Presentation on theme: "Country presentation - Kenya"— Presentation transcript:
1 Country presentation - Kenya Dr. Philip OwitiAMPATH, Kenya
2 Country situation - Kenya Population (Kenya Demographic Health Survey,2010)39.4 MillionHIV prevalence (KDHS, 2010)6% (adults 15-49yrs)First case diagnosed1984Number living with HIV (2008)>1.4mNumber dead since 1984Number dying daily>2m600AIDS declared national disaster1999TB/ HIV comorbidity (2010)41%To present the basic stats about the situation of HIV in Kenya
3 Academic Model Providing Access To Healthcare AMPATH Started in Nov 2001 as Academic Model for Prevention and Treatment of HIV/AIDS.PartnersMoi Teaching and Referral HospitalMoi University Sch of MedicineMinistry of HealthA consortium of North American Universities led by Indiana UniversityStarted as 2 sites, now 25 sites (in 3/8 provinces)Caring for 137, 413 HIV+ patients (sept 2007)109,562 adults27,851 children81,680 on ARVsTo use AMPATH to demonstrate a successful HIV care systemIntroducing AMPATHPartners and collaborations: parastatals (health facility and medical sch), international like minded partners and the MOHExtent/ coveragePatient base
4 AMPATH care services Provision of ARVs and other therapies Prevention and Community MobilizationFighting HungerFighting poverty and building Self-SufficiencyAgricultural Extension ServicesHelping OrphansAMPATH Medical Record System (AMRS)Home Couselling and TestingPrimary Health Care & Maternal and Child Health CareChronic Disease ManagementResearchTo underscore the need for a HIV care system to be comprehensive and innovative in its care services
5 AMPATH as the innovative arm of MOH Lessons learntA stand-alone HIV/TB program has a down sideDemoralizes the other components of MOH careOther health threats in the community can dwarf HIV eg MCH,NCDNeed for a responsive MOH care system; sustainabilityThe infrastructure for HIV/TB can be leveraged to lift the entire health care systemIntegrate AMPATH with PHC, NCDPHC – MCH/FP, pediatrics, safe water, facility based pt care, village based pry care +++NCD – DM, HPTN, Mental health, Oncology +++Full partnership with MOH; the innovative arm of the gvt.Achor it all in an electronic medical record system (AMRS)To highlight the need for HIV care systems to steer forward the country’s health care system. A well thought of HIV care system can be used the innovative arm of the country’s health care system as under the MOH
6 The road is not without potholes… The purpose of the slide is to underscore, in a second, the fact that multiple challenges have to be overcome in HIV care itself and also the integration with PHC and NCD
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