Objective 1: To provide high quality care to at-risk and HIV-positive women participating in the high-risk women’s cohort (Mombasa Cohort).

Screening and Treatment

• Confidential voluntary counseling and testing for HIV-1
• State of the art laboratory screening and treatment for STIs and other genital tract infections.
• Screening for cervical cancer using a combination of Pap smear, VIA, nucleic amplification based testing, and oncogene product detection for high-risk HPV infection
• HIV care including:
  • CD4 and viral load monitoring
  • Prophylaxis for opportunistic infections with Septrin
  • TB screening and treatment for latent TB infection with INH
  • TB evaluation including chest x-ray with referral to Ganjoni TB treatment program for patients with active TB
  • Diagnosis and treatment for a range of opportunistic infections
  • Antiretroviral therapy with laboratory and clinical monitoring for treatment effectiveness and side effects
  • HIV Positive Women’s Support Group (monthly meetings)
  • Ongoing randomized trial of SMS intervention to support adherence in high-risk women initiating ART
• Referral services for hospital admissions or services not available at Ganjoni

Women’s Health Education and Community Outreach

• HIV and STI risk reduction education
• Provision of free condoms and instruction on correct use of condoms
• Community outreach including regularly scheduled health talks outreach meetings to provide information to women in the community. Topics include general health topics as well as HIV and STI prevention and treatment
• Dissemination of research findings to women in the community
• Development and distribution of educational materials and newsletters