AIDS CONTROL UNIT,

OFFICE OF THE
PRESIDENT,
MINISTRY OF STATE FOR
PROVINCIAL
ADMINISTRATION
AND INTERNAL SECURITY

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INDUCTION FOR REORIENTATION
OF NEW DISTRICT OFFICERS

AT

KIA
WEDNESDAY 13TH FEBRUARY 2008

BY

D. O. BOLO
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HIV/AIDS AND
DEVELOPMENT

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 Session Objectives
• To highlight the challenges and impact of
HIV/AIDS on development
• To familiarize the officers on the basic elements
of the Permanent Secretary’s performance
contract on HIV/AIDS
• To provide an account of the impact of
alcoholism and drug abuse on HIV and AIDS
• To acquaint the officers with the the challenges
of PLWHAs

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 Objectives continued

• To facilitate behaviour change among the

DOs as role models in provincial
administration
• To mobilize the collaborative support of
District Officers in the fight against
HIV/AIDS
• To develop a way forward in the fight
against HIV/AIDS

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The Global challenge of HIV/AIDS

• 37.1 million people have died of HIV/AIDS since 1981

• 40.3 million living with HIV around the world (2006)
• 3 million died of AIDS related ailment in 2006
– 600,000 of these were children under 15 years of age
• 5 million new HIV infections occurred in 2006
– Sub-saharan Africa accounting for 64 % of new infections
• 95% of people living with HIV AIDS are of working age

• “The world will experience huge economic losses as well as erosion of

social network and human capital”

World Watch Institute (Washington)-

Vital Signs 2006-2007:

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 The Kenyan Situation
HIV Prevalence
HIV prevalence is the percentage of the
adult population between the ages of 15 and
49 that is infected with HIV.

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 Figure 2. HIV Prevalence Among Adults 15-49, 1980-2006

12%

10%

8%

6%

4%

2%

0%
1980 1985 1990 1995 2000 2005
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 Current HIV Prevalence status in
Kenya
• National HIV prevalence of 5.1% in 2006
(6.7% in 2003)
• National prevalence peaked at around 9% in
1997/1998.
• The current estimate of urban prevalence is
about 8.3%
• Rural prevalence is 4.0%
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National HIV prevalence estimates
for 2006
Prevalence Number
HIV+
Adults 15-49
Total(Range) 5.1% 930,000
Male 3.5% 320,000
Female 6.7% 615,000
Urban 8.3% 400,000
Rural 4.0% 530,000
Adults 50+ 55,000
Children 0-14 100,000
Total 1,100,000
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 Figure 4. Number of New Infections and AIDS Deaths Among
Adults, 1980-2006

250,000

200,000

150,000

100,000

50,000

0
1980 1985 1990 1995 2000 2005

AIDS Deaths New Infections

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 The Kenyan Challenge
• 1.2 million Kenyans living with HIV/Aids
• 86,000 new cases annually
• 150,000 succumb to HIV/AIDS related ailment
annually
• 2.3 million orphans, 60% of whom are HIV+
(2006)?
• HIV Prevalence is twice as high in urban as
compared to rural areas (Urban 8.3%, Rural
4.0%)
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 challenge contd.

Economic Impact
• High level of absenteeism resulting in loss of
productivity in agriculture and related sectors,
Education, etc.
• Loss of skilled manpower through death
• Reduced performance and growth
• Conflict and corruption hastening the spread
• Increased health burden
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 challenge contd.

• Socio-economic challenges:
– Many women turning to prostitution to earn
income to feed their families. (Long-haul track
drivers etc)
– Weakening of social networks and human
capital
– Insufficient supply of condoms
– Lack of care for the increasing number of
orphans
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 challenge contd.

The security burden(Many orphans turning to crime to

survive
• Increase in the number of displaced people –
enhancing vulnerability to sexual abuse
• Child labour
• Social Stigma- HIV prevalence in the country is
reducing but stigma about the disease remain high.
• Direct cost and associated social problems

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FACTS AND FIGURES

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 The Concern and Government
Response:
ERS Strategic Direction
• The biggest challenge facing Kenya today is to raise the rate of
economic growth to a level that will counteract the rising numbers of
the poor.
• This can only be possible by tackling the related challenge of HIV and
AIDS which impacts greatly on the economic growth of our nation.
• The ERS distinguishes HIV/AIDS pandemic as the single-most serious
health and development challenge that Kenya has faced in its post-
independence history
• HIV/AIDS is the only health problem that is believed to have reversed
the significant gains made in life expectancy and infant mortality
during the first three decades of independence.
• The pandemic therefore deserves special consideration given that it
impacts negatively on all sectors of the economy e.g. economic, social,
and cultural dimensions

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 Kenya vision 2030 direction

• To improve the overall livelihoods of Kenyans, the

country will provide an efficient and high quality health
care system with the best standards
– This will reduce health inequalities and contribute to lowering of
infant and maternal mortality
– Government will provide access to those excluded from health
care by financial reason
• Flagship projects:
– Revitalization of community health centers to promote preventive
health care and healthy individual lifestyles, eg. VCT Centers etc.
– Creation of health insurance scheme
– Scale up output based approach to enable the poor and orphans
access health care from preferred institutions

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 ERS Way forward on HIVAIDS

• The country will deal with HIV/AIDS pandemic by

developing a comprehensive research and control
programme;
• Continuing a multi-sectoral approach to HIV/AIDS
• Strengthening of the institutional framework for
implementation in partnership with major stakeholders.
– This will entail putting in place an integrated approach to
prevention,
– increasing community involvement and
– ensuring the special health care needs of the infected are met.

