UoN- USAID Fahari ya Jamii implements tailored interventions that build the capacity of the national and county governments to plan, coordinate and manage high-quality, cost-effective HIV services that are readily accessible to those who need them. Through a county-led and owned, data-driven, and evidence-based approach the project supports the counties to provide:
HIV prevention services
- Increase the availability and use of HIV prevention services for priority populations
- Immediate introduction of antiretroviral therapy (ART), pre-exposure prophylaxis (PrEP), and voluntary medical male circumcision (VMMC)
- HIV prevention interventions targeting key populations in Nairobi, including community sensitization, distribution and promotion of condoms and lubricants, and PrEP initiation
- Increase targeted HIV testing services
- Counseling and testing with immediate return of results
- Provision of condoms and safer-sex messages
HIV care and treatment and TB/HIV services
- Provision of community support for testing and access to services, treatment literacy, adherence counseling, loss to follow-up, facility-community referral linkages, and support to differentiated care models (e.g., multi-month prescriptions and community-level refills).
- Improve the linkage to treatment for individuals newly testing positive for HIV.
- Immediate initiation of care services.
- ART in tuberculosis (TB) units and linking clients with TB/HIV co-infection to services, including nutritional assessment.
- Ensure long-term follow-up of patients receiving care and treatment services.
- Differentiated Service Delivery (DSD).
Prevention of Mother to Child Transmission (PMTCT) services
- Routine HIV and syphilis testing.
- Immediate ART for PMTCT clients.
- Early infant diagnosis and follow-up.
- Treatment continuity and adherence to ART Treatment for PMTCT Clients.
Family planning, Reproductive, Maternal, Neonatal, Child and adolescent, and youth health (FP/RMNCAH) and nutrition services
- Use of quality family planning, reproductive, maternal, newborn, child & adolescent health, and nutrition services.
- Assisted delivery services with a trained provider for pregnant women with HIV.
Health Systems Strengthening: commodity, laboratory strengthening, policy and finance, and monitoring and evaluation
- Increase uptake of and adherence to quality HIV treatment services and improve commodity security and management.
- Aid in the logistics of supply reporting and restocking, along with using data for decision-making.
- Provision of laboratory support to ensure quality testing.
- Strengthen the capacity of county health systems, local partners, and communities to deliver quality health services.
- Strengthen institutional capacity and accountability for facility and county management of the HIV response
- Technical assistance to strengthen capacities in monitoring and evaluation activities, data systems, data collection, analysis, reporting, and continuous quality improvement.
COVID-19 vaccination support to Nairobi and Kajiado County
- Human resource support through recruitment of healthcare workers, data clerks, and community health volunteers to support the vaccination exercise.
- Logistic support- procurement of commodities for vaccination
- M&E support through a DHIS2 platform for data monitoring
Target Population
As an integrated health program, UoN-USAID Fahari ya Jamii’s target population includes:
- Children, adolescents, and adults living with HIV
- Adolescents and young people, men, and women at risk of HIV
- Key population - Men Who Have Sex with Men (MSM), Female Sex Workers (FSW),
- Survivors of gender-based violence
- Community health workers and health care providers
