country presentation - kenya dr. philip owiti ampath, kenya

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Country presentation - Kenya Dr. Philip Owiti AMPATH, Kenya

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Page 1: Country presentation - Kenya Dr. Philip Owiti AMPATH, Kenya

Country presentation - KenyaDr. Philip OwitiAMPATH, Kenya

Page 2: Country presentation - Kenya Dr. Philip Owiti AMPATH, Kenya

Country situation - KenyaPopulation (Kenya Demographic Health Survey,2010)

39.4 Million

HIV prevalence (KDHS, 2010)

6% (adults 15-49yrs)

First case diagnosed 1984

Number living with HIV (2008)

>1.4m

Number dead since 1984

Number dying daily

>2m

600

AIDS declared national disaster

1999

TB/ HIV comorbidity (2010)

41%

Page 3: Country presentation - Kenya Dr. Philip Owiti AMPATH, Kenya

Academic Model Providing Access To Healthcare

AMPATH• Started in Nov 2001 as Academic Model for

Prevention and Treatment of HIV/AIDS.• Partners

• Moi Teaching and Referral Hospital• Moi University Sch of Medicine• Ministry of Health• A consortium of North American Universities led by

Indiana University• Started as 2 sites, now 25 sites (in 3/8

provinces)• Caring for 137, 413 HIV+ patients (sept 2007)

• 109,562 adults• 27,851 children• 81,680 on ARVs

Page 4: Country presentation - Kenya Dr. Philip Owiti AMPATH, Kenya

AMPATH care services• Provision of ARVs and other therapies• Prevention and Community Mobilization • Fighting Hunger • Fighting poverty and building Self-Sufficiency • Agricultural Extension Services• Helping Orphans • AMPATH Medical Record System (AMRS)• Home Couselling and Testing• Primary Health Care & Maternal and Child

Health Care • Chronic Disease Management• Research

Page 5: Country presentation - Kenya Dr. Philip Owiti AMPATH, Kenya

AMPATH as the innovative arm of MOH

• Lessons learnt– A stand-alone HIV/TB program has a down side

• Demoralizes the other components of MOH care• Other health threats in the community can dwarf HIV eg

MCH,NCD• Need for a responsive MOH care system; sustainability• The infrastructure for HIV/TB can be leveraged to lift the

entire health care system– Integrate AMPATH with PHC, NCD

• PHC – MCH/FP, pediatrics, safe water, facility based pt care, village based pry care +++

• NCD – DM, HPTN, Mental health, Oncology +++– Full partnership with MOH; the innovative arm of the

gvt.– Achor it all in an electronic medical record system

(AMRS)

Page 6: Country presentation - Kenya Dr. Philip Owiti AMPATH, Kenya

The road is not without potholes…