Inn Innoovatlvt vatlvt Opt/OIlS Opt/OIlS for for Btlulvlor Btlulvlor Chanp Chanp 

END OF PROJECT EVALUATION ON 
COMPREHENSIVE WORKPLACE 
PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley, 2010 
NOPE 
October 2010 
This publication was made possible through support provided by the United States Agency for International Development under 
Cooperative Agreement No: 623-A-OO-06-00021-00 and 623-A-OO-06-00022-00 FCD awarded to FHI. The opinion expressed herein are 
those of the authors and do not necessarily reflect the views of FHI or the United States Agency for International Development. 
@ USAID IAPHIAII !ftII! FROM THE AMERICAN PEOPLE COAST Innovalil'f! OpUon., for Behavior Changl.· 
END OF PROJECT EVALUATION ON COMPREHENSIVE I -I 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley, 2010 
APHIA II 
RIFT VALLEY 
Contents 
LIST OF TABLES iv 
LIST OF FIGURES v 
FOREWORD vii 
ACKNOWLEDGEMENT viii 
EXECUTIVE SUMMARY ix 
1.0 INTRODUCTION 1 
1.1 Background Information 1 
1.2 Purpose of Evaluation 2 
1.3 Study Objectives 2 
1 .4 Methodology 3 
2.0 WORKPLACE CHARACTERISTICS 4 
2.1 Nature of Business Enterprises by Region 4 
2.2 Category and Size of Employees 5 
3.0 ESTABLISHMENT OF HIVIAIDS WORKPLACE POLICY AND PROGRAMMES 8 
3.1 Existence of HIV and AIDS Workplace Policies 8 
3.2 HIV and AIDS Interventions Supported by the Organization 8 
3.3 HIV and AIDS Capacity Building Activities 10 
4.0 PROVISION OF HIV AND REPRODUCTIVEHEALTH CARE SERVICES 13 
4.1 Financing of HIVIAIDS Services 13 
4.2 Financing of Family Planning Services 18 
4.3 Financing of Other Reproductive Health Services 20 
4.4 Financing of Child Health Services 21 
4.5 Beneficiaries of Health Financing 22 
5.0 NON PROVISION OF HIV AND REPRODUCTIVE HEALTH CARE SERVICES 24 
5.1 HIVI AIDS Services 24 
5.2 Family Planning Services 24 
5.3 Other Reproductive Health Services 25 
.. I END OF PROJECT EVALUAnON ON COMPREHENSIVE II WORKPI.ACE PROGRAMS (CWPP) REPORT' 
APHIA II Coast and Rift Valley. 2010 
Contents 
LIST OF TABLES iv 
LIST OF FIGURES v 
FOREWORD vii 
ACKNOWLEDGEMENT viii 
EXECUTIVE SUMMARY ix 
1.0 INTRODUCTION 1 
1.1 Background Information 1 
1.2 Purpose of Evaluation 2 
1.3 Study Objectives 2 
1 .4 Methodology 3 
2.0 WORKPLACE CHARACTERISTICS 4 
2.1 Nature of Business Enterprises by Region 4 
2.2 Category and Size of Employees 5 
3.0 ESTABLISHMENT OF HIVIAIDS WORKPLACE POLICY AND PROGRAMMES 8 
3.1 Existence of HIV and AIDS Workplace Policies 8 
3.2 HIV and AIDS Interventions Supported by the Organization 8 
3.3 HIV and AIDS Capacity Building Activities 10 
4.0 PROVISION OF HIV AND REPRODUCTIVEHEALTH CARE SERVICES 13 
4.1 Financing of HIVIAIDS Services 13 
4.2 Financing of Family Planning Services 18 
4.3 Financing of Other Reproductive Health Services 20 
4.4 Financing of Child Health Services 21 
4.5 Beneficiaries of Health Financing 22 
5.0 NON PROVISION OF HIV AND REPRODUCTIVE HEALTH CARE SERVICES 24 
5.1 HIVI AIDS Services 24 
5.2 Family Planning Services 24 
5.3 Other Reproductive Health Services 25 
.. I END OF PROJECT EVALUAnON ON COMPREHENSIVE II WORKPI.ACE PROGRAMS (CWPP) REPORT' 
APHIA II Coast and Rift Valley. 2010 
5.4 Child Health Services 25 
6.0 PROVISION OF SERVICES IN ON-SITE HEALTH CLINICS 27 
6.1 Existence of an On-site Health Clinic 27 
6.2 Motivation for establishment of on-site clinic 27 
6.3 Employees in On-site health clinic 28 
6.4 Laboratory Tests in on- site health clinic 29 
6.5 Utilization of HIVIAIDS Service 29 
6.6 Status of ARVs provision in Workplace On-site Clinics 30 
7.0 STOCKING OF HIVIAIDS-RELATED HEALTH PRODUCTS IN ONSITE CLINICS 33 
7.1 Source of Supplies for HIVI AIDS Related products 33 
7.2 Stock Run Outs of HIVIAIDS Related Products 35 
8.0 CONCLUSION AND RECOMMENDATIONS 38 
8.1 Conclusion 38 
8.2 Recommendations 41 
Ai: Number of Employees in Workplace/Institution by Category, economic 
sector and Region 42 
A2: Number of employees who attended training in Rift Valley by type of service 43 
A3: Number of employees who attended training in Coast by type of service 44 
STUDY QUESTIONNAIRE: 45 
REFERENCES 46 
END OF PROJECT EVALUATION ON COMPREHENSIVE I ... 
WORKPLACE PROGRAMS (CWPP) REPORT: III 
APHIA II CDast and Rift Valley, 2010 
5.4 Child Health Services 25 
6.0 PROVISION OF SERVICES IN ON-SITE HEALTH CLINICS 27 
6.1 Existence of an On-site Health Clinic 27 
6.2 Motivation for establishment of on-site clinic 27 
6.3 Employees in On-site health clinic 28 
6.4 Laboratory Tests in on- site health clinic 29 
6.5 Utilization of HIVIAIDS Service 29 
6.6 Status of ARVs provision in Workplace On-site Clinics 30 
7.0 STOCKING OF HIVIAIDS-RELATED HEALTH PRODUCTS IN ONSITE CLINICS 33 
7.1 Source of Supplies for HIVI AIDS Related products 33 
7.2 Stock Run Outs of HIVIAIDS Related Products 35 
8.0 CONCLUSION AND RECOMMENDATIONS 38 
8.1 Conclusion 38 
8.2 Recommendations 41 
Ai: Number of Employees in Workplace/Institution by Category, economic 
sector and Region 42 
A2: Number of employees who attended training in Rift Valley by type of service 43 
A3: Number of employees who attended training in Coast by type of service 44 
STUDY QUESTIONNAIRE: 45 
REFERENCES 46 
END OF PROJECT EVALUATION ON COMPREHENSIVE I ... 
WORKPLACE PROGRAMS (CWPP) REPORT: III 
APHIA II CDast and Rift Valley, 2010 
List of Tables 
Table 2.1 Distribution of Workplace/Institutions by nature of business 4 
Table 2.2: Number of employees by business category and province, 2007 and 2010 5 
Table 2.3: Number of employees by category and region, 2007 and 2010 6 
Table 2.4: Number and percentage distribution of employees by category and business 
sector 7 
Table 3.1: Percentage of workplace/institutions with existing HIV/AIDS workplace policy 8 
Table 3.2: Type of support provided by workplace/institutions in Rift Valley 9 
Table 3.3: Type of support provided by workplace/institutions in Coast 9 
Table 3.4: Number and percentage of employees trained on HIVIAIDS workplace roles 10 
Table 3.5: Number of employees who attended training and percentage increases by 
training type 11 
Table 3.6: Outreach activities undertaken by economic sector and province, 2007 and 2010 12 
Table 4.1: Financing Mode for workplace/institution for testing and counseling of HIVI AIDS 14 
Table 4.2: Proportion of workplaces financing mode of the family planning services 19 
Table 4.3: Financing mode of other Reproductive health service 20 
Table 4.4: Financing mode of other Reproductive health service 22 
Table 6.1 : Proportion of workplaces reported in 2007 to have had on -site health clinic 27 
Table 6.2: Proportion of companies by motivation for establishment of an on-site health clinic 28 
Table 6.3: Proportion of workplaces reporting category of employees in the on-site health clinic 28 
Table 6.4 Proportion of workplaces having tests taken in the on-site health clinic 29 
Table 6.5 Number of employees who received the HIVIAIDS service by business sector 30 
Table 6.6 Reasons for non provision of ARVs in on site health clinics 31 
Table 6.7: Proportion of workplaces with on-site clinic monitoring employees ART progress 31 
Table 7.1 Proportion of workplaces experiencing stocks run out in the last 12 months 36 
A 1 : Number of employees in workplace/institution by category, economic sector and region 42 
A2: Number of employees who attended training in Rift Valley by type of service 43 
A3: Number of employees who attended training in Coast by type of service 44 
. I END OF PROJECT EVALUATION ON COMPREHENSIVE IV WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
List of Tables 
Table 2.1 Distribution of Workplace/Institutions by nature of business 4 
Table 2.2: Number of employees by business category and province, 2007 and 2010 5 
Table 2.3: Number of employees by category and region, 2007 and 2010 6 
Table 2.4: Number and percentage distribution of employees by category and business 
sector 7 
Table 3.1: Percentage of workplace/institutions with existing HIV/AIDS workplace policy 8 
Table 3.2: Type of support provided by workplace/institutions in Rift Valley 9 
Table 3.3: Type of support provided by workplace/institutions in Coast 9 
Table 3.4: Number and percentage of employees trained on HIVIAIDS workplace roles 10 
Table 3.5: Number of employees who attended training and percentage increases by 
training type 11 
Table 3.6: Outreach activities undertaken by economic sector and province, 2007 and 2010 12 
Table 4.1: Financing Mode for workplace/institution for testing and counseling of HIVI AIDS 14 
Table 4.2: Proportion of workplaces financing mode of the family planning services 19 
Table 4.3: Financing mode of other Reproductive health service 20 
Table 4.4: Financing mode of other Reproductive health service 22 
Table 6.1 : Proportion of workplaces reported in 2007 to have had on -site health clinic 27 
Table 6.2: Proportion of companies by motivation for establishment of an on-site health clinic 28 
Table 6.3: Proportion of workplaces reporting category of employees in the on-site health clinic 28 
Table 6.4 Proportion of workplaces having tests taken in the on-site health clinic 29 
Table 6.5 Number of employees who received the HIVIAIDS service by business sector 30 
Table 6.6 Reasons for non provision of ARVs in on site health clinics 31 
Table 6.7: Proportion of workplaces with on-site clinic monitoring employees ART progress 31 
Table 7.1 Proportion of workplaces experiencing stocks run out in the last 12 months 36 
A 1 : Number of employees in workplace/institution by category, economic sector and region 42 
A2: Number of employees who attended training in Rift Valley by type of service 43 
