NACC calls for inclusion of HIV in the NHIF to attain Universal Health Care

NACC calls for inclusion of HIV in the NHIF to attain Universal Health Care

Talks on modalities of implementing Universal Health Coverage have gained momentum, so has the National AIDS Control Council similarly embarked on a process of ensuring HIV and AIDS is included in the Universal Health Coverage. The Council has constituted a multi sectoral coordination team to aid in voicing the need to have HIV and AIDS condition included in the National Health Insurance Fund (NHIF) in an effort towards attaining Universal Health Coverage. Currently health care related to HIV and AIDS is partly absorbed from the opportunistic infection perspective given that ARV are publicly provided by the government. However, the full and direct HIV and AIDS spectrum of treatment is not included due to high cost of retroviral therapy largely supported by donor funds.

The Ministry of Health has already put in place a Rapid Results Initiative (RRI) to fast track the implementation of Universal Health Coverage which is one of the pillars of the Governments Big Four Agenda. Others pillars being Housing, Manufacturing, and Food Security. Anchored on Four Pillars the National AIDS Control Council coordination and reporting model seeks to guide the realization of Universal Health Care with the Inclusion of HIV and AIDS as well as People Living with HIV in the essential benefits package. Through the model, a replica of a similar coordination structure by the Ministry of Health, The NACC will be reporting to the Ministry in a well laid down mechanism up to the Presidency. The four committees namely communication, service delivery, HIV Financing and legal teams are critical in this process. The composition of the team includes representation drawn from the private sector, civil society, development partners and the community of People Living with HIV.

Proposed Coordination structure and reporting mechanism Why leverage on HIV for Universal Health Care.

 

The fight against HIV and AIDS like many other conditions is essential in the ongoing talks on the implementation of Universal Health Care. Cushioning People Living with HIV from expensive life-long anti-retroviral treatment certainly is critical in the realization of this Agenda. At the Centre of Universal Health Coverage is the issue of affordability. Thus Universal Health Coverage means people have access to health services required, not necessarily free but without suffering financial problems. It’s on this premise that the National AIDS Control Council is spearheading the inclusion of HIV response in the attainment of Universal Health Coverage through three pronged proposal under the rallying call of ‘Leaving no one behind’ in this important course.

  1. Attaining Universal Health Coverage requires that People Living with HIV and AIDS are also included in the Social Health Insurance Scheme under the Social Protection theme.

Kenya has 1.6 Million People Living with HIV. This constituency cannot be left behind in the Universal Health Coverage reach. Today, HIV and AIDS accounts for 29% of annual deaths in the country. Besides, it contributes to 15% of the country’s disease burden. Thus including HIV Testing and Prevention services as well as Anti-retroviral therapy in the Universal Health Coverage essential package is important. This is envisaged to increase the contribution to the social health insurance as it will encourage more people to enroll through the National Health Insurance Fund.

  1. Leveraging anti-retroviral therapy funding through the National Health Insurance to cover resources gaps and significantly accelerate achievements targets.

There’s a gap of approximately 280 USD per capita between essential Total Health Expenditure (THE) and the projected needs for ensuring 80% of the population has access to an essential benefit package for health. According to the Kenya National AIDS Spending Assessment 2017, there’s need to channel Ksh 47.02 Billion through a support mechanism to contribute to the risk pool of the national insurance scheme which is needed to support pooling of resources for Anti-Retroviral Therapy(ART). This essentially will bridge the funding gap, increase efficiency in money flows with reduced fragmentation and better link inputs with outcomes.

  1. Attaining Universal Health Coverage demands that the rising epidemic of Non-Communicable Diseases (NCDs) is controlled.

Non-communicable diseases are on the rise contributing to 50% of all adult hospital admissions and 40% of adult deaths. Over the last decade their contribution to overall mortality has increased by more than 60% while that of HIV has decreased by the same amount. Kenya’s significant progress has been through a multi-sectoral approach. Therefore the most effective and efficient way for the Ministry of Health to invest in the integration of Non Communicable Diseases (NCDs) prevention in to HIV and AIDS. The integration should be geared towards optimal utilization of the existing HIV prevention infrastructure and modalities. This will promote better health and control escalation of Non Communicable Diseases associated costs to the national health insurance scheme.

UNIVERSAL HEALTH CARE DOMINATES TALKS AT THE DEVOLUTION CONFERENCE

UNIVERSAL HEALTH CARE DOMINATES TALKS AT THE DEVOLUTION CONFERENCE

National AIDS Control Council C.E.O Dr.Nduku Kilonzo makes a point during a Health Sector panel discussion at the 5th Annual Devolution Conference.

The 5th Annual Devolution Conference under the theme of ‘Sustainable, productive, effective and efficient governments for results delivery’ sought among other things on building synergies among the two levels of Governments in fast-tracking processes and making sound investment priorities towards the realization of Governments Development Agenda espoused under the Big 4 Action Plan namely, Food security, Manufacturing, Housing and Affordable Health Care.

