HIV infection has affected every household in Kenya ,every region has its share hence the need for multi sectoral response. This figures were from actual testing during KDHS in 2008/2009
N.B The numbers have projected to stabilize over time, though the number of females is expected to still remain higher than that of males.
Peter Kinuthia - NACC, Kenya
Sustainable Financing of HIV and AIDS in Kenya• Innovative and Sustainable Home Grown Solutions • By • Mwangi P.K.
Presentation outline• HIV/AIDS Prevalence by Regions• Projections on PLHIV – by gender• ART needs – projected gaps• Financing gaps – function areas• Sustainable financing sources• Recommendation – Trust Fund
HIV Prevalence by Province 2009 Eastern 3.5% National Average: North 6.3% Rift Eastern Valley 0.9% Western 4.7% 6.6% Central 4.6%Nyanza13.9% Coast Percentage HIV Nairobi 4.2% positive, women 7.0% and men age 15-49 3
ARTS Needs gap Projected ART needs gap upto 2020 1,000,000 857,773 800,000 760,241 711,146 Total need for ART 600,000 400,000 Total number 343,059 receiving ART 200,000HVonupatIil 0 1 0 2 1 0 2 1 0 2 3 1 0 2 4 1 0 2 5 1 0 2 6 1 0 2 7 1 0 2 8 1 0 2 9 1 0 2 0 2
Financing gap by function areas, 2010-15 ( Ksh millions)
Current Financing for HIV and AIDS• Over 80% of HIV funding comes from external resources• Unfortunately, the resources are becoming more unavailable, donors are not scaling up their support• Hence, Government considers planning for predictable and sustainable HIV and AIDS financing a top priority
Sustainable financing sources• Increasing annual Treasury/ budgetary allocations• Insurance coverage - National Social Health Insurance• Interest earned from unclaimed monies in the banks• Conducting HIV and AIDS lotteries• Selling HIV and AIDS bonds• Imposing levies On: • airline passengers • Airtime
Trust Fund• Put in place a framework for the establishment of a Trust Fund for HIV and AIDS Care in Kenya• Resources to be pooled towards a kitty governed by inclusive trustees• Trust Fund to finance gaps especially in prevention of new infections and, care and treatment.
Sustainable HIV and AIDS Care Trust fund Government Private Sector CorporationDevelopment PhilanthropistsPartners •Mobile Phones making a call (10 cents) •Remittances from Diaspora