Programs

Our Programs!

Its principal mandate is to design and implement public health programs and research studies that benefit vulnerable populations, especially young people and women in Kenya.

DREAMS PROGRAM

DREAMS PROGRAM

We conduct household enumeration using Open Data Kit installed in android phones. This process involves the development of a Girl Roster (GR) which informs the program of the number of girls in a specific geographic area. We first administer a Screening Tool to the AGYW. On completion and confirmation of eligibility, staff seek parental consent and child assent (if the AGYW is a minor (10-17 years) while adult AGYW (18-24 years) provide own consent. Once eligibility is determined and consent and/or assent provided, we proceed to administer an Enrollment Form to the AGYW.
 
The core package of services include:

  • Social asset building
  • Educational subsidies
  • Cash transfers
  • Combined socio-economic approaches (entrepreneurship support, financial capabilities, vocational training and job placement)
  • Community mobilization and norm change
  • Parenting/caregiver programs
  • Condom promotion and provision
  • Expanded contraceptive method mix
  • HTS and linkage to ART
  • PrEP promotion, provision, and transition of AGYW on PrEP to government facilities characterization of male sexual partners (MSP) of AGYW ages 15-19 and 20-24
  • Linkage to HTS, VMMC and ART
  • School-based HIV and violence prevention
  • Post-violence care
 
However, at the onset of FY19 (Sept 30 2018-Sept 29 2019), the DREAMS Program stopped the provision of cash transfer and former beneficiaries transitioned to receive education subsidy and vocational training for in-school and out-of-school, respectively. Services are offered through adolescent and youth friendly safe spaces, referral to health facilities and other community services. Routine AGYW specific data is collected.
 

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The Adolescents and Young People's Program (AYP)

The Adolescents and Young People's Program (AYP)

Coverage: Bonchari and Kitutu chache North Sub counties - Kisii County
Aims:                          
 1. To reach AGYW aged 10-24 with defined package of services to support HIV prevention and risk reduction.
  2. To increase linkage of AYP living with HIV to treatment, care and support services through structure peer support approaches to improve the county achievement of the 90-90-90 targets.
 3. To increase the involvement of young people and youth focused organizations in driving demand for increased uptake and adherence among AGYW
4. To contribute to the reduction in STI’s and HIV infections among AGYW
5. To contribute to reduction of HIV risk amongst AGYW within the selected sub-counties in Kisii County through provision of dignity kits and other tailored HIV interventions.
Population: The program targets adolescents and young people aged 10-24yrs with different evidence based interventions and minimum packages of health.
 
Time frame: January 2020- June 2021

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PRE- EXPOSURE PROPHILAXIS (PrEP)

PRE- EXPOSURE PROPHILAXIS (PrEP)

Impact Research and development organization started Provision of PrEP in 2017 among the Adolescent girls and Young women (AGYW) who were under a substantial risk of acquiring HIV under the DREAMS program in Siaya County.
This was scaled up to the Key population program and Fisher fork programs where PrEP is provided to (Females who do sex work, men who have sex with men & People who Inject drugs) and (Fishermen, “omena” driers, boat owners & any residents of the beach) respectively in both Siaya and Homabay Counties
 PrEP is a biomedical service provided in combination with behavioral and structural interventions. It is offered to individuals willing to take PrEP and are at a substantial ongoing risk of acquiring HIV.
Overall goal: To prevent one from acquisition of HIV
Currently
PrEP is provided at the Drop In Centers (DiCEs) and within communities (community Distribution).
Target Population: Adolescent Girls and Young Women (AGYW), key Populations (FSW and MSM) and Fisher Forks.
Target Area Coverage:  Siaya and Homabay Counties
Time frame: October 2019 to September 2020