A3: Number of employees who attended training in Coast by type of service 44 
. I END OF PROJECT EVALUATION ON COMPREHENSIVE IV WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
List of Figures 
Figure 2.1: APHIA II Project Business Enterprises Composition, 2010 
Figure 2.2: Proportion of employees by business sector and province 
Figure 2.3: Proportion of employees by gender and economic sector 
4 
5 
6 
Figure 2.4: Percentage distribution of employees by category of employment and province 7 
Figure 3.1: Proportion of workplaces with family and outreach activities in their workplace 12 
Figure 4.1: Mode of financing for testing and counseling of HIVI AIDS 13 
Figure 4.2: Mode of financing Anti Retro Viral Treatment (ARl) 14 
Figure 4.3: Mode of financing coordination of home based care for HIVI AIDS 15 
Figure 4.4: Workplaces supporting treatment preventing mother to child transmission of 
HIVIAIDS 15 
Figure 4.5: Workplaces mode of financing of adherence in counseling on ARVs 16 
Figure 4.6: Proportion of workplaces financing counselling on abstinence 16 
Rgure 4.7: Proportion of workplaces by financing mode of counselling on being sexually faithful 17 
Rgure 4.8: Proportion of workplaces financing mode for counseling on alcohol and drug abuse 17 
Rgure 4.9: Proportion of workplaces by financing mode for counseling on correct condom use 18 
Figure 4.10 Proportion of workplaces by categories of employees benefiting from financing 
of the health services 22 
Figure 4.11 Proportion of workplaces by category of family members received financing in 
health care 23 
Figure 5.1: Proportion of workplaces stating reasons for not financing some of the HIVIAIDS 
services 24 
Figure 5.2: Proportion of workplaces stating reasons for not financing some of the Family 
planning services 25 
Figure 5.3: Proportion of workplaces stating reasons for not financing other reproductive 
health services 25 
Figure 5.4: Proportion of workplaces stating reasons for not financing some of the child 
health services 26 
Figure 6.1 Proportion of workplaces with on-site clinic providing ARVs 30 
Figure 6.2 Workplaces reporting Clinic ART Statistics to the Government 31 
Figure 6.3 Impact of free access to ARVs to clinics ability to provide ART 32 
END OF PROJECT EVALUATION ON COMPREHENSIVE I 
WORKPLACE PROGRAMS (CWPp) REPORl: V 
APHIA II Coast and Rift Valley. 2010 
List of Figures 
Figure 2.1: APHIA II Project Business Enterprises Composition, 2010 
Figure 2.2: Proportion of employees by business sector and province 
Figure 2.3: Proportion of employees by gender and economic sector 
4 
5 
6 
Figure 2.4: Percentage distribution of employees by category of employment and province 7 
Figure 3.1: Proportion of workplaces with family and outreach activities in their workplace 12 
Figure 4.1: Mode of financing for testing and counseling of HIVI AIDS 13 
Figure 4.2: Mode of financing Anti Retro Viral Treatment (ARl) 14 
Figure 4.3: Mode of financing coordination of home based care for HIVI AIDS 15 
Figure 4.4: Workplaces supporting treatment preventing mother to child transmission of 
HIVIAIDS 15 
Figure 4.5: Workplaces mode of financing of adherence in counseling on ARVs 16 
Figure 4.6: Proportion of workplaces financing counselling on abstinence 16 
Rgure 4.7: Proportion of workplaces by financing mode of counselling on being sexually faithful 17 
Rgure 4.8: Proportion of workplaces financing mode for counseling on alcohol and drug abuse 17 
Rgure 4.9: Proportion of workplaces by financing mode for counseling on correct condom use 18 
Figure 4.10 Proportion of workplaces by categories of employees benefiting from financing 
of the health services 22 
Figure 4.11 Proportion of workplaces by category of family members received financing in 
health care 23 
Figure 5.1: Proportion of workplaces stating reasons for not financing some of the HIVIAIDS 
services 24 
Figure 5.2: Proportion of workplaces stating reasons for not financing some of the Family 
planning services 25 
Figure 5.3: Proportion of workplaces stating reasons for not financing other reproductive 
health services 25 
Figure 5.4: Proportion of workplaces stating reasons for not financing some of the child 
health services 26 
Figure 6.1 Proportion of workplaces with on-site clinic providing ARVs 30 
Figure 6.2 Workplaces reporting Clinic ART Statistics to the Government 31 
Figure 6.3 Impact of free access to ARVs to clinics ability to provide ART 32 
END OF PROJECT EVALUATION ON COMPREHENSIVE I 
WORKPLACE PROGRAMS (CWPp) REPORl: V 
APHIA II Coast and Rift Valley. 2010 
Figure 7.1 Source of ARVs supplies for the on site health clinic 
Figure 7.2 Source of HIV test kits supplies for the onsite health clinic 
Figure 7.3 Source of 01 drugs supplies for the onsite health clinic 
Figure 7.4 Source of TB drugs supplies for the onsite health clinic 
Figure 7.5 Source Male condom supplies for the onsite health clinic 
'I END OF PROJECT EVAlUATION ON COMPREHENSIVE VI WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley, 2010 
33 
34 
34 
35 
35 
Figure 7.1 Source of ARVs supplies for the on site health clinic 
Figure 7.2 Source of HIV test kits supplies for the onsite health clinic 
Figure 7.3 Source of 01 drugs supplies for the onsite health clinic 
Figure 7.4 Source of TB drugs supplies for the onsite health clinic 
Figure 7.5 Source Male condom supplies for the onsite health clinic 
'I END OF PROJECT EVAlUATION ON COMPREHENSIVE VI WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley, 2010 
33 
34 
34 
35 
35 
FOREWORD 
HIV/AIDS epidemic is the greatest public health disaster in the past one two decades. The 
epidemic already is having a devastating impact on economies and markets, threatening the 
security and prosperity of our global society. For companies operating in hard-hit regions, HIVI 
AIDS will have major consequences on profitability and productivity. Kenya AIDS indicator 
Survey 2007, 1.4 Kenyans is living with HIV attributing to 7.1% with a majority being at 
employees in various workplaces. 
Business not only has a responsibility to act, but an opportunity to playa crucial role in the 
global fight against the epidemic, particularly within their workplaces. Business can do things 
faster and more effectively that anyone else and it is in their own interests as well as those of 
society as a whole, that the APHIA II Coast and Rift Valley provinces implemented a four year 
Comprehensive Workplace Program and Policy (CWPP) in the two regions. The project aimed 
at strengthening the internal capacity of worksites to design, manage and implement innovative 
comprehensive workplace programs. 
A healthy workforce determines productivity in terms of profit as well as social responsibility. The 
APHIA II project through the support of United States Agency for International Development 
(USAID) implemented a Comprehensive Work Place Program in various sectors to improve 
universal access to HIV/AIDS prevention care and treatment services, Tuberculosis, Malaria, 
Maternal Child Health (MCH), Family Planning (FP) and general health care. 
At the end of the project implementation phase, an end term evaluation was carried out by 
National Organization of Peer Educators (NOPE) as part ofits technical support monitoring and 
evaluation of interventions implemented over the past four years. The evaluation has established 
that companies are at impressive stages with respect to engagement on CWPP. A majority have 
taken action on a multiple of fronts to address the health of their workforce. Of importance 
to note is that of all the workplaces that were evaluated, over ninety percent had embraced the 
program. This is over forty percent increase as at baseline in 2007. 
It is our sincere hope that this report will be a useful resource for individuals, companies, donors 
and government ministries in the implementation of the CWPP strategy. 
Peter Mwarogo 
Country Director 
APHIA II Coast and RIff VALLEY 
END OF PROJECT EVALUATION ON COMPREHENSIVE I .. 
WORKPLACE PROGRAMS (CWPP) REPORT' VII 
APHIA II Coast and Rift Valley. 2010 
FOREWORD 
HIV/AIDS epidemic is the greatest public health disaster in the past one two decades. The 
epidemic already is having a devastating impact on economies and markets, threatening the 
security and prosperity of our global society. For companies operating in hard-hit regions, HIVI 
AIDS will have major consequences on profitability and productivity. Kenya AIDS indicator 
Survey 2007, 1.4 Kenyans is living with HIV attributing to 7.1% with a majority being at 
employees in various workplaces. 
Business not only has a responsibility to act, but an opportunity to playa crucial role in the 
global fight against the epidemic, particularly within their workplaces. Business can do things 
faster and more effectively that anyone else and it is in their own interests as well as those of 
society as a whole, that the APHIA II Coast and Rift Valley provinces implemented a four year 
Comprehensive Workplace Program and Policy (CWPP) in the two regions. The project aimed 
at strengthening the internal capacity of worksites to design, manage and implement innovative 
comprehensive workplace programs. 
A healthy workforce determines productivity in terms of profit as well as social responsibility. The 
APHIA II project through the support of United States Agency for International Development 
(USAID) implemented a Comprehensive Work Place Program in various sectors to improve 
universal access to HIV/AIDS prevention care and treatment services, Tuberculosis, Malaria, 
Maternal Child Health (MCH), Family Planning (FP) and general health care. 
