Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017

Details for Mechanism ID: 9143
Country/Region: Kenya
Year: 2011
Main Partner: Henry M. Jackson Foundation for the Advancement of Military Medicine
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USDOD
Total Funding: $2,218,696

The Kenya Department of Defense HIV program is a national wide program based on collaboration between the Kenya Ministry of Defense and the Walter Reed Project. Over the last four years, the program has significantly expanded HIV services to the over 100, 000 people who include the KDOD personnel, their dependants, KDOD civilian employees and communities living in the neighborhood of the barracks. The Program encompasses the entire continuum of HIV prevention, care and treatment services including: Prevention of Mother to Child Transmission (PMTCT), HIV Testing & Counseling (HTC), TB/HIV, OVC, ART, Laboratory Infrastructure (HLAB) and Strategic Information.

Key 2010 program emphasis include HTC expansion in all the treatment sites including PITC, couple and family testing at the facility level. Other encouraged approaches will include barrack based HCT, mobile services in the military hot spots and other hard to reach areas throughout the country. This will contribute towards the partnership framework goal to support implementation of the Kenya HIV response that seeks to strengthen the capacity to increase HCT such that 80% of Kenyan adults know their status.

The program will consistently integrate prevention across all program areas through a combination of prevention interventions including behavioral, biomedical and structural.

In order to build on sustainability of the program, integration of care and ART plans into the annual Military performance contracts will be continued. The program will support and strengthen the capacity of the KDOD HIV structures from the Unit HIV committees at the lowest military establishment to the Armed Forces AIDS Committee at the highest level. High level command sensitization will be maintained in order to promote ownership of the program. Collaboration with other USG partners, GoK, NGOs, CBO and FBOs will be enhanced. The program will continue to be closely monitored in line with PEPFAR and the Ministry of health guidelines.

Funding for Care: Adult Care and Support (HBHC): $200,000

None

Funding for Care: Orphans and Vulnerable Children (HKID): $76,000

None

Funding for Treatment: Adult Treatment (HTXS): $1,000,801

None

Funding for Prevention: HIV Testing and Counseling (HVCT): $100,000

None

Funding for Care: Pediatric Care and Support (PDCS): $30,000

None

Funding for Treatment: Pediatric Treatment (PDTX): $100,000

None

Funding for Strategic Information (HVSI): $202,095

In FY 2005, Kenya Department of Defense (KDOD) initiated the development of a basic data system for documentation of individual patients and will continue to phase in a data collection, recording, monitoring, reporting, dissemination system to all other treatment and prevention sites.

Support in provision of the necessary data automation computerized systems and other communication equipment required for electronic entry of patient-specific encounter data, computerization and enhancing email and internet system for information sharing and submission of reports in real time.

The HIV prevalence among the armed forces, a potential high-risk group, is unknown. The Kenya departments of defense will Conduct HIV biological and behavioral study among the military personnel; to determine the extent of HIV transmission, describe social-demographic and behavioral determinants; monitor trends of infection for improved planning and service delivery. The rationale is to help in identifying who is infected and who is at risk of infection. Surveillance data will help identify which behaviors put them at risk and interventions that can prevent the further spread of HIV.

Support for supervisory and mentorship Monitoring and evaluation visits, supervisory and Data Quality Assessments. Review and Roll out of data collection, recording and reporting tools for implementation and operationalisation of next generation indicators will be supported. A quality improvement program will be developed and implemented.

Roll out plan for a patient level EMR system to treatment and care sites and maintaining of installed system will be done.

Capacity building of data handling personnel in data management, analysis, dissemination and use to improve programming, service delivery for better client management.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $35,000

KDOD has received support from the Emergency Plan to implement a comprehensive HIV/AIDS program since FY 2004. In response to the Kenya National AIDS Strategic Plan Priority 1, prevention of new infections including targeted focus on Voluntary Medical Male Circumcision. In 2010 KDOD will introduce and support male circumcision activities within its comprehensive HIV prevention program as an additional HIV intervention. Evidence has shown medical circumcision accords men 60% protection from acquiring HIV infection from infected female partners. The activity will focus on minimizing the risks for the uncircumcised military personnel as well as support the development and maintenance of healthy relationships that will significantly reduce the risks related to the acquisition of HIV.

The government of Kenya rolled out male circumcision program in 2008 targeting uncircumcised male who are at risk of acquiring HIV if not circumcised. KDOD will align the male circumcision intervention according to GOK policy and guidelines. The program targets to provide a comprehensive male circumcision package to 500 uncircumcised males in the KDOD community. The VMMC services will be concentrated within 4 military medical establishments distributed in the 4 military regions (Nairobi, Mt. Kenya, Rift valley and Coast). Core activities will include training of 16 (one MC team per military region) personnel on VMMC in line with national guidelines, policy dissemination, awareness message development, quality assurance, equipment and commodities procurement, HIV counseling and testing provided on site, pre and post operative sexual risk reduction counseling, active exclusion of symptomatic STIs treatment when indicated, provision and promotion of correct and consistent use of condoms, circumcision surgery in accordance with national guidelines. The program will leverage on the well established MAP program to disseminate correct information on VMMC. In addition Commanding Officers barazas, Padre Hour will be used to send VMMC messages to the soldiers.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $75,000

None

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $100,000

None

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $99,800

None

Funding for Care: TB/HIV (HVTB): $200,000

None

Cross Cutting Budget Categories and Known Amounts Total: $480,000
Construction/Renovation $100,000
Food and Nutrition: Commodities $80,000
Food and Nutrition: Policy, Tools, and Service Delivery $50,000
Human Resources for Health $250,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Military Populations
Tuberculosis
Family Planning