Ministry of Health

National HIV and STI Control Programme (NASCOP)

National HIV Programme Key Highlights 2017-2018

The National AIDS and STI Control Programme (NASCOP) spearheads the Ministry of
Health’s interventions in the fight against HIV/AIDS. Its’ roles include policy and guidelines
formulation, procurement and supply chain management coordination, capacity building and
monitoring and evaluation of the HIV response. This brief contains the performance of HIV
programmes in Kenya between January and December 2017 and some key highights of activi-
ties in 2018. Data sources:
• The primary source of data used for this analysis is the District Health Information System
(DHIS2). All MOH HIV program data is reported through this system by health facilities.
National AIDS & STI Control Programme • A second data source is the MOH 711 that provides the denominator for PMTCT uptake.
Tel: +254-775 597 297 • The third source of data for this analysis is the National Viral Load/EID system. This system
is a repository of HIV viral load and early infant diagnosis (EID) data.
Email: info@nascop.or.ke
• The fourth source, is the 2018 HIV estimates which provided the targets against which
www.nascop.or.ke
programme uptake was measured. These estimates were produced by the Kenya National
AIDS Control Council (NACC) in collaboration with NASCOP and other stakeholders.
This brief and the full 2017 Annual HIV Programme Report is also available on
www.nascop.or.ke

HIV Testing Services (HTS)

Figure 1: HIV Testing and Yield by County, Kenya 2017.
• During the year, a total of
Number Tested and Yield by County, Kenya 2017 12,353,197 HIV tests were
SUPPORT
done nationally and of these,
This publication was developed and published by NASCOP with support from University of California
182,228(1.5%) were found to
San Francisco (UCSF) and funding from the U.S. President's Emergency Plan for AIDS Relief
be HIV positive.
(PEPFAR) through a cooperative agreement with the U.S. Centers for Disease Control and Prevention
• Women accounted for 62% of
(CDC), Kenya, Division of Global HIV &TB (DGHT).
all positive.
• Among the positive, 6% were
below 15 years, 19% between
15-24 years and 75% were 25
years and above.
• The top five high HIV burden
counties (Kisumu, Siaya,
Homabay, Migori and Nairobi)
contributed 44% of the total
tests, and 45% of the HIV
positives identified.
Voluntary Medical Male Circumcision (VMMC) Coming Soon

Figure 2: HIV Testing and Yield in VMMC by County, Kenya 2017.

National HIV Case-Based Surveillance Guidance Document
HIV Testing and Yeild in VMMC by County, Kenya 2017
collates data from different sources along the care cascade, in particular for settings such as
Kenya.
A reliable, accurate and efficient
national HIV surveillance system to
routinely describe the burden, distri-
bution and dynamics of the epidemic
is critical in supporting the design and
implementation of HIV programmes,
resource allocation, and informing
response to shifts in the epidemic.
WHO guidelines recommend case
based surveillance system that

Pre-Exposure Prophylaxis (PrEP) The purpose of this document will be to provide guidance, options and examples on the
design and implementation of an HIV case-based surveillance (CBS) system in Kenya. This
• In July 2016, Kenya launched the new
guidance will be written for use by all stakeholders in HIV surveillance especially epidemiolo-
Guidelines on Use of Antiretroviral
gists, program managers, policy makers and public health informaticians at county and
Drugs for Treatment and Prevention of
national levels.
HIV Infection; which recommended
the immediate initiation onto ART and the
National Data Quality Assessment Strategy
provision of PrEP to all those at
substantial ongoing risk of acquiring HIV This document will be developed as a guide
infection. to establish and institutionalize a standard
• Since the launch of the new PrEP and harmonized approach to assessing
guidelines, there has been rapid, scale data quality in the HIV programme from
up of PrEP provision across all 47 facility to the national level. The document
counties with more the 850 facilities will be developed in view of the wider Minis-
providing PrEP as of March 2018. try of Health (MOH) Kenya Health Sector
• By the end of June 2018, at least 18,000 Data Quality Assurance Protocol, 2014 and
clients were receiving PrEP. in consultation with stakeholders and MOH
partners in Kenya.
Prevention of Mother to Child Transmission (PMTCT)
Out of the estimated 1,926,377 pregnant women in 2017, 1,217,767 (63%) made at least 1
ANC visit. There were 57,163 HIV positive women who attended ANC in 2017, of which 65%
were known positives; that is, had a confirmed HIV positive status prior to attending ANC. For
HIV-positive women attending ANC in 2017, uptake of ARV prophylaxis was 94% while uptake
of infant prophylaxis was 96%.
 Figure 3: County Performance on Identification of Mothers in Need of PMTCT,
E-Learning for the National HIV Monitoring and Evaluation (M&E) Tools Training Course
Kenya 2017.

