The Government of Kenya recognizes the importance of changing the tide on new HIV infections. The burden of the epidemic in Kenya is large and its extreme heterogeneity adds to the complexity of the response. According to the preliminary report of the Kenya AIDS indicator Survey of 2012, there are about 1.2 million people living with HIV out of a total population of 38 million. HIV prevalence among adults aged 15 to 64 years is 5.6%. The report also shows an HIV prevalence of 0.9% of children aged 18 months to 14 years with an estimated 104,000 children infected with HIV in Kenya.
The burden of HIV in the 47 counties is not homogenous with some of the counties such as Homa-Bay, Kisumu and Siaya reaching hyper endemic situation where adult HIV prevalence is between 13% – 28%. Similarly the pattern of new infections in the counties is not uniform with annual infections as high as an estimated 13,510 in Nairobi and as low as 10 in Wajir County in 2011. The success of treatment programme resulted to about 340,000 deaths and 240,000 new infections averted during the same period. However, the Government is concerned by the fact that although the country had cumulatively enrolled 604,000 people on treatment by the end of 2012, an estimated 548,000 new infections had occurred. This scenario presents a challenge towards sustainability of treatment programmes if new infections are not stemmed.
It is against this background that this HIV prevention Roadmap is developed through a process that began in 2011 to set country on a clear path towards zero new HIV infections with clear targets and milestones towards quality of care to those living with HIV. It is on this backdrop that CINCO works to support innovative projects that can help downscale the HIV epidemic with an eye set on the UN 90-90-90 target.
This roadmap is an important tool to unify and shifts planning, implementation and financing processes of HIV prevention intervention in line with the country governance structures and planning processes.
CINCO supports counties in Kenya to address gaps in the cascade of HIV prevention and adherence services through a variety of innovative approaches that include Moon light VCT, Socio-Economic empowerment of most at risk groups, Defaulter tracing and adherence counselling, Mobile HTC Services and Campaigns, Community-based PITC, Door-to-door home visits, Index client and integrated approaches in the fight against the disease.
CINCO’s key activity areas involve;
CINCO’s key activity areas
UNAIDS 90-90-90 targets:
90–90–90 – An ambitious treatment target to help end the AIDS epidemic
By 2020, 90% of all people living with HIV will know their HIV status. By 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy. By 2020, 90% of all people receiving antiretroviral therapy will have viral suppression.