Support of HIV Prevention initiatives and programmes at Karen Hospital are entrenched in the treatment Outreach programmes to corporate, companies the universities around Karen area Target: those who have not been tested for HIV/AIDS to carry out tests and know their statuses in order to take control of their lives Success: More enquiries and actual use of the contraceptives both duo method and dual protection.

1. THE KAREN HOSPITAL
CONTRIBUTION OF THE KAREN
HOSPITAL AS A PRIVATE SECTOR
TOWARDS HIV & AIDS
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“Setting Benchmarks in patient Care
in Kenya and beyond”

2. THE KAREN HOSPITAL
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Presented By Florence
Riaga

3. OBJECTIVES
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Support of HIV Prevention initiatives and
programmes
Support for people living with the HIV virus
Support to Universal access to treatment
Prevention of Mother-to-child Transmission
Support for Private Public partnerships

4. History
• Kenya’s largest multi-super specialty hospitals
in Karen, Nairobi
• Aim: bringing to Kenya the highest standards
of medical care along with clinical research
education and training
• Capacity: 102 beds with 3 operating theatres
caring for over 26 specialties
• Satellites: Nairobi, Meru, Nakuru, Nyeri,
Karatina Ngong and Kitengela
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5. Collaborations
• Gold Star Network has for the past three years
initiated the Comprehensive Care Clinic to
facilitate Healthcare services for HIV/AIDS
prevention and Management.
• Ensures consistent supply of HIV commodities
and staff support when and where necessary
• Other collaborators: MOH, and
USAID/APHIA–Plus.
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6. The Care, Treatment & Management
Interventions are initiated at three levels:
– patient level;
– at the medication/treatment level;
– at the healthcare delivery level and;
– interventions at the community level
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7. Care at Patient’s Level
Engaging the patient: rapport, education on disease and
course, assess client’s readiness for medication, goals of
therapy, adherence, and treatment plan.
Assessments necessary: behavioral skills (goal-setting,
time-tabling; Assertiveness/communication, problem-
solving, among others); asses behavioral determinants
of adherence (daily routine, such as. eating, sleeping and
working patterns, recreational activities, familial/social
relationships and responsibilities, travel plans, etc.) and;
Impact of resistance on future options and what to do if
doses are missed, delayed, or vomited, Walsh et al.
(2002)
Emphasis is to assist clients based on their level of
awareness in order to facilitate them
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8. Prevention Initiatives
• Support of HIV Prevention initiatives and
programmes at Karen Hospital are entrenched
in the treatment
• Outreach programmes to corporate, companies
the universities around Karen area
• Target: those who have not been tested for
HIV/AIDS to carry out tests and know their
statuses in order to take control of their lives
• Success: More enquiries and actual use of the
contraceptives both duo method and dual
protection.
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9. Interventions at the
medication/treatment level:
• Focus is on achieving the international
standards
• Implement a tailor made regimen for each
patient after thoughtful consideration of the
simplicity or complexity of the regimen; use
the best of medications locally available
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10. Interventions at the
medication/treatment level…:
Things to Consider:
– the cost factor( whenever and wherever applicable);
– be aware of the job constraints, especially for a regimen requiring
doses to be taken twice aday.eg PI based regimen.
– keep the dose frequency and number of pills to the minimum;
– convey the common and probable side effects of ART before
starting therapy as awareness improves the patient’s confidence in
the physician and hence the adherence;
– anticipate side effects and treat them as soon as possible;
– modify the dietary pattern to suit the antiretroviral agents;
– avoid adverse drug interactions amongst ART drugs and drugs used
for controlling other symptoms as well as opportunistic
– infections and detect and treat any intervening illness and
opportunistic infections at the earliest Mitty, et al., 2002; Kagay, et
al., (2004).
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11. Support for people living with the
HIV Virus at Karen Hospital
• The Comprehensive Care Clinic has facilitated people’s
access to the clinic with ease and without
discrimination.
• It is not labeled to give patients leverage and ability to
feel secure. This has facilitated people from all
backgrounds of life to access and use the CCC services
• Integrated Approach to services - counselling,
nutrition, psychological and social support initiatives
through support group(THE ARK CLUB)which is helping
its members to journey on through sustainable
projects.
• Gold Star Network, constant supply and staff
development support has been realized
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12. Prevention of Mother-to-child
Transmission:
• Close attention is given to the parents: during pre-
natal, delivery and postnatal care.
• Couples are encouraged to come together during the
visits, delivery and Maternal Child Health clinics
• General Effect: improved situation of relationships
amongst couples as a result.
• Timely ART introduction for sero+ mothers
• Information giving: exclusive breastfeeding and
replacement feeding.
• Observation: most of the parents opt for the exclusive
breastfeeding for six months with notably good results.
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13. CONCLUSION
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Observably, Karen Hospital has set the pace
for HIV/AIDS prevention and Management
as well as care. This is supported also by the
fact that it is a referral hospital and
therefore clients are happy to get all
services at the same point. Despite common
place claims that private hospitals are
expensive, we remain relevant in the
management of HIV/AIDS irrespective of
socio-economic status of the clients leading
into the achievement of the key motto of
leadership in Healthcare and realization the
MDG 6 by 2015 and beyond.

14. RECOMMENDATIONS
Continued private-public partnership
HTC at every entry point and systematic
referrals to specific clinics for further
management
Frequent updates on current National/WHO
guidelines to private practitioners on the
management of HIV infection
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15. THANK YOU
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THANK YOU