GH22-2209:advancing sustainable implementation of comprehensive HIV prevention and treatment programs in faith-based and private sites in nairobi, coast and western regions in the republic of kenya…

GH22-2209:advancing sustainable implementation of comprehensive HIV prevention and treatment programs in faith-based and private sites in nairobi, coast and western regions in the republic of kenya under the PR - this technical proposal responds to the notice of funding opportunity CDC-RFA-GH22-2209 titled: advancing sustainable implementation of comprehensive HIV prevention and treatment programs in faith-based and private sites in nairobi, coast and western regions in the republic of kenya under the president's emergency plan for aids relief (PEPFAR). IT outlines that (I) despite the good art coverage in nairobi and mombasa counties (92% and 93%, respectively), significant gaps remain; (II) kilifi and kwale counties are at 86% and 89% art coverage, respectively; (III) there remain challenges in the PMTCT program with an overall emtct, between nairobi and mombasa, at 10.8%; (IV) over a third of all new infections are in adolescents and young people aged 15-24 years, similar to key populations, FSW, MSM, and PWID, with mombasa, kwale, and kilifi having the highest-burden; (V) adolescent girls and young women (AGYW) are three times more likely to be infected with HIV than their male counterparts; and (VI) difficult-to-reach populations, such as those living in slums, account for a high HIV prevalence. Mkomani clinic society (whose operational name is bomu), a kenyan FBO established 40 years ago to serve the low-income mkomani community in the nyali periphery and currently has a strong presence in mombasa, kilifi, and kwale counties. Bomu has a rich history, credibility, and footing in serving the needs of HIV-infected and affected individuals, key populations including drug users, pregnant mothers, and youth and children, through innovative strategies to achieve the 95-95-95 PEPFAR goal. The key personnel is a team of highly experienced, firmly committed individuals who have substantial experience managing PEPFAR programs, bringing technical and project management expertise on board. The proposed project will implement comprehensive, quality HIV prevention and treatment programs in mombasa, kilifi, and kwale counties in kenya. The model will include HIV testing services (HTS); pediatric and adult HV treatment; TB/HIV prevention, diagnosis, and treatment; prevention of mother-to-child transmission (PMTCT); orphans and vulnerable children (OVC); key populations such as female SEX workers (FSW), men who have SEX with men (MSM), transgender (TG), and people who inject drugs (PWID); adolescent girls and young women (AGYW). In addition, the proposed project will implement the voluntary male medical circumcision (VMMC) program. Bomu hospital and its affiliated sites will leverage the interaction with faith communities to provide services to difficult-to-reach populations. The project will integrate the consortium of HIV services into the existing healthcare delivery system with linkages to communities through an extensive network of community health volunteers, peer navigators, outreach workers, mentor mothers, and dreams mentors. Bomu will draw on the strength of its ISO 15189:2012 certified laboratories to ensure optimum, quality, and accurate HIV and TB diagnostics with a focus on biosafety standards. Furthermore, the program will conduct all its data entries in the kenya electronic medical records (KEMR) system, allowing timely collection and reporting of indicators. Data generated will be analyzed by the senior management team to refine strategies to meet the set objectives. The project will focus on building robust program partnerships with mombasa, kilifi, and kwale counties health management teams (CHMTS) to implement a wide range of programs, addressing the diversity of the population in the counties mentioned, aiming to achieve epidemic control. The project will align its strategies to meet the unaids, PEPFAR, and kenya's goal of ending aids by 2030 and support kenya's effort to achieve and sustain the 95-95-95 targets.