0. Kenya TRACHOMA Action Plan Gichangi,M.,Baraza,E., Courtright,P.
A Kenya free of Blinding
Trachoma
Kenya TRACHOMA Action Plan Gichangi,M.,Baraza,E., Courtright,P.
Achievements of the implementations ,a case study

1. Before 2004:Trachoma Suspected in 18 Districts : First Trachoma Baseline Survey of 6 districts: June 2004,integrated into Eye care plan 2005/2010

2. Kenya National Plan for Elimination of Trachoma : 2008-2015
Plan towards elimination 2015

3. Situation of Trachoma in Kenya :2010
Wednesday, April 12, 2017

4. …. to help countries focus on the 2020 elimination goal
Genesis of the Trachoma Action Plan (TAP) template: 2010 GET 2020 meeting…. 14th Global Alliance
Excerpt of preliminary minutes from April 2010 GET2020 meeting
…. to help countries focus on the 2020 elimination goal

5. Trachoma action plan template Pilot: Kenya; March 2011
Objectives for the TAP pilot
Using Kenya as an Example:
To develop a concise high-level strategic document(tool) to complement KNPET( ).
Create comprehensive set of information and view of the current state of trachoma in Kenya (Survey data, Suspected endemic districts, Resource needs, Opportunities, Lessons learnt)
Visualize the path to elimination
Join the two to show how we get to elimination (road map)
Then(Ultimately)
Refine and improve the TAP template for eventual rollout to all endemic countries

6. Trachoma action plan template Pilot: Kenya; March 2011
Government involvement /Consent and Leadership
Developed with involvement of all key stakeholders
NGDOs,
Field Implementers( from districts),
Local technical advisors(UoN).
Technical Support from ITI.

7. The process resulting in two highly useful documents that we are using a variety of settings
Trachoma Action Plan
TAP Executive Summary
12 pages, 8 exhibits
Sections
Introduction
Current state of trachoma in Kenya
Path to Elimination
Case for Action
One-pager
Advocacy tool at high level of policy and development
Challenge
Solution
Case for action

8. Overall objectives for the TAP:3
Overall objectives for the TAP:
Use Evidence to clearly highlight the gap between current efforts and those necessary to achieve 2020 elimination…survey data, clear milestones
Delineate the path to 2020
Develop messages to drive advocacy
Clearly articulate the actions and resources needed to achieve 2020 elimination ,rationalized by economic loss to disability/return on investments, MDGs and country development agenda e.g. Vision 2030 for Kenya
Drive stakeholder alignment
Bring together all interested parties in a collaborative planning process
Guide country leadership in a critical evaluation of existing partner support and stakeholder activities

9. REVIEW AFTER ONE YEAR OF IMPLEMENTATION

10. A partner support mapping reviewed some gaps in support for SAFE implementation against these districts

11. A partner support mapping reviewed some gaps in support for SAFE implementation against these districts

12. A partner support mapping reviewed some gaps in support for SAFE implementation against these districts

13. The district level calendar aligned our stakeholders on how to get to elimination, district by district…

14. … and helped prioritize our approach for suspected but unsurveyed Districts

15. We also developed a set of short-term milestones for the next two years
All Districts
2,216
6 Districts
Not all
Trachoma Summit 2011

16. Baseline Trachoma Survey Data
Impact Evaluation Survey Data
District
TF(%)
TT() TF TT
Kajiado(3)
28.1
3.3
17.4
3.5
Narok(2)
30.5
2.3
11.0
0.9
Samburu(3)
35.0
6.0
7.4
3.4
West Pokot(3)
26.6
5.6
Turkana(3)
42.3
3.56
East Pokot(1)
34.3
7.6
Trans Mara(1)
10.6
Marsabit(3)
14.1
0.68
Laikipia(3)
9.5
1.1
Isiolo(2)
8.9
0.6
Meru North(2)
8.1
1.0
Baringo(3)
6.4
5.8
Moyale(1)
4.6
1.84
Kyuso(2)
4.8
0.8
Kitui(8)
1.4
Mwingi(3)
0.5
0.1
Mbeere(2)
0.4
Mutomo(2)
0.0
Koibateck
TRA DONE, No Trachoma
Makueni

17. MDA in Kenya DISTRICT BASELINE PREVALENCE (%) MDA COVERAGE
PREVALENCE AFTER INTERVENTION (%) TF TT
Round 1
Round 2
Round 3
GREATER NAROK
30.5
2.3
83%
74%
63%
11.0
0.9
KAJIADO
28.6
3.3
91%
75%
17.4
3.5
SAMBURU
35.0 6
82%
7.4
3.1
WEST POKOT
26.1
5.6
68%  -
EAST POKOT
34.3 19
61%
TURKANA
42.3
8.7
71%

18. FACIAL CLEANLINESS AND ENVIROMENTAL IMPROVEMENT
F and E(in all districts) The results of F and E interventions though not stated are complex and are best done at impact assessment(not done in 2011/12). Some interventions currently going on include: 1.Water provision- bore holes-Water and Irrigation Ministry 2.CLTS-Community Led Total Sanitation-Community Health Impact assessments:-Narok(2010) 1. Reduction in TF prevalence from 30.5% to 11% 2.Increase in clean faces from 46% to 57% These are outcomes of AFE

19. Situation of Trachoma in Kenya 2012

20. The Kenya Trachoma action Plan (Template) achieved the objectives of :
CONCLUSION
The Kenya Trachoma action Plan (Template) achieved the objectives of :
Providing a clear road map , with clear milestones
towards elimination, based on information
Advocating especially to development partners on the
benefits of elimination of Trachoma, resulting to
significant support, and improvement in Trachoma
situation in Kenya.
Aligning the Trachoma Stakeholders with the needs
Providing the Country leadership with a tool to monitor
the elimination process.

21. PROPOSAL
The Pilot Tested TAP Template should be refined (include F and E components) for use in other countries to realise the Elimination Target Its real

22. KENYA TRACHOMA ACTION PLAN
A Kenya free of Blinding
Trachoma
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