Leveraging on Communities and Improving Use of Data to Advance Universal Health Coverage and HIV Prevention

Governor Ferdinand Waititu (in a checked shirt) hosted a team of representatives from Georgetown University Medical Center – A Center for Global Health and Quality led by Prof. Mark Dybul, a Co-Chair of Center for Global Health and Quality at Georgetown University and National AIDS Control Council team led by the CEO Dr. Nduku Kilonzo (middle) at the county’s headquarters.

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.

Prof. Mark Dybul (left), a Co-Chair of Center for Global Health and Quality at Georgetown University making a point on the Business Process for Impact model to the representatives of the county health management team led by deputy governor Hamilton Orata (center) in the presence of the NACC CEO Dr. Nduku Kilonzo (2nd left) during the inception visit in Homabay County.

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.

A RECAP OF THE AIDS CONFERENCE 2018 IN THE NETHERLANDS, AMSTERDAM

Experts Warn of Complacency as the World Drags on Ending AIDS

H.E The First Lady, Margaret Kenyatta- 2nd left, CAS Ministry of Health Dr. Rashid Aman- left, UNAIDS Executive Director Mr. Michel Sibide – 3rd left, NACC Chairperson Ms. Angeline Siparo – Extreme right, NACC CEO Dr. Nduku Kilonxo – 2nd right and Ms Lucy Njenga – 3rd right in a Leadership and Innovation for Results in Elimination of Mother to Child Transmission (eMTCT) and Adolescent Care Symposium during AIDS2018 Conference in Amsterdam.

The just concluded 22nd edition of the International AIDS Conference under the theme ‘Building bridges breaking barriers’ took place on 23-27 July  amid fears by UNAIDS that the global commitment to end AIDS as a public health threat by 2030 could remain a pipe dream. This was revealed by UNAIDS in its Global AIDS Update 2018 report dubbed Miles to go launched days before the biggest global AIDS meeting kicked off in the Dutch Capital- Amsterdam.

According to the report, the recent gains in the AIDS response does not match global ambitions set to be attained by 2020. The report further says that complacency has slowed down the pace of the AIDS response working against efforts to curb new infections, reduce stigma levels and provision of HIV and AIDS services to vulnerable populations. It further says the world is experiencing a ‘Prevention Crisis’ at a half-way mark towards the attainment of global  90:90:90 targets by 2020. Read the report here…  https://bit.ly/2NVQUT0

The report thus set the tone for the meeting attended by close to 15,000 delegates who included researchers, scientists, activist, donors, policy makers, Government representatives and the civil society.

Kenya hosts a record five symposia

Kenya once again affirmed her position at the Global stage as a key player during the AIDS 2018 Conference after a well-organized participation through the leadership of the National AIDS Control Council. H.E The First Lady Margaret Kenyatta led the Kenyan delegation which included Chief Administrative Secretary Ministry of Health, Dr. Rashid Aman, National AIDS Control Council Chairperson Ms. Angeline Siparo and C.E.O Dr. Nduku Kilonzo. Others were NACCs Deputy Director Dr. Emmy Chesire and Head of National AIDS and STI Control Program me (NASCOP) Dr. Kigen Bartilol among other representatives from the private sector and civil society.

 The Conference provided a platform for Kenya to share with the world her achievements, successes and challenges in her three decade long fight against HIV and AIDS. Kenya thus hosted a record five symposia, the highest number ever in an international conference. These included two high level sessions on Leadership and Innovation for Results in Elimination of Mother to Child Transmission (eMTCT) and Adolescent Care in which H.E The First Lady Margaret Kenyatta gave a key note address, and Ending the AIDS epidemic and Achieving Universal Health Coverage by 2030 in Africa where the Chief Administrative Secretary Ministry of Health, Dr. Rashid Aman was the key note speaker. Other sessions were; Youth Leadership in Action; Lesson from Kenya and Beyond from Research to Real World Settings; Scaling up PrEP within National Programs and The elusive 90:90:90 The Experience of Kenya as an early adopter of evidence.  All the symposia were co-hosted with the support of partners.

Speaking during the Universal Health Coverage symposium, Chief Administrative Secretary Ministry of Health, Dr. Rashid Aman said that the Government has taken decisive actions towards the realization of Universal Health Coverage- one of the Governments Big Four Agenda. This he noted includes prioritizing HIV in the benefits package as a critical component to the attainment of Universal Health Coverage in Kenya.  The inclusion of HIV services in the essential benefits packages is critical.  It will encourage People Living with HIV to enroll in national health insurance scheme, this way, increasing the contributory base.  It will also fast-track us towards achieving our target seeing as UHC will not be achieved if the 1.5 million people living with HIV in Kenya are left out. Said Dr. Aman.

Kenya’s First Lady Lauded for her efforts towards EMTCT

H.E The First Lady Margaret Kenyatta – 3rd Left among participants in one of the Kenya session.

H.E The First Lady Margaret Kenyatta was lauded for her instrumental role in providing leadership through the Beyond Zero initiative towards Elimination of Mother to Child Transmission in Kenya. As part of her efforts, Kenya has seen a significant drop in new infections from 13,000 in 2010 to 8,000 in 2017.

