Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014

Details for Mechanism ID: 12612
Country/Region: Kenya
Year: 2013
Main Partner: New York State Department of Health AIDS Institute
Main Partner Program: NA
Organizational Type: Other USG Agency
Funding Agency: HHS/HRSA
Total Funding: $100,000

Goals/Objectives: This program seeks to systematically assess and improve the quality of care and treatment provided to PLWHA. Specific objectives are to:

systematically improve the quality of HIV care provided at ART & PMTCT sites using continuous quality improvement methodologies;

develop and implement facility-specific quality improvement measures to address identified weak areas;

promote regular measurement of HIV performance data at the facility level and build capacity for sustainable quality improvement measures through human and systems infrastructure development; and

build the capacity of the Kenyas MOH staff to lead national quality assessments and improvement activities.

Cost-efficiency strategy: HIVQual success has necessitated engagement of other USG partners to provide support for training of HCWs on HIVQual implementation in unsupported provinces.In FY11, Center for Health Solutions & EGPAF provided support for implementation in 2 new provinces. Entrenching HIVQual as part of routine M&E will yield wider participation & improve efficiencies.

Transition to country partners:NASCOP leads implementation and will coordinate, supervise, and entrench HIVQual activities into health facilities. In FY12, HIVQual will be rolled out to all district level facilities. All DHMTs from all regions will be trained to supervise & support HIVQual implementation. Nutrition & HIV, TB and health systems indicators will be incorporated. TA is provided by HEALTHQUAL and CDC. A NASCOP coordinator & data manager have been trained to support HIVQual rollout, supervision and engagement of new partners. A stakeholders TWG meets quarterly to guide HIVQual implementation & roll-out through support by USG IP & health facilities. This activity will support GHI/LLC.

Funding for Strategic Information (HVSI): $0

This program seeks to systematically assess and improve the quality of care and treatment provided to People Living with HIV/AIDS in Kenya.

Specific objectives are:

i.To systematically improve the quality of HIV care provided at ART and PMTCT sites using continuous quality improvement methodologies;

ii.To develop and implement facility-specific quality improvement measures to address identified weak areas;

iii.To promote regular measurement of HIV performance data at the facility level and build capacity for sustainable quality improvement measures through human and systems infrastructure development; and

iv.To build the capacity of the Kenyas Ministry of Health (MOH) staff to lead national quality assessments and improvement activities.

The objectives listed above will translate into activities that will lead into better utilization of data to support patients/clients management at facility level. Involvement of health care managers at District level to provide support and supervision of HIVQual activities will enhance overall quality of care for patients living with HIV. Entrenching HIVQual as part of routine monitoring and evaluation will yield wider participation and improve efficiencies.

Through data abstraction process, weaknesses in data recording and filing systems will be identified hence leading to an overall improvement of data quality and electronic and manual data capture and reporting systems.

Funding for Treatment: Adult Treatment (HTXS): $100,000

This program seeks to systematically assess and improve the quality of care and treatment provided to People Living with HIV/AIDS in Kenya through supporting Kenyas Ministry of Health to develop a harmonized HIV quality improvement system.

Specific objectives are:

i.

To build the capacity of the Kenyas Ministry of Health (MOH) staff to lead national quality and improvement activities.

ii.

With the MOH, systematically review existing HIV quality improvement tools, indicators, and systems currently being used by facilities and implementing partners.

iii.

With the MOH, develop a harmonized HIV quality tools, indicators, and system.

iv.

With the MOH, disseminate the harmonized HIV quality improvement system to provincial, district, and facility levels

v.

With MOH, promote regular measurement of HIV performance data at the facility level and build capacity for sustainable quality improvement measures through human and systems infrastructure development

The objectives listed above will translate into activities that will lead into better utilization of data to support patients/clients management at facility level. Involvement of health care managers at District level to provide support and supervision of HIV quality improvement activities will enhance overall quality of care for patients living with HIV. Entrenching HIV quality improvement as part of routine monitoring and evaluation will yield wider participation and improve efficiencies. Through data abstraction process, weaknesses in data recording and filing systems will be identified hence leading to an overall improvement of data quality and electronic and manual data capture and reporting systems.

Cross Cutting Budget Categories and Known Amounts Total: $20,000
Human Resources for Health $20,000
Key Issues Identified in Mechanism
Tuberculosis
Family Planning