Center for Health Market Innovations (CHMI)

Programs

Health at Home/Kenya

last updated Apr 22, 2013

Overview

Implementing organization: 
AMPATH
Implementation Partner(s): 
Ministry of Health GOK, PEPFAR, Abbott Fund
Legal Status: 
Public-private partnership
Year Launched: 
2009
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Government
Funders: 
Government of Kenya, President's Emergency Plan for AIDS Relief (PEPFAR)., TB and Malaria (GBC), the Global Business Coalition on HIV/AIDS

Technology

Technology Used: 
Phones › Apps/Software
Technology Purpose: 
Improving Data Management › Data Collection, Facilitating Patient Communications › Encouraging Patient Compliance, Extending Geographic Access, Improving Data Management › Data Organization/Analysis

Scale

Other Measures of Scale: 
99% of households in the targeted communities welcomed HIV counselors inside their homes and 97% have agreed to be tested. More than 9,200 people have been found to be HIV positive and directly connected to treatment programs on the spot. 7500 people reached in community screening for diabetes.
Scope: 
The initiative is being brought to scale by industry competitors working side-by-side in common cause—serving as a model to be replicated in other AIDS endemic regions of the world. In 2010, Abbot Fund and Eli Lilly expanded their partnership to include screening for diabetes and hypertension. This important addition leverages the model established for HIV management to screen people for non-communicable diseases (NCDs).
Summary: 

Health at Home/Kenya works to bring HIV counseling and testing, TB screening, and malaria bed nets to remote households in western Kenya that have difficulties accessing health care.

Program goals/rationale: 

As many as 70% of Kenyans do not know their HIV status. Health at Home/Kenya builds on the results of AMPATH's successful Kenya door-to-door pilot program where its HIV testing teams were welcomed into more than 95% of homes in Mosoriot, Turbo and Mautuma districts . Health at Home/Kenya aims to reach two million people in western Kenya with their services over the next two years.

Key program components: 

Health at Home/Kenya is a public-private partnership that provides home-based HIV counseling and testing.

In order to ensure success, nurses and counselors enter homes with a Android Phone that has a Geographic Positioning System (GPS) app to collect and enter data regarding the family's health, record test results, and document the physical location of the household to guarantee education, counseling and data collection follow-up. Data is entered into the AMPATH medical record system which is currently the most complete and comprehensive medical data base in sub-Saharan Africa. Anyone identified as HIV-positive is immediately given an appointment for follow-up clinical care.

In addition to reaching HIV-positive individuals and connecting them with the appropriate services, the program also helps those who test negative for HIV by teaching them about HIV/AIDS prevention and encouraging them to implement practices that will allow them to remain HIV-free.

Those who agree to be tested will be given two bed nets, and offered free pregnancy tests and screening for tuberculosis. Children under five will be dewormed.

Additional Information

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