Health at Home/Kenya is a groundbreaking collective-action initiative coordinated by GBCHealth that is providing home-based HIV/AIDS testing and counseling for hundreds of thousands of people in western Kenya.
To date, 99% of households in communities reached by the Health at Home/Kenya Impact Initiative have welcomed HIV counselors inside their homes and 97% have agreed to be tested. These remarkable rates speak to the success of the model. Key results include:
On-the-ground implementation of Health at Home/Kenya is being managed by the Eldoret, Kenya-based AMPATH (Academic Model Providing Access to Healthcare) program, working closely with the Kenyan government and PEPFAR.
AMPATH nominated the Abbott Fund for its leadership role in supporting this initiative and the Fund was commended in the GBCHealth Awards for Business Action on Health in the Community Investment Category in 2011.
The initiative is being brought to scale by industry competitors working side-by-side in common cause—serving as a model to be replicated in other AIDS endemic regions of the world. In 2010, Abbot Fund and Eli Lilly expanded their partnership to include screening for diabetes and hypertension. This important addition leverages the model established for HIV management to screen people for non-communicable diseases (NCDs). It will also provide an indication of the actual prevalence of these conditions in rural sub-Saharan Africa.
How Health at Home/Kenya and AMPATH Works:
International Media Shine Spotlight on Health at Home/Kenya
Collective Action Means Greater Impact
This two-year initiative is supported by PEPFAR and GBC member companies. The project is part of a series of GBCHealth-organized collective actions known as Impact Initiatives, which mobilize public and private sector partners into dedicated work teams focused on areas of exceptional need, high impact and the potential to create replicable models.
Participants in the initiative include the Abbott Fund, Accenture, Bristol-Myers Squibb Foundation, CfC Stanbic Bank Kenya (a member of Standard Bank Group), The Coca-Cola Company, Deutsche Post DHL, Pfizer Inc., Premier Medical Corporation, SAB Miller and Standard Chartered Bank.
Evidence-based initiative based on demonstrated success
GBC President John Tedstrom greets Kenyan PM Raila Odinga
Health at Home/Kenya builds on the results of AMPATH's successful Kenya door-to-door pilot program where its HIV testing teams working in Mosoriot, Turbo and Mautuma districts, were welcomed into more than 95 percent of homes where more than 80 percent of those eligible agreed to be tested. In addition, trained health workers will provide TB screening, malaria bed nets and de-worming medications.
"We are using the resources, know-how, and technologies of the GBC member companies and combining them with public sector funding and expertise to significantly scale up an HIV testing and treatment model with an outstanding initial success rate, said John Tedstrom, GBCs President and CEO. Not only do we have the opportunity to keep people healthier, but by building on AMPATH's remarkable model we may finally have the ability to slow down and eventually defeat the AIDS pandemic.
According to Professor Alloys Orago, Director of Kenya's National AIDS Control Council, "as many as 70% of Kenyans do not know their HIV status and we must be open to all reasonable approaches to get more people tested so they know their HIV status.
While traditional community and hospital testing methods of case finding may identify a minority of those infected with HIV, AMPATH found that they could greatly increase these numbers by going door-to-door in the communities surrounding their clinics. The HCT model holds the promise of finding more than 90% of those infected.
U.S. Ambassador to Kenya Michael E. Ranneberger praised the initiative and said, "Our PEPFAR program is honored to support this work that will contribute so directly both to the Government of Kenya priority of universal knowledge of HIV status as well as enrolling people in care far earlier in the disease process so they stay healthier longer."
How home-based HIV testing works
In AMPATH's home-based counseling and testing (HCT) model, the nurse/counselor who enters the home carries hand-held PDA and GPS devices to collect and enter data on family health, record test results and identify the physical location of the household for treatment, education, counseling and data collection follow-up. Data is entered into AMPATH's medical record system, which is the first and most successful outpatient electronic medical record system in sub-Saharan Africa, and any person identified as HIV-positive during this testing process is immediately given an appointment for follow-up clinical care.
"This initiative is resulting in hundreds of thousands of people being successfully tested for HIV and, if positive, being immediately referred into care and treatment," said Dr. Sylvester N. Kimaiyo, AMPATH Program Manager. "We will not win the AIDS battle by waiting for people to come to our clinics, but only by taking HIV testing to people's homes in Africa. This same model can effectively test and treat millions throughout Africa."
In addition to reaching HIV-positive people and connecting them with necessary services, the AMPATH program is also helping those who test negative by making them aware of their status and providing information and support so they remain HIV-free.
Expand the Initiative: Opportunities for GBC Members