Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016 2017

Details for Mechanism ID: 12530
Country/Region: Kenya
Year: 2011
Main Partner: Nyanza Reproductive Health Society
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $4,126,400

NRHS will continue scaling up VMMC (voluntary Medical Male Circumcision) services for HIV prevention to contribute to prevention of new infections in Nyanza province. They will deliver the minimum package for MC services, using innovative approaches as recommended by the Kenya VMMC Taskforce, to ensure rapid coverage of 'catch up' population with quality and safe VMMC services through training of health care providers on VMMC skills. These may include use of facilities, as well as mobile and outreach VMMC services to smaller dispensaries, health centers, schools, churches and market places/community centers.

The capacity of facilities serving residents in Luo districts in Nyanza will be increased to provide VMMC in response to increased demand for services likely to result from near-universal awareness of HIV status among many clients who will be referred from Home based CT services (HBVCT). Through this activity, NRHS will train Health Care workers and circumcise over 75,000 men. Outreach and/or mobile VMMC services will involve high quality high-volume standardized approach through trained mobile teams and will follow Ministry of Health (MOH) guidance. Mobile teams will work at temporary sites including existing buildings and tents that will be equipped for minor surgical procedures and pre- and post-operative services. Mobile VMMC Teams may geographically follow HBVCT teams as they move through the target geographical area to ensure coverage and no missed opportunities.

Pre-operative assessment will follow group education about VMMC and HIV risk reduction, including the information that MC is not 100% protective against HIV acquisition. Standard HIV prevention messages in group educational sessions will include age-appropriate information about delaying sexual debut, abstinence where appropriate, partner risk reduction and use of condoms correctly and consistently. This activity includes major emphasis in training of health care providers on VMMC skills, development and distribution of Information, Education and Communication, minor renovation of health facilities out-patient theatres to provide VMMC services and linkages to appropriate health care services.

Cross-cutting Attributions: NRHS will support the Ministry of Health in employing nurses and clinical officers who will help scale-up VMMC in Nyanza province. In addition, NRHS will renovate minor theatres in sites that do not meet the correct quality of services.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $4,126,400

Reprogramming $139,000 in CIRC to Liverpool VCT and CARE/Umbrella Reprogramming $29,000 in CIRC to Pathfinder International/Pathfinder Reprogramming $75,474, in CIRC to International Medical Corps/IMC NRHS will continue scaling up MC services for HIV prevention in Nyanza to contribute to prevention of new infections. They will deliver the minimum package for MC services, using innovative approaches as recommended by the Kenya MC Taskforce, to ensure rapid coverage of 'catch up' population with quality and safe MC services through training of health care providers on MC skills. These may include use of facilities, as well as mobile and outreach MC services to smaller dispensaries, health centers, schools, churches and market places/community centers.

The capacity of facilities serving residents Luo districts in Nyanza will be increased to provide MC in response to increased demand for services likely to result from near-universal awareness of HIV status among many clients who will be referred from Home based CT services (HBVCT). Through this activity, NRHS will train Health Care workers and provide over 75,000 Male Circumcisions. Outreach and/or mobile MC services will involve high quality high-volume standardized approach through trained mobile teams and will follow MOH guidance. Mobile teams will work at temporary sites including existing buildings and tents that will be equipped for minor surgical procedures and pre- and post-operative services. Mobile MC Teams may geographically follow HBVCT teams as they move through the target geographical area to ensure coverage and no missed opportunities.

Cross Cutting Budget Categories and Known Amounts Total: $1,250,000
Construction/Renovation $250,000
Human Resources for Health $1,000,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Workplace Programs