Center for Health Market Innovations (CHMI)

Programs

Lea Toto Community-Based Care Program

last updated May 18, 2012

Overview

Implementing organization: 
Children of God Relief Institute (COGRI)
Legal Status: 
Private (not-for-profit)
Year Launched: 
1999
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Donor
Funders: 
PEPFAR, USAID

Scale

Personnel Employed: 
10-49
Number of Clients Served: 
7698 HIV positive children provided care, 2680 children provided ARVs
Number of Facilities Operated/Networked: 
6 centres
Summary: 

Lea Toto, Swahili for “to raise the child”, is a community-based outreach program which extends care of HIV+ children into the community through the provision of medical services, nutrition, counseling and capacity building.

Program goals/rationale: 

The project goal is to mitigate the impact of HIV/AIDS and decrease the risk of HIV transmission through the provision of a comprehensive Community Home-Based Care Package.

Key program components: 

The Lea Toto program aims at improving the quality of life of HIV positive children living in six of Nairobi’s poorest informal settlements. It is now one of the largest non-governmental paediatric HIV/AIDS providers in Kenya. To accomplish this, the program facilitates a holistic process that involves support and access to:

  • Comprehensive medical care
  • Provision of Antiretroviral Drugs (ARVs)
  • Nutrition and food security
  • Psycho-social support to the children and their families
  • Education and vocational training
  • Capacity building and economic empowerment of the children and their families
  • Voluntary Counseling and Testing
  • Supportive counseling for the children and families

The program has been successful in providing quality comprehensive care and support to HIV positive children and their families over ten years and the area is now registering lower mortality rates. Through continuous training of their behaviour change agents they have been able to negotiate, support and maintain safe behavior through community mobilization.

As of March 2011, Lea Toto program had reached:

  • 7698 HIV positive children with comprehensive medical care, psychosocial support, educational support
  • 36,000 family members with education and skills to support and care for people living with AIDS and capacity building for self sustenance
  • 2680 children with Antiretroviral Therapy services
  • All school-age children in the program are enrolled in school, from pre-school to University
Program history: 

Lea Toto has a cooperative agreement with USAID which currently in its fifth phase, running from March 2009 to February 2013.

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