Presidential Initiative:
U.S. Global Health Initiative

Funding Level:
$74.9 million

Duration:
March 2012 – March 2017

Activity Goals:

  • Radically diminish the incidence of HIV
  • Decrease maternal, infant, and under-5 mortality rates by 50%
  • Demonstrate treatment and control strategies for selected non-communicable diseases
  • Enhance the capacity of Ministry of Health referral services
  • Develop a more functional, relevant electronic health record system
  • Demonstrate a replicable, scalable model of care delivery that holds the promise of defeating the HIV/AIDS pandemic

Activity Accomplishments:

  • 2,459 health care workers have completed an in-service training program
  • More than 1 million Kenyans reached through a home-based counseling and testing HIV program
  • 62,174 people actively receiving antiretroviral therapy through activity-supported sites

Implementing Partner:
Moi Teaching and Referral Hospital and a consortium of North American institutions led by the Indiana University School of Medicine. 

Key Partners:
Ministry of Health, National AIDS and STI Control Program, Division of Reproductive Health, Ministry of Labor and Social Services

Activity Locations:

Busia, Bungoma, Trans Nzoia, West Pokot, Elgeyo Marakwet, Uasin Gishu, Nandi and Kisumu

ACTIVITY OVERVIEW

Academic Model Providing Access to Healthcare is a partnership between Moi University School of Medicine, Moi Teaching and Referral Hospital, and a consortium of U.S. medical schools led by Indiana University. It was established in 2001 as a successful model of HIV/AIDS control that uses a system-based approach to the prevention and treatment of HIV/AIDS and closely links clinical care, research, and training. It is currently Kenya’s largest and most comprehensive HIV/AIDS care program. It has enrolled over 160,000 HIV patients throughout Western region of Kenya.

Academic Model Providing Access to Healthcare promotes and fosters a comprehensive approach to HIV/AIDS control that complements and enhances the existing health infrastructure. It aims to provide comprehensive, integrated sustainable efforts in HIV Prevention and Care, Primary Health Care and Chronic Disease Management. It seeks to achieve its objectives through addressing food and income security needs, delivering and monitoring ARV treatment, and fostering prevention of HIV transmission through community-based health education and prevention of maternal to child transmission.

ACTIVITY AREAS

Academic Model Providing Access to Healthcare works with all levels of health providers from the highest levels of government to community health workers to provide effective and culturally appropriate care.  It provides and expands sustainable access to high quality care and works to:

Prevent HIV/AIDS through outreach to encourage safe practices, prevent the spread of the disease, and confront the deadly effects of HIV/AIDS stigma.

Protect Babies by blocking mother-to-child transmission of HIV at birth.

Fight Hunger through the HAART and Harvest Initiative with high-production farms and demonstration farms that teach subsistence farmers to get the most out of their crops and livestock. The activity also partners with the U.N. World Food Program to provide food assistance to 30,000 people per month.

Build Self-Sufficiency through the Family Preservation Initiative, which provides skills training, small business loans and group savings, a fair-trade crafts workshop and agricultural co-operative and extension services to over 4,000 HIV-positive patients.

Manage Chronic Diseases through treatment of diabetes, cancer, hypertension and pulmonary and cardio vascular diseases.

ACTIVITY IMPACT

Njoki was pregnant and had just moved to Eldoret, Kenya with her husband when a routine exam revealed that she was HIV-positive. She urged her husband to get tested as well. Instead, he abandoned Njoki, leaving her pregnant with no source of support.

Due to the stigma of HIV/AIDS that still endures in many regions of western Kenya, patients are often cut off from their family networks when they discover their HIV status.
Others lose their jobs out of employers' fear of them spreading the disease.

Njoki became one of the first clients at the Family Preservation Initiative, founded in 2003. Njoki was trained in beadwork, but business was slow at first. "Family Preservation Initiative gave me a loan to get materials and expand," she says. "After getting the loan, I started being very serious with my job."

Njoki is now a manager at the Imani Workshops program, which provides employment and training opportunities for approximately 100 single mothers like her. "I'm able to pay my house rent, I'm able to get my daily bread," Njoki says.

"At first, I was feeling so hopeless but for now, life has changed. I'm stable, and at first I was seeing as if I'm dying, but now I'm hoping to live."

USAID Contact:
James Batuka, Activity Manager
USAID/Kenya
Tel: +254 0721-360138
Email: jbatuka@usaid.gov

Academic Model Providing Access to Healthcare Contacts:
Sylvester Kimaiyo, MBChB
AMPATH Program Manager
Moi University School of Medicine
Tel: +254 (0)722-284916
Email: skimaiyo@ampathplus.or.ke

Website:  
http://www.ampathkenya.org/

Updated August 2014