REPORT ON HIVAIDS STATUS IN KENYA

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REPORT ON HIV/AIDS STATUS IN KENYA
THE PROBLEM,THE CURRENT STATUS AND RESPONSE

• BY
• DR. PATRICK OREGE, MBchB, MPH, PhD.
• DIRECTOR,
• NATIONAL AIDS CONTROL COUNCIL.

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THE BIG ISSUE

• HIV/AIDS THREATENS THE SOCIO-ECONOMIC DEVELOPMENT
  OF INDIVIDUALS, COMMUNITIES AND THE COUNTRY AT
  LARGE.
• AIDS IS A DESTABILIZING FORCE IN ALL SECTORS.

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THE BIG ISSUE contd

• THE EPIDEMIC IS AFFECTING A WIDE CROSS-SECTION OF
  SOCIETY CHILDREN, THE YOUTH, ADULTS MEN AND
  WOMEN.
• HIV/AIDS IS A MULTI-DIMENSIONAL PROBLEM.

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The Big Issue Cont.

• 1.5 MILLION OF KENYANS HAVE DIED OF AIDS.
• 1.8 MILLION ARE LEFT ORPHANS.
• THE CUMULATIVE NUMBER OF DEATHS MAY RISE TO 2.6
  MILLION BY END OF 2005.

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The Big Issue Cont.

• Most AIDS deaths occur between ages of 25-35
  years.
• The economic loss per day is estimated to be
  about Kshs. 200 million.
• Life expectancy in the country has dropped from
  60 years in 1993 to about 47 years 2003 due to
  HIV/AIDS.

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VARIOUS SECTORS IMPACTED NAGATIVELY BY HIV/AIDS

• For Example, in Agriculture
• Direct Impact
• Reduction of labor supply
• Reduction in productivity

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Impact on Agriculture Cont.

• Reduction of agricultural extension services
• Loss of knowledge skills
• Subsequent change of land use pattern

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Impact on Agriculture Cont.

• Indirect Impact
• Reduction in household community food security
• Decline in nutritional health status among
  farmers families

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Impact on Agriculture Cont.

• School dropouts
• Failure to pay for immediate health needs
• Break-ups, women and child headed household,
  prostitution. ETC.

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THE STRATEGY

• THERE IS THEREFORE NEED FOR COLLABORATIVE
  EFFORTS, WHICH ARE NATIONAL AND MULTI-SECTORAL
  INVOLVING ALL STAKEHOLDERS
• THE GOVERNEMENT OF KENYA IS COMMITTED TO THE
  THREE ONES AS PRACTICAL APPROACH FOR NATIONAL
  RESPONSE, i.e.

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THE STRATEGY contd

• One Coordinating Body
• One National Strategic Plan
• One Monitoring Evaluation Framework.

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REVIEW OF NATIONAL RESPONSE

• i. The Establishment of NACC in 1999 (Legal
  Notice No. 170 of 26/11/99)
• ii. NACCs Mandate
• To mobilize resources for AIDS control and
  prevention,
• To coordinate and supervise implementation of
  AIDS programmes in the country

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NACCs Mandate contd..

• To mobilize all stakeholders to participate in
  AIDS control and prevention
• To provide a Framework to guide implementation of
  activities at all levels
• To coordinate monitoring and evaluation of
  national response.

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NACC INSTITUTIONAL FRAMEWORK
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PRIORITY AREAS IN KNASP 2000-2005

• Advocacy and Prevention
• Treatment, Continuum CARE and Support
• Mitigation of Social and Economic Impacts
• Monitoring, Evaluation and Research
• Management and Coordination

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Implementation of Kenya National HIV/AIDS
Strategic Plan (KNASP) 2000-2005 HAS BEEN MADE
THROUGH

• DECLARATION OF HIV/AIDS AS A NATIONAL DISASTER
• DECLARARION OF TOTAL WAR ON HIV/AIDS
• ESTABLISHMENT OF COMMUNITY COORDINATION
  MECHANISMS
• ESTABLISHMENT OF EFFICIENT COORDINATING MECHANISM

