Document Type


Publication Date



Health workers in Kenya often miss opportunities to discuss pediatric HIV with clients and to track exposed children in order to initiate treatment. To address this problem, the Population Council’s APHIA II Operations Research Project collaborated with the Christian Health Association of Kenya, Catholic Relief Services, and the Kendu Adventist Hospital to improve HIV testing and treatment services for children at the hospital. The project recommended that pediatric HIV services be strengthened and included as an essential service at all levels of healthcare facilities in order to reach more children, including as one of the roles of the community health workers. Training and guidelines for providers should emphasize identifying gaps in client flow within health systems, and laboratory services should be streamlined to ensure optimal management of dry blood spot samples and record-keeping. The Ministry of Health and APHIA plus should also consider replicating the model of service delivery used in this OR study in other facilities in the province, to ensure that continuum of care is maintained from ANC to Well-Baby and Comprehensive Care Center clinics.






AIDS, Population, and Health Integrated Assistance (APHIA II) Operations Research Project