John Snow, Inc. - Region

Kenya

Projects are listed by award date. Alternatively, list projects by title.

MTCT-Plus Data Management Center
JSI's clinical data management and quality assurance experience is internationally recognized. For five years, JSI has been contracted as the Data Management Center for the Mother to Child Transmission Plus (MTCT-Plus) Initiative, developed in response to the UN Secretary General's Call to Action. Managed by the Mailman School of Public Health at Columbia University (the Secretariat), the center serves demonstration sites in 8 countries in Africa and Asia and as such handles data related to the care of over 9300 patients in 18 clinical facilities in Cameroon, Cote d'Ivoire, Kenya, Mozambique, Rwanda, South Africa, Uganda, Zambia and Thailand.

The clinical care paradigm for this initiative is family-centered and holistic, addressing the stigma and physical and mental health needs of HIV+ women and their family members, in addition to the distribution of anti-retroviral medications.

JSI has operated the programs Data Management Center for the Secretariat, helping sites manage and automate their medical record system for MTCT-Plus patients. Seven sites began record keeping on paper forms (in a variety of languages), which were processed at JSI into electronic format; now all 14 sites use an Access database developed by JSI. The database also has an appointment tracking system built into it. Each month, JSI's DMC staff work with sites to resolve discrepancies in their data - providing collaborative training/technical assistance in data entry, records management, and the clinical protocol in the process. Each month, the DMC returns clean data files to each site and to the Secretariat and also produces quality/performance indicators to help staff ensure all patients are being adequately managed. Some of the key performance indicators are: (a) the number and percent of patients who have not been to clinic or have missed appointments for over 3 (6) months; (b) the number and percent of patients who have had ARV regimen changes; (c) the number and percent of patients who are eligible for opportunistic infection prophylaxis but not currently receiving it.
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Supply Chain Management System (SCMS)
The Supply Chain Management System (SCMS) provides global procurement and distribution for essential HIV/AIDS medicines and supplies needed to provide care and treatment of people living with and affected by HIV and AIDS. Funded by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development, SCMS is implemented by 13 organizations, lead by the Partnership for Supply Chain Management (PSCM), a partnership established by JSI and MSH.
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Maternal & Child Health Integrated Program (MCHIP)
The Maternal and Child Health Integrated program (MCHIP) is USAID's flagship maternal, neonatal and child health program, which focuses on reducing maternal, neonatal and child mortality. MCHIP is designed to accelerate progress toward achieving the Millennium Development Goals (MDGs) in USAID's 30 maternal and child health priority countries over five years.

Using data driven priority setting approaches, MCHIP will help countries determine which innovations will yield the most impact in reaching the MDGs and support capacity building and health systems development to take those interventions to scale. Parallel to strengthening central and district level health teams, MCHIP considers communities, households and individuals not only as recipients of health services, but as an integral part of health services implementation.

JSI leads MCHIP's work in the areas of child health, immunization and pediatric HIV/AIDS. Other MCHIP partners include Jhpiego, Save the Children, PATH, PSI, Broadbranch and JHU IIP. MCHIP is the follow-on project to BASICS and IMMUNIZATIONbasics, other USAID global technical assistance projects which were also implemented by JSI.
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Technical Assistance to the New Partners Initiative (TA-NPI)
John Snow, Inc with its sub-partner Initiatives Inc, has been contracted by CDC/Atlanta to support the organizations awarded funds by the Department of Health and Human Sciences (HHS) for Round 2 and Round 3 of the New Partners Initiative. The support is provided through TA-NPI which is based in Kampala, Uganda and works closely with JSI Boston headquarters and JSI staff at projects throughout Africa and worldwide.

The assistance spans the three year life of the NPI award to the grantees with additional time for closing out the grant. The support includes three broad areas: organizational development of the grantee organizations and its key implementing partners; support in the technical HIV implementation of the award including best practice and sharing lessons and experience; improved networking and strengthened partnerships at the community, NGO, public-private and donor levels in each case supporting the national HIV/AIDS strategy.
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New Partners Initiative Technical Assistance Project (NuPITA)
The New Partners Initiative Technical Assistance (NuPITA) project increases the quality of program implementation and strengthens the institutional capacity of 15 nongovernmental organizations that provide HIV prevention and care services in sub-Saharan Africa. These 15 organizations are New Partners Initiative (NPI) Round 2 and Round 3 grantees. Under NuPITA, JSI provides technical assistance to the NPI grantees in HIV prevention and care services, financial management and compliance with USG regulations, and organizational development (OD).

