6 Combat HIV/AIDS, malaria and other diseases

Where we are?

Recent studies indicate that whereas Kenya has made significant progress in the fight against HIV/AIDS, the national prevalence rates still raise concern.. The KDHS 2008/09 states that "in Kenya, HIV prevalence has not changed significantly in the past five years. The HIV prevalence is 6.3% for women and men aged 15-49, compared with 6.7% in the 2003 KDHS and 7.4% in the 2007 Kenya AIDS Indicator Survey".

The Kenya AIDS Indicator Survey (KAIS) confirmed this trend pointing out that HIV prevalence among key adult age group rose while incidence remains high with an estimated 125,000 -133,000 new cases annually among adults and 32,000 new paediatric infections per year7. Surprisingly, there have been higher infection rates among married couples bringing a new challenge. Earlier efforts had been directed to commercial sex workers and single persons, but now the focus must change.

On treatment and care, progress towards achieving universal access targets has been slower than expected. The Kenya National AIDS Strategic Plan (KNASP III) access target of reaching at least 80 percent of those in need is not expected to be achieved until 2013. This is partly due to the fact that whereas the number of people on ART has been increasing over time, those in need have been increasing at an even faster rate. The National AIDS and STI Control Programme (NASCOP) estimates that at least 68% of the nearly 570,000 people in need of ART were receiving it by end of June 2010. This chart illustrates KNASP III and NASCOP targeted number of people to be put on treatment over the current and upcoming four fiscal years.

With regard to condom use, NACC estimated an increase in condom supply from 28.4 million in 2005 to 36.2 million in 2006 and further to 64.5 million in 2007. This was attributed to the increase in demand and availability

Targets for MDG6
  1. Halt and begin to reverse the spread of HIV/AIDS
    • HIV prevalence among population aged 15-24 years
    • Condom use at last high-risk sex
    • Proportion of population aged 15-24 years with comprehensive correct knowledge of HIV/AIDS
    • Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14 years
  2. Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it
    • Proportion of population with advanced HIV infection with access to antiretroviral drugs