Program Areas

Clinical Services

Care and Support Services

NUMAT began palliative activities after reviewing local palliative care service providers. This analysis revealed that there were not enough health workers who were motivated and adequately trained to provide palliative care services both at health facility and community levels for HIV-positive patients. Also, facilities had an inadequate stock of opportunistic-infection medications.

NUMAT home visit

NUMAT-trained home visitors provide general counseling, psychosocial support, and medical referrals to people living with HIV.

To address these issues, NUMAT rolled out strategies to improve palliative care practices at the health facility level by supporting district service commissions to recruit health workers and train them in various aspects of palliative care and essential drug logistics management. Palliative care and patient follow-up at the community level were improved by engaging volunteers among people living with HIV (PLHIV) and other lay health workers, such as expert clients, within the community.

NUMAT recognized home-based care as a model that could support the continuum of care for PLHIVs in their communities. Community, faith-based, and nongovernmental organizations reached out to people affected by and infected with HIV. NUMAT strengthened the capacities of these various groups to provide prevention, care, and psychosocial support services while also making relevant referrals for PLHIV and their family members. NUMAT chose this model because it empowered PLHIVs to be the primary service providers to their peers. Network support agents, who also play an active role at the HIV/ART clinic, linked PLHIVs in the communities to a health facility. Home-based care services were also delivered by PLHIVs themselves.

NUMAT ensured sustainability by linking home visitors with sub-county PLHIV networks and civil society organizations, which were strengthened through capacity building, logistical support, and nominal grants.

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