Kenya has severe, generalized HIV epidemic, but in recent years, the country has experienced a notable decline in HIV prevalence, attributed in part to significant behavioral change and increased access to ART (antiretroviral drugs). adult HIV prevalence is estimated to have fallen from 10 percent in the late 1990s to about 6.1 percent in 2005. Women face considerably higher risk of HIV infection than men, and also experience a shorter life expectancy due to HIV/AIDS. The 7th edition of AIDS in Kenya reports an HIV prevalence rate of eight percent in adult women and four percent in adult men. Populations in Kenya especially at risk include injecting drug users and people in prostitution, whose prevalence rates are estimated at 53 percent and 27 percent, respectively. Men who have sex with men (MSM) are also at risk at a prevalence of 18.2%. Other groups also include discordant couples (where one partner is infected and the other is not), prison communities, uniformed forces, and truck drivers.[2]

Kenya is in a transitional period, with a government seeking to restructure many elements of the state. This context offers clear opportunities, but also many constraints for controlling HIV/AIDS. Human capacity development is a major concern and all partners are working to improve capabilities and human resource management systems to enable people to respond effectively to HIV/AIDS. The key to success will be developing effective mechanisms to engage these trained staff. In addition, efforts to employ auxiliary staff, such as adherence counselors and outreach workers, are a high priority. Treatment literacy is very low…....ReadMore