Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018 2019 2020

Details for Mechanism ID: 16705
Country/Region: Kenya
Year: 2013
Main Partner: United Nations Office on Drugs and Crime
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: USAID
Total Funding: $1,765,844

Through a partnership with United Nations Office on Drugs and Crime UNODC , USAID/Kenya wants to improve the HIV/AIDS response in the country. The immediate purpose of the project is to enhance the capacity of government institutions and NGOs to prevent HIV infection among injecting drug users (IDUs). The project will be implemented in Nairobi and the Coast regions, targets to reach at least 25 % of the estimated population of IDUs in those provinces (16,619 persons). The main elements of the project strategy include: a) National level support for policy review, guidelines review and development, strong coordination and implementation of an effective HIV and AIDS combination prevention for IDUs, b) Integrating Opiod Substitution Therapy (including Methadone and Medication Assisted Therapy), c) Linkages to Needle and Syringe Exchange Programs (NSP) and other drug dependence treatment into IDU prevention programs, without the procurement of the commodities for the program, d) Enhancing the technical skills of staff working with IDUs to design and implement HIV/AIDS prevention programs among IDUs, g) Improve outreach programs to better reach male and female IDUs with services, h) Provide HIV prevention services and referral for ART and tuberculosis screening and treatment for IDUs living with HIV, their partners and children, i) provide HIV counseling and testing (HTC), Sexually transmitted Infections management, j) Condom programming, k) provide targeted HIV prevention information, education and communication for IDUs and their sexual partners.

Funding for Prevention: Injecting and Non-Injecting Drug Use (IDUP): $1,765,844

United Nations Office (UNODC) Injecting Drug User (IDU) HIV combination Prevention program aims at enhancing the capacity of government institutions and NGOs to prevent HIV infection among IDUs in Nairobi and Coast regions. The IDU program will support Policy, Advocacy and Coordination efforts for increased access to evidence based interventions for IDUs. The project will support the Ministry of Health (MOH), The National Campaign Against Drug Abuse Authority (NACADAA) and other stakeholders to in cooperate effective approaches of medically assisted treatment (MAT) and Needle and Syringe Exchange program (NSPs) in policy documents and guidelines to facilitate implementation.

To facilitate provision of HIV and AIDS combination prevention services to IDUs in both public and private health facilities including NGO rehabilitation centers, training and mentorship of health professionals on drug dependence treatment will be provided at the selected facilities in areas with high injecting drug users and HIV prevalence. Support will also be provided to upgrade 2 drug dependence treatment centers of excellence in Nairobi and Coast regions to improve the quality of health care to drug users. The project, in collaboration with the procurement agency will provide technical assistance to facilitate the quantification, procurement, import, storage, dispensing and control of methadone for the treatment of opioid dependent people and NSP in line with the international guidelines established by international Narcotics Control Board (INCB) and any other regulations that will be developed by the Kenyan Government.

UNODC will support strengthening of community level outreach activities by organizations working with drug users for increased community and family acceptance and utilization of services by IDUs. Injecting drug use is a problem that is not well understood by the community and any efforts to address the problem are misconstrued to supporting the activities. UNODC will work to improve comprehensive understanding of NSP and MAT by implementing partners, the larger community and family within which these interventions will be provided. UNODC will provide Information Education and communication (IEC) about NSP and MAT programs targeting journalists, religious leaders and other community opinion leaders in communities where the programs will be implemented.

UNODC will provide HIV counseling and testing (HTC), sexually transmitted Infections management, Condoms promotion and distribution and referral of IDUs living with HIV for ART and tuberculosis screening and treatment. UNODC will work with both GOK and all other partners to coordinate HIV prevention and treatment services to People who inject drugs (PWID) to minimize overlap and maximize results.

UNODC will develop a monitoring and evaluation tool, in collaboration with other partners. This information will be fed in the national surveillance system and will be disaggregate the IDUs by age cohort, Men who Sex with Men (MSM), Commercial sex worker and other vulnerable categories including truckers.

Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's legal rights and protection
Mobile Populations
End-of-Program Evaluation
Family Planning