide MIP: HIV/AIDS in Kenya project Print E-mail
Introduction Examples

Human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS) is one of the leading global public health and development problems. The first case of HIV/AIDS in Kenya was reported in 1984. It spread rapidly and 20 to 30 per cent of the population was infected by the late 1990s. Prevalence declined to 10 per cent in 2002 and to 7.5 per cent in 2003, but there are wide regional variations, with the highest district reporting prevalence over 40 per cent (KDHS, 2003). HIV/AIDS affects all sectors of the economy and has reversed many hard-won gains in health and socio-economic status. 
HIV epidemiological estimates for Kenya by end of 2007

Number of people living with HIV

1,300,000 [1,100,000 – 1,500,000]

Adults aged 15 to 49 HIV prevalence rate

6.1 per cent [5.2 men  – 7.0 women ]

Adults aged 15 and up living with HIV

1,200,000 [990,000 – 1,300,000]

Women aged 15 and up living with HIV

740,000 [640,000 – 840,000]

Deaths due to AIDS

140,000 [110,000 – 170,000]

Children with HIV

200,000

Source: WHO/UNAIDS HIV/AIDS

 

Potential impact: How much can we fix?

The question is: What will the best outcome be if we intervene and what will be the cost if we don’t?
The devastating impact of HIV/AIDS is worsened by the fact that there is still no cure for the disease. However, the infection can be prevented and those who are already infected can prolong their lives through positive living, good self care and medical management including antiretroviral therapies.  Intervention here means that life can be much improved for millions of people, who otherwise face devastating conditions.

Appropriateness: Are we the best people to do it?

Who was the best health sector to introduce a multiple-intervention program?  It was felt HIV/AIDS in Kenya needed many sectors and jurisdictions to be involved. Co-ordination and vertical and horizontal integration was key — each agency needed to know its place in the strategy and who was co-ordinating the overall initiative.

Applying a multiple intervention approach nationally

Because of the magnitude of the problem, Kenya embarked on a multi-sectoral and multilevel approach to HIV/AIDS in late 1999. Its implementation framework and monitoring and evaluation framework are guided by a single national co-ordinating body. This approach enhances partnership and collaboration among stakeholders, including donors, non-governmental organizations, the private sector, community-based organizations and people living with HIV/AIDS.

Co-ordination of stakeholders

The stakeholders come together to develop policy, plan, distribute resources and co-ordinate and monitor implementation. Each partner has defined roles and responsibilities, based on its strengths, so every sector doesn’t have to be involved in every activity. Efforts to increase the abilities of organizations to work on the problem and to mobilize resources for them are ongoing, to enable all sectors, at all levels, to contribute fully and support effective co-ordination and implementation of HIV/AIDS activities.

Resources from external sources

Increased external funding for HIV/AIDS interventions, including global funds for HIV/AIDS, TB and malaria, have enabled more HIV/AIDS activities. Responsibility for delivering HIV/AIDS interventions has been devolved and decentralized to reach affected communities, families and individuals.

Last Updated on Wednesday, 25 March 2009 12:16