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Citation Information

Type Thesis or Dissertation - Master of Arts
Title Influence on sustainability of key population projects at Nyeri County: a case of mt. Kenya Hospital
Publication (Day/Month/Year) 2016
URL http://erepository.uonbi.ac.ke/bitstream/handle/11295/97805/Waema_Influence On Sustainability Of Key​Population Projects At Nyeri County A Case Of Mt. Kenya Hospital.pdf?sequence=1&isAllowed=y
Kenya‟s goal for the 2030 vision is to ensure zero HIV transmission. This is being done partly by targeting the
Key Population who is the main source of new HIV infection due to their life styles (KAIS 2012). HIV
transmission in Kenya is still high, currently standing at 5.6% in the general population. 44% of new infections
are attributed to couples, 15% in MSM and 14% to casual sex. Many donors, government agencies, the
community, and the private sectors have played major role in financing and running of the key population
projects. In order to attain related Sustainable Development Goals(SDG), stakeholders have to work jointly for
better results. These joint efforts to ensure that KP projects operate at optimal level even after the withdrawal by
donors (Human Rights Watch, 2008). With the dwindling donor funds, if sustainable independence HIV
management approaches are not embraced, achievement of vision 2030 may be another toll order. The situation
may be worsened by the fact that Kenya is moving towards attaining middle-income status which means that
donor resources may decline further. The study was necessitated by the turn of events when the donors funding
the Key Population project reduced their funding in 2015 and projects started experiencing 80% stock outs of
essential drugs due to lack of finances to purchase them (Human Rights Watch, 2008). This calls for the
implementation of sustainable Key population projects in order to ensure that projects operate at an optimal level
for better results. The study was guided by four objectives; to establish how socioeconomic factors, community
participation, project management strategies and capacity building influence the sustainability of HIV and AIDs
project for the KP at Nyeri County a case of Mt Kenya Hospital. Review of relevant literature revealed that there
is little information on influences of sustainability of HIV and AIDs projects for the KP. The study targeted one
Key Population Project based at Mt Kenya Hospital. Descriptive survey design was employed to gather
information from a sample size of purposively selected 261 respondents using questionnaires and interview guide
from the sampled stakeholders. Raw data was organized, edited, coded and analyzed for descriptive and
inferential statistics using computer software, Statistical Package for Social Sciences and presented using
frequency distribution, percentages and tables. Poor socioeconomic status of the key population and the
community outreach workers who are the main beneficiaries of the KP project. Majority of them came from
dysfunctional families. It was also established that 84.5% of the families were female headed, 14.4% male headed
and 1.7% child headed. There was a high rate of an employment with 66.0% earning between Ksh 0 to 5999.
Community members‟ participation level in conception, design and implementation of the KP project was poor
with 49.0% disagreeing with the level of community participation. Only 20.6 % agreed with the level of
community participation. The communities were poorly involved in the contribution of resources for the running
of the projects. The poor participation was attributed to the communities‟ poor socioeconomic status. The main
source of funding for KP projects was donors‟ contributions as reported by 60.8%. In responding to the relevance
of community trainings for the running of KP projects, 22.2% indicated that the trainings were very useful while
29.9% indicated that they were moderately useful. A majority of 47.9% indicated that the trainings were not
useful in the running of the project. The study recommends community participation during project‟s conception,
design and implementation. It is also recommended that project management strategies should be integrated in the
project‟s long term plans in order to enhance long term benefits as well as capacity building in order to build
adequate capacity among the community. The study findings will benefit the Government, KP projects, financiers
and the community in realizing long term goals of new and existing project

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