Nairobi City County Hiv & Aids Strategic Plan
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NAIROBI CITY COUNTY HIV & AIDS STRATEGIC PLAN 2015/2016 - 2018/2019 “Towards Ending the HIV Epidemic in Nairobi City County” i NAIROBI CITY COUNTY HIV & AIDS STRATEGIC PLAN 2015/2016 - 2018/2019 “Towards Ending the HIV Epidemic in Nairobi City County” iii Cover photos (front right to back left) ➜ NACC Director pays a courtesy call to Nairobi Governor Dr. Evans Kidero © NACC ➜ Nairobi, Kenya. March 5, 2016 © Darko Vrcan / Shutterstock.com ➜ HIV testing campaign targeting motorcycle taxi drivers in Nairobi. © UNAIDS 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. Table of Contents Acronyms and abbreviations vi Foreword viii Preface ix Acknowledgement x Executive Summary xi CHAPTER 1: NAIROBI CITY COUNTY BACKGROUND 1 Location 2 Demographics 2 Socio-Economic Background 2 Education and Literacy 3 CHAPTER 2: SITUATION ANALYSIS 5 CHAPTER 3: RATIONALE, STRATEGIC DEVELOPMENT PROCESS AND GUIDING PRINCIPLES 13 3.1 Purpose of the HIV Plan 14 3.2 Process of developing the plan 14 3.3 Guiding Principles 15 3.4 Alignment with other National and International strategic frameworks 16 CHAPTER 4: VISION, MISSION, GOAL, OBJECTIVES AND STRATEGIC DIRECTIONS 17 4.1 Vision 18 4. 2 Goal 18 4. 3 Mission 18 4.4 Objectives 18 4.5 Strategic Directions 19 CHAPTER 5: Cover photos (front right to back left) IMPLEMENTATION ARRANGEMENTS 43 ➜ NACC Director pays a courtesy call to Nairobi Governor Dr. Evans Kidero © NACC 5.1 Stakeholder Coordination, Leadership and Accountability 44 ➜ Nairobi, Kenya. March 5, 2016 © Darko Vrcan / Shutterstock.com 5.2 Sustainability 44 ➜ HIV testing campaign targeting motorcycle taxi drivers in Nairobi. © UNAIDS CHAPTER 6: MONITORING AND EVALUATION PLAN 47 CHAPTER 7: RISK AND MITIGATION PLAN 49 CHAPTER 8: RESULTS FRAMEWORK 53 Any part of this document may be freely reviewed, quoted, reproduced or CHAPTER 9: translated in full or in part, provided the source is acknowledged. It may IMPLEMENTATION PLAN 63 not be sold or used for commercial purposes or for profit. “Towards Ending the HIV Epidemic in Nairobi City County” v Acronyms and abbreviations ACSM Advocacy, Communication and Social Mobilisation AIDS Acquired Immune Deficiency Syndrome ART Antiretroviral Treatment ARV Antiretroviral CACC Constituency AIDS Control Coordinator CASCO County AIDS and Sexually Transmitted Infections Coordinator CBD Central Business District CCC Comprehensive Care Centre CECM County Executive Committee Member CHA Community Health Assistant CHMT County Health Management Team CHTS Community HIV Testing Services CHU Community Health Unit CHV Community Health Volunteer CME Continuing Medical Education COBPAR Community Based Programme Activity Report CPMCT Community Prevention of Mother-to-Child Transmission CSO Civil Society Organisation DHIS District Health Information System DICE Drop-in Centre DQA Data Quality Assessment EMR Electronic Medical Record EMTCT Elimination of Mother-to-Child Transmission FBO Faith-based Organisation FSW Female Sex Worker HCW Health Care Worker HCBC Home and Community Based Care HEI HIV-exposed Infant HIV Human Immunodeficiency Virus HPV Human Papilloma virus HRH Human Resources for Health HTC HIV Testing and Counselling HTS HIV Testing and Services ICC Inter agency Coordinating Committee ICF Intensify Case Finding ICT Information and Communications Technologies IPC Infection Prevention Control IPD In-Patient Department IPT Isoniazid Preventive Therapy KASF Kenya AIDS Strategic Framework KEPH Kenya Essential Package for Health KP Key Populations vi NAIROBI CITY COUNTY HIV & AIDS STRATEGIC PLAN (2015/2016- 2018/2019) Acronyms and abbreviations ACSM Advocacy, Communication and Social Mobilisation LMIS Logistics Management Information System AIDS Acquired Immune Deficiency Syndrome MAT Medication-Assisted Therapy ART Antiretroviral Treatment M&E Monitoring and Evaluation ARV Antiretroviral MCA Member of the County Assembly CACC Constituency AIDS Control Coordinator MNCAH Maternal, New-born, Child and Adolescent Health CASCO County AIDS and Sexually Transmitted Infections Coordinator MoU Memorandum of Understanding CBD Central Business District MoT Modes of Transmission CCC Comprehensive Care Centre MSM Men who have Sex with Men CECM County Executive Committee Member NACC National AIDS Control Council CHA Community Health Assistant NASCOP National AIDS and STI Control Program CHMT County Health Management Team NCCHASP Nairobi City County HIV & AIDS Strategic Plan CHTS Community HIV Testing Services NCCHSSIP Nairobi City County Health Sector Strategic and Investment Plan CHU Community Health Unit NCD Non Communicable Disease CHV Community Health Volunteer NGO Non-Governmental Organization