HIV/AIDS context and geographic prioritisation summary in Kenya and Uganda, at the time of the evaluation in 2018
| HIV/AIDS context | Kenya | Uganda | ||
| People living with HIV/AIDS (2018) | 1 600 000+ | 1 400 000+ | ||
| Adult HIV/AIDS prevalence (2018) | 4.7% | 5.7% | ||
| Decrease in no of AIDS-related deaths (from 2010)45 46 | 55% (from 56 000 to 25 000) | 58% (56 000 to 23 000) | ||
| Decrease in no. of new HIV infections (from 2010)45 46 | 55% (from 66 000 to 46 000) | 42% (92 000 to 53 000) | ||
| Geographic prioritisation* | ||||
| Scale-up | 20 counties | 61 districts | 700–800 CS facilities | |
| Maintenance | 20 counties | 40 districts | ||
| Transition to central support | 7 counties (Garissa, Isiolo, Lamu (coastal), Mandera, Marsabit, Tana River and Wajir) | 413 CS facilities | 10 districts (Pader, Luuka, Bulambuli, Kaabong, Kapchorwa, Kween, Nakapiripirit, Napak, Amudat and Abim) | 100 CS facilities |
*According to documentation obtained from the USAID Mission in Kenya, 404/413 CS facilities were USAID supported prior to the GP and all facilities in Kenya were consistently designated as either scale-up, maintenance or CS based on their county’s investment category. In Uganda, GP intended to transition support from 900/2500 total USAID-supported facilities which were spread out across subnational units, as explained in the table above. Of the transitioning facilities outside of the 10 CS districts, approximately 60% were USAID-supported, and close to 40% were private facilities (split roughly equally between for-profit and not-for-profit). Facilities in Uganda were not consistently designated to the same category as the district in which they were located.
CS, central support; GP, geographic prioritisation.