In five counties in Kenya, the Afya Nyota ya Bonde project* implements tailored interventions that build the capacity of the national and county governments to plan, coordinate and manage high-quality, cost-effective HIV services that are readily accessible to those who need them. Afya Nyota ya Bonde is funded by the U.S. Agency for International Development and partners with Women Influencing Health, Education and Rule of Law, Gold Star Kenya, Total Hospitality Consultation Services and six other local organizations. The project builds on the work of APHIAplus (AIDS, Population and Health Integrated Assistance), which played an essential role in shaping the response to the HIV epidemic in this region.
The project works to:
Increase the availability and use of HIV combination prevention services for priority populations
- Immediate introduction of antiretroviral therapy (ART), pre-exposure prophylaxis (PrEP) and voluntary medical male circumcision (VMMC)
- Age-appropriate services that include school- and community-based HIV prevention, diagnosis and treatment of sexually transmitted infections, gender-based violence prevention and response, condom promotion and provision, contraceptives, community mobilization and norms change, social protection, and parenting and caregiver programs targeting adolescent girls and young women
- HIV prevention interventions targeting key populations in Nakuru County, including community sensitization, distribution and promotion of condoms and lubricants, and PrEP initiation
Increase targeted HIV testing services
- Counseling and testing with immediate return of results
- Provision of condoms and safer-sex messages
Improve the linkage to treatment for individuals newly testing positive for HIV
- Immediate initiation of care services
- Assisted delivery services with a trained provider for pregnant women with HIV
- ART in tuberculosis (TB) units and linking clients with TB/HIV co-infection to services, including nutritional assessment
Increase uptake of and adherence to quality HIV treatment services and improve commodity security and management
- Aid in the logistics of supply reporting and restocking, along with using data for decision-making
- Provision of laboratory support to ensure quality testing
- Training, supportive supervision and continuous medical education support, including pharmacovigilance and COVID-19 updated guidance for clinical and nonclinical staff
Ensure long-term follow-up of patients receiving care and treatment services
- Provision of community support for testing and access to services, treatment literacy, adherence counseling, loss to follow-up, facility-community referral linkages and support to differentiated care models (e.g., multimonth prescriptions and community-level refills)
Strengthen institutional capacity and accountability for facility and county management of the HIV response
- Identification of facility-level staffing gaps and collaboration with the county and the public service commission to fill the gaps and provide in-service training
- Strengthening of capacities for health managers in leadership, management and sustainability
- Capacity building with health facility committees and subcounty health management teams to use data to advocate for more resources in county budgets
- Technical assistance to strengthen capacities in monitoring and evaluation activities, data systems, data collection, analysis, reporting and continuous quality improvement
*The contractual name for the Afya Nyota ya Bonde project is HIV Service Delivery Support Activity Cluster 2.
