Siaya County lies on the western side of Kenya with a population of 963,007, with the fourth highest number of people living with HIV in Kenya, with a HIV prevalence that is 4.2 times higher than the national average.
In Siaya, women (26.4%) are more vulnerable to HIV infection than men (22.8%), while young people form the majority of people newly affected by HIV, and with approximately one in every five children (20.6%) born to HIV positive mothers infected with HIV.
By the end of 2015, a total of 126,411 people were living with HIV in the county – 22% being young people between the ages of 15 and 24 years and 6% being children under the age of 15 years.
Data Source: Kenya HIV County Profiles 2016
Since October 2016, CHS through its SHINDA Project has been working with the Siaya County Department of Health, to provide high-quality HIV services to its population. SHINDA is a five-year HIV prevention, care and treatment program funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S Centers for Disease Control and Prevention (CDC).
SHINDA is a Swahili word meaning ‘win’, a project name that shows the CHS commitment towards ‘winning the war against HIV/AIDS by achieving epidemic control’ in this high burden county.
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 achieved viral suppression
The project supports the Siaya County Department of Health in the delivery and expansion of quality HIV services, specifically:
- Optimisation of HIV testing services in line with national guidelines to eligible people
- Comprehensive HIV care and treatment to all people living with HIV
- Prevention of mother-to-child transmission of HIV services
- Integration of TB/HIV collaborative activities
- Antiretroviral (ART) commodity management and support
- Strengthening laboratory systems to support quality monitoring of all people living with HIV
- Promoting and scaling up voluntary medical male circumcision among men, boys and male infants, as a critical HIV prevention intervention
SHINDA Project Highlights
119 supported health facilities
842 CHS supported health care workers
and volunteers across 119 facilities
66,894 people currently on treatment
2,960 HIV Exposed Infants tested within 12 months of birth
3,351 infants initiated on ART Prophylaxis
eMTCT rate – 4.8%
Overall Retention Rate – 78%
Adults (20+) – 78%
Adolescents (15-19) – 76%
Children (0-14) – 80%
Overall Viral Suppression Rate – 81%
Adults (20+) – 83%
Adolescents (15-19) – 58%
Children (0-14) – 63%