Overview
Universal access targets are currently included in Kenya's operational plan, and have been the basis for Kenya's successful Global Fund Round 7 proposal development which includes systems strengthening elements. UA targets have been integrated in the National HIV and AIDS M&E Framework and will also inform the Mid-term Review of the Kenya AIDS Strategic Plan (KNASP) due in Oct. 2008 and subsequent strategic plans.
The Universal Access process has helped to redefine scope of needs and gaps, as well as challenges to meeting the set targets. 2007 saw accelerated focus on the national HIV prevention agenda aimed at providing evidence for a more sharpened and increased cost effectiveness of the prevention response. The Kenya Modes of Transmission Study (2008) and the establishment of the National Prevention Task Force should be seen as clear signs that the country is committed to collecting the evidence required for effective and targeted prevention. Support by various partners has contributed towards facility and systems upgrades to enable effective implementation and monitoring against core indicators, as well as service quality assurance (e.g. prevention of mother to child transmission and treatment outcomes).
The universal access process has also given an increasing number of people living with HIV and activist groups a platform to be more vocal and visible watchdogs, especially on treatment access.
Progress towards universal access based on 2005 and 2007 reported UNGASS achievements and 2010 reported targets, as per data available*.
| 2007 | 2010 target | ||
| Treatment | 38% | 70% | |
| Care and support | Not reported | 90% | |
| Prevention | PMTCT | 69% | 90% |
| testing | 14% | 65% | |
| Sex before the age of 15 |
21% 29% (boys) 14% (girls) |
20% (boys) 10% (girls) |
|
| National commitment (% of national budget) |
Not reported | 10% | |

*Data sources:
Treatment: Global Report on the AIDS Epidemic, 2008
Care and support: UNICEF: Third Stocktaking Report, 2008
Prevention: UNICEF, WHO, UNAIDS, Towards Universal Access, 2008; UNGASS Country Progress Reports, 2008; Country national surveys; UNGASS Country Progress Reports, 2008; Global Report on the AIDS Epidemic, 2008
National commitment: Global Report on the AIDS Epidemic, 2008