Projects & Programs

HIV/AIDS PROJECTS

America First Global Health Strategy–CHAK (Daraja) Project

A six-month project running from 1 September 2026 to 28 February 2027, bringing together the CHAK–Jamii Tekelezi Program and CHAP Stawisha under one project. The project is being implemented across 15 counties: Embu, Meru, Tharaka Nithi, Nyandarua, Laikipia, Kirinyaga, Nyeri, Murang’a, Kiambu, Nakuru, Narok, Kajiado, Kitui, Machakos and Makueni.

AFGHS–CHAK (Daraja) contributes to the America First Global Health Strategy which seeks to advance U.S. interests by making America safer, stronger and more prosperous.

Delivering efficient and effective health services to communities.

Strengthen health data, supply chain and laboratory systems

Building stronger readiness for outbreak detection and response

Supporting a sustainable transition to county-led health programs

The project will also contribute to Kenya’s HIV response and efforts towards achieving the 95-95-95 HIV targets across the 15 target counties.

Through its focus on performance, county ownership, capacity strengthening and sustainability, AFGHS–CHAK (Daraja) provides a framework for advancing the transition from externally supported program towards stronger and more sustainable county-led health systems.

A Milestone-Based Approach

The project introduces a performance- and milestone-based funding model, with funding linked to the achievement of agreed results rather than the traditional cost-reimbursement approach. It has 26 milestones to be achieved during the implementation period and operates as a fixed amount award.

The project places emphasis on performance reporting, measurable results and accountability, with no sub-awards to implementing partners.

Supporting County-Led Health Systems

A key feature of the project is the County Mentorship and Transition (CMaT) model, which strengthens county capacity and supports the transition of health program implementation and ownership to county governments.

Building on lessons from Jamii Tekelezi and CHAP Stawisha, the project seeks to strengthen local systems and capacities for sustainable delivery of health services.

Target Populations: The project serves the general population, including pregnant and breastfeeding women, men, adolescent girls and young women, orphans and vulnerable children, and key populations, while also strengthening the capacity of healthcare providers.

CMaT: Transforming County Health Leadership in Epidemic Response:

A Christian Work Ethic Approach

Through the CHAK Jamii Tekelezi Project, CHAK developed the County Mentorship and Transition (CMaT) model. CMaT builds health workforce capacity to deliver selfless, high-quality care that enhances County ownership.

Project Objectives

Technical Capacity: Strengthen the capacity of county and Sub-county leadership to lead effective health programs

Coaching: Train mentors in evidence-informed coaching techniques and foster a culture of continuous learning for sustainable health service delivery.

Skills & Resources: Equip healthcare workers with the skills and resources to provide integrated, high-quality, person-centred care.

Track Service Quality: Establish comprehensive monitoring frameworks to track service quality, mentorship effectiveness, and health outcomes, ensuring continuous improvement and accountability.

Evaluation of Integrated Services (EIS)

This pilot study aims to evaluate the feasibility, systemic requirements, cost implications, and acceptability of integrating HIV and NCDs care in selected health facilities, and implement an integration intervention package to respond to evaluation findings in three counties in Kenya – Kitui, Kiambu and Nairobi.

The study is being conducted in 50 health facilities across Kenya integrating HIV, Diabetes and Hypertension Care

Background

Non-communicable diseases (NCDs) and HIV pose a significant dual health burden in Kenya. While NCD management is routinely integrated into primary care (PHC) services, HIV prevention and treatment are largely delivered through parallel, siloed, predominantly donor supported systems. This disease-focus approach leads to inefficiencies, increased healthcare costs, and challenges in sustaining HIV service delivery.

Integrating HIV services into PHC – similar to NCD integration – could enhance efficiency, reduce costs, and improve patient outcomes. There is increased impetus at national and subnational levels that HIV services need to be integrated to routine primary care. However, there is limited evidence to guide decision making on the approach, feasibility, effectiveness, and cost-efficiency of such integration.

IMARA Package

The IMARA – Integrated Model for Accessible, Resilient and Accountable Care Package is a locally driven, evidence-based framework for delivering integrated HIV and non-communicable disease (NCD) care in primary health settings, designed to support counties, partners, and health facilities to adopt, implement, and sustain person-centered, co-managed chronic care models across Kenya.

The IMARA care package shall:

I

Institutionalize Standards and Tools

M

Mobilize Capacity and Systems

A

Align Service Delivery

R

Review Performance and Quality

A

Anchor Sustainability and Community Ownership

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CHAK is a national faith-based organisation of the Protestant Churches, health institutions and proograms from all counties of Kenya providing quality health care since 1946 through building of health systems, partnerships, and community empowerment. CHAK is founded upon