SCALING UP HTC THROUGH INTEGRATED HEALTH SERVICES IN RURAL KENYA

SCALING UP HTC THROUGH INTEGRATED HEALTH SERVICES IN RURAL KENYA

KenyaKadongo, Kenya
Organization type: 
nonprofit/ngo/citizen sector
Project Stage:
Growth
Budget: 
$50,000 - $100,000
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

IDF is a registered NGO whose vision is a healthy, just and economically viable society. It has implemented health, education and groups’ capacity building proj

About Project

Problem: What problem is this project trying to address?

IDF strives to scale up HIV Testing and Counselling to over 75% of the General Population who are not aware of their HIV Status in order to contain new HIV infection as a measure. New HIV infection is an ongoing pandemic estimated to be 55,000 – 100,000 per year, including 34,000 paediatric victims in Kenya, where 75% – 80% of the people do not know their HIV status, majority of whom are poor and illiterate and do not have time to reach HIV testing sites. We face difficult HIV prevention challenges like the high sero-status discordance in marriage/regular unions, social norms regarding relationships, gender roles/imbalances, stigma and discrimination, fear and risk perception and fertility intentions, the challenges which have been exacerbated by poverty and malnutrition which impede preve

Solution: What is the proposed solution? Please be specific!

Scaling up knowledge of HIV Status as a means of reducing New HIV Infections in Rachuonyo South District. IDF with support from its partners is executing a Free Medical Examination and Treatment through a Programme called PITC-Provider Initiated Testing and Counselling. IDF’s office coupling as a Comprehensive Care Clinic at KADONGO TOWN near Kisumu City, provides HIV Testing and Counselling - HTC, Laboratory examination and free treatment to the public; and this is done in 4 Outreach Sites namely Bessa Medical Clinic, Simbiri Health Centre, Nyandiwa Clinic and Mangima Health Centre which are spread all over the District. Mobilization is done to inform the public of the free medical camp venues and dates. Free medical examination and treatment attract many patients most of whom are poor, disabled and terminally ill. 90% of those in attendance accept HTC, which is a success strategy where an average oft 100 clients are tested for HIV per every free medical camp. Scaling up and expanding
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.

IDF is a satellite site for Kabondo Sub District Hospital; hence referrals are done to IDF for diagnosis and treatment for free. Unlike Government and Private Health Facilities where charges for medical drugs and services are high and prohibitive to many poor people, who mostly prefer to stay at home suffering their diseases, IDF has created a niche to offer Free Medical Examination and Treatment to the Public at its Clinic and 4 satellite PITC Free Medical Camps, thereby attracting many poor and disadvantage groups like the disabled and elderly who receive HIV Testing and Counselling, free medical drugs including ARVs, follow up services and referrals for specialized interventions. IDF influences those who bring patients for treatment to also undergo the free medical examination and treatment. After knowing their HIV Status, PLHIV have formed 6 Support Groups of approximately 65 members per group. In these groups the fundamental needs of PLHIV namely Physical, Social, psychological, emotional and spiritual Care are provided in a free environment devoid of stigma and discrimination. Couple Counselling to identify Discordant Couples (one partner HIV Infected and the other not HIV infected), is done to the general population, so that they use condoms and do PMTCT of HIV, and also avoid HIV Re- infection of those already infected i.e. doing Prevention With Positives. IDF has a fund raising strategy to support the ongoing PITC Programme of soliciting for Donors and partners. Computer data management and analysis is done, with access to the internet using portable modem. Trea
Sustainability

Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?

IDF complements several health facilities in the project area doing HIV Testing and Counselling such as Rachuonyo South District Hospital, Kabondo Sub- District Hospital, Oriang’ VCT Centre, Matata Nursing and Maternity Hospital,Chabera VCT Centre and Ober Health Centre. All these health facilities are either Government or privately run. But IDF is peculiar because it is an NGO seeking for partnerships to implement viable charitable projects addressing the needs of the disadvantaged and poor members of the Community. Whereas these health facilities do HTC, IDF goes beyond that by reaching many people through mobile PITC which offers free medical examination and treatment, which makes IDF’s services popular with the poor, disabled and terminally ill persons. Post test services like ARVs an
Team

Founding Story

IDF has operated in Rachuonyo South District since its inception in 1999 dealing with HIV and AIDS interventions especially HTC, Care, Treatment and Support at the Clinic where the public was expected to come on their own, but it was realized that many people who wanted to know their HIV status feared being associated with our Clinic which has been known to be a HTC Centre. Home Visits made by IDF in many parts of the District indicated that cultural practices like widow/widower inheritance and polygamy or multiple sexual partners escalated HIV infection, whereby many people died or became ill due to HIV related conditions yet the local community believed in unfounded causes like taboos, God’s plan, witchcraft, magic or sorcery. Many children died prematurely without diagnosis of HIV Status. I therefore decided to initiate the PITC Programme in conjunction with other partners to mobilize the community to come for Free Medical Examination and Treatment, especially at the mobile satellit
About You
Organization:
INTEGRATED DEVELOPMENT FACILITY – IDF
About You
First Name

Stephen

Last Name

Abebe

About Your Organization
Organization Name

INTEGRATED DEVELOPMENT FACILITY – IDF

Organization Country

, Kadongo

Country where this project is creating social impact
How long has your organization been operating?

More than 5 years

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Innovation
How long have you been in operation?

Operating for more than 5 years

Which of the following best describes the barrier(s) your innovation addresses? Choose up to two

Access, Cost.