The New Partners Initiative (NPI) under the US President's Emergency Plan for AIDS Relief (PEPFAR) aims to increase the number, involvement and capacity of new partners, including community- and faith-based organizations.

With a regional headquarters in Kampala, Uganda, NuPITA supports NPI grantees who are implementing programs in Uganda, Kenya, Tanzania, South Africa, Rwanda, Zambia, and Nigeria. The JSI NuPITA consortium also includes Initiatives Inc.
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AIDSTAR-One (AIDS Support & Technical Assistance Resources)
AIDSTAR Sector I Task Order 1 ("AIDSTAR-One") is USAID's global HIV & AIDS project that provides technical assistance services to the Office of HIV/AIDS and USG country teams in knowledge management, technical leadership, program sustainability, strategic planning and program implementation support.
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USAID | DELIVER PROJECT: Supporting Malaria Initiatives
The USAID | DELIVER PROJECT improves essential health commodity supply chains by strengthening logistics management information systems, streamlining distribution systems, identifying financial resources for procurement and supply chain operation, and enhancing forecasting and procurement planning. Health programs cannot operate successfully without a full supply of essential commodities. The project encourages policymakers and donors to support logistics as a critical factor in the overall success of their health care mandates.

Task Order 3 (TO3) supports the President's Malaria Initiative (PMI) and USAID's malaria procurement and supply chain requirements. This task order provides USAID with a worldwide mechanism to support the President's Malaria Initiative and USAID's goal of reducing the burden of malaria, especially in Africa.

To help assist USAID in its implementation of malaria prevention and treatment programs, John Snow, Inc. is procuring, managing, and delivering high-quality, safe, and effective malaria commodities. JSI is also strengthening in-country supply chains by improving logistics management information systems, enhancing forecasting and procurement planning, developing efficient distribution systems, and identifying resources for procurement and supply chain operations.

Task Order 3 manages procurement of malaria commodities for all 15 PMI focus countries, as well as for Nigeria. In addition, the project provides both short-term and long-term technical assistance for supply chain strengthening in more than half the PMI focus and non-focus countries.

In Liberia, for example, in order to develop an action plan for the PMI launch and the Insecticide Treated Net (ITN) campaign, JSI recently sent a team to assess the current ITN distribution system and the requirements for an ITN campaign. The project also reviewed the current supply chain(s) for malaria commodities including the National Drug Services, to identify any capacity gaps, including the quantification, procurement, and distributions mechanisms for ITNs and medicines, and to identify areas where the project can intervene to build upon and strengthen existing capacity. The assessment was conducted in collaboration with National Drug Services, the pharmaceutical department of the MOHSW, and the National Malaria Control Program.
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Kenya: Global Fund Consortium to Improve Procurement and Supply Chain Management (2004 - 2006)
JSI, as part of a consortium, was awarded a two-year contract funded by the Ministry of Finance (Kenya's Global Fund "Principal Recipient") to support the National Proposal to Address and Reduce the Impact of HIV/AIDS, Tuberculosis and Malaria, which received Round 2 GF funding. The project's goal was to strengthen procurement and supply chain management in Kenya. The project, built on JSI and GTZ's successful collaboration under the two-year World Bank Decentralization HIV/AIDS and Reproductive Health (DARE) project, aimed at improving procurement and distribution of HIV test kits and other supplies. The work of the Consortium focused on building the capacity of KEMSA staff in both procurement and supply chain management, establishment of national procurement strategies for GF-financed commodities, and strengthening Kenya's health logistics systems. The consortium included Crown Agents (CA), Deutsche Gesellschaft fqr Technische Zusammenarbeit GmbH (GTZ), and Kenya Medical Supplies Agency (KEMSA).
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Gender-Based Violence Initiative (2004 - 2005)
In the past decade, there has been a dramatic increase in the number of refugees and internally displaced persons. Today, there are approximately 70 million refugees and displaced people in the world. These individuals spend increasingly long periods of time in camps. In fact, the average displacement lasts for 17 years. During this time, it is critical to meet the reproductive health (RH) needs of those displaced by crisis, natural disaster, and war.

In conflict and crisis, women and girls are at greater risk for gender-based violence, including rape. In one conflict setting, almost 90% of women surveyed reported at least one physical violation and more than half of the women interviewed reported at least one sexually violent incident. During displacement, women are often put at risk when they travel long distances to get supplies, such as firewood. With this increased risk, women are in need of reproductive health services, including clinical and psychosocial response to sexual and gender-based violence, to prevent unwanted pregnancy and sexually transmitted infections, including HIV.