At the end of the project implementation phase, an end term evaluation was carried out by 
National Organization of Peer Educators (NOPE) as part ofits technical support monitoring and 
evaluation of interventions implemented over the past four years. The evaluation has established 
that companies are at impressive stages with respect to engagement on CWPP. A majority have 
taken action on a multiple of fronts to address the health of their workforce. Of importance 
to note is that of all the workplaces that were evaluated, over ninety percent had embraced the 
program. This is over forty percent increase as at baseline in 2007. 
It is our sincere hope that this report will be a useful resource for individuals, companies, donors 
and government ministries in the implementation of the CWPP strategy. 
Peter Mwarogo 
Country Director 
APHIA II Coast and RIff VALLEY 
END OF PROJECT EVALUATION ON COMPREHENSIVE I .. 
WORKPLACE PROGRAMS (CWPP) REPORT' VII 
APHIA II Coast and Rift Valley. 2010 
ACKNOWLEDGEMENTS 
We extend gratitude to United States Agency for International Development (USAID) for financial 
and technical support through Family Health International (FHI); Cooperative Agreement # 
623-A-OO-06-00021-00 and # 623-A-OO-06-00022-00 FeQ, AIDS, Population and Health 
Integrated Assistance (APHIA-II) project in Coast and Rift Valley Provinces, Kenya. Special 
appreciation go APHIA II Coast and Rift Valley formal workplace stakeholders and partners 
who have been instrumental to the planning and implementation sector specific interventions 
for comprehensive workplace policies and programs. 
We thank Dr. Frank Mwangemi, Deputy Director APHIA II Coast and Ruth Odhiambo, Deputy 
Director APHIA II Rift Valley for diligently supporting the prevention technical teams during 
the End of APHIA II 2010 Evaluation on Comprehensive Workplace Policies and Programs. 
APHIA II Coast and Rift Valley would like to acknowledge the following people who played a 
central role in the developing of the End of APHIA II Project 2010 Evaluation on Comprehensive 
Workplace Policies and Programs (CWPP); Mary Oruko, Program Manager Workplace, Oby 
Obyerodhyambo and John Ndirim, Technical Advisors who prepared the concept on end of 
project 2010 APHIA II Evaluation on Comprehensive Workplace Policies and Programs. 
This end term evaluation could not have been completed without the assistance of various 
individuals. Special thanks go to Mr. Philip Waweru, NOPE Executive Director for his insightful 
thoughts during the whole 
process. 
Special thanks go to Filberts Oluoch (Coast) and Margaret Kabue (Rift Valley) for supervising 
and coordinating the data collection exercise in respective provinces. We are indebted to the 
data collection teams (Carol Rachier, Bevaline Odera, Maurine Achieng, Sophie Wangari, Bob 
Mulusa, Julian Onyango, Daniel Mudibo, Alex Masika, Willis Ogutu, Ian Kinyanjui and Suki 
Nyadawa) who worked tirelessly to ensure that data was collected from all the workplaces. 
We recognize the contribution by the data analysis team; Linda Muyumbu, Charles Obiero￾Statistician consultant, Mary Nduta, Mary Kuira, Jacqueline Kwamboka and Happiness Rebecca 
for their contribution during the data analysis process. 
Special thanks to Result Areas 1, and Result Area 3 technical teams in APHIA II Coast and Rift 
Valley whom we cannot mention all by name in this evaluation report for their contributions 
on linkages with clinical and community components. We are fervently grateful to each and 
everyone whom we may not have mentioned here but contributed in one way or another towards 
the completion of this evaluation. 
Last but not least, we wish to thank Peter Njuguna of NOPE and Sunburst Communication 
Graphics designers for layout and printing this 2011 Evaluation Report. 
... I END OF PROJECT EVALUATION ON COMPREHENSIVE 
VIII WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Vaney. 2010 
ACKNOWLEDGEMENTS 
We extend gratitude to United States Agency for International Development (USAID) for financial 
and technical support through Family Health International (FHI); Cooperative Agreement # 
623-A-OO-06-00021-00 and # 623-A-OO-06-00022-00 FeQ, AIDS, Population and Health 
Integrated Assistance (APHIA-II) project in Coast and Rift Valley Provinces, Kenya. Special 
appreciation go APHIA II Coast and Rift Valley formal workplace stakeholders and partners 
who have been instrumental to the planning and implementation sector specific interventions 
for comprehensive workplace policies and programs. 
We thank Dr. Frank Mwangemi, Deputy Director APHIA II Coast and Ruth Odhiambo, Deputy 
Director APHIA II Rift Valley for diligently supporting the prevention technical teams during 
the End of APHIA II 2010 Evaluation on Comprehensive Workplace Policies and Programs. 
APHIA II Coast and Rift Valley would like to acknowledge the following people who played a 
central role in the developing of the End of APHIA II Project 2010 Evaluation on Comprehensive 
Workplace Policies and Programs (CWPP); Mary Oruko, Program Manager Workplace, Oby 
Obyerodhyambo and John Ndirim, Technical Advisors who prepared the concept on end of 
project 2010 APHIA II Evaluation on Comprehensive Workplace Policies and Programs. 
This end term evaluation could not have been completed without the assistance of various 
individuals. Special thanks go to Mr. Philip Waweru, NOPE Executive Director for his insightful 
thoughts during the whole 
process. 
Special thanks go to Filberts Oluoch (Coast) and Margaret Kabue (Rift Valley) for supervising 
and coordinating the data collection exercise in respective provinces. We are indebted to the 
data collection teams (Carol Rachier, Bevaline Odera, Maurine Achieng, Sophie Wangari, Bob 
Mulusa, Julian Onyango, Daniel Mudibo, Alex Masika, Willis Ogutu, Ian Kinyanjui and Suki 
Nyadawa) who worked tirelessly to ensure that data was collected from all the workplaces. 
We recognize the contribution by the data analysis team; Linda Muyumbu, Charles Obiero￾Statistician consultant, Mary Nduta, Mary Kuira, Jacqueline Kwamboka and Happiness Rebecca 
for their contribution during the data analysis process. 
Special thanks to Result Areas 1, and Result Area 3 technical teams in APHIA II Coast and Rift 
Valley whom we cannot mention all by name in this evaluation report for their contributions 
on linkages with clinical and community components. We are fervently grateful to each and 
everyone whom we may not have mentioned here but contributed in one way or another towards 
the completion of this evaluation. 
Last but not least, we wish to thank Peter Njuguna of NOPE and Sunburst Communication 
Graphics designers for layout and printing this 2011 Evaluation Report. 
... I END OF PROJECT EVALUATION ON COMPREHENSIVE 
VIII WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Vaney. 2010 
EXECUTIVE SUMMARY 
The assessment study was carried out in APHIA II project business enterprise workplaces for 
Coast and Rift Valley provinces as an end of project evaluation. A total of 36.4 percent of 
the enterprises were from the agriculture sector, 28.6 percent, goods/services, 20.8 percent, 
manufacturing and 14.3 percent, hotel and tour industry. The combined workforce of the 
workplaces was 133,396 employees involving 79 workplaces from Coast and Rift Valley province. 
The fulltime management/administrative accounted for 6.8 percent of The employees at APHIA 
II project partner work sites while 21.8 percent were full time unskilled production employees. 
Comprehensive workplace policy and programs was established in 90.9 percent of the business 
workplaces by 2010 as compared to 50.9 percent in 2007. This implies that the APHIA II project 
succeeded in mainstreaming the HIV / AIDS workplace policies in the business enterprises. A 100 
percent CWPP support was recorded on; condom promotion and distribution, IEC materials 
and referral for treatment and other care and support materials. 
Capacity building activities were carried out targeting all the levels of employees. This included 
management sensitization that covered 800 employees drawn from Coast and Rift Valley provinces 
(50.4 percent and 49.8 percent). Also, program design and implementation benefited a total of 
2,261 employees. In essence, employees were taken through a series of trainings on specific areas of 
the CWPP targeting between 55,479 employees from Rift valley and 26,034 employees from Coast. 
A total of 86.1 percent of the workplaces supported family and community outreach activities. 
The Modes of financing HIV/AIDS service provision in the workplaces ranged from onsite 
clinic, private insurance, reimbursement to employees, and contract with NGO. The modes also 
included contract with private profit making health service providers (Private Health Facilities) 
and employee contributory funds. Workplaces financing testing and counseling of HIV/AIDS 
increased from 44.8 percent in 2007 to 83.5 percent in 2010. A total of 47 percent reported 
financing mode for testing and counseling ofHIV/AIDS is through on site clinic. Provision of 
ARTs to employees increased from 44.6 percent in 2007 to 68.4 percent in 2010. Home based 
care of HIV/AIDS increased from 44.8 percent in 2007 to 53.2 percent in 2010. Treatment 
for prevention of mother to child transmission of HIV/AIDS rose from 64.1 percent to 75.9 
percent. However, adherence counseling on ARVs support declined from 57.1 percent to 27.8 
percent. Counseling on alcohol and drug abuse rose from 48.2 percent to 82.9 percent while 
counseling on alcohol drug abuse rose from 48.2 percent in 2007 to 82.9 percent in 2010. 
A total of 29.3 percent and 14.1 percent of the workplaces supported counseling on correct 
condom use in 2007 and 2010 respectively. 
Only 12.7 percent of the workplaces did not finance provision of male condoms in 2010 
compared to 33.9 percent in 2007. In the same period, provision for pills rose from 25.1 percent 
to 72.2 percent. Injectables, implants, tubal ligation recorded an increase, accounting for 72.2 
percent, 58.2 percent and 45.6 percent respectively of the workplaces. The Workplaces not 
providing IUCD/IUD increased from 41.4 percent to 69.6 percent and conversely vasectomy 
provision declined from 75 percent in 2007 to 53.2 percent in 2010. 
