Anti-Retroviral Therapy (ART)

Mission

To provide HIV Care , treatment and support to those infected and affected by HIV.

Vision

Reduce HIV/AIDS morbidity and mortality through improved accessibility of quality treatment and care for people living with HIV/AIDS in Kenya for a HIV free Kenya.

What the Program does

The HIV Care and treatment component of NASCOP is mandated with leading the National response on behalf of the health sector with interventions for those infected and affected by HIV.
The overall responsibilities include of the program include
Policy and guidelines formulation, setting standards in HIV Care and treatment,
Coordination and management
Providing monitoring and evaluation support to programs in implementation throughout the country.
HIV care and treatment and support focuses on holistic approach to care for the HIV infected and affected person. Key interventions include interventions to prevent illnesses and prevention of opportunistic illnesses in persons living with HIV. Interventions to prevent illnesses in those living with HIV include such as provision of clean water, hygiene, nutrition support, malaria prevention and reproductive health services including other STI prevention and treatment. These are currently done through provision of the basic care kit that comprises a Insecticide treated bed net, clean water containers and water purifying agents , cotrimoxazole for prevention of Opportunistic infections and condoms for Prevention of HIV and STI transmission.

HIV Care and treatment in addition focuses on management of opportunistic illness and co-morbidities and treatment of TB/HIV co-infection.One of the key components of this program is provision of antiretroviral therapy for children, adolescents and adults. Other interventions include nutritional management of HIV infected persons with clinical malnutrition , provision of Home and community care and palliative care. Support components include commodity and logistics management , laboratory monitoring for those on care and treatment and monitoring and evaluation for the program

Key strategies to achieve universal access include

Decentralization of treatment services to enhance access

Capacity building of health care workers, persons living with HIV and communities

Continuous Mentorship of health care workers to ensure quality service delivery

Strengthening longitudinal patient monitoring and follow up

Strengthening linkages at facility and community level and with other relevant intervention areas

Engagement of private sector to provide HIV services

Advocacy for increased resources and sustainability of HIV care and treatment program

The national level will primarily focus on policy and guideline formulation, coordination, support and monitoring of the program. Decentralized levels which include provinces and districts are tasked with implementation of activities to enhance service delivery while also monitoring day to day progress of interventions.

Partners involved

The program is supported and works in collaboration with the parent ministries responsible for health , the ministry of special programmes under which NACC falls and other partners and stakeholders both government and non-governmental institutions . Some of the key stakeholders and partners who support both in financing and or implementing HIV Care and treatment include PEPFAR ( CDC, USAID, WRD DOD) and their supported implementing partners, The Clinton Health Access Initiative, The Global fund for TB, HIV and Malaria , MSF, UN among others

These partners have been key in financing the procurement of drugs and other ART related and Care commodities, and supported implementation of the above mentioned interventions through government and other partners.

 

Achievements

Since 2002 the program has seen rapid acceleration and expansion of access to HIV Care and treatment services. With more service provision points offering services, the program has seen the number of those accessing antiretroviral therapy increase from less than 10,000 in 2003 to over 430,000 in December 2010. In addition more than 40,000 service providers have been capacity build to provide services and this continues to be scaled up to ensure universal access to services.

Access to various other services has improved including laboratory monitoring, nutrition services, provision of cotrimoxazole for opportunistic infection prevention and integration of reproductive health and other prevention with positive interventions. The aim is to achieve universal access to Quality care and treatment for all.