Mildmay Kenya: Global Fund for HIV Programmes
Global Fund HIV programmes—administered in Kenya through the Kenya Red Cross Society—expanded access to prevention, care and treatment. Mildmay Kenya served as a sub‑recipient, strengthening community‑based services across Siaya, Bondo, Samia, Teso South and beyond.
Programme scope and aims
The Global Fund supported increased care for most‑at‑risk populations, Prevention of Parent‑to‑Child Transmission (PPTCT), broader HIV testing and counselling, pre‑exposure prophylaxis (PrEP), and improved leadership and governance. As a sub‑recipient, Mildmay Kenya worked with Community Health Workers (CHWs), Community Health Extension Workers (CHEWs) and health facilities to deliver home‑based care (HBC), recruit clients for follow‑up, provide psychosocial support, conduct home visits, make referrals and offer health education. CHWs mobilised people living with HIV (PLHIV), pregnant women for PMTCT, and men for PMTCT involvement, and supported community‑level counselling and testing.
Evidence‑based interventions with adolescents and youth:
My Health My Choice (ages 13–17): Reached 974 youths through four group sessions (16 per group) on reproductive health, sexuality, HIV, delaying sexual debut, communication with parents and behaviour change.
Healthy Choices for a Better Future (ages 10–12): Reached 946 youths through seven sessions (16 per group) covering reproductive health, sexuality, HIV and delaying sexual debut.
Shuga (ages 18–24): Reached 639 youths using the video series to discuss sexuality, drugs, peer pressure, HIV risk and mitigation, plus life skills for negotiating safer sex, testing, referral and behaviour change.
Families Matter! (parents of adolescents): Trained 60 parents across seven weekly sessions to strengthen positive parenting and communication with 13–17‑year‑olds on sexuality, risk reduction and accurate HIV information.
Health worker and peer capacity:
Youth‑friendly services: Trained 60 nurses and clinical officers to provide youth‑friendly reproductive health in facilities and outreach.
Peer education: Trained 63 youths from Bondo and Rarieda, adolescents and young people living with HIV, to support treatment literacy and adherence, deliver Positive Health, Dignity and Prevention messages, and follow up peers.
Rights and legal access: Trained youth facilitators for “Know your rights” sessions on SRHR, HIV/TB and the law, succession rights (especially for girls and women), backed by pro bono legal clinics; ran 10 campaigns reaching 431 youths, with five cases taken up for redress.
Integrated outreach results (AYP reproductive health services):
1,444 youths received STI, condom and HIV information; 938 tested for HIV; 17 were referred for ART initiation and linked to peer educators.
56 girls received HPV vaccination; 60 girls (15–19) were screened for pregnancy; 13 were referred for antenatal services and teenage mothers’ groups.
95 girls attended one‑on‑one “sister‑to‑sister” sessions; 69 received family planning.
21 were referred for PrEP; 11 were referred for STI services; 3 were referred for TB screening; 25 were treated for minor ailments.
County delivery highlights:
Siaya County:
Engaged 245 CHVs for home and community‑based care.
Reached 4,992 PLHIV (3,439 female; 1,553 male) with HCBC against a 4,900 target.
Held eight quarterly health facility review meetings and six support group meetings for 150 PLHIV, including adolescents and children.
Provided HIV testing services to 4,522 people; 11 tested positive and were referred for ART.
Conducted monthly data collection with 245 CHVs across Bondo and Rarieda.
Vihiga County:
Engaged 150 CHVs for HCBC.
Reached 3,098 PLHIV (1,947 female; 1,151 male) with HCBC.
Provided HIV testing services to 2,970 people (1,225 male; 1,745 female); 18 tested positive and were linked to treatment.
Held monthly data collection meetings with 150 CHVs across Luanda and Vihiga sub‑counties.
Impact
The Global Fund partnership, delivered through Kenya Red Cross and Mildmay’s community networks, increased youth engagement, strengthened family and peer support, expanded testing and linkage to treatment, built health worker capacity for youth‑friendly services, and supported rights‑based access to SRHR, advancing universal access to HIV prevention, care and treatment at community level.