The conference provided an opportunity for stakeholders in the Health Sector to deliberate on issues affecting Health Service delivery and modalities for the implementation of Universal Health Care.  Devolved units have greatly helped in health service delivery and transforming lives. The realization of Universal Health Care, not only on the two levels of Governments but also on other stakeholders in the Health Sector.

President Uhuru Kenyatta, while addressing delegates at the conference noted that despite facing numerous challenges, devolution has transformed lives of the people. Singling out Health Sector, the Head of State said that County Governments have expanded health care provision through construction of new health facilities and devised innovative ways for affordable health care services complimenting efforts towards attaining Universal Health Care.   ‘There’s no doubt that devolved governments are finding their feet and transforming the lives of communities they serve for better. Today, Makueni has made good progress in rolling out its version of subsidized healthcare provision and in food processing too. Mandera Child Mortality has halved due to the County’s Investment in medical facilities and Kapenguria now has its first Medical Training College.’ Said President Uhuru Kenyatta.

NACC C.E.O Dr. Nduku Kilonzo a panelist in a Health Sector Session.

Good quality and affordable healthcare requires an enabling environment to thrive. Stakeholders in a panel discussion on critical enablers for optimizing healthcare performance sought to review the current legal and policy framework for the delivery of health services. National AIDS Control Council C.E.O Dr.Nduku Kilonzo a panelist in the afore-mentioned session said coordination of the HIV response has helped in harnessing resources in the fight against HIV and AIDS in the country. This she said has been critical in providing good quality data for policy decision making and planning purposes. ‘Our role as a State Agency in policy making and coordination of the HIV response has enabled generation of important data for policy decision making processes and planning. As we strive to attain Universal Health Care we require good data for planning and smooth implementation.’ Said Dr. Kilonzo. She also urged partners to ensure prudent utilization of resources meant to support HIV programmes.

Kisumu County Governor Prof. Anyang Nyong’o on the other hand called for re-examination of the health sector systems in order to tackle inefficiencies. ‘We need to re-look at the Health sector in its entirety to establish bottlenecks hampering service delivery. Universal Health Care requires motivated basic health service providers and expanded Health Insurance Fund. Said Prof. Nyong’o who is also the Chairman of the Council of Governors Health Committee.

NACC exhibits at the Devolution Conference.

In our efforts to reach different publics with HIV and AIDS information, The National AIDS Control Council exhibited at the Annual Governors meeting. Showcasing HIV Situation room- an innovative and interactive dashboard that facilitates tracking of key HIV and Health indicators at country, county, sub county and facility level to support decision making. Besides, in collaboration with partners HIV Testing HIV and Counselling Services were offered during the entire period of the conference at strategic places. Information, Education and Communication materials including county specific policy booklets and HIV and AIDS data rich documents were distributed to different stakeholders making the Councils booth a truly one stop shop for HIV and AIDS information in a conference attended by close to 5,000 delegates. Condoms were equally distributed during the conference as we step up efforts for promotion of condom uptake to prevent new HIV infections.

Delegates follow proceedings at the 5th Annual Conference at Kakamega High School

Kenya Steps Up Efforts to Implement HIV Research Findings

Since inception in May 2012 as the first HIV and AIDS Conference, Maisha Conference has grown in stature to become the biggest HIV and AIDS research conference in the region attracting thousands of participants including researchers, scholars, exhibitors and policy makers in the HIV response both locally and internationally. The just concluded 3 day Maisha Conference 2017, certainly the biggest of them all, attracted over 1000 local and international participants and witnessed the presentation of 64 abstracts, living up to its billing of providing a platform for HIV information sharing under the theme of ‘Translating Science to End New Infections in Kenya’. The truly regional Conference hosted international guests such as the Tanzania Commission for AIDS (TACAID) Executive Director Dr. Leonard L. Maboko and Uganda AIDS Commission Ag. Director General Dr. Nelson Musoba. CLICK HERE TO READ MORE

NACC Chairperson Ms.Angeline Siparo (5th left) in a group photo with NEPHAK C.E.O Mr. Nelson Otwoma(5th right),Former NACC Chairperson Prof.Mary Getui, (4th right), Mr.Latiff Shaban NACC Board Member (3rd right),NACC C.E.O Dr. Nduku Kilonzo(2nd Right),Mrs. Rahab Muiu NACC Board Member(right),Ms.Dorothy Onyango NACC Board Member(4th left),Mrs. Jacinta Mutegi NACC Board Member(3rd left), Rev. Canon Rosemary Mbogo NACC Board Member(2nd left) and Mrs. Joyce Mutugi NACC Board Member(left) during Maisha HIV and AIDS Research Conference 2017.

