Strategic Plan 2018-2021 - LVCT Kenya
Strategic Plan 2018-2021
Table of ContentsACRONYMS AND ABBREVIATIONSSECTION FOUR: DETAILED STRATEGIES AND INTERVENTIONSForewordivExecutive SummaryviiOverview20Result Area 1: Access to Comprehensive HIV, SHR and GBVSECTION ONE: BACKGROUND AND INTRODUCTIONAbout LVCT Health1Organisational Identity1Services20Result Area 2: Research, Learning and KnowledgeVision Statement1ManagementMission Statement1Result Area 3: Capacity Development, Re-granting and HealthCore Values2Value Proposition and Unique Selling Points3Organisational Track Record4SECTION TWO: CONTEXT REVIEW23Systems Strengthening25Result Area 4: Technical Assistance and Policy Influencing28Result Area 5 Institutional Capacity Development30External Context Analysis6SECTION FIVE: MANAGEMENT AND GOVERNANCEImplications of Context Analysis and Strategic Review14Management and Governance34Organisational Structure35SECTION THREE: STRATEGIC PRIORITIESLVCT Health Theory of Change14Result Areas and Objectives15LVCT Health Strategy 2018-2021 I i
Acronyms and AbbreviationsAIDSAcquired Immune Deficiency SyndromeKDHSKenya Demographic and Health SurveyARTAntiretroviral Treatment/TherapyKPKey PopulationsARVAnti-Retroviral DrugsMERLMonitoring, Evaluation, Research and LearningAYPAdolescents and Young PeopleM&EMonitoring and EvaluationCHWCommunity Health WorkerMoHMinistry of HealthCHMTCounty Health Management TeamMSMMen who have Sex with MenCIDPCounty Integrated Development PlanMSWMale Sex WorkerCSOCivil Society OrganisationNACCNational AIDS Control CouncilEMRElectronic Medical RecordNCDNon-Communicable DiseasesEMTCTElimination of Mother to Child TransmissionNGONon-Governmental OrganisationsFSWFemale Sex WorkersNHIFNational Health Insurance FundGBVGender Based ViolencePEPPost-Exposure ProphylaxisGoKGovernment of KenyaPNSPartner Notification ServicesHCWHealth Care WorkerPPPriority PopulationsHIVHuman Immunodeficiency VirusPLHIVPeople Living with HIVHMISHealth Management Information SystemPrEPPre-Exposure ProphylaxisHRHuman ResourcePWIDPerson Who Injects DrugsHTCHIV Testing and CounsellingPWDPersons with DisabilityHTSHIV Testing ServicesQAQuality AssuranceICTInformation and Communication TechnologyQIQuality ImprovementIPCInfection Prevention and ControlSDGsSustainable Development GoalsIPVIntimate Partner ViolenceSGBVSexual and Gender Based ViolenceKASFKenya AIDS Strategic FrameworkSOPStandard Operating Proceduresii I LVCT Health Strategy 2018-2021
SRHSexual and Reproductive HealthSTISexually Transmitted InfectionTATechnical AssistanceTBTuberculosisTWGTechnical Working GroupsUNAIDSJoint United Nations Programme on HIV/AIDSUHCUniversal Health CoverageVACViolence against ChildrenVAWViolence against WomenVCTVoluntary Counselling and TestingWHOWorld Health OrganisationLVCT Health Strategy 2018-2021 I iii
ForewordLVCT Health is an indigenous Kenyan non-governmental and non-organisation, whilst continuing to deliver HIV services and undertakingprofit organisation dedicated to improving healthcare in Kenya andassociated research.beyond since 2001. We offer comprehensive HIV and Gender BasedViolence (GBV) programming, supported by research, health systemsstrengthening and policy influencing initiatives.Informed by a detailed landscape analysis, the plan outlines the strategicvision and goals as well as the intervention strategies for reachingthese goals. The rationale for the choices contained in the plan areThe organisation has grown rapidly over the last 17 years in terms ofbased on the lessons learnt, conclusions and recommendations fromscope of technical programs as well as, financial and human resources.the analysis of LVCT Health’s operating context as well as a reflectionWe continue to be a dynamic organisation staying ahead of the faston the organisational track record and performance over the previousevolving epidemic curve by responding quickly and with impact asstrategy period.informed by global best practice in HIV programming and our ownWe have made deliberate efforts to align the LVCT Health prioritiesinnovations. We have evolved over the years to an organisationwith Kenya’s goal of universal health coverage, as well as with globalproviding needs-based, context responsive, evidence-based, qualityHIV and health response agendas as contained in the Sustainableand comprehensive HIV services.Development Goals (SDGs), UNAIDS HIV treatment and preventionThrough this 2018–2021 Strategic Plan, we remain true to our missiongoals and the World Health Organisation’s (WHO) guidance.of equitable access to quality prevention and health services for all.The Strategic Plan is anchored on five key pillars around which ourWhilst retaining the focus on HIV, this strategy includes associatedwork will be focused. These are 1) Access to Comprehensive HIV,areas such as non-communicable diseases and promotes differentiatedGender Based Violence and Sexual Reproductive Health Services;and integrated service delivery approaches. It seeks to consolidate our2) Research, Learning and Knowledge Management; 3) Capacitytechnical capacities, spirit of innovation, systems and human resourceDevelopment, Technical Assistance and Policy Influencing and sysytemskills to become a high-level technical support and capacity buildingstrengthening; and 4) Institutional Capacity Development.iv I LVCT Health Strategy 2018-2021
