country presentation - kenya dr. philip owiti ampath, kenya
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Country presentation - KenyaDr. Philip OwitiAMPATH, 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%
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
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
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)
The road is not without potholes…