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CARE AND TREATMENT

CARE AND TREATMENT

Care and Treatment services is one of the preventions interventions provided to the Key Populations with in our Drop In Centres. Once an individual has
Goal: Providing a comprehensive package of care and treatment services to Key populations living with HIV within our Key Population program to attain U=U ( undetectable = untransmutable)
Objectives
Objective 1: Enroll 95% of the KPs tested HIV positive on care and treatment
Objective 2: Retention 95% of our PLHIV on care and treatment
Objective 3: 95% of the KPs LHIV on care to attain viral suppression
IRDO offers Care and treatment services within six Drop In Centres using 2 models; Static and Out-reach service delivery models.
IRDO started implementing Care and Treatment at the DiCE since 2011 at Bondo and Rarieda, later scaled up in 2016 up to other 4 Sub Counties each having a  DiCE .
The services are offered in 2 Counties (Homabay and Siaya Counties) in 6 Sub-Counties and 6 Drop In Centres:

  • Siaya County – Tumaini Ugunja, Bondo, Alego Usonga and Rarieda DiCEs.
  • HomaBay County – HomaBay Tekeleza Sindo and Mbita DiCEs.
Currently
IRDO currently has a total 250 Key Populations (FSW, MSM and PWIDs) receiving a comprehensive Care and Treatment package through a client Centered approach.
Target population: Female sex workers (FSW) and Men who have sex with Men (MSM)
Target Area Coverage: Siaya and Homabay Counties
Time Frame: October 2019 to September 2020
 

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Key Populations Investment Fund (KPIF)

Key Populations Investment Fund (KPIF)

The Key Populations Investment Fund (KPIF)

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RIGHTING THE FUTURE

RIGHTING THE FUTURE

The project aim was to replicate a successful Indian Education model in Kenya and Uganda to increase access and retention of approximately 750 girl

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TUUNGANE YOUTH CENTER

TUUNGANE YOUTH CENTER

This is a Youth Friendly Center in the heart of Kisumu, Kibuye. It has a clinic that offers integrated reproductive health

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EVIDENCE BASED BEHAVIORAL INTERVENTIONS

EVIDENCE BASED BEHAVIORAL INTERVENTIONS

These are evidence based behavioural interventions targeting specific populations. The Specific Interventions include:

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VOLUNTARY MEDICAL MALE CIRCUMCISION

VOLUNTARY MEDICAL MALE CIRCUMCISION

It is a simple surgical procedure that is performed by trained medical providers under local anesthesia (To prevent pain) We provide this service alongside HIV Testing and Counseling, Risk Reduction Counseling, Condom Promotion and Distribution and STI Screening and Treatment.
According to the World Health Organization (WHO) male circumcision was found to reduce the female to male sexual transmission of HIV by 60% therefore in 2007 WHO and UNAIDS recommended VMMC as a key component of HIV prevention in countries with high HIV prevalence and low level of male circumcision.
Impact Research & Development Organization (IRDO) IRDO is one of the pioneers of VMMC service providers in Kenya since 2008 in Siaya, Kisumu &Homabay and it has provided VMMC services in Busia County since 2012 to date
The target populations in VMMC are males aged 10years and above with more focus and emphasis on the males between (15- 29) years of age.
VMMC program Objective
Objective 1:  To provide males with minimum package of VMMC through static, outreach and mobile VMMC services
Objective 2: To carry out our Social Mobilization, Communication and Demand Creation to increase the uptake of VMMC
Objective 3: To provide VMMC Trainings, Internal and External Quality Assurance and Quality Controls
Objective 4: To collaborate with PHMT and CHMTs/SCHMTs to Accelerate VMMC Uptake
Objective 5: To collaborate with VMMC Sub-County Steering Committees on VMMC service provision
IRDO has Implemented VMMC HIV prevention programs through;

  • PEPFAR I through CDC (2008-2010), in 3 counties (Siaya, Kisumu, Homabay) of Kenya – 92,885 circumcision done
  • PEPFAR II through CDC (2010-2015) in 10 counties (Migori, Homabay, Siaya, Kisumu, Busia, Trans Nzoia, West Pokot, Uasin Gishu, Turkana, Nairobi) of Kenya – 505,882 circumcisions done
  • PEPFAR III through CDC ( 2016 to date) in Busia, sub-Contracted for VMMC in Migori (2017/2019) by  University of Maryland Baltmore (UMB) ,  Homabay, Turkana, West Pokot (2016/2018) by EGPAF
  • Overall, IRDO has done 734,616 circumcision from February 2008 to September 2019 Through PEPFAR 111, IRDO also circumcised 1,923 neonate ( 0 to 60days)
Currently
Target population: Males aged 10 years and above
Target Area Coverage:   Busia County - Teso North and Teso South Sub Counties.
Time Frame: October 2019 to September 2020

