DEVELOPING DATA ESTIMATES MAKING ADOLESCENTS AND YOUNG PEOPLE

DEVELOPING DATA ESTIMATES – MAKING ADOLESCENTS AND YOUNG PEOPLE COUNT TO REACH THOSE MOST AT RISK AND IN NEED By: Ulrike Gilbert-Nandra, Chief HIV, UNICEF KENYA

OBJECTIVES & METHODOLOGY • Objectives: To generate and utilize adolescent HIV data estimates for national level and counties • Between late 2015 and June 2016: Review of programme data, estimates development using Spectrum, consultations with government, CSOs and development partners. • In partnership with the NACC led national HIV estimates working group, NASCOP, CDC, UNAIDS, WHO, NEPHAK, Avenir Health and other partners

RESULTS: New HIV Infections in Adolescents and Young People in Kenya 35, 763 40, 000 35, 000 30, 000 25, 000 20, 000 17, 765 17, 998 65% • Nearly half of all new HIV infections in young people, with 2/3 in girls 15, 000 10, 000 5, 000 0 58% 72% 35% 42% 28% 15 -19 Male Female Source info here: UNICEF NACC Analysis of Kenya HIV Estimates for 2015 20 -24 Total • Every day, 49 new HIV infections in 1519 year olds

m a B Ki ay su m u Sia y Na a iro M bi M igo om ri Ka ba ka sa m e Na ga ku ru Bu sia M Ki ac sii ha k Ki os am bu Bu Kili ng fi o M ma ak ue n Ua K i sin itu Tr Gi i an sh s N u zo ia M Ny eru am Tu ira rk an Kw a Ka ale jia d Vi o h Ke iga ric h Na o M ro ur k an g Na a nd Bo i m e Ta Em t ita b T u av Th eta ar ak a Ny La eri iki B pia Ny arin an go d Ki aru rin a M yag a a El W nd ge es er yo t P a M ok ar ot ak w Ga et ris sa Is Sa iolo m b M uru ar Ta sab na it R ive La r m u W aj ir Ho Adolescents 10 to 19 years living with HIV by county Adolescents 10 -19 years living with HIV by County 18000 16000 14000 12000 10000 8000 6000 4000 2000 0 c. OUNTIES Source : UNICEF-NACC Analysis of Kenya HIV Estimates for 2015. Nearly 50% of all adolescents living with HIV, live in six counties: 1. Homabay 2. Kisumu 3. Siaya 4. Nairobi 5. Migori 6. Mombasa

Ki a M mbu ur an ga Ny Ki er r Ny inya i an ga d Ho aru m a a B Ki ay su m u Sia Na ya Ka iro ka bi m e Na ga ku M ru M igo om ri ba sa Bu Bu si Ua ngo a sin m Tr Gi a an sh s N u zo ia Ki l Tu ifi rk a Ka na M jiad ac o ha ko Vi s hi g Kw a M ale ak ue ni Ki tu i K Ke isii ric h Na o ro M k Ny eru am ir Na a nd Ta Bo i ita me T t a M vet an a de La ra iki pi Em a Ga bu ri Ba ssa rin T go El W hara ge es k yo t P a M ok ar ot ak w e W t Sa aji m r bu ru Ta Isio na lo R ive La r M mu ar sa bi t AIDS related death in adolescents 10 -19 years old by county AIDS-related deaths among adolescents 10 -19 years by county 700 600 500 400 300 200 100 0 Source : UNICEF-NACC Analysis of Kenya HIV Estimates 2015. • Nearly 80% of AIDS related deaths among adolescents occur in five other counties • Two adolescents living with HIV die every day in Kiambu county

a B Ki ay su m Si u ay M a ig Na ori i M ro om b ba i sa M K ac isi h i Ny ako a s M mir ak a ue n Ki i tu Ki i li M fi Ki eru am b Kw u a N le Ka aku ka ru m e Ua E ga m si b Tr n G u an ish s N u zo Ta B ia ita us T ia av Th eta a M rak ur a a Tu nga r Bu kan ng a o Ka ma jia Ke do ric h Na o ro Ny k e Vi ri hi g Na a nd Ny Bom i an e d t Ki aru rin a ya g Isi a La olo i M kipi a a Ta rsa na bi R t Ba iver rin g El W L o ge e am s yo t u M Po ar ko a t M kwe an t Sa der m a b Ga uru ris s W a aj ir Ho m Number of new infections HIV infections in adolescents 10 -19 years by county Adolescent HIV infections 10 -19 years by county 3500 3000 2500 2000 1500 1000 500 0 c. OUNTIES Source : UNICEF-NACC Analysis of Kenya HIV Estimates 2015. • 62% of new infections in adolescents occur in same six counties • Every day in Homabay, 8 adolescents get HIV • Every day in Mombasa, 2 adolescents get HIV

Deep Dive: Adolescent Assessment for Mombasa County • Mombasa county total population 1. 2 million people with 17% (202. 668) adolescents 10 -19 years • Net secondary school enrollment: Girls 22% (12, 335), Boys 31% (15, 207) Children Cash Transfer Coverage Number of children Number Coverage Children living in 154, 98 poverty 3 Orphans 29, 920 CT-OVC 13, 117 Other NSNP 2, 648 TOTAL NSNP 15, 765 10. 2% Source : UNICEF Analysis of Estimates, Data from Kenya NSNP Single Registry, Census 2009, KHIBS 2005 Adolescents 10 -19 years HIV Estimates for Mombasa County AIDS related death 120 HIV infections 681 5005 Living with HIV 0 1000 2000 3000 4000 5000 6000

Deep Dive: Adolescent Assessment for Mombasa County • Results of the adolescent assessment informed the new County AIDS Strategic Plan • Demand for data from decision makers • Accountability at all levels

CONCLUSIONS • Critical to strengthen age/sex disaggregated data at sub national level to re-sharpen the focus: WHO, WHERE and HOW LONG • Complement HIV data with sectoral data to inform the WHAT and HOW • ‘Who is dying where’ pointing to issues related to quality of services in medium and low burden counties • Demand for data from decision makers that its being used • Data alone is not sufficient - Views and spaces for adolescent and young people living with HIV (Sauti Skika)

ACKNOWLEDGEMENTS • National AIDS Control Council Kenya (NACC) • National AIDS and STI Control Programme (NASCOP) • Communities of people living with HIV: NEPHAK, WOFAK, Sauti Skika • County governments and NGOs (LVCT Health) • UNICEF Headquarters and UNICEF East and Southern Regional Office • Avenir Health

THANK YOU