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Embu County Hiv and Aids Strategic Plan 2014/2015 - 2018/2019

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Embu County Hiv and Aids Strategic Plan 2014/2015 - 2018/2019 EMBU COUNTY HIV AND AIDS STRATEGIC PLAN 2014/2015 - 2018/2019 A County free of HIV infections, stigma and AIDS related deaths A County free of HIV infections, stigma and AIDS related deaths Any part of this document may be freely reviewed, quoted, reproduced or translated in full or in part, provided the source is acknowledged. It may not be sold or used for commercial purposes or for profit. THE LAND OF OPPORTUNITIES EMBU COUNTY HIV AND AIDS STRATEGIC PLAN 2014/15-2018/19 A County free of HIV infections, stigma and AIDS related deaths Any part of this document may be freely reviewed, quoted, reproduced or translated in full or in part, provided the source is acknowledged. It may not be sold or used for commercial purposes or for profit. A County free of HIV infections, stigma and AIDS related deaths Table of Contents Acronyms and Abbreviations vi Foreword ix Preface x Acknowledgments xi Executive Summary xii CHAPTER 1: BACKGROUND OF THE COUNTY 1 1.1 Embu County 2 1.2 Location 2 1.3 Demography 2 1.4 Economic activities 3 1.5 Health facilities 3 1.6 Religion and Culture 3 1.7 HIV Policy, Coordination and Financing in the County 4 CHAPTER 2: SITUATION ANALYSIS 5 2.1 National sources of new infection 6 2.2 Drivers of HIV epidemics in the County 6 2.3 Target Population 7 2.4 HIV Epidemiology 7 2.5 HIV Mortality (deaths) in the County 8 2.6 HIV treatment in the County 8 2.7 HIV and TB co-infection 9 2.8 Nutritional status in the County 9 2.9 Elimination of Mother to Child Transmission (eMTCT) 10 2.10 Embu Orphans and social welfare indicators 11 2.11 HIV and AIDS Knowledge, Transmission and Prevention methods 11 2.12 Priorities for the county response 12 2.13 Strength, Weakness, Opportunity, and Threats (SWOT) analysis in Embu County 13 CHAPTER 3: RATIONALE AND PURPOSE, STRATEGIC PLAN DEVELOPMENT PROCESS AND THE GUIDING PRINCIPLES 14 3.1 Rationale 15 3.2 Purpose of the HIV plan 15 3.3 Strategic plan development process 15 3.4 Guiding Principles 15 CHAPTER 4: VISION, MISSION, OBJECTIVES AND COUNTY STRATEGIC DIRECTIONS 17 4.1 Vision 18 4.2 Mission 18 4.3 Objectives 18 4.4 Specific Objectives 18 4.5 Strategic Directions 18 iv EMBU COUNTY HIV & AIDS STRATEGIC PLAN (2014/2015-2018/2019) Table of Contents Acronyms and Abbreviations vi CHAPTER 5: Foreword ix IMPLEMENTATION ARRANGEMENT 42 Preface x 5.1 Stakeholders management and accountability 43 Acknowledgments xi 5.2 Embu County HIV coordination structure for ECASP delivery 44 Executive Summary xii 5.3 Coordinators and their roles 45 CHAPTER 1: CHAPTER 6: BACKGROUND OF THE COUNTY 1 MONITORING AND EVALUATION PLAN 50 1.1 Embu County 2 1.2 Location 2 CHAPTER 7: 1.3 Demography 2 RISKS, ASSUMPTIONS AND MITIGATION PLAN 53 1.4 Economic activities 3 1.5 Health facilities 3 1.6 Religion and Culture 3 CHAPTER 8: 1.7 HIV Policy, Coordination and Financing in the County 4 COSTING AND RESOURCE MOBILIZATION STRATEGIES 54 8.1 Costing model 55 8.2 Sustainability 55 CHAPTER 2: SITUATION ANALYSIS 5 2.1 National sources of new infection 6 ANNEX 56 2.2 Drivers of HIV epidemics in the County 6 Annex 1: Implementation plan 56 2.3 Target Population 7 Annex 2: Result Framework 58 2.4 HIV Epidemiology 7 Annex 3: Drafting and technical teams 61 2.5 HIV Mortality (deaths) in