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KEY POPULATION

KEY POPULATION

Package of services              

  1. Biomedical component
  • HIV Testing services
  • STI screening and treatment
  • TB Screening and treatment
  • Care and treatment
  • PrEP
  • PEP
  • Family Planning
  • Cervical cancer screening and treatment/referral
  1. Behavioural component
  • Peer education and outreach
  • Demonstration and distribution of condoms and lubes
  • Risk assessment, risk reduction counselling and skills building
  • Screening and treatment for drug and alcohol abuse
  • Psychosocial support
  1. Structural component
  • 100% condom use programming
  • Advocacy
  • Empowerment to have alternative livelihood beyond sex work
                                                                                   
 
Coverage:      Key Population T3 Prevention Program targets Female Sex Workers (FSWs) and Men who have Sex with Men (MSM) and supports KPs friendly facilities known as DiCEs. The program began in 2010 and has established 6 DiCEs across the two counties; 2 in Homa Bay County each in Suba and Mbita sub-counties and 4 in Siaya County each in Asembo Bay, Bondo, Alego usonga and Ugunja sub-counties.
 
 
Aims:              Aim 1: Equip 6,602 FSWs and 1,487 MSM with HIV knowledge, risk reduction skills and provide them with access to comprehensive HIV prevention, care and treatment services to help reduce the HIV prevalence among the group.
                         
Population: Tuungane 3 Key Population intervention targets the three main typologies: Female Sex Workers, Men having Sex with Men and People who inject drugs.
 
 
Timeframe:   IRDO Key Population program began in 2010 being funded on a renewable contract basis through CDC. The current grant financial year begun from October 2019 running through to September 2020.
 

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HIV TESTING SERVICES (HTS)

HIV TESTING SERVICES (HTS)

IRDO has vast experience in providing HIV Testing and Services in Kenya having rolled out these services since 2005.

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GLOBAL FUND MALARIA

GLOBAL FUND MALARIA

The project involves focuses on case management of malaria at the community level using the existing ministry of health structures. At household level, the case management is conducted by the Community Health Volunteers (CHV) who are supervised by Community Health Extension Workers. The CHVs are tasked to manage only uncomplicated cases of malaria and are expected to refer any complicated/severe cases of malaria.
Goal                                                                                       
To reduce Malaria incidences and deaths by at least 75 percent of 2016 levels by 2023
Aim/Objectives

  1. To protect 100% of people living in malaria risk areas through  access to appropriate malaria preventive interventions by 2023
  2. To manage 100% of suspected malaria cases according to the  Kenya malaria treatment guidelines by 2023
  3. To establish systems for malaria elimination in targeted counties by 2023 
  4. To increase utilization of appropriate malaria interventions in  Kenya to at least 80% by 2023
  5. To strengthen malaria surveillance and use of the information to improve decision-making for programme performance
Coverage & Key Indicators
For community case management of malaria (CCMM), the project is implemented in two Counties at the household level. The two counties of focus are Vihiga (Luanda & Emuhaya Sub-counties) and Siaya (Alego Usonga, Bondo, Gem, Rarieda, Ugenya and Ugunja sub-counties). Other counties of focus include: West Pokot, Samburu, Isiolo, Marsabit and Turkana which are targeted with Data Quality Audits and Health Facility Supportive Supervisions
Key Indicators
Output level:
  • CM-2b: Proportion of suspected malaria cases that receive a parasitological test in the community
  • CM-2b(M): Proportion of confirmed malaria cases that receive first line anti-malarial treatment in the community
  • M&E-2: Proportion of facility reports (community) received over the reports expected during the reporting period         
  • RSSH- Other 1: Number of Community units provided support supervision per semester
  • RSSH- Other 2: Number of Community Units reporting on integrated TB, HIV and Malaria activities
  • RSSH- Other 3: Number of Community Units provided with performance based monthly incentives
Duration of the Project
Jan 2018-Jun 2021
Target Population
The project covers all ages in the community

