APHIAplus Northern Arid Lands

Photo by Sarah Day

The APHIAplus Northern Arid Lands project has surpassed many targets, including reaching more than 250,000 people with counseling and testing services for HIV and AIDS.

Photo by Sarah Day

A community health worker counsels a woman and her baby.


APHIAplus (AIDS Population and Health Integrated Assistance Plus) was a two-year health services delivery project funded by USAID that built on work carried out by APHIA II (2006-2010). APHIAplus projects were implemented in five zones covering all the provinces in Kenya.

Project profile

The APHIAplus Northern Arid Lands was implemented through a partnership between Pathfinder International, Management Sciences for Health, IntraHealth International, Food for the Hungry, and the International Rescue Committee.

APHIAplus Northern Arid Lands covered Tana River in the Coast and the whole of North Eastern province as well as the Counties of Turkana, Samburu, Marsabit, Moyale, Isiolo. Health status and infrastructure throughout this region is generally poor and much of the population is nomadic, thus creating challenges to improving access to health services.


APHIAplus worked through the provincial health systems in Kenya. Activities were carried out through the provincial and district health offices, penetrating down to the district health facilities and then to the community level. Planning was carried out in collaboration with the Ministries of Health to promote a coordinated approach. At the national level, service delivery was complemented by different mechanisms (e.g. training, renovations, health management information systems etc.)

APHIAplus Service Delivery represented a transition from emergency response type approach into building sustainable systems. Through these systems, service delivery for HIV and AIDS, tuberculosis, reproductive health and family planning, maternal and child health and malaria could be implemented to ensure equitable access for all people but especially for the most vulnerable, poor and marginalized.

Service Delivery in the Coast Province was supported by two projects: APHIAplus Nairobi-Coast and APHIAplus Northern Arid Lands.



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Related Publications

February 2014

Combination Prevention of HIV - A Technical Guide to Working with Key Affected Populations

This practical guide presents evidence and example activities that serve as a resource for program implementers and planners working to prevent HIV among female sex workers (FSWs), men who have sex with men (MSM), and people who inject drugs (PWID).

July 2012

Increasing Access to Quality Health Services in Kenya's North Eastern Province

For five years, APHIAplus Northern Arid Lands has increased local health system and community capacity for quality health service delivery. This brief discusses the project’s experience in Kenya's North Eastern Province.

July 2012

Strengthening Strategic Health Information Systems in Kenya's North Eastern Province

This technical brief discusses steps taken by the project to meet challenges to the use of strategic health information in Kenya’s North Eastern Province, and provides recommendations for future similar efforts in comparable contexts.

January 2009

Assessment of Kenyan Sexual Networks: Collecting evidence for interventions tor educe HIV/STI risk in Garissa, North Eastern Province, and Eastleigh, Nairobi

This paper presents evidence supporting the theory that the population of North Eastern province has sexual behaviors comparable to key populations in other areas of Kenya.

Related Projects

APHIA II Nairobi and Central

PAST PROJECT: With support from the Government of Kenya, this project used an integrated model of AIDS, population, and health to expand access to quality, sustainable HIV and AIDS and TB prevention, treatment, and support and family planning services.

APHIAplus Nairobi-Coast

The APHIAplus (AIDS, Population and Health Integrated Assistance Plus) Nairobi-Coast program is a five-year flagship health services delivery program funded by USAID.

Community-Based HIV and AIDS Prevention, Care, and Support

PAST PROJECT: This community-based HIV and AIDS prevention, care, and support program secured the health and quality of life of people living with HIV and AIDS, orphans/vulnerable children, and their families/caregivers by strengthening previous interventions.


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