Table 6.
WHO policy (year of guideline)a | Kenyan policy (year of policy)a | NAIROBI |
KISUMU |
|||
---|---|---|---|---|---|---|
Small facilities (n = 2) | Large facilities (n = 6) | Small facilities (n = 28) | Large facilities (n = 4) | |||
Quality of care (%) | ||||||
Periodic checks on QoC at ART clinic | 201011 | 201126 | 100 | 100 | 96 | 100 |
Coordination of care and patient tracking (%) | ||||||
6 monthly CD4 counts when on ART | Not required | 200515 | 100 | 80 | 96 | 100 |
3 monthly drug supplies once stable on ART | None | 201126 | 50 | 67 | 79 | 75 |
Routine pill counts once on ART? | None | 200515 | 50 | 67 | 75 | 100 |
Home visits following poor adherence | None | None | 0 | 17 | 32 | 50 |
Home/phone contact following missed visit | 201314 | 201126 | 100 | 100 | 96 | 100 |
Drugs collectable by designee | None | None | 50 | 100 | 100 | 100 |
TB services integrated in facility | 201112 | 200515 | 100 | 100 | 100 | 100 |
Support to PLHIV (%) | ||||||
Adherence counselling required | None | 200515 | 100 | 100 | 100 | 100 |
Peer support for people on ART | None | 201126 | 100 | 100 | 100 | 100 |
Nutritional support for people on ART | 20065 | 200515 | 100 | 100 | 100 | 100 |
Home-based care for people on ART | None | None | 100 | 100 | 93 | 100 |
Medical management (%) | ||||||
TB screen at every ART visit | 201112 | 200515 | 100 | 100 | 100 | 100 |
WHO 1st line (2010) as standard | 201011 | 201126 | 100 | 100 | 100 | 100 |
At least four first-line regimens available | 20065 | 201126 | 50 | 100 | 75 | 75 |
Superscript numbers relate to policy document reference number as listed in Table 1.