Social Impact
Please describe the goal of your initiative; outline what you are trying to achieve

Goal is to reach the 75%-80% of the rural population who are not aware of their HIV Status through Integrated Health Services comprising of HIV testing and counselling, B/S for Malaria parasites, Stool test for Ova and Cyss and Spectrum examination for Tubereilibusilli and provide free treatment, especially to the poor and disadvantaged, who cannot normally pay for medical services in Government and Private Health facilities.
We want to achieve the vision of an HIV free Society by 2030 by scaling up the uptake of HIV Testing and Counselling by accessing the general population and mobilizing them to undertake other tests for treatment of opportunistic Infections. Once aware of their HIV status: If one is HIV positive he/she is counselled to have protected sex, use ARTs, eat we

What has been the impact of your solution to date?
What is your projected impact over the next five years?

IDF has been increasing number of persons reached with HTC and project to reach 40,000 in 1st year, 50,000 in 2nd year, 80,000 in 3rd year,120,000 in 4th year and 200,000 in 5th year subject to increase of resources. HTC services and post test services: like joining PLHIV Support Groups, taking ARTs, living positively through psycho- social support and having protected sex. Expansion of mobilization and Free Medical Examination and Treatment Services in additional 10 PITC Satellite sites to be realized. The turn out shall require scaling up of economic empowerment through Savings and Loaning Services in projected 100 Support Groups. There shall be expanded networking and collaboration with Government agencies and Donors to ensure adequate food provision to those on ARTs and TB drugs, be

What barriers might hinder the success of your project? How do you plan to overcome them?

BARRIERS are Lack of adequate funding to procure medical drugs, modern diagnosis equipment for TB and Diabetes screening; Poverty accompanied by hunger which promotes new HIV infections due to transactional sex to get food or money; Inadequate food in take by PLHIV who are on ARTs and TB drugs making them to default; High standard of living hence need for high salaries of project staff; Treat and Care for the terminally ill due to lack of an hospice; lack of reliable Double Cabin pick up to reach many HTC sites and do mobilization for PITC services.
The plans to overcome them include doing comprehensive fundraising through Donor internet search through calls for proposals; requesting for specialized volunteers to work in the project e.g. Peace Corps; Initiating economic empowerment sc

Winning entries present a strong plan for how they will achieve and track growth. Identify your six-month milestone for growing your impact

Mobilize 75% of the population who are not aware of their HIV Status for PITC and test and treat 20,000 new clients

Identify three major tasks you will have to complete to reach your six-month milestone
Task 1

Carry out 24 public mobilization campaigns for people to come for PITC and get free medical examination and treatment especially

Task 2

Procure medical drugs and execute free examination and treatment to patients and those who escorted them to the free medical cam

Task 3

Do comprehensive record keeping disaggregating data into gender, ages, discordant couples and types of post test services offere

Now think bigger! Identify your 12-month impact milestone

Test at least 40,000 clients through 5 HTC sites and operate 10 Support Groups duly empowered economically, psychologically and

Identify three major tasks you will have to complete to reach your 12-month milestone
Task 1

To increase the number of diagnosis equipment and employ more staff to reach the targeted 40,000 clients

Task 2

Increase the number of HTC sites modelled in our PITC Approach to 5 from 4

Task 3

Expand mobilization of the general public on HIV and AIDS issues and where to access our services as scheduled on a monthly basi

Sustainability
Tell us about your partnerships

IDF Partners with Liverpool VCT Care and Treatment-NGO, AMREF Maanisha Project, Government of Kenya Ministries like HEALTH, Agriculture, Social Development. Locally at project site, IDF partners with Bessa Integrated Development Programme – BIDEP(NGO), 6 PLHIV Support Groups and 4 Health Centres namely Mangima, Nyandiwa, Simbiri and Jawabu Community Health Facility for implementing PITC. Liverpool VCT Care and Treatment is the principal donor for PITC while others collaborate in executing particular projects.

Are you currently targeting other specific populations, locations, or markets for your innovation? If so, where and why?

Yes. In Western Kenya Region and beyond where HIV prevalence rate ranges from 14.2% - 33%. IDF targets Commercial Sex Workers, the Youth, Fishing Community and the Disabled who are emerging to becoming more vulnerable to HIV Infection. We are targeting school going children and youth who are increasingly starting sexual debut at early ages and often are poor hence engage in unprotected sex to get favours

What type of operating environment and internal organizational factors make your innovation successful?

Administrative Units starting with the Village, Sub Location, Location, Division and District , all headed by Government appointed officials, in addition to Churches, Mosques and Schools and Market centres provide conducive environment.HIV and AIDS Awareness is over 90% hence implementing appropriate initiatives to mitigate HIV and AIDS Impacts are prerequisites. IDF has a functional internal Organizational structure enabling the innovation successful. There is the Board of Directors out of whom come three Bank Signatories; The Executive Director, Project Coordinator, 2 HTC Counsellors, an Accountant, Laboratory Technician, Senior Clinical Officer, Community Nurse, 2 Nurse Aides and 5 Mobilizers/Clerks. There are 6 Support Groups, computer data recording and analysis, and internet. Moreov

Please elaborate on any needs or offers you have mentioned above and/or suggest categories of support that aren't specified within the list

There is lack of Hospice to reduce the suffering of AIDS victims. Start up capital for small scale businesses of persons infected and affected by HIV/AIDS is very minimal. Training of staff and volunteers remain a great need. The use of internet services like twitter, facebook, youtube and downloads of programmes require promotion. The procurement of modern diagnostic machines for diabetes, TB an

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