Prevention of HIV in Health Care

Vision

ZERO transmission of HIV/AIDS and other blood borne diseases in health care settings

Mission

To be a model program for provision of policy, guidelines, technical assistance and coordination of partners in prevention of HIV in Health care setting

What the Program does

The program provides leadership, technical support, and coordination of partners in the prevention of HIV Transmission in Healthcare settings. The interventions supported by the program are on prevention of unsafe injections, medical waste management, IPC and occupational health.
Specifically the program activities are:

Advocacy:

  • For implementation of policies on prevention of transmission of HIV/AIDS and other blood borne pathogens in health care setting.
  • For integration of the national guidelines in the national strategic plans and training curricula
  • For provision of safety engineered injection commodities with reuse prevention features, personal protective equipment(PPE), and medical waste containers;
  • For immunization of healthcare workers against the hepatitis B virus; access to occupational PEP services including HIV testing and counseling in all health care service delivery points
  • Promote PEP guidelines, in occupational health as an integral part of prevention treatment and care services.

Policy and Guidelines development and implementation

  • Develop and update national policy and guidelines on injection safety and medical waste management and IPC.
  • Develop culturally adapted communication strategies targeting health care workers and the community in order to reduce injections overuse
  • Dissemination of the guidelines to health workers

Capacity building of health workers

  • Develop training curricula for injection safety, IPC and safe phlebotomy
  • Train TOTs on injection safety and waste management, IPC and safe phlebotomy
  • Support training of health workers on injection safety and waste management, IPC, safe phlebotomy and PEP

Monitoring and Evaluation

  • Surveillance and reporting of occupational exposure to HIV in health care setting
  • Monitor coverage, quality and effectiveness of IPC and safe phlebotomy activities

Coordination

  • Of partners and the MOH departments with activities in IPC, injection safety and medical waste management
    –   Organizing and hosting technical working group meetings
    –   Sharing work programs with partners to identify areas of collaboration.

Partners Involved

  1. CDC– provides most resources for the program. Provides technical support and supervision of program activities. 
  2. BD – Supported the development of the training modules on safe phlebotomy and trained Master Trainers on safe phlebotomy and on sharp surveillance. Provided a one year consignment of the safe phlebotomy devices for the eight pilot sites and continues to provide technical support to the program and the 8 pilot sites. Supporting medical waste disposal in 2 district hospitals and the development of tools for sharp surveillance
  3. Jhpiego – Is supporting training on IPC, injection safety and medical waste disposal. In addition, they supported dissemination of the National Standards and Guidelines for Injection Safety and Medical Waste Management in 41 hospitals in Rift Valley Province.
  4. PATH-is supporting the MOPHS and MOM to develop a sustainable system for management of medical waste through technical support for implementation of the National Health Care Waste Management Plan (2008-2010) and provision of waste disposal facilities including surveillance of needle stick injuries.
  5. MSH – is supporting the review of the safe phlebotomy training modules and the scale up of the safe phlebotomy project.
  6. DANYA – Supported the development of the Injection safety and Medical waste; National Communication Strategy. Developing IEC toolkit messages for injection safety and safe disposal of medical waste in seven languages.
  7. UNIVERSITY OF MARYLAND – Infusing IPC in the HIV curriculum for pre-service and in-service training.
  8. JICA – Supported a training on surveillance of sharp injuries and safe phlebotomy

Achievements

  1. Supported the national launch of the above policy and guidelines documents
  2. Supported dissemination of the above policy and guidelines documents to the counties
  3. Disseminated the occupational PEP register for health providers to counties
  4. Supported the PHRIOs to disseminate the occupational PEP register for health providers to the ART sites
  5. Trained of 30,000 HCWs on injection safety and medical waste management with support from JSI and Jhpiego
  6. Trained over 200 HCWs safe phlebotomy master trainers with support from BD
  7. Trained over 7000 HCWs on safe phlebotomy
  8. Trained 60 ToTs on basic IPC
  9. Provided a one year consignment of safe phlebotomy equipment to the 8 pilot sites
  10. Trained the above mentioned master trainers and NASCOP M and E staff on sharp injury surveillance
  11. Provided support supervision
  12. Held TWG meetings for partners in prevention of HIV in health care setting
  13. Supported the development of the following documents:
  • National Strategic Plan for IPC for Health Care Services in Kenya 2014 – 2018
  • National Standards and Guidelines on Injection Safety and Medical Waste Management
  • National Policy on Injection Safety and Medical waste
  • National Infection and Control Guidelines for Health Care Services in Kenya
  • National Infection Prevention and Control Policy for Health Care services in Kenya
  • Injection Safety and Safe Disposal of Medical Waste; National Communication Strategy
  • Post Exposure Prophylaxis Register for Health Providers
  • Training modules on Safe Phlebotomy