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GH12-008, Kenya: Developing and Assessing a Community Based Model of Antiretroviral Care

Award Number: U01GH000765
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/01/2013
PERIOD OF PERFORMANCE END DATE: 06/30/2018

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GH12-008, Kenya: Developing and Assessing a Community Based Model of Antiretroviral Care - Abstract Tremendous efforts and resources have been expended by the global community to ensure that antiretroviral therapy (ART) is available and accessible to all that need it. Despite these, less than a half of HIV-infected patients requiring ART in sub-Saharan Africa are receiving it. Some of the most significant barriers to attaining universal access to ART in this region include large distances that patients have to travel to clinic, time spent in accessing care and a significant shortage of human resources. In order to address these challenges the WHO advocates alternative care models especially those that incorporate task-shifting to lower cadre health care workers and lay persons. Unfortunately, few such alternative care models have been identified and very little data exist on their long-term outcomes. We propose to develop and study an alternative care model that is established on the platform of a HIV-infected peer-group (ART Co-op) and facilitated by community health workers (CHWs). This model of care is intended to decentralize ART services and bring them closer to the patients. Specifically, we would like to: 1. Develop an acceptable model for extending HIV care and treatment into the community 2. Develop a sustainable model for extending HIV care and treatment into the community 3. Perform a pilot study comparing the outcomes of patients enrolled in the ART Co-ops program to those receiving standard of care 4. Determine the cost savings and cost effectiveness of ART Co-ops Our group is uniquely qualified to carry out this work given our access to a large HIV- treatment cohort (United States Agency for International Development-Academic Model Providing Access To Healthcare [USAID-AMPATH]) Partnership which has enrolled >140,000 HIV-infected patients (>77,000 initiated on ART), and our significant experience with both task shifting and community-based health care delivery. In conducting this study we hope to develop and test a model of HIV-care that will minimize the number of health care providers needed to deliver HIV care while maximizing patient outcomes including engagement and retention in care as well as durability of regimen. In addition we anticipate that such a model will be scalable to other settings in sub-Saharan Africa as the resources necessary for this model exist in most communities within the region.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2020 ( Subtotal = $0 )
2020	2015	Moi University College Of Heal Th Sciences	Nandi Road	Eldoret	province	postal_code		KEN	Global AIDS	09	2	10/4/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2014	Moi University College Of Heal Th Sciences	Nandi Road	Eldoret	province	postal_code		KEN	Global AIDS	09	2	10/4/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2013	Moi University College Of Heal Th Sciences	Nandi Road	Eldoret	province	postal_code		KEN	Global AIDS	09	2	10/4/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2017 ( Subtotal = $0 )
2017	2015	MOI UNIVERSITY COLLEGE OF HEAL TH SCIENCES	NANDI ROAD	ELDORET				KEN	Global AIDS	001	2	9/15/2017	SUPPLEMENT FOR EXPANSION	$0
2017	2014	MOI UNIVERSITY COLLEGE OF HEAL TH SCIENCES	NANDI ROAD	ELDORET				KEN	Global AIDS	000	2	9/15/2017	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2016 ( Subtotal = $0 )
2016	2015	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	POST OFFICE BOX 4606	ELDORET				KEN	Global AIDS	001	2	6/30/2016	SUPPLEMENT FOR EXPANSION	$0
2016	2014	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	POST OFFICE BOX 4606	ELDORET				KEN	Global AIDS	002	2	6/30/2016	NON-COMPETING CONTINUATION	$0
2016	2014	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	POST OFFICE BOX 4606	ELDORET				KEN	Global AIDS	000	2	4/18/2016	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2015 ( Subtotal = $470,078 )
2015	2015	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	POST OFFICE BOX 4606	ELDORET				KEN	Global AIDS	003	2	8/28/2015	SUPPLEMENT FOR EXPANSION	$48,569
2015	2014	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	POST OFFICE BOX 4606	ELDORET				KEN	Global AIDS	000	2	5/15/2015	NON-COMPETING CONTINUATION	$421,509
2015	2014	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	POST OFFICE BOX 4606	ELDORET				KEN	Global AIDS	002	2	8/28/2015	NON-COMPETING CONTINUATION	$0
2015	2013	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	POST OFFICE BOX 4606	ELDORET				KEN	Global AIDS	001	1	5/15/2015	NEW	$0
														Subtotal = $470,078

Issue Date FY: 2014 ( Subtotal = $5,000 )
2014	2014	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	POST OFFICE BOX 4606	ELDORET				KEN	Global AIDS	000	2	9/9/2014	NON-COMPETING CONTINUATION	$5,000
														Subtotal = $5,000

Issue Date FY: 2013 ( Subtotal = $497,533 )
2013	2013	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	Nandi Road	Eldoret				KEN	Global AIDS	000	1	8/15/2013	NEW	$497,533
														Subtotal = $497,533

Grand Total All Awards = $972,611

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GH12-008, Kenya: Developing and Assessing a Community Based Model of Antiretroviral Care

Award Number: U01GH000765

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/01/2013

PERIOD OF PERFORMANCE END DATE: 06/30/2018

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