Mildred Mudany
Jhpiego-an affiliate of Johns Hopkins University, Kenya
Title: Kenya’s race towards elimination of pediatric HIV
Biography
Biography: Mildred Mudany
Abstract
According to Kenya AIDS Indicator Survey (KAIS) 2012, 1.2 million (5.6%) people live with HIV/AIDS. Globally Kenya ranks among 22 priority countries targeted to reduce new HIV infections in children. Approximately101, 000 (0.9%) children between 18mo-14 years are HIV-infected, majority due to mother to child transmission. In 2013 WHO recommended use of HAART for all HIV positive pregnant and lactating women; guideline adopted by Kenya in October 2013.
Dissemination of national guidelines done. Nationwide rollout of option B plus starting with large volume facilities offering ART and facilities with integrated HAART within MCH. APHIAPLUS Kamili scaled up Option B plus to 134 high volume facilities in Eastern and Central Kenya. Service providers trained on new guidelines. Regular supervision, mentorship, chart reviews and HIV-exposed infant cohort analysis established. HIV positive mentor mothers placed in high volume facilities, to support adherence and retention in care of HIV positive pregnant mothers. HAART integrated into MCH for easy access. Exclusive breastfeeding for 6 months encouraged. National EID website monitored for PCR results.