The national HIV M&E tools training course launched on an e-Learning platform in February
2018. The course was developed with support from University of California San Francisco
(UCSF) and is hosted at the University of Nairobi (UoN) servers. The e-Learning course
instructional design includes:
• Teaching videos
• Check point questions and quizzes
• Step by step learning instructions
• Practical sessions
• Interactive learner Support sessions (Online discussion forums and chat rooms)
The advantages of the e-learning course are: self-paced learning, does not take health care
providers from their work stations and provides an alternative to face to face (venue-based)
training.
The identification of HIV positive mothers was the biggest gap within the PMTCT cascade. 18% of HIV positive mothers
in need of PMTCT were not identified by programs in 2017.
Care and Treatment
At the end of 2017, a total of 1,050,425 persons were on ART according to DHIS2. Of the
182,228 HIV persons testing positive in 2017, 155,501 (85%) were enrolled in HIV care and
147,438 (81%) were started on ART. Females accounted for 66% of those started on ART, and
majority (93%) of those who initiated ART were 15 years or older. National performance against
90:90:90 UNAIDS targets by 2020, was: 1st 90 at 78%, 2nd 90 at 87% and 3rd 90 at 80% (Figure
4).
Figure 4: National 90-90-90 Target Performance, Kenya 2017 *.
90-90-90 Targets, Kenya 2017

Total course enrolment as of August 10, 2018 was 3,274 healthcare providers in HIV
services from all Counties. The course takes 45 days of learning and the completion rate is
at 50%.

How to register for the National HIV M&E tools training eLearning course
• Send an email to express your to nascoptraining.ke@ucglobalprograms.org OR
• Self-registration through this registration link: goo.gl/U49WVY
Figure 5: Currently in Care vs. on Treatment, Kenya 2013-2017. Three studies were conducted or completed in 2017 within the KP program:
o TLC – IDU Study: Conducted in Nairobi and Mombasa by the MOH through
Currently in Care vs. on Treatment, Kenya 2013-2017
NASCOP in collaboration with New York School of Nursing. The main
purpose was to evaluate the potential effect of Needle and Syringe
Programmes (NSP) in reducing HIV infection among PWIDs.
o Transitions Study: Conducted in Mombasa by NASCOP in partnership
with University of Manitoba and International Centre for Health Research
(ICHR). This study was initiated in 2014 completed data collection in 2017.
o Polling Booth Survey (PBS): The 2017 PBS measured behavioral outcomes
of the key populations in 13 FSW, 6 MSM and 4 PWID sites. The
key highlight of the 2017 PBS was the inclusion of young key population in
The gap between clients on care and those on ART has steadily narrowed and is expected to converge given the roll
out of test and treat in Kenya. the sampling for sites (Kisumu, Mombasa and Nairobi), inclusion of
Key Population (KP) additional counties like Turkana, and the expansion of PWIDs stites to
• The KP programme has been scaled up to 33 out of 47 counties with 89 implementing Kisumu and Kilifi. The report is being finalised.
partners.
Strategic Information Highlights
• In 2017, HIV testing positivity rates were 1.4% among female sex workers (FSW), 1.8%
among men who have sex with men (MSM) and 0.5% among people who inject drugs Impact Evaluation of National HIV Programme:KENPHIA (Kenya Population-Based HIV
(PWID). Impact Assessment)
• At the end of 2017, the number of HIV positive KP reported to the KP programme was
19,004 FSWs, 2,833 MSM and 1,229 PWID. Linkage to ART among the KP however was
low at 49% for FSWs, 67% among MSM and 74% for PWID. Of note, is that KPs may be
receiving services at general population clinics.
• In 2017 three Medically Assisted Therapy (MAT) clinics using methadone were established
in Nairobi, Kwale and Kisumu; Nairobi County (Ngara Health Centre) on 31st January 2017,
Kwale County (Kombani Health Centre) in October 2017 and Kisumu County (Jaramogi
Oginga Odinga Teaching and Referral Hospital) in April 2017.

The Kenya Population-Based HIV Impact Assessment, a national household-based HIV

survey that will help health authorities and policymakers to better understand the relative
impact of HIV on everyone in the population, was launched on June 5th, 2018. The assess-
ment will cover 20,00 households, reaching children, adolescents and adults. In addition to
providing data on new HIV infections, the survey will also provide county-level HIV indicator
estimates.
Launch of the Kisumu County JOOTRH and Kwale County Kombani MAT clinics