To developa resource mobilization strategy to improvethe in-patient HIV testing services (HTS) from 60% and sustainit at 100%at the county General Hospital kakamega 2016-2020.

Abstract

The HIV epidemic was declared as an emergency response by our 2nd President Daniel T. Moi in November 1999 to accelerate the care of HIV work in the Nation. This then gave the mission of the United States President's Emergency Plan for AIDS Relief (PEPFAR) has evolved from an emergency response to rapidly support sustainable HIV & AIDS programming in the Kenya. The new change involves a shift of funds from direct service delivery to technical assistance, capacity building, and systems strengthening. All stakeholders because of program sustainability and enhancement, donors and implementers are now supporting more Country-driven National HIV programs, rather than programs managed by implementing agencies. Due to this shift the resource mobilization strategy brings a sharp focus on the Hospital Management Team (HMT) to begin to drive the partners supported Comprehensive Care Clinic (CCC) and fully integrate the services. It will now be expected of County governments to plan and budget for the HIV services so that we all walk in the direction to end the HIV epidemic with the 90-90-90 strategy. Where 90% of the population get HIV testing, out of those HIV positive, 90% must be linked to care and 90% of those linked to care must achieve undetectable levels of viral load for successful programs. The HMT will begin by paying more close attention, resource mobilizing and monitoring the provision of HIV Testing Services (HTS)in the in-patient to improve from the current 60% HIV in-patient testing and bring it to the policy stipulated 100% HIV in-patient HTS and sustain it for the next 4 years and beyond. The SWOT analysis of the CGH has been an eye opener to the HMT; they will build on their strengths to improve on the diagnosis and treatment of HIV and TB.CGH will address their weakness especially in recruiting and training more staff on new skills for better service provision. Then consider all opportunities and guard the threats that can collapse health care like the strikes and better management of debts. The HMTs’ retreat, the financial document and report reviews, the validation workshops and the bench mark trips have given us as a team an excellent insight. Objectives, action plans, way forward and recommendations have been made by the HMT to drive forward the core health business of CGH as an institution and to engage fully in the HIV program services to support, monitor and evaluate and also improve the HIV service indicators. Everyday bearing in mind that HIV incidence is on the increase in Kakamega County especially in the age segment of 15-24 years, therefore clients and patients must be tested linked to care and with a heavy hand promote the HIV prevention package by promoting in-patient HTS services. The dash board of NASCOP testing trends on the 25th April 2017 ranked the CGH the 2nd highest testing facility after Mukumu Mission Hospital among the 50 testing health facilities of Kakamega County. This is towards the 90-90-90 strategy as a means of achieving the end of the HIV Epidemic. This is the beginning of the end of the HIV Epidemic towards the last mile. An HTS in-patient service is the way to go combined with all the other HIV programs.