Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4219
Country/Region: Kenya
Year: 2007
Main Partner: Columbia University
Main Partner Program: Mailman School of Public Health
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $4,554,000

Funding for Treatment: Adult Treatment (HTXS): $4,554,000

1. LIST OF RELATED ACTIVITIES This activity relates to activities in Palliative Care: Basic Health Care and Support (#6855), Palliative Care: TB/HIV (#8843), and Orphans and Vulnerable Children (#6857). 2. ACTIVITY DESCRIPTION Columbia University's International Centre for AIDS Care and Treatment Program ( CU-ICAP) will extend its experience working collaboratively with Indiana University in Northern Rift Valley Province to support implementation and expansion of HIV treatment programs in Central Province. Through the Track 1 funding, CU- ICAP will support HIV treatment activities for approximately 2500 patients (including 250 children) in 5 sites in Central Province; these patients are in addition to the 5,500 that will be supported by in-country funding for this partner. CU-ICAP will establish/enhance treatment networks centered at the provincial hospital and large district hospitals. In addition, CU-ICAP will extend a collaborative relationship with Jomo Kenyatta University of Agriculture and Technology (JKUAT) to develop quality assurance capacity on all levels (laboratory, pharmacy, and clinical management), guide the planning for effective care and treatment programs, and inform strategic information needs. CU-ICAP will work closely with the Central Provincial ART Officer (PARTO) in the planning of provider meetings, technical assistance, and clinician trainings. Funds will be used to support staffing, renovations, clinical and laboratory equipment and supplies, drugs for the prevention and treatment of opportunistic infections, and supportive supervision and advanced training for 60 health care workers in HIV care. 3. CONTRIBUTIONS TO OVERALL PROGRAM AREA These activities will contribute to the expansion of ARV treatment for clinically qualified HIV-positive patients at health care facilities. CU-ICAP will strengthen human resource capacity to deliver adult and pediatric ARV treatment, tighten linkages between prevention, care, and treatment activities, and strengthen referral networks for ART provision and other AIDS services. 4. LINKS TO OTHER ACTIVITIES The overall program activity links closely to non- ART and TB/HIV services supported by Columbia University, ARV treatment services supported by this partner through in-country funding, and ART services coordinated by and supported through the National AIDS and STD Control Program [NASCOP]. Specific facilities have also developed linkages, for example Nyeri District Hospital supported by Columbia University has established treatment referral linkages with Nazareth Hospital supported by Catholic Relief Services. 5. POPULATIONS BEING TARGETED These activities target people (adults, children, infants) living with HIV/AIDS. Treatment services for children with HIV are being established or expanded at all sites. Public health care providers, including doctors, nurses, pharmacists, and laboratory workers are targeted for increased HIV care and treatment knowledge and skills. The program will also continue to support treatment for HIV-infected students at JKUAT. These youth are among an important focus population identified in Kenya's 5-year strategic plan for Emergency Plan Implementation. 6. KEY LEGISLATIVE ISSUES ADDRESSED This activity addresses legislative issues related to stigma and discrimination through community sensitization activities. 7. EMPHASIS AREAS This activity includes minor emphases in commodity procurement, human resources, development of networks/linkages/ referral systems, local organization capacity development, quality assurance and supportive supervision, strategic information and training.