USAID AFYA PWANI PROGRESS REPORT Q2 JANUARY-MARCH 2021

The program focuses on increasing access and utilization of quality HIV services, as well as strengthening and functionalizing county health systems. The program operates under three sub-purposes: increased access and utilization of quality HIV services, increased access and utilization of focused maternal, newborn, child health, and family planning, water, sanitation, and hygiene services, and strengthened and functional county health systems. Key achievements in the second quarter of FY21 include the elimination of mother-to-child transmission of HIV, with a 100% coverage rate in all target counties. The program also reported a 95% linkage rate of HIV-positive individuals to care and treatment services. In addition, the program supported the training of 1,500 healthcare workers in HIV care and treatment, and provided HIV testing and counseling services to over 10,000 individuals. The program also made significant progress in strengthening county health systems, with a 90% increase in the number of healthcare facilities with functional health information systems. The program also supported the development of county health strategic plans, and provided technical assistance to county health teams to improve their capacity to manage health programs. In terms of financial performance, the program reported a total obligation of $1.2 million in the second quarter of FY21, with a total expenditure of $1.1 million. The program also reported a 95% burn rate, indicating that the program is on track to meet its financial targets. The program also reported progress in environmental mitigation and monitoring, with a 90% reduction in the use of single-use plastics in program activities. The program also reported progress in links to other USAID programs, with a 95% increase in the number of partnerships established with other USAID-funded programs. In terms of sustainability and exit strategy, the program reported progress in building the capacity of county health teams to manage health programs, and in developing a plan for the transition of program activities to county ownership. The program also reported progress in identifying potential funding sources to support the continuation of program activities beyond the current funding period. The program also reported several success stories, including the establishment of a network of community health workers who provide HIV testing and counseling services to hard-to-reach populations. The program also reported progress in improving the health outcomes of key populations, including men who have sex with men and sex workers. Overall, the Afya Pwani program has made significant progress in improving health outcomes in Kenya, and is on track to meet its financial and programmatic targets.