Improving PMTCT in Kenya
In 2013, the USAID Applying Science to strengthen and Improve Systems (ASSIST) project supported the National AIDS and STI Control Program (NASCOP) to launch the Partnership for HIV Free Survival (PHFS) initiative in Kenya to apply quality improvement (QI) to drive the national elimination of mother to child transmission of HIV (eMTCT) strategic plan 2012-2015. PHFS mainly focuses on a) ensuring that all mother-infant pairs know their HIV status, b) are retained in care, c) are optimally protected with antiretroviral treatment (ARV) and d) offered nutritional assessment, counselling and support regularly. The aim of PHFS is to reduce mother-to-child transmission of HIV to less than 5% by 2015 by scaling up the application of quality improvement approaches in all PMTCT sites country wide. The use of quality improvement technics was aimed at improving retention in care of mother baby pairs and ensuring that the quality of care given ahead to the set county aligns with eMTCT guidelines.
This document details the experience of ASSIST in Kenya addressing PMTCT, provides guidance to county level actors based on that experience, and case studies of how improvements were achieved in specific facilities.