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 KNASP STRATEGIC VISION

PRIORITY AREAS
• Prevention of new infections
– Establishment of VCT centers
– Condom promotion
– BCC
– Increased access to PEP
– Promoting abstinence, consistent safe sex,
Delayed sex debut
– Availability of safe blood supply
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• Improving quality of Life
– Improving availability and access to treatment
and care
– Effective protection of human rights
• Mitigation of social economic impact
– Impact studies
– Advocacy
– Mitigation Policy
– Mitigation programmes
– Community empowerment
– Human resource planning

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• Support Services
– Research
– Financing and procurement
– Institutional Capacity building
– Communication, coordination and networking

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 National response

• Much has been done to address the HIV/AIDS epidemic

and its consequences. A comprehensive response requires
many things, including service provision, community
mobilization, strong leadership, appropriate policies,
coordination and management, research, support to people
living with and affected by HIV/AIDS, programs to protect
human rights and fight stigma and discrimination, resource
mobilization, evaluation and monitoring, etc. Indicators
have been developed to monitor progress in most of these
areas.

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Ministerial Response

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 AIDS CONTROL UNIT -OOP
Campaign Focus
• Raising HIV/AIDS Awareness levels among all members
of staff
• Propagation of effective prevention strategies for reduction
of new infections. e.g. condom use, abstinence, etc.
• Sensitization on the socioeconomic impact of HIV/AIDS
on the nation with specific reference to the work place
• Provision and supply of condoms for reduction of infection
rates among members of staff
• Facilitation of provision of counseling services and
ART/ARV’s for the effective management of the infected

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 Current Operational Strategy
• Mainstreaming of HIV/AIDS in the Ministry’s core
functions (programs and activities)
• Internal capacity building to enhance mainstreaming to
the grassroots level
• Reaching out to the grassroots levels through training
• Multi-sectoral approach through the involvement of all
stakeholders and interest groups
• Greater involvement of PLWHAs in the fight against
HIV/AIDS in the workplace

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 Way Forward
• To effectively control and manage
HIV/AIDS in your area of jurisdiction
you require:
– Mainstreaming of HIV/AIDS in all core
functions of the Ministry
– Work place policy domestication and
implementation
– Documentation of HIV/AIDS trends within
the Ministry
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• Team work and partnership
• Transparency and accountability
• Professional integrity and excellence
• Innovativeness
• A strong commitment to customer service
• Patriotism and loyalty to the motherland
• Stakeholders collaboration
• Strong commitment and moral responsibility
• Be a Role Model in your Team

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 ELEMENTS OF THE
PERFORMANCE CONTRACT
FOR THE MANAGEMENT OF
HIV/AIDS IN OOP-PA&IS
2007/2008

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 POLICY PRIORITIES
• To operationalize ACUs and sub-ACUs
in all Provincial and District
headquarters in Kenya
• To domesticate the Public Sector
workplace policy on HIV/AIDS in all
departments and units within the
Ministry

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 FOCUS FOR ACTION -
FINANCIAL YEAR 2007/2008

• To conduct a baseline survey to determine

status of the following;
– Number of employees who have received HIV
testing and counseling
– Number of staff living with HIV and AIDS, who are
on retroviral treatment (ARVs)
– Number of HIV Positive mothers receiving a
complete course of ARVs to prevent mother to child
transmission of HIV

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 continued
– Number of male and female condoms
distributed within a specified timeframe
– Proportion of employees reporting consistent
condom use with a casual/non regular sexual
partner
– Number of employees looking for HIV/AIDS
prevention, treatment, care and support
information

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 continued
- Proportion of employees willingly declaring
their HIV and AIDS status and submitting
themselves to HIV and AIDS testing
• To train TOTs on HIV/AIDS counseling
• To train VCT Counselors and Supervisors
within the Ministry

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 continued
• To distribute male and female condoms
within the Ministry.
• To procure condom dispenser units for use
within the Ministry
• To participate in ASK shows in Kenya.
• To establish and operationalize HIV/AIDS
resource centres
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 continued
• To train employees on Home-based care and
nutrition
• To enhance access to HIV/AIDS sensitization,
counseling, mitigation and capacity building for all
members of staff within the Ministry
• To conduct a baseline survey on the impact of
behavior change communication amongst members
of staff in the Ministry.
• To participate in the World AIDS day celebrations
etc.
-end-
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 Conclusion
Please use the given information to make informed
decisions.

For more information and help please contact;

AIDS CONTROL UNIT

OFFICE OF THE PRESIDENT
P.O. BOX 30510
BRUCE HSE, 13TH FLR
NAIROBI

Tel: 227411 Ext 22555

Fax: 240057

D. O. Bolo -  O722-619677 36
 DISTRICT OFFICERS
RESPONSE TO HIV/AIDS
• Establishment of Lobby support groups

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