#VP16: Enhancing Health Care For PWUDs Through Advocacy For Universal Health Coverage (UHC) For HCV & Harm Reduction


Theme: Models of Care Year: 2021

Background: Kenya’s population is 47.5 million with 23,000 PWUDs. Rate of HIV and HCV in general population: 4.7% and 0.2-0.9 % respectively with 18.7% & 14-34% respectively among PWID with 37- 40% coinfection. Kenya’s PWUD are mainly from low income slums urban settings. Most are streetbased with little access to socio-economic life beyond street life. Their lack of legal documents particularly identity cards makes them unable to access UHC and other crucial services. Reasons for lack of IDs include: lack of supporting documents like birth certificates and school leaving certificates; ignorance; bureaucratic procedure; stigma and discrimination. Description of Intervention: The goal of this project is social economic reintegration of PWIDs to establish sustainability of harm reduction and advocate for HCV response under UHC. PWUD paralegals under a local CBO: Community Advocacy and Paralegals Initiative of Kenya (CAPIK) created rapport with local administration, visited hotspots in Nairobi and collected data of 300 PWUD in need of IDs: 230men and70 women. One paralegal volunteered to use his thumbprint as guarantor that the PWUD were Kenyans. Effectiveness:  1st successful story of community advocating for community  Avenue for advocacy for UHC for HCV response  210 PWUD have IDs: 23 women, 187 men  They can register phone numbers, open savings accounts and form self-help groups  Legality of street-based PWUD  Increased support of Harm Reduction by local administration  Improved relationship with police  Reduced violence Conclusion and next steps:  Advocate for coverage of harm reduction and HCV response under UHC  Community can be great advocates of their own issues Disclosure of Interest: Nothing to disclose.

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