Creating a Public-Private Alliance for Rapid Extension of Pediatric HIV Care and Treatment Services in Kenya
While global efforts to scale up HIV care and treatment (C&T) for adults have strengthened access to antiretroviral therapy (ART), access among children and adolescents has lagged behind. In Kenya, an estimated 614,000 children and adolescents are living with HIV; of these only 42 percent are receiving lifesaving care and treatment. Although Kenya possesses a diverse and multisectoral health system, private for-profit and not-for-profit health care providers are not yet fully and formally engaged in rapidly scaling access to pediatric C&T.
The AIDSFree Pediatric Care and Treatment team researched strategies to increase private sector involvement in C&T for children and adolescents in Kenya. With local partners from government, private health sector, facilities, and communities engaged in Kenya's HIV response, AIDSFree developed a multisectoral approach, the "Public-Private Alliance for Pediatric HIV and AIDS in Kenya" (the AIDSFree Alliance), aimed at increasing access to and use of pediatric C&T services in Kenya by mobilizing and increasing the capacity of private-sector facilities, providers, and civil society actors. This document describes the rationale behind expanding private sector involvement in pediatric C&T; outlines the pediatric HIV situation in Kenya; and provides details on the AIDSFree Alliance model and the Kenyan partners who will implement and ultimately sustain the model.