Machakos, Makueni and Kitui counties are located in the Lower Eastern part of Kenya with a combined population of approximately 3,069,709 and a HIV prevalence of 4.5%, 5.1% and 4.4% respectively.

Young people form the majority of people newly affected by HIV, with those between the ages of 15 and 24 years contributing to more than half (52%) of new infections in 2015. The number of children infected with the virus from their mothers was also high, with approximately one in every five children (20.6%) born to HIV positive mother getting infected.


Naishi Project is a five-year HIV prevention, care and treatment program funded by the U.S. President’s Emergency Program for AIDS Relief (PEPFAR) through the U.S Centers for Disease Control and Prevention (CDC). NAISHI is a Swahili word meaning I LIV

E and is focused on achieving HIV epidemic control in Machakos, Makueni and Kitui.


Our Response

Through this project, CHS is contributing to the ambitious 90-90-90 targets to help end the HIV/AIDS epidemic


  • By 2020, 90% of all people living with HIV will know their HIV status
  • By 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy
  • By 2020, 90% of all people receiving antiretroviral therapy will have viral suppression.

Through this project, CHS supports the Kitui, Machakos and Makueni County Health Departments to implement and expand high quality HIV prevention, care and treatment services. Some of the services offered include:

  • HIV Testing and counselling services
  • Integration of HIV and TB care and treatment services through a standard package of care
  • Prevention and elimination of mother to child HIV transmission
  • Building sustainable systems for the provision of comprehensive services
  • Health care worker capacity building through mentorship, didactic training, continuous professional development (CPD/CME) and on-job training
  • Laboratory monitoring and pharmacy commodity management for the supply of Antiretroviral drugs
  • Lab sample transport networking
  • Information Systems management and Monitoring and Evaluation support
  • Positive health, dignity and prevention (PHDP) services for persons living with HIV
  • Defaulter tracing and prevention through adherence support
  • County and regional technical working groups to streamline and standardise quality care through evidence-informed approaches
  • Health systems strengthening support through staff supervision and procurement of equipment/supplies


NAISHI Project Highlights


231 supported health facilities


800 CHS supported health care workers

and volunteers across 231 facilities


First 90

519,364 people tested


Second 90


51,508 people currently on treatment


2,934 HIV Exposed Infants tested within 12 months of birth


1,656 infants initiated on ART Prophylaxis


Treatment retention rate – 88%


Third 90

Overall Viral Suppression Rate – 82%

Adults (20+) – 89%

Adolescents (14-19) – 72%

Children (0-14) – 74%