CarePack® - Case Study: IPD
The Concept
The Integrated Prevention Demonstration campaign, conceptualized by Vestergaard Frandsen, combines voluntary HIV counselling and testing (VCT) with distribution of an evidence-based CarePack® containing multiple interventions for the prevention of malaria, diarrhoea and HIV.
The Approach
People attending the campaign are offered HIV counselling and testing services, health education and a free CarePack® containing a PermaNet® long-lasting insecticidal net (LLIN), a LifeStraw® family point-of-use water purifier, condoms, and educational material focusing on the prevention of malaria, diarrhoea and HIV. Persons diagnosed as HIV positive are referred for further care and given a three-month starter kit of cotrimoxazole prophylaxis - a broad spectrum antibiotic recommended by the WHO.
The Cause
- To contribute towards the Kenyan national scale-up plan for voluntary HCT that aims to test 80% of Kenya's adult population by 2010.
- To create a scalable and replicable approach, which can rapidly contribute to the United Nations Millennium Development Goals by reducing the incidence of HIV, malaria and diarrhoea.
The Time and Place
September 16-22, 2008; in the Lurambi division of Western Kenya.
The Target Population
Men, women and young people of sexually active 15-49 age group. Couple counseling was encouraged.
Sponsor
Vestergaard Frandsen, the program sponsor and concept architect, partnered with the
Kenyan Ministry of Health and CHF International for campaign implementation.
The Achievement
| Public Health Challenges | Current Situation | Achieved through IPD |
| Millennium Development Goal 6, Target 1: Combat HIV/AIDS, Malaria and Other Diseases – have halted by 2015 and begun to reverse the spread of HIV/AIDS. | HIV testing rates remain poor in most parts of the Sub Saharan Africa. 83% or approximately 1.2 million HIV-infected Kenyans do not know they are infected! | Nearly 50,000 people (80.2% of the target population) participated in the community-based voluntary HIV testing. Previously, less than 20% of this population had been tested for HIV over a period of several years. |
Millennium Development Goal 6, Target 3: Combat HIV/AIDS, Malaria and Other Diseases – have halted by 2015 and begun to reverse the incidence of malaria and other major diseases. Roll Back Malaria (RBM) Target: Universal coverage of LLINs for the entire population at risk. | Less than 50% people sleep under an Insecticide Treated Net (ITN) in Sub Saharan Africa. | A survey of residents in Lurambi taken two months after the campaign showed near-universal bed net coverage, with over 95% of households reporting that they owned a bed net and over 85% claiming to be sleeping under one. |
| Millennium Development Goal 7, Target 3: Ensure environmental sustainability – halve, by 2015, the proportion of the population without sustainable access to safe drinking water and basic sanitation. | In Kenya, 46% of the rural population has access to safe drinking water; 21,800 people die from diarrhoeal diseases every year. | Before IPD, fewer than 5% of households in Lurambi had a water filter. Post-campaign, nearly 75% of the households had one, and of this group, 75% reported using the filter. Before the campaign, only half thought their water was safe for drinking. This rose to 95% among those using the water purifiers. |
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