FACES is a family-focused, comprehensive HIV prevention, care, and treatment program working collaboratively with the Kenyan Ministries of Health (MOH) to build sustainable HIV care systems in Nyanza Province and in Nairobi.
FACES launched with one site in Nairobi in 2004 and second site in Kisumu, Nyanza Province in 2005, with a focus on HIV care and treatment, as well as HIV testing and counseling services. FACES rapidly expanded in Kisumu and to the neighboring isolated, island district of Suba, a fishing community along Lake Victoria’s shores with an HIV prevalence of 27% – the highest in the country. In 2007, FACES support extended to Prevention of Parent-to-Child Transmission (PPCT) and Voluntary Medical Male Circumcision (VMMC) services and expanded geographically to the underserved, rural districts of Migori, Rongo, and Nyatike.
FACES now supports over 130 health facilities in Kisumu East, Suba, Mbita, Migori, Rongo, and Nyatike districts in Nyanza and two sites in Nairobi. Over 121,000 patients have enrolled in care and over 51,000 have initiated antiretroviral treatment (ART).
FACES is a collaboration between the University of California San Francisco (UCSF) and the Kenya Medical Research Institute (KEMRI), and is funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)/Centers for Disease Control and Prevention (CDC) through a cooperative agreement.
Nairobi is the capital of Kenya inhabited by over 3 million people. HIV prevalence in Nairobi is 9%; 11% among women and 7.1% among men. Based at the Centre for Respiratory Diseases Research at KEMRI, the Nairobi clinic opened in 1997 to provide care for research participants. In addition to being the site of many research projects, in September 2004 the program began providing HIV care to the general population in Nairobi, and in March 2005 this expanded to include ARVs for adults and then children.
Kisumu is in Nyanza Province in Western Kenya, on the edge of Lake Victoria. It has a population of approximately 505,000; HIV prevalence is approximately 15%. FACES Kisumu opened its doors in March 2005, at Lumumba Health Centre, which is Kisumu’s busiest municipal maternity facility. Services are provided free of charge to the general population.
(Suba, Migori, Rongo)
Suba District, with a population of approximately 200,000, is a rural district in Nyanza Province, on the edge of Lake Victoria. It has a large fishing industry, with many people living in beach and island communities within the district. Southern Nyanza has HIV prevalence rates from 20%-40%. Click to see the health facilities maps for Suba and Migori.
In partnership with the Kenyan government, FACES is coordinating facility-based HIV care and treatment for the district in an effort to create a functional model of decentralized HIV care. This includes supporting programs at all of the government health facilities, as well as some of the islands that do not have health centers, through the use of stationary and mobile services. FACES is taking a lead in strengthening the collaborative efforts of community, government, and NGOs, in developing a unified HIV prevention and treatment program for the district.
HIV Prevalence In Nyanza Province
Click here to view a brief program overview in powerpoint.