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Integrated Prevention Campaign Implementation0731083319-phpapp02
 

Integrated Prevention Campaign Implementation0731083319-phpapp02

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by Dr. Eric Lugada, MD, PhD

by Dr. Eric Lugada, MD, PhD
Presented at 2012 AIDS Satellite Meeting

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    Integrated Prevention Campaign Implementation0731083319-phpapp02 Integrated Prevention Campaign Implementation0731083319-phpapp02 Presentation Transcript

    • Integrated Prevention CampaignImplementation Dr. Eric Lugada MD. PhD
    • Background HIV diagnosis is critical for prevention and treatment. Prevention of co-infections such as malaria and diarrhea delays disease progression Preventive interventions such as long-lasting insecticidal bed nets, point-of-use water filters, condoms and HIV counseling and testing (HCT), when implemented on a large scale, reduce malaria, diarrhea and HIV. Multi disease prevention campaigns can achieve rapid and high coverage at low cost, but have not been widely evaluated in combination with HIV testing and prevention The Integrated Prevention Campaign, a 7-day campaign held in Kenya in September 2008, combined voluntary HCT with distribution of a CarePack® containing a bed net, water filters, condoms and educational materials.
    • Method The campaign – Mobilized stake holders and implemented a 7 day campaign intended to cover 80% of the population aged 15-49 Post campaign survey – Two-months post-campaign survey to measure uptake of products and utilization of services Qualitative analysis – Qualitative program evaluating contextual circumstances facilitating or discouraging uptake of interventions Costs and cost - effectiveness analysis - Cost and cost-effectiveness
    • The Campaign Micro planning- obtain buy in from ministry of health, district health authorities, community leaders, PLWHA networks Mapped and selected 30 uniformly distributed test sites in Lurambi division in Kakamega district Western Kenya Recruited and trained 600 personnel; MOH trained counselors, laboratory technicians and product demonstrators HCT following Kenya MOH guidelines, after obtaining consent and filling national VCT forms. Parallel testing done. QC done by sending 10% of samples for dry blood testing Group counseling (~20 people) received health education and instructions on how to use the CarePack® contents; bed nets, water filters, condoms. CD4 cell count was determined at the community level outside traditional health structures, those testing HIV(+) given a 3 months doze of cotrim and referred for further care
    • Campaign Process Pre-Campaign During the Campaign Post-Campaign Social Product Client Mobilisation demonstration follow-up HIV pre-test Campaign Public health counselling analysis education messages on newspapers, radio, etc Testing Registration Care for the HIV positives Campaign Opt out of Post-test announcement HIV testing counselling through banners, road shows, etc Commodity Commodity distribution distribution
    • Campaign Experience andDelivery of Preventive InterventionsAll participating in the campaign received the CarePack®.
    • Summary campaign results: Target population 51,178 sexually-active 15-49 yrs age group Total tested 47007 Tested in age group 15 to 49 41,040 (>80%) Women 28906 Women diagnosed HIV+ 1448 (5.0%) Men 18101 Men diagnosed HIV+ 508 (2.8%) Lowest HIV prevalence by age 15-19 years (0.8%) Highest HIV prevalence by age 30-39 years (6.7%) HIV+ put on cotrimoxazole 96%The Integrated Prevention Campaign reached universal testing goal in 7 days.
    • Conclusion Integrated Campaign has the potential to: – Address multiple public health problems in a country simultaneously thus achieving various national objectives and MDGs in an efficient way. – Reach universal testing goal in a short time, thus ensuring access to treatment. – Break the social barriers associated with HIV testing. (stigma and domestic violence) – Achieve universal coverage with bed nets, water filters resulting in prevention of malaria and diarrhea – To get people early in the HIV disease cycle. – Reduce disease programme costs by up to one half in some countries – Avert significant DALYs in the target population, with economic savings. – Strengthen health systems
    • THANK YOU