On December 16, 2009, U.S. Ambassador to Kenya Michael Ranneberger and Kenya Minister of Finance Honorable Uhuru Kenyatta signed the Partnership Framework to Support Implementation of the Kenya National HIV Response. In 2009, the Government of the Republic of Kenya (GOK), the United States Government (USG), through the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), and all funding and implementing partners collaborated to develop a new Kenya National AIDS Strategic Plan 2009/10 - 2012/13 (KNASP III): Delivering on Universal Access to Services. The GOK and USG immediately recognized the unprecedented opportunity to align the Partnership Framework (PF) for the second phase of PEPFAR with the KNASP III. As a result, they jointly initiated a collaborative process including numerous other stakeholders to ensure close coordination of these critical, mutually reinforcing efforts. The overall outcome of this process is a Partnership Framework that is fully aligned to and optimally integrated with the KNASP, assuring that all partners are working as one to support Kenya's most urgent, priority needs in responding to HIV.
The Tom Lantos and Henry J. Hyde United States Global Leadership against HIV/AIDS, Tuberculosis and Malaria Reauthorization Act provides for the USG to enter into PFs with partner governments as a means of strengthening collaboration to promote national ownership of sustainable HIV programs. The PEPFAR team in Kenya is now working with the GOL to develop a more detailed five-year PF Implementation Plan, with annual benchmarks for progress against the Framework and a matrix detailing partner inputs to the PF objectives.
Kenya's Partnership Framework
Kenya has a severe, generalized HIV epidemic; national adult HIV prevalence is estimated to be 7.1%, based on the 2007 Kenya AIDS Indicator Survey. Women face considerably higher risk of HIV infection than men, and also experience a shorter life expectancy due to HIV/AIDS. Populations in Kenya especially at risk include injecting drug users and people in prostitution, whose prevalence rates are estimated at 53 percent and 27 percent, respectively.
The overarching purpose of this Partnership Framework is to provide a five-year joint strategic agenda for cooperation between the GOK and the USG to support progress toward achieving the goals laid forth in the KNASP III. In so doing, the Kenya Partnership Framework will once again significantly contribute to the global PEPFAR goals for HIV prevention, care, treatment, and health systems strengthening.
The Partnership Framework is organized around the four core pillars of the KNASP III:
The Partnership Framework is further premised upon a series of high-level intended goals and objectives, including reduced HIV incidence through increased capacity of Kenyan facilities and providers to deliver more effective and better integrated prevention programs. These prevention programs include evidence-based approaches among youth as well as fidelity, partner reduction, and correct and consistent condom use by sexually active persons. Further prevention objectives include greatly increased HIV testing and counseling such that at least 80 percent of Kenyan adults know their status, greatly increased availability of voluntary medical male circumcision (VMMC) for sexually active adult males, and 100 percent coverage of Prevention of Mother to Child Transmission (PMTCT) services in all public and mission health facilities offering antenatal care (ANC). Other goals include care to reach at least 80 percent of children orphaned by AIDS and 80 percent of households with OVC, delivery of quality HIV care and opportunistic infection (OI) prophylaxis/treatment to at least 80 percent of the infected population not in need of treatment with anti-retroviral medications (ARVs), and enhanced capacity of Kenyan facilities to collect and report routine program data to continuously inform programming as well as operational and strategic planning.
The PF delineates the roles and responsibilities of each stakeholder and the methods by which the partners are to oversee the implementation of the PF. Roles and contributions of entities identified in this document fall into three broad categories: national leadership and public systems, program implementation, and health and other service delivery systems strengthening including supporting an optimal policy environment. Leadership and program implementation are under the primary purview of the GOK with support from USG, the UN family, the joint World Bank-DFID funded Total War on AIDS (TOWA) project, the Japan International Cooperation Agency (JICA), and the Clinton Foundation.
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