Workplaces not supporting STI diagnosis and treatment services declined from 52.7 percent 
in 2007 to 16.7 percent in 2010. The same scenario was replicated with ante natal care services 
from 56.4 percent to 16.7 percent. Labor and delivery services rose to 64.6 percent in 2010; post 
partum care improved; pap smear services declined to 36.7 percent; and mammogram services 
END OF PROJECT EVALUATION ON COMPREHENSIVE I . 
WORKPLACE PROGRAMS (CWPp) REPORT: IX 
APHIA II coast and Rift VsIIey, 2010 
EXECUTIVE SUMMARY 
The assessment study was carried out in APHIA II project business enterprise workplaces for 
Coast and Rift Valley provinces as an end of project evaluation. A total of 36.4 percent of 
the enterprises were from the agriculture sector, 28.6 percent, goods/services, 20.8 percent, 
manufacturing and 14.3 percent, hotel and tour industry. The combined workforce of the 
workplaces was 133,396 employees involving 79 workplaces from Coast and Rift Valley province. 
The fulltime management/administrative accounted for 6.8 percent of The employees at APHIA 
II project partner work sites while 21.8 percent were full time unskilled production employees. 
Comprehensive workplace policy and programs was established in 90.9 percent of the business 
workplaces by 2010 as compared to 50.9 percent in 2007. This implies that the APHIA II project 
succeeded in mainstreaming the HIV / AIDS workplace policies in the business enterprises. A 100 
percent CWPP support was recorded on; condom promotion and distribution, IEC materials 
and referral for treatment and other care and support materials. 
Capacity building activities were carried out targeting all the levels of employees. This included 
management sensitization that covered 800 employees drawn from Coast and Rift Valley provinces 
(50.4 percent and 49.8 percent). Also, program design and implementation benefited a total of 
2,261 employees. In essence, employees were taken through a series of trainings on specific areas of 
the CWPP targeting between 55,479 employees from Rift valley and 26,034 employees from Coast. 
A total of 86.1 percent of the workplaces supported family and community outreach activities. 
The Modes of financing HIV/AIDS service provision in the workplaces ranged from onsite 
clinic, private insurance, reimbursement to employees, and contract with NGO. The modes also 
included contract with private profit making health service providers (Private Health Facilities) 
and employee contributory funds. Workplaces financing testing and counseling of HIV/AIDS 
increased from 44.8 percent in 2007 to 83.5 percent in 2010. A total of 47 percent reported 
financing mode for testing and counseling ofHIV/AIDS is through on site clinic. Provision of 
ARTs to employees increased from 44.6 percent in 2007 to 68.4 percent in 2010. Home based 
care of HIV/AIDS increased from 44.8 percent in 2007 to 53.2 percent in 2010. Treatment 
for prevention of mother to child transmission of HIV/AIDS rose from 64.1 percent to 75.9 
percent. However, adherence counseling on ARVs support declined from 57.1 percent to 27.8 
percent. Counseling on alcohol and drug abuse rose from 48.2 percent to 82.9 percent while 
counseling on alcohol drug abuse rose from 48.2 percent in 2007 to 82.9 percent in 2010. 
A total of 29.3 percent and 14.1 percent of the workplaces supported counseling on correct 
condom use in 2007 and 2010 respectively. 
Only 12.7 percent of the workplaces did not finance provision of male condoms in 2010 
compared to 33.9 percent in 2007. In the same period, provision for pills rose from 25.1 percent 
to 72.2 percent. Injectables, implants, tubal ligation recorded an increase, accounting for 72.2 
percent, 58.2 percent and 45.6 percent respectively of the workplaces. The Workplaces not 
providing IUCD/IUD increased from 41.4 percent to 69.6 percent and conversely vasectomy 
provision declined from 75 percent in 2007 to 53.2 percent in 2010. 
Workplaces not supporting STI diagnosis and treatment services declined from 52.7 percent 
in 2007 to 16.7 percent in 2010. The same scenario was replicated with ante natal care services 
from 56.4 percent to 16.7 percent. Labor and delivery services rose to 64.6 percent in 2010; post 
partum care improved; pap smear services declined to 36.7 percent; and mammogram services 
END OF PROJECT EVALUATION ON COMPREHENSIVE I . 
WORKPLACE PROGRAMS (CWPp) REPORT: IX 
APHIA II coast and Rift VsIIey, 2010 
to 36.7 percent. Child health care services improved from 47.3 percent in 2007 to between 67.2 
percent and 72.2 percent. 
Workplaces not paying for health services declined from 26.7 percent to 17.6 percent. Majority 
of the workplaces finance health services for fulltime, management/administrative staff at 85.2 
percent. Only 49.4 percent of the workplaces reported to be financing seasonal employees up from 
26.7 percent. Health service financing for the spouse and children remained nearly the same; from 
64.7 percent to 63.3 percent and 63.5 percent to 60.8 percent respectively. There was improvement 
in support for adopted children and orphans increasing by 7.8 percent and 13.8 percent. 
Availability of free government service on HIV/AIDS services (79.5 percent of workplaces) was 
main reason for not providing the service. Other reasons mentioned are; too expensive and low 
utilization. Workplaces not offering family planning services declined from 15.7 percent to 8.7 
percent. Reasons for not providing the family planning services were; Free government service 
accounted for 59.6 percent, expensive (22.0 percent). Also, other reproductive health services 
and child health services were not provided due to being too expensive ( 25.6 percent and 16.9 
percent) and availability of free government services(59.7 percent and 57.1 percent). 
A total of 56.9 percent of the workplaces (37.5 percent in Rift valley and 19.4 percent in 
Coast) established an onsite health clinic. The motivation for the establishment was given as; 
employee demand (64.3 percent), staff retention (50.0 percent) and lack of health facilities in 
the community (40.5 percent). Other reasons were to reduce medical expenses (25.0 percent) 
and inherited service after government privatization (4.9 percent). Analysis further shows that 
53.4 percent of the employees are full time permanent nurses while 23.0 percent are full time 
permanent physicians. Laboratory tests were carried out in the onsite clinics; 42.5 percent of 
workplaces carried out HIV testing tests, Basic hematology, 21.9 percent, Blood chemistry tests, 
19.2 percent. CD4 counts hematology tests, 8.2 percent, Viral load test, 4. 1 percent and culture 
tests, 13.7 percent. Information on service utilization was provided with a total 24,987 were 
counseled on correct condom use, 14,428 employees were provided with HIV / AIDS testing and 
counseling, 10,637 counseling on being sexually faithful and 8,420 counseling on abstinence. 
The proportion of workplaces providing ARVs in the onsite clinic rose marginally from 13.8 
percent to 14.0 percent. Most workplaces (72.5 percent) with onsite clinics stated that they 
did not provide ARVs since it is available free from the Government. Other reasons given were; 
lack of access to supplies (17.5 percent) and limitation of national regulation (20.0 percent). 
Monitoring of employees ART progress was reported at onsite clinic (41.9 percent), refer to 
government facility (83.7 percent) and refer to private clinic (32.6 percent). Only 42.0 percent 
of the workplaces with onsite clinics reported ART statistics to the government. About 46.3 
percent of the workplaces reported that free government access improved its ability, 19.5 percent 
stated no impact on ability while only 2.4 percent stated reduced ability. 
Onsite health clinics relied on supplies from the government, NGOS and private for profit 
organizations. The main supplier for ARVs to the clinics was the government (53.5 percent) 
and NGOs (16.3 percent) an improvement from 23.1 percent and 30.8 percent. Government 
free access policy resulted in fewer workplaces relying on private health facilities, declining from 
15.4 percent to 2.3 percent. The Government was the highest supplier for HN/AIDS test kits 
(72.1 percent), Opportunistic infections drugs (67.4 percent), Tuberculosis drugs (74.4 percent) 
and male condoms (90.0 percent). Cases of stock run out was lower in 2010 as compared to 
2007, depicting that the workplaces were more prepared in ensuring stock adequacy. Some of 
the cases of stock run out were antibiotics (27.9 percent), male condoms (25.6 percent), malaria 
drug (23.3 percent), implants (16.3 percent), 01 drugs (16.3 percent) and HN test kits (14.0 
percent). A serious concern is lack ofTB drugs and ARVs as reported by 5.0 percent and 2.3 
percent of the onsite health clinics. 
I END OF PROJECT EVALUAnON ON COMPREHENSIVE X WORKPLACE PROGRAMS (CWPp) REPORT: APHIA II Coast and Rift Valley. 2010 
to 36.7 percent. Child health care services improved from 47.3 percent in 2007 to between 67.2 
percent and 72.2 percent. 
Workplaces not paying for health services declined from 26.7 percent to 17.6 percent. Majority 
of the workplaces finance health services for fulltime, management/administrative staff at 85.2 
percent. Only 49.4 percent of the workplaces reported to be financing seasonal employees up from 
26.7 percent. Health service financing for the spouse and children remained nearly the same; from 
64.7 percent to 63.3 percent and 63.5 percent to 60.8 percent respectively. There was improvement 
in support for adopted children and orphans increasing by 7.8 percent and 13.8 percent. 
Availability of free government service on HIV/AIDS services (79.5 percent of workplaces) was 
main reason for not providing the service. Other reasons mentioned are; too expensive and low 
utilization. Workplaces not offering family planning services declined from 15.7 percent to 8.7 
percent. Reasons for not providing the family planning services were; Free government service 
accounted for 59.6 percent, expensive (22.0 percent). Also, other reproductive health services 
and child health services were not provided due to being too expensive ( 25.6 percent and 16.9 
percent) and availability of free government services(59.7 percent and 57.1 percent). 
A total of 56.9 percent of the workplaces (37.5 percent in Rift valley and 19.4 percent in 
Coast) established an onsite health clinic. The motivation for the establishment was given as; 
employee demand (64.3 percent), staff retention (50.0 percent) and lack of health facilities in 
the community (40.5 percent). Other reasons were to reduce medical expenses (25.0 percent) 
and inherited service after government privatization (4.9 percent). Analysis further shows that 
53.4 percent of the employees are full time permanent nurses while 23.0 percent are full time 
permanent physicians. Laboratory tests were carried out in the onsite clinics; 42.5 percent of 
workplaces carried out HIV testing tests, Basic hematology, 21.9 percent, Blood chemistry tests, 
19.2 percent. CD4 counts hematology tests, 8.2 percent, Viral load test, 4. 1 percent and culture 
tests, 13.7 percent. Information on service utilization was provided with a total 24,987 were 
counseled on correct condom use, 14,428 employees were provided with HIV / AIDS testing and 
counseling, 10,637 counseling on being sexually faithful and 8,420 counseling on abstinence. 
