As provided in the Legal Notice No. 170 of 1999, one of the core mandates of NACC is to develop strategies, policies and guidelines relevant to the prevention and control of HIV and AIDS in Kenya. The NACC has to date led the national response by coordinating and implementing two five year and a four year strategic plans covering the periods 2000 to 2013.
The first Kenya National AIDS Strategic Plan 2000 to 2005 proposed the establishment of NACC and its decentralized structures. Currently NACC has 9 Regional offices, 47 County Representatives and 290 Constituency AIDS Control Committee (CACCs).
The second Kenya National HIV and AIDS Strategic Plan 2005/6-2009/10 was developed with exemplary participation from Government and stakeholders in line with the ‘Three ones’ principles of One Coordinating Agency, One Agreed Action Framework, and One Agreed M&E system. The NACC is the custodian of the ‘Three Ones’ Principles approach in Kenya an accomplishment that has seen tremendous gains in HIV and AIDS programming in the country. However the lifespan of this strategic plan was cut short due to emerging trends from research on new sources of HIV infections.
According to the evidence from both KAIS (2007) and KmoT (2008), nationally most new infections occur in couples who engage in heterosexual activity within a union or a regular relationship accounting to 44% of all the infections. Men and women who engage in casual sex contributed 20% of new infections, while sex workers and their clients contributed 14%. Men who have sex with Men (MSM) and prison populations contributed 15% of new infections, and injecting drug users accounts for 3.8% while health facility-related infections contributed 2.5% of new cases.
The Third Kenya National AIDS Strategic Plan 2009/10 to 2012/13 whose vision is ‘An HIV Free Society’ emphasized on effectively responding to the evidence base and provided a coordinated, comprehensive, high quality combination prevention, treatment and care services.
The current Kenya AIDS Strategic Framework -KASF 2014/15-2018/19 being impelemented is the Strategic guide for the countrys response to HIV at both national and county levels.The framework addresses the drivers of the HIV epidemic and builds on achievements of the previous country strategic plans to achieve its goals of contributing to the countrys Vision 2030 through universal access to comphrensive HIV Prevention,treatment and care.The Frameworks Vision is A Kenya Free of HIV infections,stigma and AIDS related deaths.
Other strategies and policies that have been developed by NACC and other stakeholders include, the Youth Communication Strategy, Condom Policy and Strategy, Male Circumcision Policy, HIV and AIDS policy at the workplace, HIV and AIDS Prevention and Control ACT, NACC and Stakeholder’s Code of Conduct and guidance notes, GIPA guidelines and many more.