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Kenya QI Resources
ACLN 2010 Intro to HIVQUAL Kenya

HIVQUAL-Kenya: Development of Health System Indicators

HIVQUAL-Kenya: Retention of Patients in Care and Treatment in Kenya

ACLN 2010 Proceedings

Toward and MTCT Free Kenya: The Mother Baby Pack

Implementing a comprehensive QI Program in Kenya

HIVQUAL-Kenya Storyboard: A Case of Mbagathi District Hospital, Nairobi

ACLN 2011 Proceedings

Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial

HEALTHQUAL International Update, May 2010

HEALTHQUAL International Update, October 2011

HIVQUAL Kenya: Using Performance Data to Set National Improvement Priorities

Improving quality of care for people living with HIV and AIDS in Kenya: A case of Coast province

HEALTHQUAL International Update - June 2012

HEALTHQUAL Update - January 2013

Improving nutrition assessment and categorization for people living with HIV and AIDS attending HIV clinics in Kenya

Kenya Overview

Background

 

HIVQUAL-Kenya was launched in 2009 with completion of baseline data in 2010. A Ministry of Health (MOH) leader and stakeholder training was conducted in May 2009, including participation by leadership from the National AIDS/STI Control Program (NASCOP), the MOH, CDC Kenya and implementing partners. Fifteen initial clinics were selected, 5 in each of three provinces including Nairobi, Nyanza and Coast, for baseline data collection. Performance measurement indicators were drafted covering adult, pediatric and prevention of mother to child transmission (PMTCT) areas of care through a formal engagement process with key stakeholders, which was facilitated by HEALTHQUAL.

 

A technical working group (TWG) was established in October 2009, designed to function as the HIVQUAL-Kenya steering and advisory committee. The TWG finalized the list of indicators and assisted with the adaptation of HIVQUAL software to support data collection activities.

 

Demographic Data

 

HIVQUAL Kenya has since expanded and is currently active in 34 clinics in 6 regions.

  • Population:  40.5 Million
  • HIV prevalence:
    • Adult men age 15 – 54 years – 4.3%
    • Women age 15 – 49 years, not pregnant – 8.0%
    • Women age 15 – 49 years, pregnant – 8.3%
    • General adult population age 15 – 54 years – 6.3%
  • Other information on HIV epidemic
    • HIV incidence: 132,00 adult and 34,000 pediatric new infections per year
    • Percent of health facilities providing HIV testing and counseling – 63%
    • ART coverage
      • Among adult patient who need ART – 74%
      • Among children under 14 years who need ART – 21%
      • TB/HIV prevalence: 44 % of TB patients have HIV

HIV/AIDS Epidemic:

HIV prevalence among non pregnant adults age 15 – 49 years is estimated to be 8.0% while among pregnant women, it is 8.3%. HIV prevalence among adult men age 15 – 54 years is estimated at 4.3%. In Kenya today, the number of people estimated to be living with HIV is 1.5 million. There were approximately 100,000 new infections in 2009 for adults (15+).

 

The Kenya MOH through NASCOP has significantly scaled-up ART program, increasing the number of eligible patients on ARVs from 11,000 in 2003 to 432,621 in 2010 (NASCOP). By the close of 2011, there were  1,100 treatment centers nationwide offering ART, with continued decentralization of ART treatment.

Team/Leadership

 

 

Dr. Martin Sirengo
Director, National AIDS/STI Control Programme
NASCOP
Mr. John Wanyungu
HIVQUAL-Kenya Program Manager
NASCOP-MOH
Dr. Davies Kimanga
Epidemiologist
NASCOP-MOH
Mohammed Abass
HIVQUAL Data Manager
NASCOP-MOH
Maurene Amagove
HIVQUAL Technical Advisor
NASCOP-MOH
Program Organigram

 

Data Profile
Overview
• HQ-Kenya clinics have collected 4 rounds of data. The most recent round reviewed care provided during July - December 2011
• 38 HQ-Kenya clinics have participated in HIVQUAL data collection, sampling at least 12,771 charts from 180,182 eligible patients
• Performance rates have been measured for the following adult and pediatric indicators: clinical visits, CD4 monitoring, ARV therapy,
adherence assessment, CPT, TB clinical screening, family planning (adult only), counseling on partner testing (adult only) and
disclosure of status (pediatric only)
• During the July - December 2011 review period, baseline data were collected on 3 PMTCT indicators: ART Prophylaxis, Partner
Testing and ART Assessment
 

 

Download the HEALTHQUAL Performance Measurement Data Report