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USAID KENYA HIV Service Delivery Support Activity (HSDSA) USAID KENYA HIV Service Delivery Support Activity (HSDSA) Cluster2 Quarterly Progress Report April to June 2018 A health care worker facilitates a support group meeting in Turkana County Date of Submission: July 30, 2018 This publication was by prepared by FHI 360 for review by United States Agency for International Development USAID KENYA (HIV Service Delivery Support Activity Cluster 2) FY 2018 Q2 Progress Report 01 April – 30 June 2018 Contract No: 72061518C00002 Prepared for Dr. James Batuka United States Agency for International Development/Kenya C/O American Embassy United Nations Avenue, Gigiri P.O. Box 629, Village Market 00621 Nairobi, Kenya Prepared by: Family Health International (FHI 360) The Chancery, 2nd Floor P.O Box 38835-00623, Valley Road Nairobi, Kenya The authors’ views expressed in this report do not necessarily reflect the views of the United States Agency for International Development or the United States Government. ii | HSDSA Cluster 2 Q3 (Apr-Jun 2018) Progress Report TABLE OF CONTENTS LIST OF FIGURES ................................................................................................................................................... IV I. HSDSA CLUSTER 2 EXECUTIVE SUMMARY ........................................................................................... VII II. KEY ACHIEVEMENTS (QUALITATIVE IMPACT) .................................................................................... 13 OBJECTIVE 1: INCREASED AVAILABILITY AND USE OF COMBINATION PREVENTION SERVICES FOR PRIORITY POPULATIONS ....................................................................................................................................... 13 OBJECTIVE 2: INCREASED UPTAKE OF TARGETED HIV TESTING SERVICES (HTS) .................................... 18 OBJECTIVE 3: IMPROVED LINKAGE TO TREATMENT FOR INDIVIDUALS NEWLY TESTING POSITIVE FOR HIV ............................................................................................................................................................................. 24 OBJECTIVE 4: INCREASED UPTAKE OF AND ADHERENCE TO QUALITY HIV TREATMENT SERVICES .... 30 OBJECTIVE 5: LONG TERM FOLLOW-UP OF PATIENTS RECEIVING CARE AND TREATMENT SERVICES INCLUDING LAB AND LOGISTICAL SUPPORT .................................................................................................... 45 OBJECTIVE 6: STRENGTHENED SUPPORT FOR FACILITY AND COUNTY MANAGEMENT OF HIV RESPONSE ................................................................................................................................................................ 52 III. ACTIVITY PROGRESS (QUANTITATIVE IMPACT) ............................................................................. 67 IV. CONSTRAINTS AND OPPORTUNITIES .................................................................................................. 67 V. PERFORMANCE MONITORING .............................................................................................................. 68 VI. PROGRESS ON GENDER STRATEGY ..................................................................................................... 71 VII. PROGRESS ON ENVIRONMENTAL MITIGATION AND MONITORING ........................................... 71 VIII. PROGRESS ON LINKS TO OTHER USAID PROGRAMS ...................................................................... 71 IX. PROGRESS ON LINKS WITH GOK AGENCIES ..................................................................................... 72 X. PROGRESS ON USAID FORWARD .......................................................................................................... 72 XI. SUSTAINABILITY AND EXIT STRATEGY ............................................................................................. 72 XII. SUBSQUENT QUARTER’S (JULY – SEPT 2018) WORK PLAN ............................................................. 73 XIII. FINANCIAL INFORMATION .................................................................................................................... 76 XIV. ACTIVITY ADMINISTRATION ................................................................................................................ 78 XV. SUCCESS STORIES .................................................................................................................................... 78 XVI. ANNEXES AND ATTACHMENTS ............................................................................................................. 81 iii | HSDSA Cluster 2 Q3 (Apr-Jun 2018) Progress Report LIST OF FIGURES FIGURE 1: PERFORMANCE ON VMMC APRIL TO JUNE 2018 ............................................................................................................................................ 14 FIGURE 2; PERFORMANCE ON VMMC BY AGE- NAKURU VS TURKANA COUNTIES ......................................................................................................... 16 FIGURE 3: SGBV SERVICE OUTCOMES FOR Q3 FY18 ......................................................................................................................................................... 17 FIGURE 4: HIV TESTING PERFORMANCE AS AT END OF Q3 FY18 ..................................................................................................................................... 18 FIGURE 5: Q3 CUMULATIVE HIV POSITIVE PERSONS IDENTIFIED VS 2018 TARGETS ..................................................................................................... 19 FIGURE 6: HIV TESTING AND LINKAGE TO ART CASCADE ................................................................................................................................................... 20 FIGURE 7: PARTNER NOTIFICATION SERVICES/SEXUAL NETWORK TESTING OUTCOMES .............................................................................................. 22 FIGURE 8: PERCENTAGE OF POSITIVE CLIENTS LINKED TO ART .......................................................................................................................................... 25 FIGURE 9: TB CASCADE APR – JUN FY18 .............................................................................................................................................................................. 28 FIGURE 10: GENEXPERT UTILIZATION RATES ........................................................................................................................................................................ 29 FIGURE 11: COUNTY ARV REPORTING RATES APR-JUNE 2018 ......................................................................................................................................... 31 FIGURE 12: PMTCT STAT ACHIEVEMENTS AGAINST ANNUAL TARGETS .......................................................................................................................... 37 FIGURE 13: PMTCT MATERNAL CASCADE FOR THE PERIOD OCT 17-JUNE 18 ............................................................................................................... 39 FIGURE 14: HEI POSITIVITY RATES 2016 TO 2018 ............................................................................................................................................................ 40 FIGURE 15: HEI WITH A TEST DONE WITHIN 2 MONTHS .................................................................................................................................................. 40 FIGURE 16: EID TEST DONE WITHIN 12 MONTHS .............................................................................................................................................................. 41 FIGURE 17: CUMULATIVE FY18 HEI POSITIVITY AND ART INITIATION RATE .................................................................................................................. 41 FIGURE 18: INFANT CASCADE FOR THE PERIOD OCT 17-JUNE 2018 ............................................................................................................................... 43 FIGURE 19: ONE-YEAR HEI COHORT ANALYSIS, APR TO JUNE 2017 COHORT OUTCOMES .......................................................................................... 43 FIGURE 20: MATERNAL 12-MONTH COHORT ANALYSIS ...................................................................................................................................................... 44 FIGURE 21: CURRENT ON TREATMENT ACHIEVEMENTS AGAINST TARGETS - QUARTER 3 FY 18 ................................................................................ 45 FIGURE 22: HSDSA CLUSTER 2 HIV TREATMENT CASCADE ............................................................................................................................................. 46 FIGURE 23: ADOLESCENT SUPPORT GROUP OUTCOMES ...................................................................................................................................................... 47 FIGURE 24: VIRAL LOAD SUPPRESSION RATES APR-JUN 2018 ............................................................................................................................................ 49 FIGURE 25: VIRAL SUPPRESSION RATE BY GENDER ............................................................................................................................................................... 49 FIGURE 26: QUARTERLY VIRAL SUPPRESSION PER AGE GROUP ............................................................................................................................................. 50 FIGURE 27: STF CASCADE
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