the County 8 2.6 HIV treatment in the County 8 REFERENCES 62 2.7 HIV and TB co-infection 9 2.8 Nutritional status in the County 9 2.9 Elimination of Mother to Child Transmission (eMTCT) 10 2.10 Embu Orphans and social welfare indicators 11 2.11 HIV and AIDS Knowledge, Transmission and Prevention methods 11 2.12 Priorities for the county response 12 2.13 Strength, Weakness, Opportunity, and Threats (SWOT) analysis in Embu County 13 CHAPTER 3: RATIONALE AND PURPOSE, STRATEGIC PLAN DEVELOPMENT PROCESS AND THE GUIDING PRINCIPLES 14 3.1 Rationale 15 3.2 Purpose of the HIV plan 15 3.3 Strategic plan development process 15 3.4 Guiding Principles 15 CHAPTER 4: VISION, MISSION, OBJECTIVES AND COUNTY STRATEGIC DIRECTIONS 17 4.1 Vision 18 4.2 Mission 18 4.3 Objectives 18 4.4 Specific Objectives 18 4.5 Strategic Directions 18 iv EMBU COUNTY HIV & AIDS STRATEGIC PLAN (2014/2015-2018/2019) A County free of HIV infections, stigma and AIDS related deaths v Acronyms and abbreviations ACT Antiretroviral Combined Therapy AIDS Acquired Immune Deficiency Syndrome AMREF African Medical Research Foundation ANC Antenatal Clinic APHIA plus AIDS, Population and Health Integrated Assistance Plus ART Anti-Retroviral Therapy ARV Anti-Retroviral CACC County AIDS Community Coordinator CASCO County AIDS and STI Coordinator CASM County AIDS Sectoral Mainstreaming CBOs Community Based Organizations CCC Comprehensive Care Clinic CCHF County Community Health Strategy focal person CDC Centre for Disease Control CDH County Director of Health CEC County Executive Committee CHAK Christian Health Association of Kenya CHAs Community Health Assistants CHC County HIV Committee CHD County health department CHEWs Community Health Extension Workers CHMT County Health Management Team CHRO County Health Record Officer CHVs Community Health Volunteers CMLT County Medical Laboratory Technologist COBPAR Community-Based Programme Activity Reports COH Chief Officer of Health CPHO County Public Health Officer CUs Community Units DHIS District Health Information System DSW Deutsche Stiftung Weltbevoelkerung EAC East African Community ECASP Embu County AIDS Strategic Plan eMTCT Elimination of Mother to Child Transmission ERC Ethics and Research Committee FBOs Faith Based Organizations FGM Female Genital Mutilation FHOK Family Health Options of Kenya FIDA Federation of Women Lawyers FSW Female Sex Workers GBV Gender Based Violence GOK Government of Kenya HAART Highly Active Antiretroviral Therapy HCBC Home and Community Based Care HCW Healthcare Workers vi EMBU COUNTY HIV & AIDS STRATEGIC PLAN (2014/2015-2018/2019) Acronyms and abbreviations ACT Antiretroviral Combined Therapy HIV Human Immunodeficiency Virus AIDS Acquired Immune Deficiency Syndrome HPV Human Papilloma Virus AMREF African Medical Research Foundation HRBA Human Rights Based Approach ANC Antenatal Clinic HRIO Health Records Information Officer APHIA plus AIDS, Population and Health Integrated Assistance Plus HSSP Health Sector Strategic Plan ART Anti-Retroviral Therapy HTC HIV Testing and Counselling ARV Anti-Retroviral HTS HIV Testing Services CACC County AIDS Community Coordinator IGA Income generating activities CASCO County AIDS and STI Coordinator IGAD Intergovernmental Authority for Development CASM County AIDS Sectoral Mainstreaming KAIS Kenya AIDS Indicator Survey CBOs Community Based Organizations KASF Kenya AIDS Strategic Framework CCC Comprehensive Care Clinic KDHS Kenya Demographic