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Elgeyo Marakwet County Hiv and Aids Strategic Plan

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Elgeyo Marakwet County Hiv and Aids Strategic Plan ELGEYO MARAKWET COUNTY HIV AND AIDS STRATEGIC PLAN 2014/2015 - 2018/2019 “County of Champions” ELGEYO MARAKWET COUNTY HIV AND AIDS STRATEGIC PLAN 2014/2015 - 2018/2019 “County of Champions” iii 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 ABBREVIATIONS vi FOREWORD ix PREFACE x ACKNOWLEDGEMENT xi EXECUTIVE SUMMARY xii CHAPTER 1: BACKGROUND INFORMATION 1 1.1 Location 2 1.2 Demographic 4 1.3 Economic Activities 4 1.4 Religion and Traditional Culture 4 1.5 Health Access, HIV and Nutrition 4 CHAPTER 2: HIV SITUATIONAL ANALYSIS 7 2.1 Drivers of HIV Epidemic 9 2.2: HIV Policy, Coordination and Financing in the County. 9 2.3: Strength, Weakness, Opportunity and Threat Analysis 10 CHAPTER 3: RATIONALE, DEVELOPMENT PROCESS, GUIDING PRINCIPLES AND ALIGNMENT TO OTHER FRAMEWORKS 14 Guiding Principles 14 Alignment with other Frameworks 14 CHAPTER 4: VISION, MISSION, OBJCTIVES AND STRATEGIC DIRECTIONS 15 County Vision: 16 Mission: 16 Objectives: 16 CHAPTER 5: IMPLEMENTATION ARRANGEMENT, ROLES AND RESPONSIBILITIES 31 Implementation Arrangement 32 Roles and Responsibilities. 32 CHAPTER 6: MONITORING AND EVALUATION PLAN 34 CHAPTER 7: RISK, ASSUMPTIONS AND MITIGATION PLAN 37 Annex 1: Results Framework 40 Annex 2: Resource Needs 50 Annex 3: References 62 Annex 4: List of Drafting and Technical Review Team 63 “County of Champions” v Abbreviations AMPATH - Academic Model For Providing Access To Healthcare AMREF - African Medical Research Foundation APHIA Plus - AIDS, Population and Health Integrated Assistance ART – Anti-Retroviral Therapy CACCS - Constituency HIV and AIDS Coordinating Committees CASCO - County AIDS and STI Control Coordinator CBOS – Community Based Organizations CCC - Comprehensive Care Clinic CEC - County Executive Committee CHD - County Health Director CHEWS - Community Health Extension Workers CHIRO - County Health Information and Records Officer CHIS - Community Health Information System CHMT - County Health Management Team CHV - Community Health Volunteer CIDP - County Integrated Development Plan COAC - County AIDS Coordinator COBPAR - Community Based Program Activity Reporting COP - Communities of Practice CSO - Civil Society Organization DACCS - District AIDS Control Committees DHIS - District Health Information Systems DTC - District Technical Committees EMCASP - Elgeyo Marakwet County AIDS Strategic Plan EMHSSIP - Elgeyo Marakwet Health Sector Strategic and Investment Plan vi ELGEYO MARAKWET COUNTY HIV AND AIDS STRATEGIC PLAN (2014/2015- 2018/2019) EMTCT - Elimination of Mother To Child Transmission FBO - Faith Based Organisations FGM - Female Genital Mutilation HCWS - Health Care Workers HIV - Human Immuno-deficiency Virus HMIS - Health Management Information Systems HRBA - Human Rights Based Approach HTC - HIV Testing and Counselling HTS - HIV Testing Services ICC - Inter Agency Coordinating Committee KAIS - Kenya AIDS Indicator Survey KASF - Kenya AIDS Strategic Framework KDHS - Kenya Demographic Health Survey KEPH - Kenya Essential Package of Health KHIS - Kenya Health Information System MNCH - Maternal and Neonatal Child Health MOEST - Ministry of Education Science And Technology MoH - Ministry of Health MSM - Men having Sex with Men NACC - National AIDS Control Council NASCOP - National AIDS and STI Control Program NEPHAK - Network of People living with HIV and AIDS in Kenya NGO - Non Governmental Organizations NHIF - National Hospital Insurance Fund “County of Champions” vii OVC - Orphaned and Vulnerable Children PACCS - Provincial AIDS Control Councils PLHIV - People Living with HIV PLWD - People Living with Disability PLWHA - People Living with HIV and AIDS PMS - Post Marketing Surveillance PMTCT - Prevention of Mother to Child Transmission PWD - People with Disability SGBV - Sexual and Gender Based Violence. SRH - Sexual and Reproductive Health TBD - To Be Determined TOWA - Total War Against AIDS TWG - Technical Working Group USAID - United States Agency For International Development VCT - Voluntary Counselling and Testing viii ELGEYO MARAKWET COUNTY HIV AND AIDS STRATEGIC PLAN (2014/2015- 2018/2019) Foreword Elgeyo Marakwet County is one of the 47 devolved units as provided for by the Kenya Constitution 2010. For the last three years of devolution, the county has registered tremendous growth in many areas. The Constitution provides for devolution of power and resources alongside functions that were initially carried out by the central government. It is important to note that since the start of implementation of the new constitution, basic services have been rendered to the people at the local level from county down to the ward