The proportion of workplaces providing ARVs in the onsite clinic rose marginally from 13.8 
percent to 14.0 percent. Most workplaces (72.5 percent) with onsite clinics stated that they 
did not provide ARVs since it is available free from the Government. Other reasons given were; 
lack of access to supplies (17.5 percent) and limitation of national regulation (20.0 percent). 
Monitoring of employees ART progress was reported at onsite clinic (41.9 percent), refer to 
government facility (83.7 percent) and refer to private clinic (32.6 percent). Only 42.0 percent 
of the workplaces with onsite clinics reported ART statistics to the government. About 46.3 
percent of the workplaces reported that free government access improved its ability, 19.5 percent 
stated no impact on ability while only 2.4 percent stated reduced ability. 
Onsite health clinics relied on supplies from the government, NGOS and private for profit 
organizations. The main supplier for ARVs to the clinics was the government (53.5 percent) 
and NGOs (16.3 percent) an improvement from 23.1 percent and 30.8 percent. Government 
free access policy resulted in fewer workplaces relying on private health facilities, declining from 
15.4 percent to 2.3 percent. The Government was the highest supplier for HN/AIDS test kits 
(72.1 percent), Opportunistic infections drugs (67.4 percent), Tuberculosis drugs (74.4 percent) 
and male condoms (90.0 percent). Cases of stock run out was lower in 2010 as compared to 
2007, depicting that the workplaces were more prepared in ensuring stock adequacy. Some of 
the cases of stock run out were antibiotics (27.9 percent), male condoms (25.6 percent), malaria 
drug (23.3 percent), implants (16.3 percent), 01 drugs (16.3 percent) and HN test kits (14.0 
percent). A serious concern is lack ofTB drugs and ARVs as reported by 5.0 percent and 2.3 
percent of the onsite health clinics. 
I END OF PROJECT EVALUAnON ON COMPREHENSIVE X WORKPLACE PROGRAMS (CWPp) REPORT: APHIA II Coast and Rift Valley. 2010 
1.0 INTRODUCTION 
1.1 Background Information 
The AIDS, Population. and Health Integrated Assistance Program (APHIA II) was initiated to 
provide HIV/AIDS and Tuberculosis (TB) prevention, treatment, care and support and to a lesser 
extent, reproductive health/family planning (RH/PF), malaria, and maternal and child health 
(MCH) services. APHIA II is a program funded by the United States Agency for International 
Development (USAID) Bureau for Africa. 
In Kenya, APHIA II covered all the provinces with different strategic partners having specific 
mandates during implementation. The APHIA II project team in the Coast and Rift Valley is led 
by Family Health International (FH I). Other strategic partners in APHIA II Coast and Rift Valley 
provinces include: the Cooperative League of USA (CLUSA), whose primary responsibility is 
to support community mobilization and establish linkages between the community and health 
facilities; Catholic Relief Services (CRS), which leads in care and support, home-based care and 
orphans and vulnerable children; ]HPIEGO. which facilitates health service integration and 
training; Social Impact, Inc., which is charged with the responsibility of ensuring organizational 
and human capacity development among the implementing partners; National Organization 
of Peer Educators (NOPE) which assists in the implementation of peer education programs 
in workplaces and among youth and community groups; and World Vision, whose primary 
responsibility is orphans and vulnerable children in Rift Valley province. 
The target of APHIA II was to create decentralized and integrated networks for prevention, care 
and treatment services. These networks were set up to strengthen and link existing programs and 
resources in the public and private sectors and among faith and community-based organizations. 
NOPE's role is to offer technical support in workplace program at private and public sectors 
for effective implementation and innovation of comprehensive workplace policy programs 
(CWPP). 
Since 2008, the public and private sector enterprises have implemented HIV/AIDS workplaces 
strategies with support from the various strategic partners. The areas of support include: program 
formulation and coordination, prevention; treatment; care and support among others. The overall 
goal of the workplace strategy in APHIA II project was to ensure prevention of HIV infection 
among employees through provision of information, education, condom promotion and 
distribution, improved access to sexually transmitted infections (STI) prevention and treatment, 
and voluntary counseling and testing and access to HIV treatment, care and support. 
Seventy nine workplaces from Rift Valley (41) and Coast (38) provinces had undergone major 
steps in development and implementation of a comprehensive HIV/AIDS prevention care and 
support programs over the project implementation phase. The workplace were rated using a 
comprehensive HIV/AIDS program assessment too!, and gaps identified have over the past four 
years been addressed gradually as the project unfolded. The tool assessed, three broad categories 
including; HIV/AIDS prevention elements, availability and access to HIV/AIDs treatment, 
and also assessed if workplaces have put in place an enabling environment for the program 
implementation. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 11 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
1.0 INTRODUCTION 
1.1 Background Information 
The AIDS, Population. and Health Integrated Assistance Program (APHIA II) was initiated to 
provide HIV/AIDS and Tuberculosis (TB) prevention, treatment, care and support and to a lesser 
extent, reproductive health/family planning (RH/PF), malaria, and maternal and child health 
(MCH) services. APHIA II is a program funded by the United States Agency for International 
Development (USAID) Bureau for Africa. 
In Kenya, APHIA II covered all the provinces with different strategic partners having specific 
mandates during implementation. The APHIA II project team in the Coast and Rift Valley is led 
by Family Health International (FH I). Other strategic partners in APHIA II Coast and Rift Valley 
provinces include: the Cooperative League of USA (CLUSA), whose primary responsibility is 
to support community mobilization and establish linkages between the community and health 
facilities; Catholic Relief Services (CRS), which leads in care and support, home-based care and 
orphans and vulnerable children; ]HPIEGO. which facilitates health service integration and 
training; Social Impact, Inc., which is charged with the responsibility of ensuring organizational 
and human capacity development among the implementing partners; National Organization 
of Peer Educators (NOPE) which assists in the implementation of peer education programs 
in workplaces and among youth and community groups; and World Vision, whose primary 
responsibility is orphans and vulnerable children in Rift Valley province. 
The target of APHIA II was to create decentralized and integrated networks for prevention, care 
and treatment services. These networks were set up to strengthen and link existing programs and 
resources in the public and private sectors and among faith and community-based organizations. 
NOPE's role is to offer technical support in workplace program at private and public sectors 
for effective implementation and innovation of comprehensive workplace policy programs 
(CWPP). 
Since 2008, the public and private sector enterprises have implemented HIV/AIDS workplaces 
strategies with support from the various strategic partners. The areas of support include: program 
formulation and coordination, prevention; treatment; care and support among others. The overall 
goal of the workplace strategy in APHIA II project was to ensure prevention of HIV infection 
among employees through provision of information, education, condom promotion and 
distribution, improved access to sexually transmitted infections (STI) prevention and treatment, 
and voluntary counseling and testing and access to HIV treatment, care and support. 
Seventy nine workplaces from Rift Valley (41) and Coast (38) provinces had undergone major 
steps in development and implementation of a comprehensive HIV/AIDS prevention care and 
support programs over the project implementation phase. The workplace were rated using a 
comprehensive HIV/AIDS program assessment too!, and gaps identified have over the past four 
years been addressed gradually as the project unfolded. The tool assessed, three broad categories 
including; HIV/AIDS prevention elements, availability and access to HIV/AIDs treatment, 
and also assessed if workplaces have put in place an enabling environment for the program 
implementation. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 11 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
The implementation phase took in to account the following strategies: 
• Strategic communication interventions to improve knowledge 
• Advocacy among senior management and workplace leaders for ownership and 
commitment to enhance sustainability 
• Capacity building for the CWPP coordination and implementation 
• Established linkages to facility based services, to employees, their families, and 
communities 
• Documentation and dissemination of best practices on comprehensive workplace 
policy programs. 
• Monitoring and Evaluation 
1.2 Purpose of Evaluation 
The end of term APHIA II project evaluation for Rift Valley and Coast Provinces of Kenya 
was carried out to assess the impact of the project. It is a follow up assessment after the 2007 
baseline capacity assessment of workplace programs. The assessments were carried out by 
National Organization of Peer Educators (NOPE) as part of its technical support in monitoring 
and evaluation of interventions implemented in APHIA II Coast and Rift Valley. The need 
for the evaluation was to assist in drawing comparative analysis of achievements during the 
implementation of workplace HNIAIDS programmes in the two provinces. 
1.3 Study Objectives 
1.3.1 Overall Objective 
To establish the impact of comprehensive HIV/AIDS workplace program activities in provision 
of health care services to the employees in public and private enterprises in Rift Valley and Coast 
provinces in Kenya. 
1.3.2 Specific Objectives 
The study's specific objectives were to:-
• Ascertain the number of business enterprises with established comprehensive HNIAIDS 
workplace policy and programs. 
• Determine the number of employees accessing workplaces health care services on 
prevention, treatment and care in regard to ART, tuberculosis and malaria. 
• Examine the extent to which workplaces support employees in accessing maternal and 
child health, family planning and other Reproductive Health (RH) services. 
• Ascertain the extent of implementation of HIV I AIDS prevention, care, and treatment 
services to employee's and family members by the workplaces. 
• Evaluate extent workplaces have integrated collaborative activities on HNIAIDS with 
communities, civil societies and government agencies. 
• Assess extent integration of workplace activities contributed towards eliminating 
discrimination and stigmatization of PLHIY. 
• Identify barriers to implementation of HN&AIDS workplace policies and activities. 
• Propose appropriate strategies for effective mainstreaming of HIV&AIDS programs in 
workplaces that address health of employees and their families. 
