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PLoS One. 2018 Nov 1;13(11):e0205056. doi: 10.1371/journal.pone.0205056. eCollection 2018.

Micro-planning at scale with key populations in Kenya: Optimising peer educator ratios for programme outreach and HIV/STI service utilisation.

Author information

1
Centre for Global Public Health, University of Manitoba, Winnipeg, Canada.
2
National AIDS and STI Control Programme, Ministry of Health, Nairobi, Kenya.
3
Karnataka Health Promotion Trust, Bangalore, India.
4
Partners for Health and Development in Africa, Nairobi, Kenya.
5
Bill & Melinda Gates Foundation, Washington DC, United States of America.
6
Office of HIV/AIDS, Bureau for Global Health, U.S. Agency for International Development, Washington DC, United States of America.
7
Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Abstract

Peer education with micro-planning has been integral to scaling up key population (KP) HIV/STI programmes in Kenya since 2013. Micro-planning reinforces community cohesion within peer networks and standardizes programme inputs, processes and targets for outreach, including peer educator (PE) workloads. We assessed programme performance for outreach-in relation to the mean number of KPs for which one PE is responsible (KP:PE ratio)-and effects on HIV/STI service utilisation. Quarterly programmatic monitoring data were analysed from October 2013 to September 2016 from implementing partners working with female sex workers (FSWs) and men who have sex with men (MSM) across the country. All implementing partners are expected to follow national guidelines and receive micro-planning training for PEs with support from a Technical Support Unit for KP programmes. We examined correlations between KP:PE ratios and regular outreach contacts, condom distribution, risk reduction counselling, STI screening, HIV testing and violence reporting by KPs. Kenya conducted population size estimates (PSEs) of KPs in 2012. From 2013 to 2016, KP programmes were scaled up to reach 85% of FSWs (PSE 133,675) and 90% of MSM (PSE 18,460). Overall, mean KP:PE ratios decreased from 147 to 91 for FSWs, and from 79 to 58 for MSM. Lower KP:PE ratios, up to 90:1 for FSW and 60:1 for MSM, were significantly associated with more regular outreach contacts (p<0.001), as well as more frequent risk reduction counselling (p<0.001), STI screening (p<0.001) and HIV testing (p<0.001). Condom distribution and reporting of violence by KPs did not differ significantly between the two groups over all time periods. Micro-planning with adequate KP:PE ratios is an effective approach to scaling up HIV prevention programmes among KPs, resulting in high levels of programme uptake and service utilisation.

PMID:
30383786
PMCID:
PMC6211676
DOI:
10.1371/journal.pone.0205056
[Indexed for MEDLINE]
Free PMC Article

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