The Country Coordinator in Kenya is Cosmas Apaka.
Academic Model Providing Access to Healthcare (AMPATH)
Location: Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya
Site PI (Pediatrics): Samuel Ayaya
Site PI (Internal Medicine): Lameck Diero
Statistician(s): Ann Mwangi
Data Manager: Edwin Sang
Moi University School of Medicine and Moi Teaching and Referral Hospital partnered with collaborating medical schools in the United States, Indiana University School of Medicine and Brown Medical School, to establish the Academic Model for Providing Access to Healthcare (AMPATH) in November 2001. The overriding goal of AMPATH is to establish and assess a working model of both urban and rural comprehensive HIV preventive and treatment services. AMPATH has leveraged the unique attributes of academic institutions to develop high-quality, high-volume HIV/AIDS patient care programs while simultaneously serving as a classroom for teaching and a laboratory for HIV-related research.
In 2004, USAID through the United States President’s Emergency Plan for AIDS Relief (PEPFAR) initiated a grant to AMPATH to scale up the delivery of antiretroviral treatment in the region. The initial goal of AMPATH was the establishment of an HIV care system which would serve the needs of both urban and rural patients and create an environment where barriers to and outcomes of antiretroviral therapy is assessed.
AMPATH has its main clinic at MTRH and satellite clinics in eight counties. It supports HIV care and treatment in 143 ART clinics, more than 192 prevention of Mother-To-Child Transmission (PMTCT) clinics and more than 266 Home-based Counseling and Testing (HCT) clinics. AMPATH cares for both pediatric (0-14) and adult (15+) patients. An average 1000 (adults and children) are enrolled monthly at all supported sites. By end of January 2016, the number of persons ever enrolled in HIV care was over 184,000 with 23% of them being children (0-14 years); and over 50% of all patients having initiated ART. The AMPATH at MTRH in Eldoret houses the Regional Data Center for the East African IeDEA consortium.
Family AIDS Care and Education Services (FACES)
Location: Kisumu, Kenya
Site PI: Elizabeth Bukusi
Data Analyst: Michelle Moghassi
MLE Manager: George Nyanaro
Statistician(s): Bernard Samba
Information Systems Director(s): Edwin Mulwa, Jayne Kulzer
University of California San Francisco’s local partner, Kenya Medical Research Institute (KEMRI)/Family AIDS Care and Education Services (FACES) program, is a family-focused, comprehensive HIV prevention, care, and treatment program working collaboratively with the Kenyan Ministry of Health (MOH) and other partners to build sustainable HIV care systems in Nyanza Province and in Nairobi. FACES initially launched services in September 2004 to scale up antiretroviral treatment in Nairobi and the Nyanza region, the Nyanza region being the area hit hardest by the HIV epidemic in Kenya currently with 148 HIV care and treatment sites (2 in Nairobi and 146 in Nyanza) with over 80,000 patients actively enrolled in HIV care. FACES provides care for both pediatric (0-14) and adult (15+) patients. FACES facilities provides comprehensive care and treatment, prevention of mother-to-child transmission (PMTCT), tuberculosis screening and management, voluntary medical male circumcision (VMMC), HIV testing and counseling, and social support. FACES continuously strive to increase local capacity through mentorship, targeted trainings, and continuing medical education (CME) activities.
Currently eight sites contribute data to IeDEA (Lumumba, PandPieri, Tuungane, Migori District Hospital, Suba District Hospital, Rongo District Hospital, Mbita sub-county Hospital, and Macalder sub-county Hospital). The eight sites contribute 14,231 patients to the IeDEA database.