Addressing participants at the symposium on   Leadership and Innovation for Results in Elimination of Mother to Child Transmission (eMTCT) and Adolescent Care, The First Lady decried high infection rates among adolescents especially young women. She said more concerted efforts are needed to curb new infections in order to sustain the recent gains in the response against HIV and AIDS. ‘The goal to eliminate new infections among children is not yet within reach.  We have way too many preventable deaths among children, not only in Kenya, but globally.  We have seen an upsurge in new infections among Adolescents and Young People, especially young women which means that our investments in eMTCT are being wiped out in two decades,’ said the First Lady.

UNAIDS Executive Director Mr. Michel Sidibe while lauding Kenya’s progress in the AIDS response called on more investments to sustain impactful programs that have seen reduction in new infections while keeping those infected with HIV on treatment. This he said will ensure no one is left behind in the fight against the pandemic. “Every child has the right to be born free from HIV. And every child living with HIV should receive life-saving treatment to stay AIDS-free. And every young person should be supported to stay free from HIV. We cannot leave any child or mother behind.” Said Mr. Sidibe.

NACC CEO addresses the plenary, warns of a Prevention Crisis

NACC CEO Dr. Nduku Kilonzo while addressing the plenary on Differentiated models of HIV prevention said the world is starring at a Prevention Crisis as the number of new infections remains unacceptably high. 1.8M people were infected in 2017 globally at a time of dwindling resources for HIV response.

While calling for investment in provision of HIV services to scale, Dr. Kilonzo also urged stakeholders to address structural and legal barriers hindering access to HIV services. “We have to address structural and legal barriers hindering service provision to critical cohorts including Adolescents and Young people as well as key populations,’ she said. Dr. Nduku also warned of complacency noting that basic evidence based program that has proven to turn the tide against HIV and AIDS such as advocacy for appropriate condom use is not given the desired attention while the fight against stigma is not being prioritized.

Apart from hosting five Symposia, the Kenyan team also exhibited at the conference showcasing partner’s efforts towards the AIDS response in the country under a popular hashtag/tagline #KENYAatAIDS2018. The Kenyan team also made 18 oral presentations, presented 143 posters and participated in 43 sessions as chairs and guests speakers.

As the world reflects on deliberations of the conference one thing is clear-‘End of AIDS is in sight’ will remain rhetoric unless we renew our commitment including increasing investment in impactful programs and involving communities that bear the greatest disease burden. The 23rd Edition of International AIDS Conference will be held in San Francisco Carlifonia in partnership with Oakland City, USA in 2020.

.

 

 

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

NACC PARTNERS WITH KNLS TO REACH THE YOUTH WITH HIV INFORMATION

Mr. Richard Wanjohi, Head of Meru KNLS branch (Second left) together with staff and the youth who are the main users of the library receiving the TV screen and digital content from NACC

 

The National AIDS Control Council (NACC) is partnering with Kenya National Library Services (KNLS) to reach the users and specifically the youth with HIV information to raise awareness by providing TV screens and digital content in the exercise that has started with 11 counties in selected KNLS branches.
The Kenya 2016 HIV progress report shows that young people have significantly contributed to high HIV burden in Kenya and also constitute the largest proportion of people living with HIV in Kenya. KNLS serves a significant number of youth annually making it a target to reach the youth and young adolescents and the general public with accurate information and awareness on HIV and AIDS.

Along with the TV screens, the digital content is comprised of public service announcements by popular artists and selected religious leaders with anti HIV stigma, promotion of HTC services and a call for behavioural change aimed at reducing the risk behaviours and reducing new HIV infections. Several factors that have been attributed to increase of new HIV infection in Kenya are incorrect perception of risk of HIV among the youth such as limited knowledge on sexual behaviour that expose them to HIV like not using condom during their first sexual intercourse, failure to resist forced sex from a partner and having sex under influence of alcohol and drugs. The TV screens will be placed strategically in the libraries so as to reach many library users as possible.

When receiving the TV screen and digital content, Mr. Augustine Mutiso, head branch Mombasa KNLS pointed that the initiative will benefit the youth as three quarters of the users in the branch are youth. According to Mr. Mutie, Mombasa KNLS branch serves about half a million users on average in a year.  Miriam Mureithi, the in change of Thika KNLS praised the quality of the content as it is youth friendly. “This will increase traffic in our library given that the timing is good as the schools are closing” she said.

The first libraries that have received TV screens and digital content are Thika KNLS branch in Kiambu County, Meru KNLS branch in Meru County, Mwingi KNLS branch in Kitui County, Mombasa KNLS branch in Mombasa County and Kilifi KNLS branch in Kilifi County. The next libraries that will receive TV screens and digital content will be selected from Kisii, Nyamira, Migori, Homabay, Kisumu, Siaya and Nairobi counties.

[No Title]

FROM:           The Chairperson, National AIDS Control Council

TO:                 NACC Board Members and Staff

DATE:           August 1, 2017

RE:                  August 8, 2017 General Elections

 

Dear fellow Board members and staff,

As we prepare to go to the polls next week, allow me to thank you all for the great work that you have all put in to deliver on results on the HIV response as expected of the National AIDS Control Council. Our annual report paints a picture of a very dedicated staff that perform their duties out of conviction to deliver on set targets which is how we shall successfully manage HIV in Kenya.

As individuals, it is important to remember that August 8, 2017, presents you with a great opportunity to exercise your democratic right to elect your preferred leader…… CLICK HERE TO READ MORE

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.