With adult (15-49 years) HIV prevalence estimated at about 4.9% in 2017 and approximately 1.5 million people living with HIV, Kenya has made good progress in addressing the epidemic through focused interventions. However, to sustain the progression of the national response, there is a need for interventions that can effectively address the varied nature of the epidemic across different counties while remaining focused on meeting national targets.

To respond to this, USAID Kenya and East Africa awarded three HIV clinical service projects in high HIV burden counties across Kenya: Afya Nyota ya Bonde, Afya Ziwani, and Afya Kamilisha. These projects are funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and aim to increase access and coverage of HIV prevention, care and treatment services toward epidemic control.  These projects build on the work of PEPFAR’s AIDS, Population and HIV Integrated Assistance projects (APHIAplus), which played a critical role in shaping the HIV response in Kenya.