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Table 1 Overview of Kenya CS Counties

From: Exploring perceived effects from loss of PEPFAR support for outreach in Kenya and Uganda

Kenya Overview
90–90-90 Estimates: 89–77% - no estimate (2015–18) [20]
CS counties (out of 47 total counties): Garissa, Isiolo, Lamu, Mandera, Marsabit, Tana River, and Wajir
Geographic Region: Northeast
Total number of facilities transitioned to CS: 413
CS county HIV prevalence estimates (2013): < 1–4.9% [21]
Proportion of overall HIV budget funded by PEPFAR (2014): 64% [22]
Other context: Most CS counties were simultaneously deprioritized for HIV programming by the Kenyan Government’s AIDS Strategic Framework 2014/15–2018/19, being classified as “low incidence” (contributing to ≤1% of new HIV infections) [23]. The region is remote, with low population density, and has faced challenges with instability and terrorism [24]. Religious differences with the rest of the country may also influence attitudes and stigma towards HIV/AIDS [25]. The region has also experienced increasing infrastructure development over the past decade, including road construction, a new airport, and a new port, raising potential for evolving patterns of disease transmission as migration patterns change [26,27,28]. Lastly, devolution also took place 2 years prior to GP (2013), divesting accountability for health programs down to newly formed county governments [29].