PWID CONTACTED BY THE PROGRAM (2012 – AUGUST 2018)
SAPTA which is implementing harm reduction program among the People Who Inject Drugs (PWIDs) had the target increased from 1520 to 2778 in the new funding period (Jan 2018-July 2020) The new targets will be raised again in year 2019 to 3219 PWIDS
In addition, implementation now will include comprehensive services. The new targets are tabulated below:
| Target | |||
| Semester 1,Year1 | Semester 2,Year 1 | Semester 1,Year 2 | Semester 4,Year 2 |
| 2778 | 2778 | 3219 | 3219 |
| 2778 | 2778 | 3219 | 3219 |
As at the end of August 2018 the program had contacted 2885 PWID which is 104% of the contracted target (2778) for Global Fund. As tabulated and graphically represented below:
| No contacted by the Program since the inception | |||
| MALE | FEMALE | TOTALS | |
| Pangani | 1530 | 274 | 1804 |
| Githurai | 933 | 148 | 1081 |
| Total | 2463 | 422 | 2885 |
HIV/AIDS
HIV Testing Services (HTS) were given to a total numbers 2711 (Males 2328, Females 383) which is 93.9 % of the total contacted cohort (2885).
In the quarter, 3 male clients sero-converted in July and one in August.in the previous semester (Jan-June 2018) 6 male and 5 female clients turned positive
out of 2711 (Males 2328, Females 383) cumulatively tested PWIDs. All the positive clients were linked to care and treatment. Cumulatively 140 (males 94, females 46) have tested positive since the program begun. In addition, the program now has an operational ART site beginning December this year.
The breakdown is as shown in the tables below:
| Cumulative no. of PWIDs Tested HIV positive since the Program begun | |||
| MALE | FEMALE | TOTALS | |
| Pangani | 66 | 22 | 88 |
| Githurai | 28 | 24 | 52 |
| Total | 94 | 46 | 140 |
| GENDER PREVALANCE RATES | |||
| MALE | FEMALE | TOTALS | |
| Pangani | 66 | 22 | 88 |
| Githurai | 28 | 24 | 52 |
| Total | 94 | 46 | 140 |
| TOTAL TESTED | 2328 | 383 | 2711 |
| PREVALENCE RATE | 4.03% | 12.01% | 5.16% |
| Month | STIs Treatment |
| Jan | 5 |
| Feb | 6 |
| Mar | 7 |
| Apr | 6 |
| May | 8 |
| Jun | 7 |
| July | 6 |
| Aug | 6 |
Program achievement as at 31 July 2018
| ACTIVITY (QUANTIFY) | No OF EVENTS | TARGET | OUTPUT TARGET ACHIEVED | OUTPUT TARGET BALANCE |
| Provide Nutritional support for PWIDs in the DIC | Daily | 60 | 60 | 100% |
| Conduct Health Education sessions during Female clinic Days | 12 | 20 | 20 | 100% |
| Engage new and old Peer Educations for the PWID program | 3 | 56 | 56 | 100% |
| Engage new and old Outreach Workers for the PWID program | 3 | 8 | 8 | 100% |
| Conduct Monthly micro planning review and coordination meeting | 3 | 64 | 64 | 100% |
| Conduct Peer led outreaches using the proper peer ratios as per national guidelines | 14 | 60 | 60 | 100% |
| Hold ART support group meetings | 3 | 40 | 40 | 100% |
| Train PE as first responders on Overdose and Naloxone | 1 | 35 | 35 | 100% |
| Conduct Sensitization Meeting for Peer Educators and OW on PREP | 1 | 35 | 35 | 100% |
| Conduct DIC Advisory Committee meetings | 2 | 15 | 15 | 100% |
| Conduct clean-up activities | 2 | 15 | 15 | 100% |
| Engage ART case managers | 2 | 2 | 2 | 100% |
| Engage Psychosocial Counsellor/Social worker | 2 | 2 | 2 | 100% |
| Set up Beauty corner for FWID | 1 | 0 | 0% | |
| Conduct quarterly CMEs at the DIC | 2 | 8 | 0 | 0% |
| Conduct Routine supportive supervision for counsellors for quality assurance and psychosocial support | 2 | 3 | 0 | 0% |
PROGRAM GAPS AND CHALLENGES
- There’s need for a Women’s Only Center since continue to have small numbers.
- Inadequate Peer Educators stipend leading to low morale.
- Our clients who are not reintegrated with family are resorting to crime which endangers their lives particularly now that there is a crackdown in Mathare.
- Intended eradication of the Nigeria Hotspot by law enforcement authority.
- Global Fund would like us to set up a DIC with containers for Sustainability but the need for land to put this at is a challenge particularly as the location needs to be near the PWIDs
- Our clients are being victimized in Eastleigh for purportedly raping and sodomizing children after the Nigeria crackdown left them hopeless. The law enforcers cannot differentiate between heroin users and street families.
- CDC funding for the Kayole site will end in December due to a cut down in funds.
Lessons learnt and good practices
- The Nigeria hotspot has broken down into smaller hotspots and may require a new mapping exercise.
- The Peddlers are now operating in a mobile manner therefore we have learnt that the DIC mobilization strategy will give optimal results in client reach.
- Mental health issues need to be looked at more closely as with the use of Methadone many co –morbid mental conditions have become obvious thus requiring a closer look into this.
- Methadone clients need to be tested at the MAT clinic during induction as there is a new group of non-opiate users that are attempting to get to Methadone. This means that we need to get drug testing kits at the DICs before we put new clients in our database.
- Hepatitis screening at the DIC has worked better at DIC level in improving complete inoculation compared to the RRI. We will have a report on these numbers at the end of this quarter.
- National HIV prevalence rates are not reflected at DIC level. We are in discussions with NASCOP to have the next polling booth survey only include clients in PWID implementer’s databases to give them a real percentage of the PWID prevalence rates.