RENEWAL-AMPATH COLLABORATION: OPPORTUNITIES FOR PROGRAM & POLICY INFLUENCE

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RENEWAL-AMPATH COLLABORATION: OPPORTUNITIES FOR PROGRAM & POLICY INFLUENCE

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

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