2 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
The implementation phase took in to account the following strategies: 
• Strategic communication interventions to improve knowledge 
• Advocacy among senior management and workplace leaders for ownership and 
commitment to enhance sustainability 
• Capacity building for the CWPP coordination and implementation 
• Established linkages to facility based services, to employees, their families, and 
communities 
• Documentation and dissemination of best practices on comprehensive workplace 
policy programs. 
• Monitoring and Evaluation 
1.2 Purpose of Evaluation 
The end of term APHIA II project evaluation for Rift Valley and Coast Provinces of Kenya 
was carried out to assess the impact of the project. It is a follow up assessment after the 2007 
baseline capacity assessment of workplace programs. The assessments were carried out by 
National Organization of Peer Educators (NOPE) as part of its technical support in monitoring 
and evaluation of interventions implemented in APHIA II Coast and Rift Valley. The need 
for the evaluation was to assist in drawing comparative analysis of achievements during the 
implementation of workplace HNIAIDS programmes in the two provinces. 
1.3 Study Objectives 
1.3.1 Overall Objective 
To establish the impact of comprehensive HIV/AIDS workplace program activities in provision 
of health care services to the employees in public and private enterprises in Rift Valley and Coast 
provinces in Kenya. 
1.3.2 Specific Objectives 
The study's specific objectives were to:-
• Ascertain the number of business enterprises with established comprehensive HNIAIDS 
workplace policy and programs. 
• Determine the number of employees accessing workplaces health care services on 
prevention, treatment and care in regard to ART, tuberculosis and malaria. 
• Examine the extent to which workplaces support employees in accessing maternal and 
child health, family planning and other Reproductive Health (RH) services. 
• Ascertain the extent of implementation of HIV I AIDS prevention, care, and treatment 
services to employee's and family members by the workplaces. 
• Evaluate extent workplaces have integrated collaborative activities on HNIAIDS with 
communities, civil societies and government agencies. 
• Assess extent integration of workplace activities contributed towards eliminating 
discrimination and stigmatization of PLHIY. 
• Identify barriers to implementation of HN&AIDS workplace policies and activities. 
• Propose appropriate strategies for effective mainstreaming of HIV&AIDS programs in 
workplaces that address health of employees and their families. 
2 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
1.4 Methodology 
1.4.1 Study Design 
The study was conducted in two provinces in Kenya; Rift Valley and Coast. The target group 
was formal workplaces of varied sizes and nature of business. The sampling design of study sites 
was purposive and predetermined targeting the areas and business in which APHIA II project 
was being implemented. 
The evaluation targeted the business sectors under APHIA II project in predetermined clusters 
from Coast and Rift Valley Province. All the 79 workplaces where CWPP was being implemented 
were the respondents in this evaluation. The workplaces with CWPP are situated in the following 
districts within the two provinces; Coast (Taita, Taveta, Mombasa, Kwale, Kilifi, and Malindi) 
and Rift Valley (Nakuru, Kiobatek, Naivasha, Narok, Kericho and Nandi) respectively. 
1.4.2 Questionnaires 
The content of the questionnaires were based on model questions used during the 2007 baseline 
survey with minimal variance to reflect the new developments in the health care services. 
The questionnaire captured information from all the targeted public and private sector workplaces 
and covered the following topics: 
• Background information about the workplaces, 
• HIV/AIDS programmes and policies and sensitization of employees 
• Support of HI VI AIDS & related activities at the workplace(workplace HIV activities 
• HIV/AIDS programme coordination & implementation (HIV workplace activities) 
• Financing of HI VI AIDS and reproductive health services, 
• Provision of Reproductive Health (Family Planning) services 
• Provision of other reproductive health services 
• Provision of Child Health Services 
• Reasons for non provision of HI VI AIDS and reproductive health care services, 
• Provision of health care to members of the employees' family, 
• Existence of health services on-site, 
• HIV/AIDS and health care service linkages and networking, 
• Service provision points and existence of employees' and Family support activities. 
1.4.3 Data administration 
This second Phase of the workplace CWPP evaluation was planned for the fourth year of the 
APHIA II project implementation. The data collection activities took place between April and 
June 2010 in the 79 sites. 
The data collectors for the evaluation were the APHIA II focal point persons, project staff and 
selected health service providers in the workplaces. The questionnaire was self administered with 
the respondents' given adequate time to complete. The completed questionnaires were later 
collected by APHIA II project staff and submitted to NOPE M&E team. 
1.4.4 Data processing 
, 
The data processing team undertook manual validation and editing. The data was thereafter 
entered and analyzed using SPSS. The data was presented using frequency tables, cross tabulations, 
graphs and charts. Exploration of data to highlight unique attributes of the workplaces, business 
sectors and provinces was done. A comparative report was prepared that compared the status of 
the workplaces in the baseline (2007) and end term project (2010). The preliminary results of 
the analysis was shared with NOPE staff and disseminated to APHIA II stakeholder's. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 13 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
1.4 Methodology 
1.4.1 Study Design 
The study was conducted in two provinces in Kenya; Rift Valley and Coast. The target group 
was formal workplaces of varied sizes and nature of business. The sampling design of study sites 
was purposive and predetermined targeting the areas and business in which APHIA II project 
was being implemented. 
The evaluation targeted the business sectors under APHIA II project in predetermined clusters 
from Coast and Rift Valley Province. All the 79 workplaces where CWPP was being implemented 
were the respondents in this evaluation. The workplaces with CWPP are situated in the following 
districts within the two provinces; Coast (Taita, Taveta, Mombasa, Kwale, Kilifi, and Malindi) 
and Rift Valley (Nakuru, Kiobatek, Naivasha, Narok, Kericho and Nandi) respectively. 
1.4.2 Questionnaires 
The content of the questionnaires were based on model questions used during the 2007 baseline 
survey with minimal variance to reflect the new developments in the health care services. 
The questionnaire captured information from all the targeted public and private sector workplaces 
and covered the following topics: 
• Background information about the workplaces, 
• HIV/AIDS programmes and policies and sensitization of employees 
• Support of HI VI AIDS & related activities at the workplace(workplace HIV activities 
• HIV/AIDS programme coordination & implementation (HIV workplace activities) 
• Financing of HI VI AIDS and reproductive health services, 
• Provision of Reproductive Health (Family Planning) services 
• Provision of other reproductive health services 
• Provision of Child Health Services 
• Reasons for non provision of HI VI AIDS and reproductive health care services, 
• Provision of health care to members of the employees' family, 
• Existence of health services on-site, 
• HIV/AIDS and health care service linkages and networking, 
• Service provision points and existence of employees' and Family support activities. 
1.4.3 Data administration 
This second Phase of the workplace CWPP evaluation was planned for the fourth year of the 
APHIA II project implementation. The data collection activities took place between April and 
June 2010 in the 79 sites. 
The data collectors for the evaluation were the APHIA II focal point persons, project staff and 
selected health service providers in the workplaces. The questionnaire was self administered with 
the respondents' given adequate time to complete. The completed questionnaires were later 
collected by APHIA II project staff and submitted to NOPE M&E team. 
1.4.4 Data processing 
, 
The data processing team undertook manual validation and editing. The data was thereafter 
entered and analyzed using SPSS. The data was presented using frequency tables, cross tabulations, 
graphs and charts. Exploration of data to highlight unique attributes of the workplaces, business 
sectors and provinces was done. A comparative report was prepared that compared the status of 
the workplaces in the baseline (2007) and end term project (2010). The preliminary results of 
the analysis was shared with NOPE staff and disseminated to APHIA II stakeholder's. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 13 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
2.0 WORKPLACE CHARACTERISTICS 
This chapter describes the characteristics of business institutions workforce in APHIA II Project 
partner sites in Coast and Rift Valley provinces. The information presented describes the nature 
of business enterprises and number of employees, including their qualifications and gender. The 
data enhances understanding the scope of interventions implemented within the comprehensive 
workplace programs (CWPP) in the workplaces. The Workplaces with CWPP were expected 
to utilize the workplace implementation strategy designed to assist the managers and program 
leaders to design in-house approaches. 
2.1 Nature of Business Enterprises by Region 
The APHIA II Projea partner sites comprised four business category enterprises as shown in Figure 
2.1. Majority of the enterprises were from agriculture seaor, 36.4 percent followed by goods/Services, 
28.6 percent, manufaauring, 20.8 percent and lastly, tour and hotel industry, 14.3 percent. 
Figure 2.1: APHIA II Project Business Enterprises Composition, 2010 
Goods/Service 
Providers 
29% 
\ 
Agriculture 
36% 
Manufacturing i 21% 
Table 2.1 presents data on the business enterprises in Rift valley and coast provinces with 54 
enterprises in 2007 as compared 79 in 2010. The proportion of workplaces in Rift Valley was 55.6 
percent in 2007 and 51.9 percent in 2010. During the year of evaluation, Coast province had 
the highest number of enterprises engaged in goods/services (22.1 percent) and tour and hotel 
industry (13.0 percent). Most of the enterprises in Rift valley province were from agriculture 
(29.9 percent) and manufacturing (14.3 percent). In all the APHIA II Project partner sites, the 
manufacturing enterprises (40.7 percent) was the highest in 2007 while in 2010, agriculture 
(36.4 percent) was higher 
Table 2.1 Distribution of Workplace /Institutions by nature of business, 2007 and 2010 
Business categroy 2017 201 0 
Rift Valley 
Goods/services provider 7.4 
Tour and hotel industry 
Manufacturing 29.6 
Agriculture 18.5 
Total 55.6 
N=54 in 2007 and N=79 in 2010 
41 END OF PROJECT EVAlUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPp) REPORT: APHIA II Coast and Rift Valley. 2010 
Coast 
13.0 
14.8 
11.1 
5.6 
44.4 
Total Rift Valley Coast Total 
20.4 6.5 22.1 28.6 
14.8 1.3 13.0 14.3 
40.7 14.3 6.5 20.8 
24.1 29.9 6.5 36.4 
100.0 51.9 48.1 100.0 
2.0 WORKPLACE CHARACTERISTICS 
This chapter describes the characteristics of business institutions workforce in APHIA II Project 
partner sites in Coast and Rift Valley provinces. The information presented describes the nature 
of business enterprises and number of employees, including their qualifications and gender. The 
data enhances understanding the scope of interventions implemented within the comprehensive 
workplace programs (CWPP) in the workplaces. The Workplaces with CWPP were expected 
to utilize the workplace implementation strategy designed to assist the managers and program 
leaders to design in-house approaches. 
