- USAID KENYA AND EAST AFRICA AFYA KAMILISHA COP 18 Q3 Progress Report (April 2018 – June 2019) SUBMISSION DATE: 30 July 2019 ACTIVITY TITLE: Afya Kamilisha AWARD NUMBER: 72061518C00001 EFFECTIVE PROJECT DATES: 14, December 2017 – 13, December 2022 REPORTING PERIOD: April 2018 – June 2019 CONSORTIUM PARTNERS: Jhpiego, LVCT-Health, Amethyst and the Cloudburst Group i Prepared for: Dr Maurice Maina Contracting Officer Representative United States Agency for International Development Kenya and East Africa C/O American Embassy United Nations Avenue, Gigiri P.O. Box 629, Village Market 00621 Nairobi, Kenya Prepared by: Jhpiego – Johns Hopkins University Affiliate 2nd Floor, Arlington Block, 14 Riverside, off Riverside Drive, P.O. Box 66119-00800., Nairobi Office Tel: (+254-20) 3751882/4, (+254) 733 622 501/722 204 988 www.Jhpiego.org www.Facebook.com/Jhpiego ii | P a g e TABLE OF CONTENTS List of Tables ......................................................................................................................................... iv List of Figures........................................................................................................................................ iv ACRONYMS AND ABBREVIATIONS ...................................................................................................... v EXECUTIVE SUMMARY .......................................................................................................................... 6 KEY ACHIEVEMENTS .............................................................................................................................. 7 OBJECTIVE 1: INCREASED AVAILABILITY AND USE OF COMBINATION PREVENTION SERVICES FOR PRIORITY POPULATIONS ..................................................................................................................... 7 1.0 PROVISION OF DREAMS CORE PACKAGE OF INTERVENTIONS ................................................................................................................. 7 1.1 INTERVENTIONS THAT EMPOWER GIRLS AND YOUNG WOMEN (EG & YW) .................................................................................. 7 1.2 STRENGTHENING FAMILIES INTERVENTIONS (SF) ......................................................................................................................................... 8 1.3 MOBILIZE COMMUNITIES FOR NORMS CHANGE (MO COM.) .................................................................................................................. 9 1.4 INTERVENTIONS TO REDUCE RISK OF SEX PARTNERS ................................................................................................................................ 9 1.5 ENROLLMENT AND TRAINING OF FACILITATORS ............................................................................................................................................ 9 1.6 COLLABORATION AND LINKAGES..........................................................................................................................................................................10 1.7 LIPS’ ASSESSESSMENT FOR GRANTS UNDER CONTRACT ..........................................................................................................................10 1.8 ENROLMENT OF AGYW TO THE PROGRAM AND PROVISION OF SERVICES .....................................................................................10 1.9 PRE-EXPOSURE PROPHYLAXIS ................................................................................................................................................................................11 OBJECTIVE 2: INCREASED UPTAKE OF TARGETED HIV TESTING SERVICES ................................ 13 2.1 OVERALL PERFORMANCE BY COUNTY ................................................................................................................................................................13 2.2 OVERALL PERFORMANCE, HTS_TST (PROVIDER INITIATED COUNSELLING AND TESTING)......................................................15 2.3 ASSISTED PARTNER NOTIFICATION SERVICES .................................................................................................................................................16 2.4. HIV SELF TESTING........................................................................................................................................................................................................18 2.5 COLLABORATION WITH MOH ................................................................................................................................................................................18 2.6 INTERVENTIONS THAT ADDRESS GENDER BASED VIOLENCE (GBV) ...................................................................................................19 2.7 IMPLEMENTATION STRATEGY FOR QUARTER 4 .............................................................................................................................................20 OBJECTIVE 3: IMPROVED LINKAGE TO TREATMENT FOR INDIVIDUALS NEWLY TESTING POSITIVE FOR HIV ................................................................................................................................................ 24 3.1 EFFECTIVE REFERRAL AND LINKAGE TO HIV CARE AND TREATMENT .........................................................................................................24 3.2 TB / HIV SERVICES ............................................................................................................................................................................................................24 OBJECTIVE 4: INCREASED UPTAKE OF AND ADHERENCE TO QUALITY HIV TREATMENT SERVICES .............................................................................................................................................................. 27 4.0 HIV CARE AND TREATMENT SERVICES ....................................................................................................................................................................27 4.1 ANTI-RETROVIRAL TREATMENT (ART) ......................................................................................................................................................................27 4.2 ART OPTIMIZATION ........................................................................................................................................................................................................28 4.3 ADHERENCE AND PSYCHOSOCIAL SUPPORT ........................................................................................................................................................29 4.4 MALE FRIENDLY SERVICES ............................................................................................................................................................................................29 OBJECTIVE 5: LONG-TERM FOLLOW-UP OF CLIENTS RECEIVING CARE AND TREATMENT ........ 30 OBJECTIVE 6: STRENGTHENED INSTITUTIONAL CAPACITY AND ACCOUNTABILITY FOR THE MANAGEMENT OF COMMUNITY, FACILITY AND COUNTY HIV RESPONSE. ................................ 38 IV. PERFORMANCE MONITORING...................................................................................................... 42 V. PROGRESS ON GENDER STRATEGY ........................................................................................ 46 VII. PROGRESS ON LINKS WITH GOK AGENCIES ..................................................................... 48 IIX. SUSTAINABILITY AND EXIT STRATEGY | JOURNEY TO SELF-RELIANCE (J2SR) ........ 48 IX. PROGRESS ON LINKS TO OTHER USAID PROGRAMS ........................................................ 48 X. WORK PLAN STATUS MATRIX ................................................................................................. 49 XI. CONSTRAINTS AND RECOMMENDATIONS ......................................................................... 53 iii | P a g e XIII. PLANNED ACTIVITIES ............................................................................................................. 54 XIV. FINANCIAL INFORMATION ................................................................................................... 56 XIV. PROJECT ADMINISTRATION ................................................................................................. 57 XV. SUCCESS STORIES .................................................................................................................... 59 XVI. ANNEXES ................................................................................................................................... 60 ANNEX I: LIST OF DELIVERABLE PRODUCTS ........................................................................................................................... 60 ANNEX II: REFERRAL AND LINKAGE BY COUNTY, SEX AND AGE ........................................................................................ 61 ANNEX III: ACTIVITY PROGRESS – QUANTITATIVE IMPACT TABLES ............................................................................ 68 List of Tables TABLE 1: PEOPLE REACHED THROUGH SASA! .................................................................................................................................................................. 9 TABLE 2: NUMBER OF FACILITATORS TRAINED ................................................................................................................................................................ 10 TABLE 3: DREAMS OVC SERVICE