Kenya National HIVAIDS Strategic Plan KNASP 20052010

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Kenya National HIV/AIDS Strategic Plan (KNASP)
2005-2010

• Dr Patrick A. Orege MBchB, MPH, PhD.Director,
  NACC
• World Bank Pre-Appraisal Retreat,
• Mount Kenya Safari Club,
• 16th March 2005.

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This presentation will.

• explain the purpose of the KNASP
• describe how the KNASP has been prepared
• set out key features of the Strategy and
  estimated financing requirements
• describe the implementation arrangements
• invite comments from stakeholders

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The purpose of the KNASP

• Provides an Action Framework for HIV/AIDS within
  which all HIV/AIDS interventions in Kenya take
  place.
• Ensures all stakeholders are working towards
  common goals, and are adopting consistent,
  mutually supportive strategies and interventions
• Helps estimate total resource needs and supports
  efficient allocation of resources
• Sets out key targets and results to guide,
  coordinate and monitor progress of the national
  response

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Overarching national framework for all
stakeholders, implementers and sectors

• The KNASP is not intended to replace or duplicate
  sectoral or institutional HIV/AIDS strategies,
  implementation plans and budgets
• Rather, the KNASP provides the framework and
  context within which such strategies, plans and
  budgets should be formulated, monitored and
  coordinated.

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The KNASP is One of the Three Ones

• One national action framework KNASP
• One national coordination body NACC
• One national monitoring evaluation framework
  national ME system (to be launched next month)

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Excellent participation and support from
stakeholders

• Over 100 stakeholder organisations have
  contributed to development of KNASP 2005-2010
• Process launched with nationwide consultations in
  June - Aug 2004
• Subsequent development at JAPR3, planning
  workshops, and KNASP working groups
• Consensus built through circulation and
  discussion of KNASP Vision Document (Nov 04-Jan
  05)
• Now presenting the results of this process for
  validation by stakeholders

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Key steps in developing KNASP
K N A S P
Extensive nationwide consultations with
stakeholder groups, over two month period prior
to JAPR Jul-Sep 04
Joint HIV/AIDS Programme Review (JAPR) over two
days, with nearly 300 stakeholders Sep 04
Strategic planning workshop with 40 technical
specialists, leading to Vision Document Oct 04
Working Groups of stakeholders in each priority
area develop results framework Nov 04 Jan 05
Review of draft KNASP by stakeholders NACC
Council senior policy makers Feb - Mar 05
Approval of KNASP by Cabinet and formal launch of
KNASP as official policy document Mar 05
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KNASP is underpinned by core principles

• A multisectoral approach, supported by effective
  advocacy which builds strategic partnerships and
  mainstreams HIV/AIDS within key sectors
• Targeted interventions for those groups most
  vulnerable to infection and to the impact of
  HIV/AIDS
• Recognition of the special needs of women and
  youth
• Maximum engagement of people living with HIV/AIDS
  in the implementation of the strategy
• Empowerment of all stakeholders to participate
  effectively in the national response
• Interventions which are evidence-based

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KNASP Goal and priority areas

• Goal
• Reduce the spread of HIV, improve the quality of
  life of those infected and affected and mitigate
  the socio-economic impact of the epidemic in
  Kenya
• Priority Areas
• Prevention of new infections
• Improvement of the quality of life of people
  infected and affected by HIV/AIDS
• Mitigation of the socio-economic impact of
  HIV/AIDS

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The KNASP sets challenging targets for 2010, for
example

• Continued decline in general prevalence to below
  5.5
• Accelerated decline in prevalence for 15-24 year
  olds, particularly for young women
• Major expansion of counselling and testing
• More effective, targeted BCC especially for girls
  and young people
• At least 75 of those needing ART receive it
• Measures to mitigate socio-economic impact
  mainstreamed in all key sectors

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The KNASP Results Framework will guide
coordinate implementation

• Results and milestones to be delivered over the
  next 1-2 years in each priority area
• Target delivery dates
• Lead agencies for each result
• Key strategic partners
• Basis for reviewing progress at annual JAPR
• Results framework will be revised and reissued
  annually, to coincide with the JAPR

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KNASP Implementation Structure
NACC Council KNASP Policy Forum
Inter-agency Coordinating Committee (ICC)
HIV/AIDS High-level technical monitoring
coordination
JAPR Joint annual review by stakeholders of
progress against results framework and targets
ICC Sub-Committees Engagement of key stakeholder
groups and key sectors
Monitoring Coordination Groups
Prevention
Quality of Life
Support Services
Mitigation
Communication coordination support by NACC
Secretariat (national) and CACCs (local level)
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KNASP Financing Framework

• Estimates total resources required, year by year,
  to implement KNASP
• Forecasts the resources available from all
  sources (NRE)
• It is not intended to provide a detailed costing
  or budget for specific interventions or
  programmes
• Estimated annual requirement by 2010 is about
  500m, roughly 1.5 of GDP c.f. Botswana roughly
  5 of GDP

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Resource Requirements and NRE
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Next steps

• NACC will finalise KNASP incorporating comments
  received
• NACC Council will formally approve the KNASP and
  submit through the Minister to Cabinet
• Formal launch by Minister end of March or early
  April
• Implementation structure established ICC and
  MCGs during April/May ready for
  operationalising Strategy from 1 July