ENTRENCH, acronym for Enhancing Technical Responses to HIV Epidemic control through Nimble County Health systems a program funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR) through Centers for Disease Control and Prevention (CDC). ENTRENCH supports HIV and TB services in Kisumu and Migori Counties. These counties are among those with the highest HIV burden in Kenya, with prevalence of 16.3% for Kisumu and 13.3% for Migori (Kenya’s overall HIV prevalence is 6%).

The goal of CIHEB ENTRENCH is to provide evidence-based technical support to the two county governments while strengthening Kisumu and Migori County health systems through an integrated and sustainable model that will build the capacity of the county health management team to provide oversight and technical support for HIV/TB activities in their health facilities. This includes enhancing the counties’ capacity to coordinate, manage, and lead HIV/TB service provision, sustaining the gains made, and reaching the last mile of epidemic control.

The main objectives of the program are to support the following:

  1. HIV prevention services for the at-risk general population, key populations (MSM, FSW, LGBTI), priority populations (mainly fisher folk community) including pre-exposure prophylaxis and gender-based violence services
  2. HIV prevention services for adolescent girls and young women (AGYW), and orphans and vulnerable children (OVC) to reach about 3000 orphans and 26,000 AGYW through the DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe) interventions
  3. Voluntary male medical circumcision (VMMC) to reach males aged 15 years and above
  4. HIV prevention and treatment services for pregnant and breastfeeding women and HIV exposed infants
  5. Comprehensive HIV and TB care and treatment services to an estimated 135,000 persons living with HIV in the two counties, among them 9,000 children under 15 years of age including management of comorbidities including management of advanced HIV and cervical cancer screening
  6. Health systems particularly laboratory, supply chain and monitoring and evaluation systems to support HIV and TB services delivery

ENTRENCH program, in collaboration with the Kisumu and Migori County health management teams (CHMTs), has engaged highly qualified and skilled human resource in health who deliver the essential health services in supported facilities. The program delivers person-centered services that recognize and respond to what is important to the people while actively engaging and meaningfully involving the communities affected.