Through these pillars we seek to make significant contributions toWe know through our years of experience that sustainable progressthe national and global universal health coverage agenda. We aim toin fighting the HIV epidemic and GBV requires that we leverage thedevelop low cost service delivery models to increase access to, andefforts of other actors. We will thus pursue a system orientation,utilisation of comprehensive high-quality HIV, GBV and SRH servicesworking with strategic communities, donors, private and public sectorespecially among the most vulnerable; generate knowledge andpartners. We will use these partnerships to develop innovations andevidence for informing health policy and practice that is grounded insupport accelerated scale up of what works.equity and; address quality and capacity challenges in health deliverysystems. We will go beyond HIV to address broader health issuesincluding non-communicable diseases and strengthen communityhealth systems to increase access through integration and qualityWe are confident of making significant progress towards achieving thenational and global goal of ending new HIV infections and improvingthe quality of life of People Living with HIV.improvement.Eng. Patrick ObathDr. Wanjiru MukomaChairman Board of Directors, LVCT HealthExecutive Director, LVCT HealthLVCT Health Strategy 2018-2021 I v
AcknowledgmentThis strategic plan is the result of over a year long engagement of the LVCT Health management team and staff drawn from across theorganisation, whose robust discussions and critical analysis are much appreciated. The Directors provided critical reviews and insights to thestrategy. LVCT Health also acknowledges the contributions and brilliant workshop facilitation by Tom Olila of Strategic Connections Ltd.LVCT Health Family 2017vi I LVCT Health Strategy 2018-2021
EXECUTIVE SUMMARYThis plan builds on the LVCT Health strategic plan 2014-2017, thesignificant strategic shifts that will guide our work in the next threelessons learnt over the years and our track record. It outlines the coreyears:values, guiding principles, differentiating factors and value propositionthat LVCT Health will exhibit and deliver in the next three years.These include commitment to service, accountability, and integrityas exhibited in our track record of programme delivery and financial1. From testing large numbers to a focus on testing people withundiagnosed HIV positive status and linking them to care toachieve viral suppression and improve quality of lifemanagement; quality and evidence informed approaches; generation2. From testing primarily for knowledge of HIV status to usingof new knowledge through research; innovations and best practiceHIV testing services as an important platform for increasedin programming and service delivery and; leveraging our positioning,focus on combination primary prevention interventions thattechnical expertise and geographic scope.keep people HIV negative and holistically address the healthThe strategic plan details what we will do within our own programmes andneeds of our clientsthe roles that we will play as a non-government organisation within the3. From generic service delivery to differentiated prevention andbroader HIV response as we engage at national, county and internationalcare models tailored to the needs of individual clients andlevels through strategic partnerships, or taking on ‘collaborativepopulation groupsleadership’ or ‘thought leadership’ roles.Our theory of changedescribes why we exist and the changes we aim to create in the short,medium and long term. We will maintain our focus on service delivery,research, capacity building, technical support and policy influencing inHIV and GBV. Under each strategic result area summarised in the table4. From SGBV (post rape care) services only to broader genderbased violence specializing in intimate partner violence (IPV),Violence against Children (VAC) and Violence Against Women(VAW)below, the plan identifies thematic areas and key interventions that5. From strengthening facility level systems to a greater focus onwill be implemented to achieve the objectives and expected results.the community strategy and strengthening community healthBased on a detailed context analysis, in this plan we have made somesystems and in our counties of operationLVCT Health Strategy 2018-2021 I vii
6. From a focus on achieving HIV outcomes to optimizing ourThis strategy will be the basis for development of annual institutionalHIV services as a platform for integration of other health areasimplementation plans that will contain the key activities, strategiesto holistically address the health needs of the people we serveand outputs across the organisation. A board of Directors and the7. From reliance on donor funding to generating diverse nondonor funds and technical resources to fund and sustain ourprogrammes and operations.viii I LVCT Health Strategy 2018-2021management team led by the Executive Director will provide governance,management, oversight and leadership for implementation of thestrategy.
