Our featured projects
A portfolio of projects addresses Kenya’s greatest needs
PATH’s work in Kenya ranges from large-scale integrated projects that provide health services to millions of people to pilot projects that are testing innovative ideas for the first time. A sampling follows.
AIDS, Population, and Health Integrated Assistance (APHIAplus) Western Kenya
Funded by the US Agency for International Development and led by PATH, APHIAplus Western Kenya is a five-year project, launched in 2011, that will bring integrated health services to more than ten million people in Nyanza and Western provinces. With our implementing partners the Elizabeth Glaser Pediatric AIDS Foundation, Jhpiego, and World Vision as well as Kenya’s Ministry of Health, we’re focusing on integrating health care services. For example, we’re integrating family planning, prevention of mother-to-child transmission of HIV, and pediatric and adult antiretroviral therapy with maternal and child health services. We’re also linking family planning with antenatal or postnatal care, and HIV with tuberculosis services. In addition, the project addresses circumstances that affect health, such as poverty, lack of education, the environment, and sociocultural norms.
The AIDS Response in Forces in Uniform (Operation-ARIFU) Project
The first project of its kind in Kenya, Operation-ARIFU is a nationwide five-year cooperative agreement, funded by the US Centers for Disease Control and Prevention, targeting the uniformed nonmilitary forces. The project’s goal is to increase access to tuberculosis and HIV/AIDS prevention, care, and treatment services among personnel from the Administration Police, National Youth Service, Kenya Wildlife Service, and Kenya Police, as well as their families and surrounding communities. Our technical and financial assistance is enabling each uniformed service to better manage and facilitate the delivery of high-quality HIV services; strengthen health systems and scale up integrated service delivery; expand coverage of innovative, evidence-based HIV combination prevention approaches to promote healthy behaviors; and strengthen the framework for tracking progress and demonstrating results.
Enhanced Diarrheal Disease Control Initiative
To address one of the country’s top killers of young children, this project is reprioritizing diarrheal disease in Kenya. We’ve helped develop and revise the national diarrheal disease control policv to ensure the rapid uptake of new prevention and treatment interventions and to reinforce the use of established interventions. We’re training health care workers and community members in the use of oral rehydration therapy (ORT) and other proven methods to reduce severe diarrheal disease, and we’re creating ORT corners in clinics and hospitals, where mothers can immediately access lifesaving treatment for their children.
Our nationwide Health Care Waste Management Project (HCWM) supports the establishment of safe, environmentally friendly, and sustainable medical waste management systems to deal with hazardous health waste and prevent biomedical transmission of HIV and other blood-borne pathogens. Our approach is three-pronged: 1) strengthen the health care waste management system, 2) increase capacity in procurement and commodity management systems, and 3) encourage healthy behavior among health workers and the community to reduce unnecessary use of injections and promote safe disposal of medical wastes.
Infant & Young Child Nutrition Project
Active from 2006 to 2012, the Infant & Young Child Nutrition Project (IYCN), funded by the United States Agency for International Development, aimed to give children a chance for healthy and productive lives. Through APHIAplus Western Kenya, PATH and IYCN implemented a public health evaluation on the engagement of elderly women and men to improve maternal and young child nutrition in Vihiga country in Western Province.
The study evaluated the impact of engaging men and grandmothers on uptake of selected complementary feeding and maternal nutritional practices. The public health evaluation was conducted in phases: formative assessment, baseline survey, and follow-up with implementation of interventions for men and grandmothers. An endline survey concluded in mid-2012.
Malaria vaccine clinical trials
The PATH Malaria Vaccine Initiative, in partnership with GlaxoSmithKline and prominent African research centers, is testing RTS,S, the most clinically advanced malaria vaccine candidate. Three clinical trial sites are based in Kenya—Kilifi, in the coastal region, and Kombewa and Siaya, both in western Kenya.
Leading Kenyan scientists and researchers from the Kenya Medical Research Institute, in partnership with the Wellcome Trust, Walter Reed Army Institute of Research, and the US Centers for Disease Control and Prevention, are participating in this phase 3 trial, the largest malaria vaccine trial in Africa to date. As of January 2011, more than 15,000 infants and young children were enrolled in the trial. The first results, published in the New England Journal of Medicine in October 2011, showed that the vaccine candidate provided young children (5-17 months of age) with significant protection against clinical and severe malaria, and had an acceptable safety and tolerability profile. Final results are expected in 2014.
Mama SASHA (Sweetpotato Action for Security and Health in Africa)
In collaboration with the International Potato Center and local agricultural organizations in western Kenya, PATH is working to improve the health of pregnant women and young children by linking agriculture and nutrition interventions to antenatal health care services. Pregnant women who visit targeted health clinics receive nutrition counseling and vouchers for vines they can plant to grow orange-fleshed sweet potatoes, which are rich in vitamin A. We’re assessing the project’s impact on newborns as well as their mothers.
Operational research has explored opportunities to strengthen links between agriculture and health. A rigorous impact evaluation will provide the base of evidence for health impacts on infants and their mothers, and helps inform interventions for maternal and child health in the APHIAplus project.
Partnership for an HIV-Free Generation, Kenya (HFG/K)
To accelerate the government of Kenya’s HIV prevention strategy, PATH is building and supporting a self-sustainable, independent entity known as the Partnership for an HIV-Free Generation, Kenya (HFG/K). HFG/K’s vision is to inspire and provide opportunities for all youth to live healthy and productive lives and contribute to the realization of an HIV-free generation. We combine the core competencies of the private sector with the technical expertise of government and development partners to create and expand innovative and effective HIV prevention programs targeting youth aged 10 to 24. In partnership with the Global Business Coalition Health, we’re implementing a youth HIV prevention mass media campaign based on an iconic youth lifestyle brand known as G-PANGE. We’re also negotiating and managing public-private partnerships to enhance opportunities for youth.
Regional Outreach Addressing AIDS (ROADS) II Project
Through targeted communications campaigns and educational programs, the ROADS project is encouraging truckers and other highly mobile populations to make smart choices about sexual behavior in order to protect themselves and their families from HIV. Under an agreement with Family Health International, PATH leads the strategic communication interventions for the project, which began in Kenya and now covers the main transportation corridors in much of East Africa.
Safe Water and AIDS Project (SWAP)
This project is testing the potential of distributing durable ceramic water filters as part of a “basket-of-goods” business model, which helps track change in costs of selected goods and services over time. We’re training and employing local vendors to sell the water filters along with such low-cost and high-impact health products as sanitary pads, soap, and condoms.