Design of M&E Capacity Building Framework for Hiv Prevention, Care and Treatment to Improve Hiv Outcomes in Kisii County- Kenya

Abstract

Background: The Kisii County has a diverse background with an estimated population of 1,393,258 with 125,000 orphans (NACC, 2014a). The Human Immunodeficiency Virus (HIV) prevalence is 4.4% with 63,715 people living with HIV(PLWHIV) of which 7,715 are children (Kenya Prevention Revolution Road map). The adults comprise of 34,950 and children 2923 with a PMTCT need of 1,914. The HIV prevalence among women is (8.5%) compared to men (7.3%) with HIV incidence of 1,243 (DHIS; Kenya HIV County Profile, 2018). In Kenya, the county is ranked 11th with 2.2% of the total number PLWHIV. The Ministry of Health (MoH) and partners spearhead the scale up of HIV services in controlling the HIV epidemic. This can be verified through programming data hence the need to scale up HIV Monitoring and Evaluation (M&E) frameworks (NACC, 2014b). Objective: To deTo design, pilot, disseminate and evaluate sign, pilot, disseminate and evaluate sign, pilot, disseminate and evaluate sign, pilot, disseminate and evaluate sign, pilot, disseminate and evaluate sign, pilot, disseminate and evaluate sign, pilot, disseminate and evaluate sign, pilot, disseminate and evaluate sign, pilot, disseminate and evaluate sign, pilot, disseminate and evaluate confidence monitoring tool tconfidence monitoring tool tconfidence monitoring tool tconfidence monitoring tool tconfidence monitoring tool tconfidence monitoring tool tconfidence monitoring tool tconfidence monitoring tool to scale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii Countyscale up M&E solutions for the HIV Program in Kisii County- KenyaKenyaKenyaKenya. Significance: The Project implementation has contributed to UNAIDS 95; 95; 95 targets improvement in cascading HIV care through capacity building. Methods: The county has a gap in a functional M&E training framework hence the need to facilitate translation of evidence into action to scale-up of HIV management to ensure quality of care in achievement of 95; 95; 95; UNAIDS targets. Outcomes: The project outputs were aligned to the county strategic plan and achieved the goal through key players, stakeholders, reviews of the M&E plan and frameworks for implementation. The HIV M&E team participated in the capacity building that resulted to improved cascade of ANC and maternal cascade, infant cascade and coverage, ART cascade, HIV patients retention and linkage to care. There was an evaluation of confidence monitoring tool among key M&E subcounty heads at baseline and end term in line with the quarterly reports to increase demand for M&E service.