Unmet HIV/AIDS Services Needs amongst Adolescent and Children in Kenya
Introduction:
Kenya Aids Strategic Frameworkrn2014-2018 outlines the need to maximizernefficiency in service delivery throughrnintegration and creation of synergy amongrnHIV prevention and treatment programmes.rnThe basic feature of an integrated andrneffectively operating healthcare institutionrnis one with the ability to maximize therndelivery of a range of medical andrnpreventive interventions such as counsellingrnand testing CT Prevention of Mother tornChild Transmission PMTCT Maternal Child Health MCH Family Planning FPrnAnti-Retroviral Therapy ART Control ofrnTuberculosis TB and other SexuallyrnTransmitted Infection STI services. Thernbasic feature of this package of services wasrnco-location or single point services entry.rn1rnPreviously Kenyan health systemsrnhad HIV and primary care co-located and itrnbasically involved sharing of clinical spacernpharmacy laboratory information systemrnand health education/promotional services.rnEvidence w available from studies done inrnsub-Saharan Africa indicate that co-location maximizes use of available infrastructurernand results to improved access andrnefficiency in service delivery of HIV/AIDsrncare. Despite the evidence suggestingrnsystem-wide and nationwide attempts tornimplement integration framework patientsrnand service level effects of integration stillrnremain unclear. 2 The assumption ofrnintegration framework is that the overallrnbenefits of services integration shouldrntrickle down from providers to patientsrnwhich in turn may initiate reorganization ofrnservice delivery that has the potential ofrnimpacting on patients satisfaction andrnhealth outcome in short term and long termrnrespectively.rnComprehensive care centers CCCrnhave been in existence and undergonernevolution while earning recognition that it isrnthe most logical way to organize healthrnsystems without compromise to universalrnaccess to a broad range of services the onlyrnmissing link about integrated service is thernactual model describing how integratedrnservices looks like. 3 The literaturernreviewed focused on comprehensive care asrnan approach to scale up access to ARTrnrather broader aspects of qualityrnimprovement in healthcare services that isrnpatient centered. Ongoing reforms inrnservices delivery takes into considerationrnneeds and preferences of individual patients.rnFor example a patient centered healthrnsystem has been designed based onrninformation gathered from the population onrnhealthcare expenditure and utility ofrnhealthcare services. Demographicsrncharacteristics of a population arernadditionally factored in as drivers ofrnchanges in systems and service provision.rn4rnrnThe government of Kenya hasrninvested enormously on health andrnparticularly HIV/AIDs since the declarationrnof HIV/AIDs as a national disaster inrnDecember 1999.Like any other investmentrnthe government needed to realize thernreturns. The recommendation from the studyrnhas the potential of providing strategicrndirection in HIV/ AIDS programming forrneffective and efficient utilization of scarce resources while realizing economic gain ofrnthe public investment. This study aimed atrnlooking at different models ofrncomprehensive care centres and establishesrnif any the unmet client needs.
Objectives:
this study aimed tornestablish the implementation status of services integration in different facilities of Kenya.
Methodology:
The studyrnadopted a descriptive cross-sectional study design. Both probability and non-probability samplingrntechniques were used. A total of 597 adults and 212 children were respondents either directly orrnindirectly after the consenting and assenting process. A Semi structured interviewer administeredrnquestionnaire was used for data collection. SPSS Ver. 21 software used to generate descriptivernstatistics and measure of correlation coefficient used to test relationships between variables.
Findings:
s. Resultsrnindicated that majority of the facilities had more than one services with most scoring above 60 percentrnin utilization of the available services hard to reach are as lagged in healthcare services utilizationrnintegration status varied across facilities and had significant influence on quality of HIV/AIDsrnservices at 95 C.I. 0.22 p-value 0.00. T
Results:
Conclusion:
The study concluded that HIV cases were high amongrnadolescents and young adults as reflected by high response rate while children had low representationrndue to social orientation and services organization at point of care
Publication Information
Author(s):
Focus County(s):
Kajiado County
Programme Area(s):
Infectious and Parasitic Diseases
Research Priority Area(s):
Disease Domain(s):
Infectious disease
Document History:
Publication Date: 15.Oct.2018
Conference Title:
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