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Bringing together communities at the center of the HIV response in Kiambu County

February 27, 2020
Uncategorized
[caption id="attachment_6575" align="aligncenter" width="887"] NACC CEO Dr Nduku Kilonzo, EBS, addressing leaders from Kiambu County during a training on Sustainable Health Financing and Governance held in Naivasha.[/caption]
The National AIDS Control Council (NACC) CEO Dr Nduku Kilonzo today addressed the leadership of Kiambu county during a two-day training on Sustainable Health Financing and Governance in Naivasha organized by the NACC.
 
In her remarks, Dr Nduku noted that despite the significant progress that Kiambu county has contributed in the reduction of HIV infections in the country, there exist significant future challenges that needs to be addressed such as prevention of ill health, strengthen governance in coordinating partners and resources and integration of services that are defined by Kiambu county. She said that this can be achieved through the Local Initiatives Spread Through Enterprise Networking (LISTEN) model that brings the notion that communities take the lead in addressing their needs, putting communities at the centre to the HIV response.
 
Kiambu county is currently piloting LISTEN that seeks to achieve great impact, sustain gains made and address challenges in HIV response by providing data-driven decision making and strategically maximizing existing resources already available. The CEO said “addressing these challenges will provide opportunities in achieving the Universal Health Coverage through the LISTEN model that will safeguard the gains made in HIV response.
 
The training of Kiambu leadership is part of the LISTEN model processes that tends to enhance the county leadership and management skills for the HIV program devoted to delivering HIV services by bringing together various representatives in county leadership, promoting the focus of a collective action to strengthen health systems and expanding quality health services including HIV, leading to better and sustainable health outcomes.
 
The LISTEN model is implemented by the Georgetown University Center for Global Health Practice and Impact (CGHPI), the process (originally called the Business Process for Impact or BPI) is being piloted in Eswatini, Kenya and Malawi from 2018.
 
The leadership of Kiambu county was led by CECM Health services Mary Kamau, COH Dr David Kamundia, CDH Dr David Ndegwa, all directors in health services, health committee members from the County Assembly and health workers. The CEO’s parting short emphasis on prevention as the only cost-effective strategy and she said: “you can ignore everything in life but you cannot ignore health and investing in prevention is the only cost-effective strategy for the success of Universal Health Coverage”.

Remember February 13 – The International Condom Day!

February 12, 2020
NACC News
International Condom Day is celebrated on February 13th - a day before Valentines Day, as a way of reminding ourselves about condoms and how effective they are in preventing pregnancies and STIs, including HIV. This year’s theme is Safer Is Fun and since its inception in 2009, the day is commemorated as an effort to reduce and stop new HIV infections through safe sex practices. Since its invention and use back in 3000 BC by King Minos of Crete, condoms have been a topic of nosiness throughout history and the idea of safer sex has been explored in ancient times and used to prevent venereal diseases.  Romans used bladder of animals as condoms to protect the woman not from pregnancies but from venereal diseases until Charles Goodyear who used vulcanization – the process of transforming rubber in malleable structures – to produce latex condoms. About 1.5 million people are living with HIV in Kenya and the national prevalence is estimated to be at 4.9 per cent. The main mode of HIV transmission is through sexual contact with accounts for about 80% of all new HIV infections. According to the 2018 HIV estimates, adolescents and young people account for 40% of new HIV infections and the reasons cited for the increase include low-risk perception of HIV and changing attitudes and casual sex with multiple partners which have also led to increasing of adolescent and teenage pregnancies. The reduction of new HIV infections is the first objective in the Kenya AIDS Strategic Framework and Kenya being a member of UN member states is committed to contributing in reduction of new HIV infections to fewer than 500,000 globally.  In the effort to reduce new HIV infections, the National AIDS Control Council is distributing condoms and installing condom dispensers across the country and since October last year over 400 condom dispensers and 300,000 male condoms have been distributed in nine counties – Homa Bay, Nyandarua, Kakamega, Siaya, Mombasa, Kisii, Kisumu, Kiambu and Nairobi.  The distribution targets areas that are highly and frequently visited such as public toilets, bars and lodges.  The initiative is to promote the sufficient supply and making condoms accessible to the people who need them and when they need them. The use of condoms is cited to contribute to the reduction of HIV transmission and stopped the wider spread of HIV in places where the epidemic is concentrated. According to the World Health Organisation (WHO), through a global modelling analysis, condoms are said to have averted around 50 million new HIV infections since the onset of the HIV epidemic. Currently, Kenya is finalizing its Condom Strategy Plan that will provide a national framework to guide implementation of a comprehensive condom program through advocacy and promotion, distribution and proper disposal and structured monitoring and evaluation strategies to promote the uptake and consistent use of condoms. As the world has progressively come up with major scientific advances in areas of HIV prevention apart from condoms such as biomedical interventions such as antiretroviral therapy (ART) which has substantially reduced HIV transmission. Condoms still remain central in HIV response because only when sustained viral suppression is confirmed and very closely monitored in a person living with HIV, - and when the risk of other STIs and unintended pregnancy is low, it may be safe not to use a condom. The National AIDS Control Council together with partners will be celebrating the International Condom Day in 3 counties – Kirinyaga, Homabay and Muranga with the national event being held at Kirinyaga University in Kirinyaga County starting at 8.00 a.m.   As we celebrate the International Condom Day on 13 February, let us remember that Safer is Fun, with a condom!

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