2.1 Nature of Business Enterprises by Region 
The APHIA II Projea partner sites comprised four business category enterprises as shown in Figure 
2.1. Majority of the enterprises were from agriculture seaor, 36.4 percent followed by goods/Services, 
28.6 percent, manufaauring, 20.8 percent and lastly, tour and hotel industry, 14.3 percent. 
Figure 2.1: APHIA II Project Business Enterprises Composition, 2010 
Goods/Service 
Providers 
29% 
\ 
Agriculture 
36% 
Manufacturing i 21% 
Table 2.1 presents data on the business enterprises in Rift valley and coast provinces with 54 
enterprises in 2007 as compared 79 in 2010. The proportion of workplaces in Rift Valley was 55.6 
percent in 2007 and 51.9 percent in 2010. During the year of evaluation, Coast province had 
the highest number of enterprises engaged in goods/services (22.1 percent) and tour and hotel 
industry (13.0 percent). Most of the enterprises in Rift valley province were from agriculture 
(29.9 percent) and manufacturing (14.3 percent). In all the APHIA II Project partner sites, the 
manufacturing enterprises (40.7 percent) was the highest in 2007 while in 2010, agriculture 
(36.4 percent) was higher 
Table 2.1 Distribution of Workplace /Institutions by nature of business, 2007 and 2010 
Business categroy 2017 201 0 
Rift Valley 
Goods/services provider 7.4 
Tour and hotel industry 
Manufacturing 29.6 
Agriculture 18.5 
Total 55.6 
N=54 in 2007 and N=79 in 2010 
41 END OF PROJECT EVAlUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPp) REPORT: APHIA II Coast and Rift Valley. 2010 
Coast 
13.0 
14.8 
11.1 
5.6 
44.4 
Total Rift Valley Coast Total 
20.4 6.5 22.1 28.6 
14.8 1.3 13.0 14.3 
40.7 14.3 6.5 20.8 
24.1 29.9 6.5 36.4 
100.0 51.9 48.1 100.0 
2.2 Category and Size of Employees 
Information on number of employees, employment status and skills was sought and is discussed 
in this section. This information is intended to provide a detailed account of the structure 
of employees who were targeted during the H IV and AIDS intervention activities at the 
workplaces. 
2.2.1 Number of Employees in Business enterprises 
Figure 2.2 shows that majority of the employees were from Rift Valley province at 76.8 percent 
with agriculture sector constituting 46.3 percent and manufacturing, 15.4 percent. The highest 
number of employees in Coast province was recorded in agricultural enterprises at 6.6 percent 
followed by manufacturing, 6.1 percent and goods and services, 6.0 percent. The proportion of 
employees in the tour and hotel industry for Rift Valley and Coast provinces was 5.2 percent 
and 4.5 percent respectively. 
Figure 2.2: Proportion of employees by business sector and province 
• Rift Valley 
80 • Coast 768 
70 
80 
CD 
C> 50 co 
E 
40 
* 30 
23.2 
20 
10 
0 
Table 2.2 presents the number of employees in the APHIA II project partner sites business 
enterprises for the year 2007 and 2010. The APHIA II Project partner sites recorded a total of 
133,396 employees in 2010 compared to 53,668 employees in 2007. The increase is attributed 
to more workplaces on board during the project implementation (79) compared to the 54 
during the baseline. In 2010, the largest number of employees was in the agriculture sector, 
48,635 followed by manufacturing, 49,301 and the least was tour and hotel industry, 13,795 
employees. 
Table 2.2 Number of Employees by Business category and province, 2007 and 2010 
Business Category 2007 
Rift Valley (oast Total 
Goods/services provider 2,526 9,433 11,959 
Tour and hotel industry 10,929 22,888 33,817 
Manufacturing 2,095 1,199 3,294 
Agriculture 3,029 1,569 4,598 
Total 18,579 35,089 53,668 
2010 I RiftValley (oast Total 
[ 10,823 19,842 30,665 
2,830 10,965 13,795 
1 36,604 3,697 40,301 
43,817 4,818 48,635 
I 94,074 39,322 133,396 
END OF PROJECT EVALUATION ON COMPREHENSIVE 15 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
2.2 Category and Size of Employees 
Information on number of employees, employment status and skills was sought and is discussed 
in this section. This information is intended to provide a detailed account of the structure 
of employees who were targeted during the H IV and AIDS intervention activities at the 
workplaces. 
2.2.1 Number of Employees in Business enterprises 
Figure 2.2 shows that majority of the employees were from Rift Valley province at 76.8 percent 
with agriculture sector constituting 46.3 percent and manufacturing, 15.4 percent. The highest 
number of employees in Coast province was recorded in agricultural enterprises at 6.6 percent 
followed by manufacturing, 6.1 percent and goods and services, 6.0 percent. The proportion of 
employees in the tour and hotel industry for Rift Valley and Coast provinces was 5.2 percent 
and 4.5 percent respectively. 
Figure 2.2: Proportion of employees by business sector and province 
• Rift Valley 
80 • Coast 768 
70 
80 
CD 
C> 50 co 
E 
40 
* 30 
23.2 
20 
10 
0 
Table 2.2 presents the number of employees in the APHIA II project partner sites business 
enterprises for the year 2007 and 2010. The APHIA II Project partner sites recorded a total of 
133,396 employees in 2010 compared to 53,668 employees in 2007. The increase is attributed 
to more workplaces on board during the project implementation (79) compared to the 54 
during the baseline. In 2010, the largest number of employees was in the agriculture sector, 
48,635 followed by manufacturing, 49,301 and the least was tour and hotel industry, 13,795 
employees. 
Table 2.2 Number of Employees by Business category and province, 2007 and 2010 
Business Category 2007 
Rift Valley (oast Total 
Goods/services provider 2,526 9,433 11,959 
Tour and hotel industry 10,929 22,888 33,817 
Manufacturing 2,095 1,199 3,294 
Agriculture 3,029 1,569 4,598 
Total 18,579 35,089 53,668 
2010 I RiftValley (oast Total 
[ 10,823 19,842 30,665 
2,830 10,965 13,795 
1 36,604 3,697 40,301 
43,817 4,818 48,635 
I 94,074 39,322 133,396 
END OF PROJECT EVALUATION ON COMPREHENSIVE 15 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
2.2.2 Gender Variation 
Analysis of Figure 2.3 indicates that 52.2 percent of the workers in all the economic sectors were 
male employees in 2010 compared to 58.8 percent in 2007. The manufacturing sector recorded 
the highest male proportion of workforce at 54.5 percent while in 2007, it was agriculture with 
76.2 percent. In general, the gender variation of the employees was not significant. 
Figure 2.3: Proportion of Employees by Gender and Economic Sector 
80.0 
70.0 
80.0 
t SO.o 
c: 
i 40.0 
* 30.0 
20.0 
10.0 
0 
.• Male2007 
• Female 2007 
Male 2010 
Female 2010 
GoodsIS9IVices 
provider 
62.8 
51.3 
48.7 
Tour and ho19l 
industry 
54.8 
51.3 
48.7 
Manufacturing 
54.4 
45.6 
2.2.3 Professional Status of the Employees 
Agricunure 
76.2 
52.2 
47.8 
Total 
58.5 
41.5 
52.2 
47.6 
Table 2.3 presents information on employees in specified employment status for each of the 
business category for the year 2007 and 2010. The data shows that in 2010, there were 4,961 
and 4,129 full time management/administrative employees in Rift Valley and Coast provinces. 
Also, analysis of Table 2.4 indicates that full time management/administrative employees 
constitute 40.5 percent of employees in the goods and services while 36.3 percent are from the 
agriculture sector. Majority of the full time, unskilled production employees were in agriculture 
(54.4 percent) followed by goods and services, 18.3 percent. Full time skilled employees were 
highest in manufacturing (44.0 percent) as compared to the least in tour and hotel industry 
(14.6 percent). 
Table 2.4: Number and Percentage Distribution of employees by category and business sector 
Category of Employee 2007 2010 
RlftValley Coast 
Full time management! 
administrative employees 3,225 6,138 
Full time, skilled production 
employees 5,709 11,155 
Full time, unskilled production 
employees 6,415 10,535 
Part-time, all year employees 1,218 2,050 
Seasonal, all year employees 2,012 5,211 
Total 18,579 35,089 
61 END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA 11 Coast and Rift Valley. 2010 
Total 
9,363 
16,864 
16,950 
3,268 
7,223 
53,668 
% Rift Valley Coast Total % 
17.4 4,961 4,129 9,090 6.8 
31.4 19,393 6,869 26,262 19.7 
31.6 19,619 9,478 29,097 21.8 
6.1 25,515 9,527 35,042 26.3 
13.5 24,586 9,319 33,905 25.4 
100.0 94,074 39,322 133,396 100.0 
2.2.2 Gender Variation 
Analysis of Figure 2.3 indicates that 52.2 percent of the workers in all the economic sectors were 
male employees in 2010 compared to 58.8 percent in 2007. The manufacturing sector recorded 
the highest male proportion of workforce at 54.5 percent while in 2007, it was agriculture with 
76.2 percent. In general, the gender variation of the employees was not significant. 
Figure 2.3: Proportion of Employees by Gender and Economic Sector 
80.0 
70.0 
80.0 
t SO.o 
c: 
i 40.0 
* 30.0 
20.0 
10.0 
0 
.• Male2007 
• Female 2007 
Male 2010 
Female 2010 
GoodsIS9IVices 
provider 
62.8 
51.3 
48.7 
Tour and ho19l 
industry 
54.8 
51.3 
48.7 
Manufacturing 
54.4 
45.6 
2.2.3 Professional Status of the Employees 
Agricunure 
76.2 
52.2 
47.8 
Total 
58.5 
41.5 
52.2 
47.6 
Table 2.3 presents information on employees in specified employment status for each of the 
business category for the year 2007 and 2010. The data shows that in 2010, there were 4,961 
and 4,129 full time management/administrative employees in Rift Valley and Coast provinces. 
