The CHAP Stawisha Project began on September 30, 2022 and is expected to run until September 29, 2026.

Purpose
To continue acceleration of sustainable, high-quality, and comprehensive HIV prevention, care and treatment services, to achieve the 95-95-95 targets and HIV epidemic control, and transition to a sustainable service delivery model for Faith Based (FBO) facilities in 15 targeted counties of Laikipia, Meru, Tharaka-Nithi, Embu, Kirinyaga, Nyeri, Murang’a, Kiambu, Nyandarua, Nakuru, Narok Kajiado, Kitui, Machakos and Makueni,

Expected outcomes

1. Reduced HIV incidence in the target counties
2. Virtual elimination of Mother to Child Transmission (eMTCT) of HIV
3. Reduced HIV and TB related morbidity and mortality across all populations
4. Increased investment and accountability of FBOs and county government in HIV/TB program

Objectives and outputs

1. Implement innovative, efficient, effective, and patient-centered case finding approaches and linkage to treatment of Persons Living with HIV (PLHIV)

1.1 Increased uptake of efficient, cost-effective, and innovative HIV testing strategies
1.2 Increased uptake of efficient and innovative linkage strategies

2. Provide quality, patient-centred optimal ART, and prevention and treatment of co- morbidities, including TB

2.1 Increased uptake of comprehensive patient-centered ART services
2.2 Improved retention and durable viral suppression
2.3 Increased access to facility and community TB/HIV services
2.4 Reduced HIV and TB-related morbidity and mortality across all populations
2.5 Commodity security and commodity management systems strengthening

3. Implement comprehensive PMTCT interventions for pregnant and breastfeeding women (PBFW) and HIV-exposed infants (HEI)
   3.1 Increased ART uptake among PBFW and ARV prophylaxis and EID for HEI
   3.2 Improved retention of HIV-positive PBFW and HEI

4. Provide comprehensive HIV prevention and treatment services to target populations (KP, PP, AGYW, OVC, high-risk men, serodiscordant couples, and PBFW)
   4.1 Increased uptake of comprehensive combination HIV prevention services to KPs, PPs, GP, and their partners
   4.2 Reduced Incidence of stigma, discrimination and violence among KPs and PPs
   4.3 Increased uptake of comprehensive evidence-based interventions among OVCs

5. Optimize HIV and TB laboratory diagnostics and networks, and sustain quality systems and biosafety standards
   5.1 Strengthened laboratory diagnostic capacity, VL/EID, and TB networks
   5.2 Strengthened laboratory quality management systems
   5.3 Sustained biosafety and biosecurity standards

6. Strengthen collection, analysis, reporting and utilization of HIV data for program management
   6.1 Improved data quality and utilization
   6.2 Increased uptake and integration of HIV information systems
   6.3 Improved data demand and information use
   6.4 Strengthened HIV case-based surveillance

7. Strengthen health systems and enhance collaboration of FBHF with county governments to ensure transition and sustainable high-quality HIV service delivery
   7.1 Increased investment and accountability of FBOs and county governments
   7.2 Improved HIV program technical oversight by county governments
   7.3 Collaborative partnerships towards sustainability and cost-efficiency

Target populations
The project target populations include: General population (adults and children), PBFW, KP (FSW, MSM, PWID, TG, and their sexual partners), other priority populations (AGYW, OVC, young people, men etc.), and health care providers.

OVC Local Implementing Partners
Machakos County: African Brotherhood Church
Kajiado County: Apostles of Jesus Aid Ministry

CHAP Stawisha Annual Report 2023