Overview of the PACT Imara Program

The Partnership for Advanced Care and Treatment (PACT) Imara program is a five-year program funded by the United States Presidents Emergency Plan for AIDS Relief (PEPFAR) through the US Centers for Disease Control and Prevention (CDC). The program supports the provision of comprehensive HIV and TB prevention and treatment services for general, key, and priority populations in Machakos, Makueni, and Kitui counties, providing antiretroviral therapy for approximately 66,000 people living with HIV (PLHIV) across 227 facilities in these counties, (89 in Kitui, 70 in Machakos and 68 in Makueni County).

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The program works with the respective county health management teams to achieve HIV epidemic control through focusing on the following activities:

1. Provision of HIV prevention interventions for general and key populations including HIV pre-exposure prophylaxis (PrEP) services and gender-based violence (GBV) services
2. Provision of high-quality targeted HIV testing services (HTS) leading to the identification and linkage of HIV-infected individuals to HIV care
3. Provision of HIV prevention and treatment services for pregnant and breastfeeding women and HIV-exposed infants
4. Provision of quality patient-centered HIV care and treatment services for PLHIV, including management of comorbidities
5. Provision of quality collaborative TB and HIV services to reduce the burden of TB among PLHIV
6. Strengthening of health systems to support the delivery of HIV and TB-related services including laboratory systems, commodity management, and monitoring and evaluation systems
7. Institutionalization of continuous quality improvement (CQI) frameworks in health service delivery for improved health service quality and enhanced effectiveness and efficiency in health systems
8. Strengthening county health systems to ensure the transition to sustainable high quality HIV service delivery