UNAIDS estimates that 1.6 million new infections occurred among adults globally in 2016, a 10% decrease compared to 2010 (UNAIDS). Similarly, new infections in Kenya have declined from 101,000 in 2013 to 62,000 in 2016 (National AIDS Control Council) missing the targets set in the Kenya AIDS Strategic Framework (KASF). The slow decline in new infections threatens the progress against the fight against HIV/AIDS and the overall development plan as set out in Kenya’s Vision 2030. Every new infection increases the burden on already constrained HIV care and treatment programmes. This further heightens the impact of AIDS related deaths on children, families and society’s productivity.
We believe that there exists tools that can drastically accelerate the decline of new HIV infections. LVCT Health works to increase access to HIV Prevention among men and women who need it the most. We deliver HIV prevention services at the scale needed to make an impact while respecting diversity and people’s rights. We deliver a combination of high-impact prevention services that are selected based on the needs of individuals and communities. To define the tailor-made combinations of interventions for communities and population groups of those at risk of acquiring HIV, we first explore the dynamics underlying HIV transmission and uptake for HIV prevention services.
We believe that integration of HIV prevention services in public health facilities is cost-efficient and sustainable in the long haul. We therefore build capacity of public health service providers and address other obstacles for delivery of quality HIV prevention services for adolescents and young people as well as key and priority populations through public health facilities.
We view stigma as a major barrier to progress in the HIV response. We facilitate community interactions involving people living with HIV and vulnerable populations with other key stakeholders e.g. health providers, religious leaders and law enforcement agencies to address stigma.
Over the last 3 years LVCT Health has been at the forefront of delivering oral pre-exposure prophylaxis (oral PrEP) to individuals at high risk of HIV acquisition. We have utilized lessons learned in introduction of oral PrEP into routine HIV prevention services, as well as its promotion for uptake and use in supporting of formulation of national guidelines.
Over the years LVCT Health has gained the trust of communities and donors. As of September 2017, LVCT Health had enrolled and retained approximately 23,000 Key Populations: Female Sex Workers – FSW, Men who have Sex with Men – MSM, People who Inject Drugs – PWID and 19,000 adolescent girls and young women – AGYW, who continue to receive HIV combination prevention interventions in supported counties. We continuously identify those who need HIV prevention and identify the most suitable strategies for service delivery. We have defined and implemented service delivery models that are effective for reaching sexual partners and families of key populations. We have defined and implemented service delivery models and tools for fishing communities reaching approximately 15,000 fisher folks annually. We have successfully worked with county governments in Mombasa, Nairobi, Kakamega, Vihiga and Bungoma to strengthen the public health system’s delivery of comprehensive services to key populations. We have demonstrated that individuals at risk of acquiring HIV can be identified, enrolled and retained on oral pre-exposure prophylaxis (PrEP). We have identified promising strategies and tools that can be utilized to support adherence to oral PrEP within standard healthcare settings. We utilized lessons learned in PrEP implementation to provide technical support the Ministry of Health to formulate clinical and programmatic guidelines for nationwide scale-up of oral PrEP. Our policy advocacy efforts have contributed to formulation of ambitious HIV prevention policy documents.