AIDS, Population and Health Integrated Assistance Program Integrated Marginal Arid Regions Innovative Socialized Health Approach (APHIAplus IMARISHA)


AIDS, Population and Health Integrated Assistance Plus IMARISHA (Integrated Marginal Arid Regions Innovative Socialized Health Approach) is a five-year activity designed to sustainably improve the health of communities in the Northern Arid Lands of Kenya by delivering integrated health services and household and community economic strengthening interventions. The activity works to strengthen Government of Kenya systems and engage local communities through local implementing partners and cultural leaders to spearhead the adoption of healthy behaviors and the dismantling of retrogressive cultural practices.

Activity Description

APHIAplus IMARISHA provides technical assistance to improve the service delivery of health facilities and increase the demand for those services. It also helps Kenyan’s northern arid lands populations by enhancing access to income generating and economic strengthening activities, and by improving nutrition, food security and access to safe water and sanitation. It provides technical expertise to improve fodder production and storage, and it provides technical support to community animal health workers and input suppliers from the private sector. It also helps develop small-scale irrigation systems to grow nutritious vegetables for household consumption and income generation. Through trainings and capacity building activities, the program encourages more women to participate in livestock keeping and other household economic strengthening pursuits such as food preservation, beekeeping, and poultry and goat keeping. All APHIAplus interventions are designed to improve community health.

Expected Outcomes

  • Improve the well-being of poor, marginalized and underserved populations –including youth, people living with HIV/AIDS, orphans and children affected by AIDS, pregnant women and new mothers, and infants
  • Provide testing and counseling services for HIV
  • Improve uptake of maternal, newborn and child health interventions such as skilled deliveries, immunization, family planning etc.
  • Increase capacity of district health management teams to plan and manage service delivery, including effective linkages with health activities to support drought response

Actual Outcomes

  • 37,048 individuals received HIV testing and counseling
  • 19,949 babies received the measles vaccine by 12 months of age
  • 12,419 deliveries with a skilled birth attendant
  • 6,339 adults and children with advanced HIV infection currently receiving antiretroviral therapy
  • 37,505 orphans and vulnerable children served