Health Survey CCHF County Community Health Strategy focal person KEMRI Kenya medical research institute CDC Centre for Disease Control KMOT Kenya Modes of Transmission CDH County Director of Health KNBS Kenya National Bureau of Statistics CEC County Executive Committee KP Key Population CHAK Christian Health Association of Kenya M&E Monitoring and Evaluation CHAs Community Health Assistants MAM Moderate Acute Malnutrition CHC County HIV Committee MCAs Member of County Assembly CHD County health department MCH Maternal Child Health CHEWs Community Health Extension Workers MNCH Maternal neonatal and child health CHMT County Health Management Team MoE Ministry of Education CHRO County Health Record Officer MoH Ministry of Health CHVs Community Health Volunteers MSM Men who have Sex with Men CMLT County Medical Laboratory Technologist MSW Male Sex Workers COBPAR Community-Based Programme Activity Reports MTCT Mother to Child Transmission COH Chief Officer of Health NACADA National Agency for the Campaign Against Drug Abuse CPHO County Public Health Officer NACC National AIDS Control Council CUs Community Units NASCOP National AIDS STI Control Programme DHIS District Health Information System NGOs Non-governmental Organizations DSW Deutsche Stiftung Weltbevoelkerung NHIF National Health Insurance Fund EAC East African Community OVC Orphans and Vulnerable Children ECASP Embu County AIDS Strategic Plan PEP Post Exposure Prophylaxis eMTCT Elimination of Mother to Child Transmission PHC Primary Health Care ERC Ethics and Research Committee PHDP Positive Health Dignity and Prevention FBOs Faith Based Organizations PLHIV People Living with HIV FGM Female Genital Mutilation PMTCT Prevention of Mother to Child Transmission FHOK Family Health Options of Kenya PNC Post-Natal Care FIDA Federation of Women Lawyers PrEP Pre-Exposure Prophylaxis FSW Female Sex Workers PwD People with Disability GBV Gender Based Violence PWIDs People Who Inject Drugs GOK Government of Kenya RHC Regional HIV Coordinator HAART Highly Active Antiretroviral Therapy SAM Severe Acute Malnutrition HCBC Home and Community Based Care SCACC Sub-County AIDS Community Coordination HCW Healthcare Workers SCASCO Sub-County AIDS and STI Coordinator vi EMBU COUNTY HIV & AIDS STRATEGIC PLAN (2014/2015-2018/2019) A County free of HIV infections, stigma and AIDS related deaths vii SCHRIO Sub-county Health Record Information Officer SRH Sexual and Reproductive Health STI Sexual Transmitted Infections SW Sex Workers SWAK Society for Women & AIDS in Kenya SWOT Strength, Weakness, Opportunities and Threats TB Tuberculosis TBAs Traditional Birth Attendants TWG Technical Working Group UN United Nations UoN University of Nairobi VCT Voluntary Counselling and Testing WHO World Health Organization viii EMBU COUNTY HIV & AIDS STRATEGIC PLAN (2014/2015-2018/2019) SCHRIO Sub-county Health Record Information Officer Foreword SRH Sexual and Reproductive Health STI Sexual Transmitted Infections SW Sex Workers In recent years, the county of Embu has experienced signifi cant SWAK Society for Women & AIDS in Kenya economic growth. This has been realized in the areas of agriculture, SWOT Strength, Weakness, Opportunities and Threats infrastructure and trade among others. It has also raised the living TB Tuberculosis standards of the residents and put the county in the limelight on the TBAs Traditional Birth Attendants national arena.
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