GETTING TO ZERO Zero New infections, Zero Discrimination & Zero AIDS-Related Deaths
Kenya is changing.. so should the way we respond to HIV. UN Joint Programme on AIDS in Kenya, 2013 | Page 1
Doing what we do best to
END HIV In Kenya
The unique convening power of the United Nations Joint Programme on AIDS brings together multilateral, bilateral and private sector partners – both globally and at the country level.
We are using this unparalleled ability to bring people together to help the Government of Kenya find and follow their own path to ending HIV. Through our “delivering as one” approach, the Joint Programme offers access to the full spectrum of knowledge and expertise of the UN system.
An indispensable force in international development, the United Nations has created many of today’s globally accepted norms and standards in the field of HIV/AIDS. Leveraging diverse roles as convener, advocate, and a source of technical assistance - the United Nations works through the Joint Programme
to create and implement policies, planning and programming that directly respond to the issues and challenges that exist in Kenya. Our catalytic funding mechanisms help the Government of Kenya mobilize resources and stimulate investment critical to fueling and sustaining an effective HIV response.
Together, we can realize our vision of zero new infections, zero discrimination and zero AIDS-related deaths in Kenya. UN Joint Programme on AIDS in Kenya, 2013 | Page 2
WHO WE ARE As leaders in the global response to HIV, the United Nations Joint Programme on AIDS in Kenya leverages the skills, knowledge and expertise of 16 UN Agencies.Together, we are providing broad support to the Government of Kenya across sectors to end HIV. Since 2007, these partnerships have helped build strong Kenyan institutions and systems that will break the trajectory of this epidemic, now and forever.
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Turning Evidence into Action From prevention – to transmission – to treatment, the wealth of evidence and strategic information generated by the Joint Programme has supported the overall HIV response in Kenya. In line with international norms and standards, our policy advice is informed by the best evidence and offers the Government of Kenya proven solutions to strengthening and sustaining their response to HIV.
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Empowering Kenya to Get to Zero With a common goal in sight, the Joint Programme is helping the Government of Kenya overcome the political, institutional and structural barriers that stand in the way of progress. Not only are we partnering with national institutions to increase domestic investment in the AIDS response, we are also clearing the way for these resources to be invested where they can have the greatest impact. Together, we share the responsibility of transforming national strategies and policies into local systems and approaches that will have a dramatic impact on the health and futures of the people of Kenya.
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Leveraging Devolution The Joint Programme is equipped to accelerate the HIV agenda as devolution unfolds and the HIV response decentralizes. Embracing devolution as an opportunity for the government to effectively meet the needs of the people, we are helping counties deliver high-quality, integrated HIV services that reach even the most underserved and vulnerable Kenyans. We are providing local leaders with comprehensive county-level data and analysis so they are able to understand and respond effectively to the local context. Understanding civil society is the lifeblood of the AIDS response; our efforts are also mobilizing citizens to effectively hold local governments accountable.
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Reaching those who need it The Joint Programme is transforming communities, ending stigma and improving the lives of Kenyans most affected by HIV. Breaking down barriers to prevention and treatment, we are bringing HIV services and information directly to key populations in Kenya; including girls and women, drug users, men who have sex with men and others who may be at higher risk of HIV exposure. Our work in protecting and advancing human rights and gender equality supports them in living with dignity and purpose and empowers them to rise up as leaders in the response.
UN Joint Programme on AIDS in Kenya, 2013 | Page 3
WHY NOW? OVER1.6MILLION KENYANS ARE LIVING WITH HIV.
