Final summary presentation 6th conference day 3 take home

MILES, MISSES AND POLICY RECOMMENDATIONS
Final Summary 6th
Conference

Presentation Outline
Track 1: Miles, Misses and Policy Recommendations
Track 2:Miles,Misses and Policy Recommendations
Track 3:Miles,Misses and Policy Recommendations

Track 1:Miles& Misses in HIV Prevention,
Treatment & Support
Miles
ARV treatment uptake impressive
Cost of ARV reduced= improved access
Conference’s focus on workplaces-part of KNASP III
Strategic Area and critical area for intervention
towards Zero
Conference contributions to the framework under
development by NACC
First Lady’s support to MNCH and Zero Campaign

Treatment & Support
Miles
New Research and innovation-HIV Vaccine, PrEP,
Male Circumcision Devices, Biometrics & mobiotrics in
managing health data
Ongoing Peer Education in schools-passage of
accurate information
Existence of AIDS tribunal set to deal with AIDS
related cases
Targeted funding: GOK contributing 2 million USD to
Global Fund to support AIDS/TB for the year 2014-
2016

Treatment & Support
Misses
Reduced funding in HIV Prevention vs. Zero AIDS Now!
Campaign
PEPFAR is financially constrained and cannot sustain
funding for HIV prevention but shifted more focus to the
populations that drive the epidemic
Poor access of treatment among young people due to high
stigma in Uganda and Tanzania
High prevalence of NCDs resulting in focus shift
High stigma=poor adherence and services uptake
Limited funding to support establishment of referral

Treatment & Support
Policy Recommendations
Donors and government consideration on reversal of
budget cuts on behavioral interventions-HIV
Prevention among youth and key populations
Advocate for increase of budget reallocation to
support HIV services-CS, Health commitment
Design targeted messages and programs focusing on
younger SWs and Married SWs and SWs with no other
sources of income to encourage them to make return
visits for services

Treatment & Support
Need to develop strategies to help the children of sex
workers who are presenting with withdrawal
symptoms from drugs in Coast Region
Establish causes of GBV in Western and Nyanza and
develop policies to curb
County governments need to entrench CHS in their
respective strategic plans for sustainability
Review School Health Policy to include sex education

Track 2:Evidence Informed Behavioral
Interventions
Miles
KPs’ friendly services available resulting in high
uptake of services due to sensitization of service
providers
Increased male involvement in MNCH towards
eMTCT
Training of truck drivers as peer educators for
increased ownership
Establishment of truck drivers Resource Centres at
the trucks stop overs-entry point for health care

Interventions
Miles
Adoption of relevant EBIs among different Key
Populations
Devolution enhancing youth decision-making at
county level

Interventions
Misses
Lack of peer educators stipend streamlining in
organisations=divided allegiance among PEs
 Poor mapping and coordination resulting into
organizations’ duplication of efforts & negligence of
some areas/counties
Poor data collection and documentation of
implementers efforts
Lack of tracking of male involvement indicators in
eMTCT

Interventions
Misses
Misconception that douching is preventive measure
against HIV among FSW
Many partners targeting key populations-Long
Distance Truck Drivers and IDUs
Getting exact population size of MSM-stipends make
some pretend to be to benefit
Poor recruitment process of peer educators without
community involvement

Interventions
Strengthen mandate of the health service bill which is
to provide health services for all regardless their
orientation
Ensure support of PrEP demonstration project by
lvcthealth and enaction of laws to avoid misuse
Community health workers need to be linked to
schools to support paediatric adherence
Teachers’ training on handling children to bridge the
current existing gaps for the children and adolescence
living positively in schools

Track 3:Social Determinants, Capacity
Building, Partnerships & Advocacy
Miles
Holistic involvement of all partners from public and
private sector in HIV Programming
Paradigm shift of health systems strengthening from
change to transformation
Special focus on large scale horticultural workplaces
There is democratic ways of engagement of students in
School Health Committees
Existing interventions/efforts in ASRHR
Use of students as agents of change in learning
institutions

Misses
Lack of information on county budget allocations and
utilization
Lack of public participation in prioritizing health issues
Low voice in determination of budget allocations in
different sub-categories
Integration of ASRH programs at the community level
Participation of key players in enhancing ASRH is
inadequate
Cohort analysis and tracking-reach of new clients only

Strengthen CSOs engagement in county budgets
tracking and enhanced accountability
Strengthening the structural determinants of health-
health systems software
Harmonization of guidelines across East Africa region
Inclusion of the PWD in national planning
Push for the implementation HIV&AIDS in higher
learning institutions

Final summary presentation 6th conference day 3 take home

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