GH20-2084: nyeri county government implementation, management and sustainability of high-quality HIV services under pepfar - project abstractproject title: nyeri county government implementation,…

GH20-2084: nyeri county government implementation, management and sustainability of high-quality HIV services under pepfar - project abstractproject title: nyeri county government implementation, management and sustainability of high-quality HIV services under pepfarkenya has a devolved system of governance that grants county governments the role of coordinating and managing delivery of health services. Estimated at 5.8%, the HIV prevalence in nyeri county is higher than the national average. HIV incidence is estimated at 1.6% with 2064 new infections occurring annually. The county health department has been offering HIV services across eight sub counties in partnership with the pepfar implementing partner, centre for health solutions (CHS) and other partners. Through meaningful engagement and participation plhiv and priority populations, the project will work in collaboration with implementing partners to deliver a comprehensive package of HIV interventions in line with the national guidelines. Innovative evidence-based interventions shall be optimized to achieve and maintain HIV epidemic control. The project will utilize data to guide decision-making and ensure that the project addresses HIV and health disparities in nyeri county. Our project shall adopt a rights-based approach recognizing the special needs of the most vulnerable populations in line with the constitution of kenya. We will work with CDC and CHS to build capacity of the county health management team to progressively manage the HIV program leadership, management and implementation while sustaining gains already achieved by the program. Nyeri county government has a proven track record of strong financial and technical management and will leverage and enhance existing systems effectively this project. The project will scale up high yielding facility-based approaches to intensify HIV testing services, care, treatment and support for people living with HIV and prevention of HIV and TB. The project will implement a comprehensive evaluation and performance measurement plan that will aim at improving data CO llection and use. IT will track both qualitative and quantitative metrics to ensure the provision of reliable, relevant and timely information for program evaluation and adaptive program management. The project will monitor the project progress and achievements against the goals, objectives and set targets; utilize evaluation results to continuously improve the quality of the program; maintain accountability and transparency among stakeholders; and promote learning and adaptive management throughout the project life cycle. All project procedures will be conducted in accordance to the pepfar standards of practice and in line with government of kenya guidelines. In year 1, the project will take up human resources for health (HRH) and other financial aspects of program management in nyeri county, beginning with 3 sub counties. Technical aspects of the program shall be transitioned in a phased manner. Project technical staff will receive mentorship from the CHS team in years 1 and 2 to understand all aspects of program design, planning, mentorship, monitoring and evaluation. By year 3, the project will progressively take up technical support to all 8 sub counties. From year 3 onwards the project technical staff will be responsible for high quality service delivery and as well as program monitoring, routine reporting and evaluation. By year 5, nyeri county will fully finance and sustain the HIV program including the human resource components.