CME Continuing Medical Education OI Opportunistic Infection COBPAR Community Based Programme Activity Report OJT On-Job Training CPMCT Community Prevention of Mother-to-Child Transmission OPD Out Patient Department CSO Civil Society Organisation ORMU Operational Research Monitoring Unit DHIS District Health Information System OVC Orphans and Vulnerable Children DICE Drop-in Centre PEP Post Exposure Prophylaxis DQA Data Quality Assessment PLHIV People Living with HIV EMR Electronic Medical Record PLWD People Living with Disability EMTCT Elimination of Mother-to-Child Transmission PPP Public-Private Partnership FBO Faith-based Organisation PrEP Pre-Exposure Prophylaxis FSW Female Sex Worker PSSG Psychosocial Support Group HCW Health Care Worker PWID People Who Inject Drugs HCBC Home and Community Based Care QI Quality Improvement HEI HIV-exposed Infant QIT Quality Improvement Team HIV Human Immunodeficiency Virus RRI Rapid Result Initiative HPV Human Papilloma virus SCHMT Sub-county Health Management Team HRH Human Resources for Health SDP Service Delivery Point HTC HIV Testing and Counselling SGBV Sexual and Gender Based Violence. HTS HIV Testing and Services STI Sexually Transmitted Infections ICC Inter agency Coordinating Committee SRH Sexual and Reproductive Health ICF Intensify Case Finding TB Tuberculosis ICT Information and Communications Technologies TOWA Total War against HIV and AIDS IPC Infection Prevention Control TWG Technical Working Group IPD In-Patient Department VCT Voluntary Counselling and Testing IPT Isoniazid Preventive Therapy VMMC Voluntary Medical Male Circumcision KASF Kenya AIDS Strategic Framework WIT Work Improvement Team KEPH Kenya Essential Package for Health VLU Viral Load Uptake KP Key Populations vi NAIROBI CITY COUNTY HIV & AIDS STRATEGIC PLAN (2015/2016- 2018/2019) “Towards Ending the HIV Epidemic in Nairobi City County” vii Foreword Nairobi City County is Kenya’s main commercial centre with a well-developed infrastructure and modern fi nancial and communications systems. It hosts the country’s largest industrial centre, which accounts for almost 20 percent of the gross domestic product (GDP). As one of the county leading in the contribution of the HIV burden in Kenya, there is need for a responsive mechanism to be put in place to address the epidemic. With close to 160,000 residents, including 11,104 children, out of a population of 3,517,325 who are living with HIV, this need is further exuberated. Nairobi continues to host a highly mobile population comprised of regional refugees and rural to urban migrants and this has implications on the accessibility of health services. The transitional aspect of their health seeking behaviours can hinder the advancement of achieving the 90-90-90 targets. With additional factors such as poverty in the ever growing informal settlements and lingering stigma and discrimination particularly among key population and young girls, the risk of contracting HIV signifi cantly increases. The development of the Nairobi City County HIV & AIDS Strategic Plan 2015/2016 – 2018/2019 is a clear indication of Nairobi County Government’s commitment to addressing the challenges of HIV and AIDS in the county in line with the Paris Declaration of 2014, where we signed up to fast track and end the HIV epidemic in cities by 2030. This strategic plan is aligned with the recently launched National Kenya AIDS Strategic Framework (KASF) 2014/2015 – 2018/2019, the Kenya HIV Prevention Roadmap and the Nairobi City County Strategic and Investment Plan (NCCSIP). The Nairobi City County government, under my leadership, is committed to facilitating the achievement of the goals of this strategic plan by allocating required resources as well as enhancing public private partnerships (PPPs), collaborating with the donor community and engaging the Nairobi City County community toward a City County free of new infections and AIDS-related deaths. Nairobi City County will endeavour to provide quality health services to residents. H.E. Dr. Evans Kidero Governor, Nairobi City County viii NAIROBI CITY COUNTY HIV & AIDS STRATEGIC PLAN (2015/2016- 2018/2019) Foreword Preface Nairobi City County is Kenya’s main commercial centre with Nairobi City County is committed to providing quality and targeted a well-developed infrastructure and modern fi nancial and health services that respond to the unique challenges that come communications systems. It hosts the country’s largest industrial with high and diverse populations in capital cities. centre, which accounts for almost 20 percent of the gross domestic product (GDP). The development of the Nairobi City County HIV & AIDS Strategic Plan is one of the key steps towards this commitment. This As one of the county