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Implementation of Kenya National HIV/AIDS
Strategic Plan (KNASP) 2000-2005 HAS BEEN MADE
THROUGH

• SUPPORTING COMMUNITIES TO SCALE UP HIV/AIDS
  ACTIVITIES
• SCALING UP OF ACCESS TO PREVENTION, CARE,
  TREATMENT , SUPPORT AND MITIGATION

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Implementation of Kenya National HIV/AIDS
Strategic Plan (KNASP) 2000-2005 HAS BEEN THROUGH

• Though inter-sectoral coordination
• The establishment of AIDS Control Units (ACUs)
  in all the line Ministries
• Consultation and dialogue with all stakeholders
• Funding Community Initiatives according to
  Priority Areas

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PROGRESS MADE IN VARIOUS PRIORITY AREAS

• To be discussed under various technical groups
  but the major ones do include
• Notable decline in HIV/AIDS prevalence from 14
  in 2000 to 7 in 2004
• Notable political commitment at all levels
• Increased resources allocated to HIV/AIDS
  activities
• Increased involvement of all sectors in the fight
  against HIV/AIDS

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RESOURCE MOBILIZATION

• In order to address the national response, there
  is need to address the availability of adequate
  resources financing mechanisms.
• National Resource Envelope survey done in 2002
  and 2004 have indicated that there is a large
  resource gap amounting toKShs 5.8 Billion.
• The tables below show total funding and
  expenditures as part of the national response

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RESOURCE MOBILIZATION
Table 1 Total HIV/AIDS Funding by Source
(KShs000)
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Figure 1.2 Total HIV/AIDS Expenditure by Source
(2000-2005, Kshs million)
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Figure 1.3 Funding as a of Total HIV/AIDS
Financing (2000/01-2004/5)
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Figure 1.4 Actual and Projected Donor Funding
for HIV/AIDS in Kenya (2000/01-2004/5)- Kshs
million)
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KENYA HIV/AIDS DISASTER RESPONSE PROJECT
(KHADREP)

• NACC THROUGH THE GOVERNMENT OF KENYA OBTAINED
  WORLD BANK CREDIT OF US 50 Million TO SCALE UP
  HIV/AIDS ACTIVITIES IN THE COUNTRY
• USING THE CREDIT FUNDS, NACC HAS SCALED UP
  ACTIVITIES IN PUBLIC SECTOR, PRIVATE SECTOR CIVIL
  SOCIETY AND FAITH BASED ORGANISATIONS

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KENYA HIV/AIDS DISASTER RESPONSE PROJECT (KHADREP)

• SINCE JUNE 2001 NACC HAS FUNDED MORE THAN 2000
  COMMUNITY INITIATIVE PROJECTS IMPLEMENTING
  HIV/AIDS ACTIVITIES IN VARIOUS PRIORITY AREAS
• THE FUNDING PROCESS IN VARIOUS PRIORITY AREAS IS
  INDICATED IS AS SHOWN BELOW

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Figure 2.1 NACC Community Initiative Account
2002-2003
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2.2 NACC Community Initiative Account 2003-2004
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CHALLENGES CRITICAL ISSUES

• Formulation of appropriate policies and
  legislation
• Mobilization of adequate financial resources and
  improving cost effectiveness of programmes /
  projects as per identified priorities
• Harmonization of donor inputs in support of the
  Sector Wide Approach

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CHALLENGES CRITICAL ISSUES contd..

• Establishing functional and decentralized ME
  framework/System and mainstreaming the same in
  every sector and level.
• Capacity development of implementing partners
• Conduct of appropriate research and utilization
  of research results

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GENUINE COMMITMENT

• Everyone in my government and myself now
  dedicate ourselves to making the defeat of
  HIV/AIDS our number one priority.
• HIS EXCELLENCY THE PRESIDENT
• Mwai Kibaki
• DURING THE LAUNCH OF Pamoja Campaign