The National AIDS Control Council in partnership with the Georgetown University Medical Center – A Center for Global Health and Quality is piloting a Business Process for Impact (BPI) model that will scale up HIV and Universal Health Care (UHC) results through a Human Centered Design (HDC) approach. BPI will focus on supporting the coordination of youth led HIV programmers to promote good health choices and uptake of health services among Kenya’s Adolescents and Young People (AYP) in Kiambu and Homabay counties for two years.
During the inception visits to the two counties that took place from 8th to 10th August, 2018 by the Georgetown University Medical Center representatives together with National AIDS Control Council team led by NACC CEO Dr. Nduku Kilonzo, the leadership of these counties showed support for the Business Process for Impact.
In Kiambu County, Governor Fedinand Waititu together with the presentation of the key county health management representatives cited alcoholism as one of the key socio dynamic issue that contribute to increase of new HIV infections among AYPs, an issue that the county is struggling with and cited the Business Process for Impact is an initiative that will bring along various stakeholders in reversing the trend of increase of new HIV infections among the AYPs in the county.
Also in Homabay County, deputy Governor Hamilton Orata welcomed the process as he cited that previously, a lot of money and resources have been poured in the county for HIV response related activities with no tangible results and the county continues to struggle with increase of new HIV infections, a challenge he attributed to lack of framework of monitoring the activities of various programmers on the ground and he sees the BPI process as the only way that will bring on board various stakeholders in a systematic way and monitor their activities in order to boost results in HIV response.
BPI will see data driven decision making in all levels of health system, promoting innovation and develop systematic linkage of Communities of Practice (CoPs), creating energetic and empowered layers in both private and public sector from the grassroots level that will inform the top county management in making decisions that will promote community prevention and care delivery in HIV that will eventually heighten the attainment of the Universal Health Care.
According to Prof. Mark Dybul, a Co-Chair of Center for Global Health and Quality at Georgetown University, Kenya has tremendously achieved in various innovations and the BPI approach will go a long way in bridging the gap to building mechanisms that will capture such innovations through coordination, information sharing and make use of the available data that will build accountability mechanisms and reporting in HIV response specifically among the AYPs.
During the courtesy call to Homabay County government, the National AIDS Control Council CEO, Dr. Nduku Kilonzo reiterated the benefits of the model in HIV response in the counties saying that “it will not only coordinate external partners but also bring coordination within communities and strengthen communication across different level of government – a two-way communication between communities and the governance leadership”.
Drawing from effectiveness in networking Communities of Practice (CoPs) in healthcare, BPI will identify and develop formal networks from various professional disciples and existing service delivery structures such as Comprehensive Care Clinics that provides comprehensive care where people living with HIV and AIDS go for holistic care and management, creating a two-way flow of data and information.
During the pilot phase, the CoPs who have focus on HIV programming for the Adolescents and Young People (AYP) will be drawn from various stakeholders including community based organizations, community health workers, groups and networks of persons living with HIV or young people, non-government organizations and health providers including nurses and public health officers, either in their various homogenous groups or as mixed groups.
The BPI will use the Human Centered Design (HCD) in developing the CoPs in the counties. HCD is a concept that is gaining momentum globally as it seeks to accelerate the development of locally effective solutions as seen in international health and development projects such as family planning and comprehensive sanitation systems. Currently, in Kenya, the use of HCD methods in public health remains minimal yet its broader application of HCD to CoPs of providers and policymakers has yielded important results globally. The use of HCD to enhance the use of data that will boost development and adoption of locally relevant innovations for health in the two counties and a model that is expected to be applied in other counties in Kenya.
Currently, NACC has made available Kenya HIV situation room in all counties and is accessible to county leadership and programmers. The Kenya HIV situation room facilitates tracking of key HIV indicators at national and county levels and is also configured to mine data from key monitoring and evaluation systems in Kenya such as DHIS and other public and private sector systems. BPI will leverage on the system to help find solutions, communicate action and seek innovative ways to ensure that there is consistent action towards results in HIV response among the AYPs, through networking and providing opportunities that will drive systematic change and accelerate better health outcomes that will eventually promote UHC.
During the inception visit in Kiambu and Homabay counties the NACC team was led by CEO Dr. Nduku Kilonzo and the Georgetown University Medical Center was presented by Prof. Mark Dybul, a Co-Chair of Center for Global Health and Quality at Georgetown University, Prof. Susan Kim and Stephen Kretschmer, an expert consultant on Human Centered Design. The visits also included Mbagathi Hospital Comprehensive care clinic and the AHF Center of Comprehensive Care Clinic in Nairobi’s Eastleigh, located east of the capital’s central business center and WOFAK – an NGO that is in the forefront in fighting HIV and AIDS in Homabay and finally paid the courtesy call to the Homabay County Commissioners office.