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Case Studies | November 3, 2017

Approaches of the Lea Toto and APHIAplus Nuru Ya Bonde Programs in Kenya

Case Study on Improving HIV Testing and Services for Children Orphaned or made Vulnerable by HIV (OVC)

Acknowledging that OVC are at increased risk for HIV infection, and in alignment with PEPFAR technical guidance, OVC programs aspire to ensure that all individually registered OVC beneficiaries have a known HIV status. Over the past four years, many programs worldwide have scaled up efforts to apply family-centered approaches to promote and facilitate testing, treatment linkages and adherence support for children and adolescents, while encouraging other household members, including fathers, to also know their HIV status and access relevant treatment and other services.

In response to a request from the Office of HIV and AIDS (OHA) at USAID, 4Children was asked to develop a set of case studies to promote learning from OVC programs that have successfully designed interventions and approaches to increase HIV testing and services (HTS) for children.

Between April and September 2016, 4Children documented efforts by OVC programs to link children to testing and treatment in three countries; these included Pact’s Yekokeb Berhan program in Ethiopia, the World Education Inc./ Bantwana Expanded IMPACT Program in Zimbabwe and COGRI’s Lea Toto program and the FHI360 led APHIAplus program in Kenya. For each program, documentation efforts included a comprehensive desk review (project, countryspecific and global reference documents), meetings with the USAID OVC technical officer, site visits and key informant interviews or focus group discussions with program staff, various community workers, health sector staff, caregivers and children. Program staff reviewed the draft case studies and provided further input and clarifications.

  • Acknowledgements
  • Acronyms
  • Introduction
    • Purpose
    • Methodology
  • The Setting
    • Country background
    • Health and Social Welfare context
    • Kenya’s HIV epidemic and response
    • Barriers to HIV testing for children
  • The Case Study
    • Introduction
    • The Lea Toto program approach
    • The APHIAplus program approach
    • Bringing children to HIV services
  • Conclusion
    • Promising practices
    • Challenges and gaps identified