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GLOBAL FUND - HIV/AIDS

GLOBAL FUND - HIV/AIDS

FUNDING:
Program is funded by Global Fund through Kenya Red Cross Society as the Principal Recipient.
FUNDING PERIOD:
January 2020 – June 2021 (thro to June 2021)
 
POPULATION:
Female sex workers and their clients (FSWs)
Men who have sex with other Men (MSM)
COVERAGE:
Kisii County: (DiCE in Kisii Town)

  1. Kitutu Chache South Sub county
  2. Kitutu Chache North Sub county
  3. Bonchari Sub county
Nyamira County: (DiCE in Nyamira Town)
  1. Nyamira South Sub county
  2. Nyamira North Sub county
  3. Manga sub county
  4. Borabu Sub county
  5. Masaba North Sub county
Vihiga County: (DiCE at Majengo Market)
  1. Hamisi Sub county
  2. Emuhaya Sub county
  3. Luanda Sub county
  4. Vihiga Sub county
  5. Sabatia Sub county

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GLOBAL FUND TB

GLOBAL FUND TB

 

  1. To sustain the gains in the context of newly devolved health system.
  2. To intensify efforts to find “missing” cases.
  3. To reduce transmission.
  4. To prevent active disease and morbidity.
  5. To enhance the quality of care for chronic lung diseases.
Strategies:                                   
  • Improving /increasing case finding and notification of TB cases from health facilities through adoption of new programmatic approaches including proactive case detection/screening in facilities; optimization of Gene Xpert usage and strengthening of the community referral system
  • Setting realistic MDR targets and support for MDR TB patients to allow adherence to treatment
  • Strengthening TB/HIV coordination at county and national level to improve efficiency in utilization of resources.
  • Under RSSH, strategies will aim at strengthening of PSM for health products under the devolved system of governance; strengthening of data systems with a focus at the county level; integrated service delivery through ICCM at community level, including RMNCH services and community system strengthening which will build capacity to support a community response to HIV, TB and Malaria in an integrated and aligned manner
Supported activities
  1. Sensitization of CHVs in community TB (Contact tracing, screening defaulter tracing, community screening)
  2. Facilitate CHVs to conduct active contact screening
  3. Facilitate CHVs to conduct active Contact screening of households of children under 5
  4. Facilitate HCWs to conduct tracing of treatment interrupters - Airtime
  5. Facilitate CHVs to conduct tracing of TB treatment interrupters
  6. Support for MDR champions to work at sub county level
  7. Conduct sensitization  for CSOs members in 10  counties with the highest burden of TB, HIV and malaria on Domestic Resources for Health
  8. High Level Engagement of National and County Legislators through community led social mobilization campaigns in 10 counties to include domestic resource mobilization for health
  9. Provide technical assistance to CSO networks and champions on policy assessment, analysis, negotiation and engagement
  10. Consultative meeting to develop criteria and identify  County champions for all 3 diseases ( 3 champions per county for the three diseases)
  11. Retain national and county champions  : Media engagement and Mobilization
  12. Sensitization of 30 community champions (HIV, TB and Malaria ) on the diseases
  13. Conduct a CSO capacity assessment for targeted counties
  14. Conduct a training on Organization Development and Systems Strengthening
  15. Adaptation of CAPR tool to include TB and Malaria for CSO reporting.
  16. Printing of CAPR Tool
  17. Dissemination meeting for CAPR tool
  18. Engagement of three CHVs/linkage assistants to support ACF process  in high volume facilities
  19. Support for monthly facility-based ACF meetings
  20. Sensitization of PLHIV  and CHVs on active TB Case Finding, HIV testing , Isoniazid, Human rights and patients’ rights for demand creation
  21. CHEWs Support supervision to CHVs TB & HIV activities:- CHEWS airtime
Coverage: Busia, Migori, Siaya and Turkana Counties
Population: The community, People with TB disease
Timeframe: July 2018 to June 2021

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FISHER FOLK Program

FISHER FOLK Program

We create an enabling environment and empower them to reduce their own risk of HIV/STIs acquisition. 

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