In response to this urgent need, JSI's Reproductive Health for Refugees Project, in partnership with the Reproductive Health Response in Crisis (RHRC) Consortium, offered technical assistance and training to both international and local non-governmental organizations (NGOs). The training and technical assistance focused on developing violence prevention and intervention programs that would to prevent sexual and gender-based discrimination, abuse, and exploitation. Trainings were also designed to create awareness of displacement issues, human rights, and gender equality among humanitarian actors, host governments, and displaced populations. The Gender-based Violence Initiative work was done under JSI's Reproductive Health for Refugees Project, which encompasses multiple initiatives that seek to increase quality RH services in crisis-affected areas.
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MTCT-Plus Implementation and Quality Assistance (IQA) Project (2004 - 2006)
Under a subcontract with Columbia University, JSI provided site-monitoring services for the MTCT-Plus Initiative, an HIV/AIDS intervention program, through the Implementation and Quality Assistance (IQA) project from 2002-2006. HIV/AIDS is decimating populations and threatening livelihoods across resource-poor countries. Mothers and children, the most vulnerable members of society, are suffering the heaviest toll from HIV/AIDS, particularly in Sub-Saharan Africa. Global efforts to prevent mother-to-child transmission (pMTCT) of HIV have expanded rapidly in recent years, but these efforts have not incorporated care and treatment for mothers or other family members. Recognizing this, the Columbia University Mailman School of Public Health implemented the MTCT-Plus Initiative, with funding from private foundations and support from a number of collaborators. The MTCT-Plus Initiative, an innovative family-centered program, built on pMTCT efforts using a well-established package of low-cost and effective practices in providing comprehensive HIV primary care (and anti-retroviral therapy when indicated) for HIV-infected mothers, infants, and other household members in 14 programs in nine resource-poor countries. As it currently stands, the MTCT-Plus Initiative will support lifetime HIV care for 750 individuals at each of the 13 programs, enrolling 250 individuals per year over the next three years. The MTCT-Plus IQA project highlighted JSI's expertise in HIV Quality Improvement. Though JSI's involvement with MTCT-Plus ended in August 2006, please contact us if you would like further information regarding JSI's Quality Improvement initiatives.
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JSI/Europe ARV Task Force 3 Kenya (2004 - 2004)
As part of the ARV Task Team in Kenya, JSI provided technical insight into the development a report concerning ARV Drug quantification, forecasting, and procurement. The report included: analysis of standard treatment guidelines; recommended numbers of patients to be treated; potential funding sources and available procurement mechanisms; a procurement plan that would enhance ARV drug availability at the national level; logistics considerations to keep in mind when developing procurement contracts; and identification of potential gaps in policies, procedures or guidelines related to logistics management of ARV drugs.
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Making Medical Injections Safer (MMIS)
Poor injection and sharp waste disposal practices for preventive and curative services pose an avoidable risk of transmission of deadly diseases such as HIV, hepatitis B, and hepatitis C to consumers, health care providers, and communities. In 2004, as part of the President's Emergency Plan for AIDS Relief (PEPFAR) focusing on countries with high HIV prevalence, JSI Research & Training Institute, Inc., and its subcontractors, Program for Appropriate Technology in Health (PATH), Academy for Educational Development (AED), and the Manoff Group, were awarded funds through the Centers for Disease Control and Prevention (CDC) and the US Agency for International Development (USAID) to implement "Rapid Interventions to Decrease Unsafe Injections" in 11 countries. The project is commonly known as Making Medical Injections Safer (MMIS). By the end of the project and with national counterparts, MMIS will establish an environment where patients, health care workers, and the community are better protected from the medical transmission of HIV and other bloodborne pathogens.