level. Elgeyo Marakwet County continues to align its development programs in line with the aspirations and the needs of local people who deserve effective and efficient delivery of services. Health is one of the devolved functions being implemented by the county government in line with the County Integrated Strategic Plan. A lot of progress has been made with HIV prevalence dropping to 2.5 percentage points in the last five years. New HIV infections among children have almost halved. HIV and AIDS, however, continue to contribute the highest mortality rates, burdening households and straining national health systems. With this understanding, the Kenya AIDS Strategic Framework demonstrates the firm commitment by key stakeholders to support national and county governments to deliver better health for all with a focus on cost effective and socially inclusive interventions to prevent and manage HIV and AIDS. The Elgeyo Marakwet County AIDS Strategic Plan strives to provide a paradigm shift in the fight against HIV by putting local leaders at the centre of the HIV response. I wish to declare my commitment and rally all leaders in the county to contribute favourably in the fight against the HIV and AIDS pandemic. The strategic plan emphasizes on an all rounded HIV response that ensures no one is left behind. This is a priority for the county for it to achieve her goals. It promotes calibration of our efforts through effective prioritisation of interventions. The plan focuses on effective evidence-based investments, which target priority populations while ensuring that all Kenyans are reached and stigma and discrimination are reduced for improved health outcomes. We intend to establish new financing strategies for domestic and sustainable financing for HIV as a priority for the County Government. The Elgeyo Marakwet CASP outlines an innovative leverage funding approach based on implementation of the HIV Fund that will increase resources, increase access to universal healthcare for those living with HIV and ultimately subsidise Kenya’s future liability for HIV prevention and treatment. In this regard, therefore, my Government is committed to facilitating achievement of the results articulated in the Elgeyo Marakwet CASP. In doing so, we will build on the progress made so far through decades of hard work, unity of purpose, courage and commitment to step up the momentum towards ending the AIDS pandemic. H.E. Eng. Alex Tolgos Governor, Elgeyo Marakwet County “County of Champions” ix Preface Elgeyo Marakwet County AIDS Strategic Plan (2014/15-2018/19) marks a major milestone in our county’s efforts to respond to HIV and AIDS pandemic that has claimed the lives of our productive members. At the heart of this new strategy is the concept of devolution of political and economic power to the 47 counties. In developing this strategic plan for the county’s HIV response, the county government has taken cognizance of the new governance structure in the country, which requires that we shift the characterisation of the HIV response from “crisis management” to “strategic and sustainable” mode. This county understands the importance of engaging all stakeholders in developing the CASP. In working together with our partners over the last several years, we have been able to register some marked progress in a number of critical areas in our HIV response. On its part, the Elgeyo Marakwet County Government, through the Department of Health Services, has created an enabling and secure environment that allows the county to build a fair and unified society by addressing some central factors that affect human capital including the health of its population. This Strategic Plan requires that all actors pay particular attention to vulnerable and marginalised groups. This paradigm shift calls for the utilisation of social, behavioural, cultural, biomedical, scientific and technological interventions as inputs to make real progress in HIV prevention, treatment and impact mitigation. I wish to appeal to our partners and stakeholders to join and participate in this noble course to reduce HIV prevalence rate. Let us all join hands as we deepen and strengthen our response while seeking innovative ways to sustain our response in all the counties. If we pull together, our vision of a Kenya free of HIV infections, stigma and AIDS related deaths will be a reality. Hon. Thomas Rutto County Executive Committee Member, Health Services x ELGEYO MARAKWET COUNTY HIV AND AIDS STRATEGIC PLAN (2014/2015- 2018/2019) Acknowledgement It is our pleasure to acknowledge the significant contributions from individuals and organizations whose efforts, time and knowledge contributed immensely to this valuable document for Elgeyo Marakwet County. The leadership of the Elgeyo
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