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 2011-2012,a case study

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

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

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

…. 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

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(2008-2015). 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

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.

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

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

REVIEW AFTER ONE YEAR OF IMPLEMENTATION

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

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

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

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

… and helped prioritize our approach for suspected but unsurveyed Districts

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

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

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%

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

Situation of Trachoma in Kenya 2012

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.

PROPOSAL The Pilot Tested TAP Template should be refined (include F and E components) for use in other countries to realise the 2020 Elimination Target.........Its real

KENYA TRACHOMA ACTION PLAN A Kenya free of Blinding Trachoma THANK YOU