NARESA through funding from the CDC - PEPFAR Fund is supporting implementation of PMTCT services in government facilities distributed in 13 Districts in Kenya through a 5 year Co-operative agreement with CDC-GAP Kenya . The technical support includes strategic planning, training, support for implementation, supervision, monitoring and evaluation and resource mobilization to stop gap outages of essential components and facilitation of peer support groups in the past year. Through this process NARESA has participated in development of standard packages to support public health approach to roll-out of PMCT including;
Peer-driven inter-District planning and review for PMCT
Training strategy to support rapid roll-out of services to many sites at the same time.
Standard approach to routine offer of PMCT services to ensure high client coverage.
Integration of PMCT into antenatal clinics, maternity and postnatal clinics.
Integration of early infant diagnosis, OI prophylaxis and support for infant feeding.
PMCT Program Impact (2006-2009)
Increased PMCT sites from 175 to 430 distributed through 13 Kenyan Districts.
Reached over 150,000 women with Counseling and testing services through this period 30% at District hospitals and 70% at health centres and dispensaries, many iof them in very remote areas of Kenya.
Antenatal counselling and Testing (ANC CT) coverage increased to > 80%
Delivery of ARV for PMCT exceeded 90% in all Districts.
Early infant diagnosis introduced in postnatal clinics.
Monitoring of infant feeding practices introduced.