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CarePack® - Case Study: IPD

Image of laughing woman who has just recieved at CarePack at the
Integrated Prevention Demonstration

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.

IPD staff person tests blood sample for HIV

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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