NEPHAKNATIONAL EMPOWERMENT NETWORK OF

PEOPLE LIVING WITH HIV/AIDS IN KENYA

say yes to life

Leveraging the 'Lived Experience' towards 90: 90:90

Scoring Completed: County review includes PLHIV analysis of eMTCT progress and comments from PLHIV taken into account and reflected in revised plansIn progress: PLHIV participates in County eMTCT program review during one year time period, but no evidence that feedback from PLHIV has been incorporated into revised EMTCT plans. Behind: PLHIV is not included in national program review or County eMTCT program review not held

How measurement was done and the tools

used

Much of the information was gotten from county programme records from annual eMTCT progress review meetings that PLHIV could access and included: 1) attendance records from stakeholder meeting to verify that PLHIV representatives participated; 2) meeting agenda to verify that review of eMTCT progress was part of meeting; 3) meeting notes and action items to verify input and comments from PLHIV is included; and 4) revised county action plan(where this was available).

Scoring Completed: County has evidence of this form of CAM in placeIn progress: County is in discussion or planning for this form of CAMBehind: County has no evidence of this form of CAM in place

*Note: Information presented here relied heavily on PLHIV leadership validationHow the

measurement was done.

PLHIVdrawn from networks

and support groups, some of whom have attended eMTCT

committees/task forces, were asked to report whether a community accountability mechanism (CAM) is in place.

CE Indicator #1: The county annual eMTCT progress report includes a) community analysis of progress and b) feedback from community is reflected in revised county eMTCT operational plans.

CE Indicator #2: Counties have community accountability mechanisms (e.g. score cards, community consultations, community conversations, community charters, community health committees, etc.) in place to support MNCH/prevention of mother-to-child transmission service improvement efforts.

NEPHAKNATIONAL EMPOWERMENT NETWORK OF

PEOPLE LIVING WITH HIV/AIDS IN KENYA

say yes to life

Community Engagement

Social Accountability Mechanisms

a. Institutionalize Community Engagement in eMTCT and KMA initiatives b. Ensure meaningful involvement of PLHIV in eMTCT and KMA initiativesc. Formal engagement of PLHIV in county MTCT and KMA structures and forums d. Facilitating community empowerment, including financial support to enable PLHIV to engage

Work with PLHIV networks to: a . ensure effective dissemination of relevant policies and laws – using various user-friendly

formats and channels;b. Develop of standardized monitoring and feedback tools and guidelines and train on their use;c. Put in place formal frameworks and structures for effective use of the tools;d. Promote full implementation of the Community Health Strategy;

SCORECARD ON COUNTY PROGRESS TOWARDS ELIMINATION OF NEW HIV INFECTIONS AMONG CHILDREN AND KEEPING MOTHERS ALIVE.

DOCUMENTING COMMUNITY ENGAGEMENT IN THE COUNTY PROGRESS TOWARDS eMTCT AND KMA IMPLEMENTATION.

THE CASE OF NAIROBI CITY, HOMA BAY AND KILIFI COUNTIES

NEPHAK, Wood Avenue,

off Lenana/Argwings Kodhek Rd. Kilimani, Nairobi, Kenya.

P. O. Box 75654 - 00200 Nairobi. Tel. +254-203875917 / 0720209694

Email: info@nephak.or.ke, Facebook: Nephak Kenya, Twitter@ NEPHAKPLHA

RECOMMENDATIONS

The Global Plan towards Elimination of New HIV Infections in Children by and Keeping

their Mothers Alive (Global Plan) brought an unprecedented political commitment to end

vertical transmission of HIV and efforts by partners and governments to scale up services. The

Plan recognizes the key role communities play in planning, delivering and improving the

quality and the uptake of health services and monitoring progress. Effective community

engagement would complement clinic-level interventions and ensure the delivery of quality

services Therefore it is essential that communities are meaningfully engaged across all these

aspects.

With support from the Global Network of PLHIV (GNP+), NEPHAK undertook consultations

and discussions that lead to the adaptation and adoption of the two community engagement

and accountability indicators to measure progress on community engagement as proposed

by the Inter-Agency Task Team (IATT) on the Prevention and Treatment of HIV Infection in

Pregnant Women, Mothers and Children Monitoring and Evaluation Framework. These are:

The county annual eMTCT progress report includes a) community analysis of progress

and b) feedback from community is reflected in revised county eMTCT operational

plans.

Unity consultations, community conversations, community charters, community

health committees, etc.) in place to support MNCH/prevention of mother-to-child

transmissCounties have community accountability mechanisms (e.g. score cards,

commion service improvement efforts.

During the national stock-taking forum on the eMTCT and KMA for Kenya, mixed reports were

given by different counties in as far as community engagement and accountability was

concerned. To a large extent, it became apparent that community engagement was more

vibrant at national 'policy' level than at county 'service delivery' level.

This County Scorecard has been undertaken by NEPHAK and affiliate member organizations

in Homa Bay, Kilifi and Nairobi City Counties with support of the UNFPA under the

GOK/UNFPA 8th Kenya Country Programme. The Scorecard comprises of 11 markers: The

first three markers are for 'Community Engagement' while the other 8 were used to establish

the existence of 'Enabling Environment for Community Engagement’ as provided for under

the 2 indicators above. A traffic light approach is used with the following colour codes: i) Red:

; ii) Orange: ; iii) Green: . The data has been collected by PLHIV

and affected community members drawn from NEPHAK affiliates. The report, therefore,

provide a visual of the status of the county level progress with community engagement and

accountability as validated by PLHIV in the 3 counties. We also report on the

recommendations that emerged during this scorecard exercise.

2015

1. CE Indicator #1

2. CE Indicator #2

Behind In Progress Completed

Introduction.

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