KENYA HAS THE 4TH LARGEST EPIDEMIC IN THE WORLD, AND IS ONE OF 22 HIGHIMPACT COUNTRIES* AFFECTED BY HIV. GIRLS AND WOMEN 1524 YEARS OF AGE ARE MOST VULNERABLE TO HIV INFECTION AND FOUR TIMES MORE LIKELY TO BE INFECTED
YOUNG WOMEN AND GIRLS ACCOUNT FOR 30% OF ALL NEW HIV INFECTIONS
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% OF KENYANS LIVING WITH HIV ARE WOMEN
THERE ARE OVER 113,OOO NEW INFECTIONS EVERY YEAR
NEW INFECTIONS AMONG YOUNG PEOPLE IN KENYA, IS THE FOURTH HIGHEST IN THE WORLD
232,000 CHILDREN UNDER 14 ARE LIVING WITH HIV. OVER 90% ACQUIRED HIV FROM THEIR MOTHERS DURING PREGNANCY, LABOUR & DELIVERY OR BREASTFEEDING
THIS YEAR 560,000 DEATHS CAN BE AVOIDED AND 570,000 NEW INFECTIONS WITH A FOCUSED RESPONSE TO HIV
SOURCES OF NEW INFECTIONS HETEROSEXUAL
44.1 % SEX WITHIN UNION
20.3 %
CASUAL HETEROSEXUAL SEX
15.2%
MSM & PRISON
SEX WORKERS
14.1 % & CLIENTS
*High-impact countries: A Global Fund list of countries with the highest collective burdens of HIV, TB and malaria
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WHAT WE'VE ACCOMPLISHED
2007
2008
Kenya AIDS Indicator Study (KAIS I & II)
Kenya Health Demographics Survey (KDHS)
Modes of Transmission study
A population based survey focusing on HIV. This study greatly informed subsequent policies, strategies and guidelines to accelerate prevention of HIV in Kenya. See The National strategy for Male Circumcisions, Policy and Surgical Manual; The National Strategy on HIV and STI Programming along Transport Corridors; The Policy on HIV Prevention and Care for Intravenous Drug Users; The National Condom Strategy and Action Plan; and The National HIV Drug Resistance Plan.
Introduced the HIV module into the KDHS – providing nationwide information for policy makers, planners, researchers and programme managers, on a wide range of reproductive issues, nutrition, and maternal and child health. The HIV module now forms an integral part of the survey.
This study influenced the HIV prevention strategy in Kenya guiding decisions about areas of prioritization and allocation of resources.
2013 Studies on Key Populations Situational analysis of HIV prevalence and risky behavior among key populations at higher risk of exposure to HIV. Data includes size estimates and targeted programming for Most at risk populations (MARPS) in Kenya. These studies provided the basis for the development of national guidelines.
HIV Tribunal Launched in 2012, the seven member Tribunal provides access to justice for Kenyans who face stigma, discrimination or criminalization based on their HIV status.
2009
EMERGING DATA FROM OUR 2013 INVESTMENT CASE WILL FURTHER GUIDE THE COUNTRY IN DESIGNING AN OPTIMAL RESPONSE, INVESTING RESOURCES IN WHAT WORKS AND SUSTAINING THESE EFFORTS OVER THE NEXT 10 TO 20 YEARS.
Rapid Assessments
County Profiles
On socio-economic impact of HIV in education, health, transport, informal sector and among people living with HIV. These assessments inform planning and domestic budget allocation for HIV response.
Support prioritization and decision making in the allocation of national resources, and serves as a resource to new county governments for local HIV programming. This process has established working relationships with county governments aimed at developing local responses.
OVER THE LAST FIVE YEARS WE’VE SUPPORTED SYSTEMS TO ENSURE THAT OVER $345 MILLION DOLLARS OF GLOBAL FUND GRANTS WERE RESPONSIBLY ALLOCATED AND DISPERSED INTO THE APPROPRIATE HIV PROGRAMMES.
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HOW WE DO WHAT WE DO
In 2007 the UN Secretary General directed all Resident Coordinators to work with UN Country Teams in establishing Joint Teams on HIV and AIDS and Joint Programmes of Support - uniting the response under UN’s “DELIVERING AS ONE” approach. This sets the stage for more harmonized programming and operational approaches. DELIVERING AS ONE is the United Nations response to the global call for increased relevance, impact, effectiveness and efficiency of aid to developing countries. THE UN JOINT PROGRAMME ON AIDS The UN Joint Programme on AIDS is designed to strengthen UN’s contribution towards national priorities. The Programme supports the implementation of the Kenya National AIDS Strategic Plan (KNASPIII/IV) through the National AIDS Control Council (NACC).
management team consists of the senior representative from each agency and reports to the UN Country team. Staff includes 50 full and part time HIV staff. The Programme is funded through core budget contributions from the UN, development partners and other donors, which are channeled through the administrative agent and disbursed to participating agencies.
The Programme is managed by the UN Joint Team on AIDS consisting of 16 UN agencies, and their representatives – nominated by agency leaders and appointed by the Resident Coordinator. The management team consists of the senior representative from each
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THE UNITED NATIONS DEVELOPMENT ASSISTANCE FRAMEWORK (2014 - 2017) The United Nations Development Assistance Framework (UNDAF) was developed and negotiated with the Government of Kenya. It outlines UN areas of support to Government priorities as articulated in Kenya Vision 2030 and its Medium Term Plan; as well as the Millennium Development Goals.