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RENEWAL-AMPATH COLLABORATION: OPPORTUNITIES FOR PROGRAM & POLICY INFLUENCE
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RENEWAL-AMPATH COLLABORATION: OPPORTUNITIES FOR PROGRAM & POLICY INFLUENCE

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RENEWAL-AMPATH COLLABORATION: OPPORTUNITIES FOR PROGRAM & POLICY INFLUENCE Presentation Transcript

  • 1. RENEWAL AMPATH COLLABORATION: OPPORTUNITIES FOR PROGRAM & POLICY INFLUENCE
    Margaret Akinyi Wagah (PhD)
    RK National Coordinator
  • 2. Overview of RENEWAL Kenya
    Established in 2005
    Need to increase awareness at the National levelon interconnectivities between:
    HIV&AIDS,
    Food and Nutrition Security &
    Sustainable Livelihoods
    Provide scientific evidence to guide national level programming & policy decisions
  • 3. RENEWAL Country Networks
  • 4. Figure 1: RENEWAL Kenya’s Architecture
    Action Research
    Capacity Development
    Policy Communications
  • 5. RENEWAL-AMPATH COLLABORATION
    The Academic Model for Prevention and Treatment of HIV&AIDS (AMPATH) initiated in 2001 as a partnership between
    Moi Teaching and Referral Hospital,
    Moi University Faculty of Health Sciences
    Indiana University School of Medicine &
    RENEWAL study (2005)
  • 6. AMPATH RENEWAL STUDY
    Research Title:
    Linking nutrition support with Treatment for PLHIV: Lessons Being Learnt in Kenya (Byron, E; Gillespie,S: Nangami, M)
    Objective: Establish how a nutrition intervention could influence nutritional status of PLHIV on ARV & their household resilience
  • 7. METHODOLOGY
    Qualitative study with patients undergoing food supplementation experience + ARV treatment
    AMPATH/RENEWAL selection criteria:
    BMI <18.5
    CD4 < 200
    Food insecure
    Income level< Kshs.1500
  • 8. FINDINGS FROM RESEARCH
    Key findings influencing Policy and
    Programming:
    Supplementary food provided from farm contributed to increased Dietary Diversity (Quality/Quantity) for HHs
    Collected food was adequate to be shared at hh level thus potentiallyincreasing household food security
    Improved health outcomes (weight gain)
  • 9. FINDINGS Cont…
    Greater medication adherence was reported for patients enrolled in the program
    Previously, undesirable side effects due to lack of food contributed to adherence
    Fewer incidences of Opportunistic Infections
    Recovery of physical strength
    Resumption to previous IGA-related activities
  • 10. CRITICAL ISSUES & EMERGING DEBATES
    Transitingclientsoff the food supplementation posed a major programmatic challenge
    Relapse to malnutrition once discharged from food supplementation & after physical recovery
    Sustainability issue (sustainable livelihoods)
    Scalability /cost of intervention
  • 11. POLICY INFLUENCE
    The findings of this study has influenced a
    number of policy decisions:
    RKs engagement in policy discussions (FNS Policy)
    RKs instrumental role in National Strategic Plan (KNASP) 2009/10-20013/14
    Discussions with key stakeholders e.g. FAO, WFP, Universities, GOK
  • 12. POLICY INFLUENCE Cont…
    FNS policy consultations to determine if HIV&AIDS issues are effectively addressed.
  • 13. POLICY COMMUNICATIONS
    Policy Brief (available in IFPRI website)
    • Dissemination in
    • 14. international conferences (SCN);
    • 15. National Conference
    • 16. Websites;
    • 17. Peer reviewed journals
  • CONCLUSION
    Study generated evidence: lessons learnt have influenced policy dialogue on matters of FNS/HIV&AIDS
    Presentedopportunities/challenges for further research on FNS and linkages with HIV including
    under researched issues on the evolving nature of the epidermic
  • 18. Thank you