Result Area 1: Ensure equitable access to Comprehensive HIV, SHR and GBV services especially for vulnerable populationsThematic Areas:1.HIV Testing Services in our geographical areas to identify 95% of HIV positive individuals, link them to appropriate interventionsand optimize the HTS platform to identify and prevent HIV and other diseases2.HIV Prevention programmes to contribute to 75% reduction in new HIV infections in LVCT Health geographical areas by 20213.HIV Care and Treatment to link, retain and achieve viral suppression among 95% of those in our care4.Gender Based Violence (GBV) programming to contribute to prevention of and increased access to comprehensive qualityservices for survivors of GBV especially women, children and KPsResult Area 2: Research, Learning and Knowledge Management to generate, document and disseminate knowledge andevidence on HIV, SRH and GBV to inform policy and practiceThematic Areas:1.Research to generate and increase the uptake of results to inform HIV, SRH, GBV and health systems policy and practice2.Knowledge Management to improve learning, accountability, visibility and decision making through knowledge generation,documentation and dissemination3.Monitoring, Evaluation, Reporting and Learning to generate, analyse and share quality data for improving program delivery,organisational learning, decision-making and accountabilityLVCT Health Strategy 2018-2021 I ix
Result Area 3: Capacity Development, Re-granting and Health Systems Strengthening to build the capacities of communityorganisations, offer subgrants and strengthen health systems to offer quality health servicesThematic Areas1.Capacity Development and re-granting to build capacities of and increase access to funding for community organisations2.Community Health Systems Strengthening to improve quality service delivery and community-facility links towards HIVepidemic control and universal health coverageResult Area 4: Technical Assistance and Policy Influencing to ensure existence of an enabling policy environment andevidence-informed programmesThematic Areas1. Technical Assistance to government and non-governmental partners in Kenya and other countries to improve programmesand policies2. Policy influencing to contribute to (re)formulation and implementation of health policies that support equitable access toquality HIV and related services for allResult Area 5: Institutional Capacity Development to continually strengthen LVCT Health as a dynamic, effective andsustainable organisationThematic Areas:1.Business Development and Resource Mobilisation to generate and reserve sufficient resources to assure growth andcontinuity of LVCT Health’s operations2.Human Resource Management (HRM) and Leadership Development to attract and retain optimal numbers of quality staff tomeet the demands of the organisational strategyx I LVCT Health Strategy 2018-2021
ta onsCoreCompetenciesMissionCore ValuesVisionStrategy MapVisionEmpowered Healthy CommunitiesCore ValuesMission To reduce new HIV infec ons and increase equitable access to quality health services Research Policy advocacy and technical support Integrated HIV Service DeliveryDonors/ Partners Value for money Impact Results AccountabilityResult Area 1:Ensure equitable access toComprehensive HIV, SHR and GBV servicesespecially for vulnerable popula onsThema c areas1. HIV Testing Services2. HIV Prevention3. HIV Care and Treatment4. Gender Based ViolenceFinancial sustainability Raise resources to deliver the strategy Generate diversified and additional incomeCommitment to ServiceAccountability Gender based violence programming Health systems strengthening QualityIntegrityCourage Capacity development Sub granting/ re-grantingGovernment of KenyaBeneficiaries Accountability Compliance Results High Quality Impact Non judgemental servicesResult Area 2: Research, Learningand Knowledge Management toinform policy and prac ceResult Area 3: Organisa onalCapacity Development,Re-gran ng and Health SystemsStrengtheningThema c areas1. HIV, GBV and Health SystemsResearch2. Knowledge Management3. Monitoring, Evaluation, Reportingand LearningThema c areas1. Capacity Development andRe-granting2. Community Health SystemsStrengtheningOrganisa on- Wide Staff Development Effective communication and ownership of the strategy and values Maintain a supportive organisational culture A ract and retain high quality Manage staff performance and developmentResult Area 4: Technical Assistance Result Area 5: Ins tu onal CapacityDevelopment for sustainability ofand Policy Influencing for anLVCT Healthenabling policy environmentThema c areas 1. Technical Assistance2. Policy InfluencingThema c areas1. Business Development and ResourceMobilisation2. Human Resource Management andLeadership Development3. Financial Management and AdministrationImproving our effec veness Implementable work plans aligned to strategy Excellence in operations; core systems and processes; tools and results dashboards Manage stakeholder relationships Build strategic partnerships Deliver results & impact Manage organisational performance Responsible & inspiring leadership at all levelsFigure 1: Strategy mapLVCT Health Strategy 2018-2021 I xi
