UON - USAID Fahari ya Jamii Project | University of Nairobi

Thursday, June 2, 2022

The UoN-USAID Fahari ya Jamii is a five-year project funded by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the US Agency for International Development (USAID). The project is managed by the University of Nairobi (UON), working with Nairobi and Kajiado County health management teams. The project aims to increase equitable access and use of quality county-led health services and support sustainability in the quality of health services and systems in Nairobi and Kajiado Counties.

Strategic Interventions

HIV prevention- Key population services, Pre-Exposure Prophylaxis (PrEP), and gender-based violence (GBV) services)
Prevention of Mother to Child Transmission (PMTCT)
HIV care and treatment and TB/HIV services.
Sexual and reproductive health services & cervical cancer screening and treatment
Family Planning, Reproductive, Maternal, Neonatal, Child and Adolescent, and youth health((FP/RMNCAH) and nutrition
Health systems strengthening commodity, laboratory strengthening, policy and finance, and monitoring and evaluation
COVID-19 vaccination support to Nairobi and Kajiado County.

Our Work

UoN- USAID Fahari ya Jamii implements tailored interventions that build the capacity of the national and county governments to plan, coordinate and manage high-quality, cost-effective HIV services that are readily accessible to those who need them. Through a county-led and owned, data-driven, and evidence-based approach the project supports the counties to provide:

HIV prevention services

Increase the availability and use of HIV prevention services for priority populations
Immediate introduction of antiretroviral therapy (ART), pre-exposure prophylaxis (PrEP), and voluntary medical male circumcision (VMMC)
HIV prevention interventions targeting key populations in Nairobi, including community sensitization, distribution and promotion of condoms and lubricants, and PrEP initiation
Increase targeted HIV testing services
Counseling and testing with immediate return of results
Provision of condoms and safer-sex messages

HIV care and treatment and TB/HIV services

Provision of community support for testing and access to services, treatment literacy, adherence counseling, loss to follow-up, facility-community referral linkages, and support to differentiated care models (e.g., multi-month prescriptions and community-level refills).
Improve the linkage to treatment for individuals newly testing positive for HIV.
Immediate initiation of care services.
ART in tuberculosis (TB) units and linking clients with TB/HIV co-infection to services, including nutritional assessment.
Ensure long-term follow-up of patients receiving care and treatment services.
Differentiated Service Delivery (DSD).

Prevention of Mother to Child Transmission (PMTCT) services

Routine HIV and syphilis testing.
Immediate ART for PMTCT clients.
Early infant diagnosis and follow-up.
Treatment continuity and adherence to ART Treatment for PMTCT Clients.

Family planning, Reproductive, Maternal, Neonatal, Child and adolescent, and youth health (FP/RMNCAH) and nutrition services

Use of quality family planning, reproductive, maternal, newborn, child & adolescent health, and nutrition services.
Assisted delivery services with a trained provider for pregnant women with HIV.

Health Systems Strengthening: commodity, laboratory strengthening, policy and finance, and monitoring and evaluation

Increase uptake of and adherence to quality HIV treatment services and improve commodity security and management.

Aid in the logistics of supply reporting and restocking, along with using data for decision-making.
Provision of laboratory support to ensure quality testing.
Strengthen the capacity of county health systems, local partners, and communities to deliver quality health services.
Strengthen institutional capacity and accountability for facility and county management of the HIV response
Technical assistance to strengthen capacities in monitoring and evaluation activities, data systems, data collection, analysis, reporting, and continuous quality improvement.

COVID-19 vaccination support to Nairobi and Kajiado County

Human resource support through recruitment of healthcare workers, data clerks, and community health volunteers to support the vaccination exercise.
Logistic support- procurement of commodities for vaccination
M&E support through a DHIS2 platform for data monitoring

Target Population

As an integrated health program, UoN-USAID Fahari ya Jamii’s target population includes:

Children, adolescents, and adults living with HIV
Adolescents and young people, men, and women at risk of HIV
Key population - Men Who Have Sex with Men (MSM), Female Sex Workers (FSW),
Survivors of gender-based violence
Community health workers and health care providers

Our Key Accomplishments

Supported the provision of quality HIV testing services to 257,535 individuals and linked 94% of people who tested positive to treatment.
Currently supporting 63,770 clients on treatment in Nairobi and Kajiado.
Encouraged 149,493 pregnant women to complete antenatal care appointments and 216,382 women to access skilled delivery services.
Helped to fully immunize 196,974 infants and supported the counties to vaccinate 94,839 children aged 12-23 months against measles by the time they were 12 months.
Through the Urban Community-Led Total Sanitation (UCLTS) strategy implemented by UoN- USAID FYJ, 20 villages benefited from sanitation facilities giving access to toilets and handwashing facilities to over 10000 people.
Supporting counties in establishing effective health staff and health commodity management.
Strengthening electronic medical records and improving the management of HIV/AIDS clients at the county and facility levels.
Supporting localization through the health systems strengthening component, to strengthen Nairobi and Kajiado Counties’ capacity for leadership, governance, and strategic planning.

This year UoN’s USAID Fahari ya Jamii projected supported:

Mbagathi County Referral Hospital to launch its first five-year strategic plan. The hospital is one of four level five county referral hospitals and is key in the implementation of the county health sector strategic plan. The strategic plan, which draws from the county health sector strategic plan, was developed over 3 years with USAID Fahari ya Jamii providing technical and logistical support for its development over the last year. The strategic plan, 2021-2026, is aimed at transforming the facility into a modern level five health facility that will serve as a key County referral hospital providing a variety of specialized services including a center of excellence for the management of Advanced HIV Disease (AHD) over the next five years.
Pumwani Maternity Hospital College of Nursing and Midwifery to develop the first five-year strategy and aimed at transforming the institution into a center of excellence for quality medical training in Nairobi County.