NACC Chairperson Ms.Angeline Siparo (5th left) in a group photo with NEPHAK C.E.O Mr. Nelson Otwoma(5th right),Former NACC Chairperson Prof.Mary Getui, (4th right), Mr.Latiff Shaban NACC Board Member (3rd right),NACC C.E.O Dr. Nduku Kilonzo(2nd Right),Mrs. Rahab Muiu NACC Board Member(right),Ms.Dorothy Onyango NACC Board Member(4th left),Mrs. Jacinta Mutegi NACC Board Member(3rd left), Rev. Canon Rosemary Mbogo NACC Board Member(2nd left) and Mrs. Joyce Mutugi NACC Board Member(left) during Maisha HIV and AIDS Research Conference 2017.

 

Global AIDS Report

The world has committed to ending the AIDS epidemic by 2030. How to reach this bold target within the Sustainable Development Goals is the central question facing the United Nations General Assembly High-Level Meeting on Ending AIDS, to be held from 8 to 10 June 2016. The extraordinary accomplishments of the last 15 years have inspired global confidence that this target can be achieved. UNAIDS recommends a Fast-Track approach:

Read More – Global_AIDS_Update_2016

Maisha Maarifa Research Hub

The National AIDS Control Council (NACC) is charged with accountability for HIV and AIDS results in Kenya. To strengthen evidence for HIV programming and access to research information and knowledge, NACC with support from stakeholders has established the Kenya HIV, SRH and co-morbidities Research Hub dubbed ‘Maisha Maarifa Hub’.

Key functions of the Maisha Maarifa Hub

The Research Hub is an online-based site that will amalgamate information and promote evidence-based programming and policy formulation through research by:

  • Availing research reports of studies in Kenya that may not have been drafted into peer-reviewed published manuscripts which often contain rich quality information that is not shared in any platform
  • Providing updated information on ongoing HIV research to reduce duplication in protocol and proposal development among stakeholders

The Research Hub will be interactive in the following ways:

  • Communities of practice will be established to provide a forum for deliberation on critical HIV-related research issues, debate and advise the NACC and other governmental agencies
  • Partners & stakeholders will access the Hub and upload information as and when needed through an approval process
  • The database will be open to partners and stakeholders subject to a set of guidelines, thus allowing researchers to interact on study and methodology.

The National Commission for Science, Technology and Innovation (NACOSTI) provided approval for NACC to collect data from Ethical Review Committee (ERCs) which is and continues to be updated.

Web Address of Maisha Maarifa Hub

The Maisha Maarifa Hub is an online platform that can be accessed through an internet enabled phone or laptop/PC with internet access.

The system can be accessed through the following web address: http://www.maishamaarifa.or.ke

LOGIN IN TO THE SYSTEM

Only partners who have registered to the portal and their registration details approved by NACC will be able to login to the system.

The registered partners will be able to upload their approved research work to the system and participate in online discussions within the communities of practice section. Non-registered partners will be able to access other services in the Hub.

THE MAISHA MAARIFA HUB HOMEPAGE

maisha research hub hoepage

Project X Party: A Response From The National AIDS Control Council

The attention of National AIDS Control Council (NACC) has been drawn to an advertisement in social media of a party dubbed “Project X” involving sexual orgies, alcohol and drug abuse, targeting people of all ages and especially young people. The NACC wishes to state the following in response to such advertisements and parties:

  1. These are coming at a time when NACC and other partners are implementing Kenya’s Fast – Track Plan to End HIV and AIDS among Adolescents and Young People that was launched in September 2015 by H.E. the President of Republic of Kenya, Hon. Uhuru Kenyatta.
  2. It should further be noted that in 2014, about 29 per cent of all new HIV infections in the country occurred among adolescents and young people and that AIDS was (and remains) the leading cause of morbidity (ill-health) and mortality (death) among this population group.
  3. The NACC strongly discourages any such parties, functions or events that provide a fertile ground for participants to engage in activities that not only fuel HIV infection and other sexually transmitted infections, but also ruins their overall character and the ability to lead responsible lives.
  4. The NACC therefore strongly supports the position taken by the Kenya Police Service in banning the planned Project X Party and any other similar events.
  5. While NACC does not dictate how adults exercise their sexual freedom, it is important to point out that the freedom should be exercised responsibly and within the law, without putting people (and especially children, adolescents and young people) at risk of contracting HIV and other sexually transmitted infections; and promoting behavior that is geared towards ruining their lives. Therefore the NACC strongly advises that all people including adolescents and the youth to keep off such events and activities.
  6. “Weed” and other illegal drugs do not make anybody more attractive, intelligent or successful in life – they actually cause dependence and destroy a person’s life, making the person not attain his/her full potential in life. Girls and boys (and even adults) who are “stoned”, end up either very badly hurt or possibly dead.
  7. The NACC and her partners continue to support access to a diverse package of interventions geared towards protecting people from HIV and other related infections by guaranteeing ease of access to the interventions within health facilities and the community across the country. Any person at risk of exposure to HIV and other related infections is encouraged to seek the services available.
  8. The NACC wishes to inform Adolescent and Young people to seek for concrete and proper information on matters HIV from the NACC website (www.nacc.or.ke).
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