About LVCT HealthLVCT Health is a Kenyan Non-Governmental Organisation (NGO)the Western region counties and in Nairobi serving Nairobi anddedicated to preventing new HIV infections and promoting universalsurrounding Kiambu counties. As of 2018, we have service deliveryaccess to quality HIV care and treatment services in Kenya and globally.sites or programs in 25 counties, with potential for expansion asWe offer client-centred services in HIV testing (HTS), HIV prevention,necessitated by changing needs.HIV treatment and psychosocial care, sexual and reproductive health(SRH) and gender-based violence (GBV). We integrate prevention andtreatment for other health areas including STIs, TB, and family planningwhilst addressing social and structural factors that affect health suchas stigma and policies. LVCT Health also runs a Training Institute,which has trained more than 75% of the country’s HTS counsellorsand delivers certificate, diploma and other courses in HIV and GBV. Weundertake capacity building of community organisations, workplacewellness services, and support health systems strengthening andquality improvement in Kenya and other African countries. We carryOrganisational IdentityVision Statement: Empowered Healthy Communitiesout operations and implementation research and utilise the evidenceMission Statement: To reduce new HIV infections andgenerated for advocacy and improvement of services and programmes.increase equitable access to quality health servicesWe give special attention to those with greatest vulnerability to HIVinfection and/or with special service needs; young people, female sexworkers, survivors of violence, persons living with disabilities, men whohave sex with men, adolescents, people who inject drugs, girls, youngwomen and people living with HIV.Our head office is in Nairobi. We also have offices in Kisumu servingLVCT Health Strategy 2018-2021 I 1
Core ValuesWe are individually and collectively guided by the followingideals:Commitment to Service: We are passionate about our mission;we go beyond the call of duty and deliver value that supersedesour clients’ and partners’ expectations.Accountability: We are efficient, transparent and responsiblyapply resources entrusted to us for optimal benefit to ourbeneficiaries.Quality: We put forth our personal and professional best todeliver to the satisfaction of all; we set and maintain the GoldStandard.Integrity: We consistently live our commitments and holdourselves to the highest level of moral and ethical uprightnessand honesty.Courage: We are trailblazers. We boldly take leadership on newfrontiers, question the status quo, and undertake change whereneed be.2 I LVCT Health Strategy 2018-2021
Guiding PrinciplesThe following principles direct our decision-making and programmeInnovation: We constantly seek new ways of doing things better,approaches:more efficiently and differently for greater impact.Client Centeredness: We are committed to putting the needs of ourValue Proposition and Unique Selling Pointsclients at the centre of the services we offer, per their convenience andunique needs. We guarantee client confidentiality and pursue non-We offer our clients, beneficiaries and partners the following:stigmatizing approaches.1. Evidence informed quality assured interventions and servicesLocal Ownership: We exercise meaningful engagement with our2. Value addition by tailoring approved packages of HIV, SGBVstakeholders by involving them in the development and implementationof our programs through forums such as community advisory boards.Integrated Programming: To ensure comprehensive support toclients and beneficiaries, our programmes deliberately respond tothe relevant social, behavioural, biomedical and structural driversof HIV infection and transmission. We utilise our strengths in HIVand related services to the needs of our clients3. New knowledge, best practices, and innovative solutionsgenerated through our research and implementation work4. Robust capacity development and technical assistance models5. Opportunities to leverage our geographical coverage,testing, care and treatment as an entry point to address the uniqueour technical, financial and institutional relationships withfactors that promo
Gender Based Violence (GBV) programming to contribute to prevention of and increased access to comprehensive quality services for survivors of GBV especially women, children and KPs Result Area 2: Research, Learning and Knowledge Management to generate, document and disseminate knowledge and evidence on HIV, SRH and GBV to inform policy and .
2 LVCT Annual Report October 2010 - September 2011 Liverpool VCT Care , and Treatment LVCT Head Office Argwings Kodhek Road P. O. Box: 19835-00202, KNH, Nairobi Tel: 254 20 2714590, 2715308, 273 1585/6
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