Read the following success story about the project: Integrating Injection Safety into the National Nursing School Curriculum
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HIV Prevention: Rapid Interventions to Decrease Unsafe Injections (2004 - 2005)
One component in the President's AIDS Initiative is injection safety. John Snow, Inc. is at the forefront of this critical area. JSI implemented a new safe injection project, HIV Prevention: Rapid Interventions to Decrease Unsafe Injections, for the US Centers for Disease Control and Prevention. JSI worked in seven countries including Cote d'Ivoire, Rwanda, Haiti, South Africa, Botswana, Kenya, and Tanzania in this ten-month initiative. Project activities included a wide range of initiatives to address injection safety. The implementing agencies and their partners helped to develop national policies and action plans; assess injection safety and supply management practices; strengthen forecasting, procurement, and distribution of safe injection devices; conduct behavior change communication activities among community members and health care providers; and improve health care waste management. JSI's subcontractors included the Program for Appropriate Technology in Health (PATH) and the Academy for Educational Development (AED).
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Kenya: Support to the National Leprosy and TB Program (NLTP)
The Canadian International Development Agency (CIDA) and the Royal Netherlands Tuberculosis Association (KNCV) signed an agreement in March 2002 to facilitate DOTS expansion initiatives in six countries, including Kenya. JSI's office in Nairobi, Kenya was contracted to co-operate in the support of Kenya's National Leprosy and Tuberculosis Program (NLTP) for: organization of customs clearance for all goods arriving in Kenya that had been procured by KNCV for the NLTP, including cars and laboratory equipment; transportation of goods that had been procured by KNCV from port of entrée in Kenya to safe temporary storage; assistance in the registration and insurance of surrendered cars; distribution of cars, laboratory equipment, and supplies to provinces and districts according the distribution list provided by the Central Unit of the NLTP; and providing funds to the NLTP, including administering the expenditure of a portion of the budget.
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Decentralized HIV/AIDS & Reproductive Health (DARE) Project - Kenya (2002 - 2004)
The purposes of the Kenya Decentralisation HIV/AIDS & Reproductive Health (DARE) Sub-Project with JSI were twofold: (1) to ensure an uninterrupted supply of HIV/AIDS-related commodities to public health facilities in Kenya; and (2) to provide a number of systems designed to manage inventory control, distribution, and tracking of those commodities. The original central concern of the Sub-Project was sexually transmitted infection (STI) drug kits and the systems associated with the kits. However, the focus was expanded to include many other commodity types, such as HIV Test Kits, condoms, gloves, and syringes. JSI provided logistics management support services for the distribution of goods purchased under the DARE Project; strengthened the Kenya Medical Supplies Agency's (KEMSA) restructuring efforts; designed and implemented a collection and distribution system for medical supplies; and built capacity within KEMSA and the MOH on logistics management. JSI made 17 overall recommendations.
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Astarte Project (1995 - 2010)
The Astarte Project enhances access to quality reproductive health (RH) services by fostering leaders in communities affected by crisis.

Today, there are approximately 70 million refugees and displaced people globally. Conflict, natural disasters, and other crises are becoming increasingly frequent and long-lasting. In fact, the average displacement lasts 17 years. Despite the growing need to provide lifesaving RH services to displaced populations, RH is often neglected in crisis response.

In 1995, a groundbreaking report surveyed the RH needs of refugees. In response to this research, the Reproductive Health Response in Crisis (RHRC) Consortium (formerly known at the Reproductive Health for Refugees Consortium) formed to promote sustainable, comprehensive RH services for all women, men and adolescents affected by crisis. The Consortium continues to work in a number of areas, including service provision; advocacy; design, monitoring and evaluation; research; training; assessment; and documentation and dissemination.

On behalf of the RHRC, JSI administers the Astarte Project (formally known as the Small Grants/Capacity Building Program). The Astarte Project works to strengthen grassroots efforts to provide RH services in crises. Over time, the Astarte Project has met the evolving needs of local non-governmental organizations (NGOs) that seek to provide RH services to crisis-affected communities. Along with granting seed money to these grassroots groups, the Astarte Project takes a 3-pronged approach in strengthening local initiatives:

Provide technical RH information and assistance

Offer organizational strengthening

Link and form regional networks of local NGOs that provide RH services

For the past 15 years, the Astarte Project has granted over $1 million to local NGOs in nearly 20 countries. The impact of supporting local initiatives has made an invaluable impact on the lives of those affected by crisis. The increased availability of reproductive health services has saved lives both in the crisis and during recovery.

The Astarte Project advocates that the very basic RH services be provided at the onset of a crisis. These services are outlined in the Minimum Initial Service Package (MISP) for Reproductive Health. As the situation stabilizes, comprehensive RH services should be provided. These include: maternal and newborn health, family planning, clinical and psychosocial care for survivors of gender-based violence, adolescent-friendly services, and treatment and prevention of STIs, including HIV.

The Astarte Project is part of JSI's Reproductive Health for Refugees Project which encompasses multiple initiatives that seek to increase quality RH services in crisis-affected areas.
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