Also, analysis of Table 2.4 indicates that full time management/administrative employees 
constitute 40.5 percent of employees in the goods and services while 36.3 percent are from the 
agriculture sector. Majority of the full time, unskilled production employees were in agriculture 
(54.4 percent) followed by goods and services, 18.3 percent. Full time skilled employees were 
highest in manufacturing (44.0 percent) as compared to the least in tour and hotel industry 
(14.6 percent). 
Table 2.4: Number and Percentage Distribution of employees by category and business sector 
Category of Employee 2007 2010 
RlftValley Coast 
Full time management! 
administrative employees 3,225 6,138 
Full time, skilled production 
employees 5,709 11,155 
Full time, unskilled production 
employees 6,415 10,535 
Part-time, all year employees 1,218 2,050 
Seasonal, all year employees 2,012 5,211 
Total 18,579 35,089 
61 END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA 11 Coast and Rift Valley. 2010 
Total 
9,363 
16,864 
16,950 
3,268 
7,223 
53,668 
% Rift Valley Coast Total % 
17.4 4,961 4,129 9,090 6.8 
31.4 19,393 6,869 26,262 19.7 
31.6 19,619 9,478 29,097 21.8 
6.1 25,515 9,527 35,042 26.3 
13.5 24,586 9,319 33,905 25.4 
100.0 94,074 39,322 133,396 100.0 
3.0 ESTABLISHMENT OF HIV/AIDS WORKPLACE 
POUCYANDPROGRAMMES 
This chapter illustrates the extent to which the workplaces have embraced HIV/ AIDS workplaces 
before and after the APHIA II interventions in the project sites of Rift Valley and Coast 
provinces. A detailed account of the workplace interventions, capacity building activities and 
family outreach programmes is discussed. 
3.1 Existence ofHIV and AIDS Workplace Policies 
Table 3.1 indicates that most of the workplaces have adopted HIV/AIDS workplace policy, an 
increase of 40 percent from 50.9 percent in 2007 to 90.9 percent in 2010 (38 in Rift Valley and 
34 in Coast). In Rift Valley province, the Goods/service providers improved by 10.0 percent as 
compared to agriculture and Tour and hotel industry enterprises which registered 100 percent 
adoption of the HIV/AIDS workplace policy. Conversely, Goods/service sector in Coast province 
recorded 100 percent adoption of the workplace policy as compared to manufacturing (60 
percent) and agriculture (80 percent). The data illustrates a positive achievement in existent of 
HIV/AIDS workplace policies with challenges in about 9 percent of the business enterprises. 
Table 3.1: Percentage of workplace/institutions with existing HIV / AIDS workplace policy 
Sector Yes 0 Don't Know 
2007 2010 
Rift Valley 
Goods/services provider 50.0 60.0 
Tour and hotel industry 100.0 
Manufactunng 46.7 90.9 
Agriculture 60.0 100.0 
Total 50.0 92.5 
Coast 
Goods/services provider 57.1 100.0 
Tour and hotel industry 50.0 90.0 
Manufacturing 60.0 60.0 
Agriculture 33.3 80.0 
Total 52.2 89.2 
TOTAL 50.9 90.9 
2007 
50.0 
100.0 
53.3 
40.0 
50.0 
8.3 
12.5 
8.3 
8.3 
39.1 
45.3 
2010 
40.0 
5.0 
10.0 
40.0 
20.0 
10.8 
7.8 
2007 
0.0 
0.0 
0.0 
0.0 
0.0 
34.6 
37.5 
31.7 
58.4 
8.7 
3.8 
3.2 HIV and AIDS Interventions Supported by the Organization 
2010 
9.1 
2.5 
Information on HIV/AIDS interventions that took place in the Rift Valley and Coast business 
workplaces is analyzed in Table 3.2 and Table 3.3 and compared with the baseline status in 2007. 
In Rift Valley, the data illustrates that all business workplaces (100 percent) provided staff with 
information on HIV/AIDS as compared to the 82.8 percent recorded in 2007. Notably, there 
was increased support to employees in access to STI prevention and treatment, an increase of 
81 END OF PROJECT EVALUAnON ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
3.0 ESTABLISHMENT OF HIV/AIDS WORKPLACE 
POUCYANDPROGRAMMES 
This chapter illustrates the extent to which the workplaces have embraced HIV/ AIDS workplaces 
before and after the APHIA II interventions in the project sites of Rift Valley and Coast 
provinces. A detailed account of the workplace interventions, capacity building activities and 
family outreach programmes is discussed. 
3.1 Existence ofHIV and AIDS Workplace Policies 
Table 3.1 indicates that most of the workplaces have adopted HIV/AIDS workplace policy, an 
increase of 40 percent from 50.9 percent in 2007 to 90.9 percent in 2010 (38 in Rift Valley and 
34 in Coast). In Rift Valley province, the Goods/service providers improved by 10.0 percent as 
compared to agriculture and Tour and hotel industry enterprises which registered 100 percent 
adoption of the HIV/AIDS workplace policy. Conversely, Goods/service sector in Coast province 
recorded 100 percent adoption of the workplace policy as compared to manufacturing (60 
percent) and agriculture (80 percent). The data illustrates a positive achievement in existent of 
HIV/AIDS workplace policies with challenges in about 9 percent of the business enterprises. 
Table 3.1: Percentage of workplace/institutions with existing HIV / AIDS workplace policy 
Sector Yes 0 Don't Know 
2007 2010 
Rift Valley 
Goods/services provider 50.0 60.0 
Tour and hotel industry 100.0 
Manufactunng 46.7 90.9 
Agriculture 60.0 100.0 
Total 50.0 92.5 
Coast 
Goods/services provider 57.1 100.0 
Tour and hotel industry 50.0 90.0 
Manufacturing 60.0 60.0 
Agriculture 33.3 80.0 
Total 52.2 89.2 
TOTAL 50.9 90.9 
2007 
50.0 
100.0 
53.3 
40.0 
50.0 
8.3 
12.5 
8.3 
8.3 
39.1 
45.3 
2010 
40.0 
5.0 
10.0 
40.0 
20.0 
10.8 
7.8 
2007 
0.0 
0.0 
0.0 
0.0 
0.0 
34.6 
37.5 
31.7 
58.4 
8.7 
3.8 
3.2 HIV and AIDS Interventions Supported by the Organization 
2010 
9.1 
2.5 
Information on HIV/AIDS interventions that took place in the Rift Valley and Coast business 
workplaces is analyzed in Table 3.2 and Table 3.3 and compared with the baseline status in 2007. 
In Rift Valley, the data illustrates that all business workplaces (100 percent) provided staff with 
information on HIV/AIDS as compared to the 82.8 percent recorded in 2007. Notably, there 
was increased support to employees in access to STI prevention and treatment, an increase of 
81 END OF PROJECT EVALUAnON ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
The data presented in Figure 2.4 indicates that 6.8 percent of the employees in the APHIA II 
Project partner sites are fulltime management/administrative while 21.8 percent are full time 
unskilled production employees. The part time all year employees in Rift Valley and Coast 
provinces are 27.1 percent and 26.3 percent. 
Figure 2.4: Percentage distribution of employees by category of employment and province 
30.0 27.1 
261 
25.0 24.1 24.2 23.7 
26.3 25.4 
20.6 20.9 21.8 
'" 20.0 0> 17.5 
15.0 
'" c. <i< 105 
10.0 
5.3 
5.0 
0.0 
Rift Valley Coast Total 
• Full time managemenV administralNe employees Part time. an year round employees 
Fuillime. skilled production employees • Seasonal. an year round employees 
• Full time. unskiDed production employees 
Mary Oruko, Deputy Director NOPE Awards Manager raffia Bags with a CWPP Silver Recognition 
Award 2009 
END OF PROJECT EVAlUATION ON COMPREHENSIVE 17 
WORKPLACE PROGRAMS (CWPp) REPORT: 
APHIA II Coast and Rift Valley. 2010 
The data presented in Figure 2.4 indicates that 6.8 percent of the employees in the APHIA II 
Project partner sites are fulltime management/administrative while 21.8 percent are full time 
unskilled production employees. The part time all year employees in Rift Valley and Coast 
provinces are 27.1 percent and 26.3 percent. 
Figure 2.4: Percentage distribution of employees by category of employment and province 
30.0 27.1 
261 
25.0 24.1 24.2 23.7 
26.3 25.4 
20.6 20.9 21.8 
'" 20.0 0> 17.5 
15.0 
'" c. <i< 105 
10.0 
5.3 
5.0 
0.0 
Rift Valley Coast Total 
• Full time managemenV administralNe employees Part time. an year round employees 
Fuillime. skilled production employees • Seasonal. an year round employees 
• Full time. unskiDed production employees 
Mary Oruko, Deputy Director NOPE Awards Manager raffia Bags with a CWPP Silver Recognition 
Award 2009 
END OF PROJECT EVAlUATION ON COMPREHENSIVE 17 
WORKPLACE PROGRAMS (CWPp) REPORT: 
APHIA II Coast and Rift Valley. 2010 
21.7 percent and condom distribution, an increase of 34.5 percent. Care for persons living with 
HIV/AIDS improved drastically from 27.6 percent to 68.2 percent. This is a positive indication 
of increased HIV/AIDS awareness and reduced stigmatization. 
Table 3.2: Type of support provided by workplace/institutions in Rift Valley 
Support provided 2007 I 2010 
Baseline Total Total Goods/services Tour and hotel Manufacturing Agriculture 
provider industry 
Providing staff with information and 
education on HIVIAIDS 82.8 100.0 100.0 100.0 100.0 100.0 
Access to STI prevention and 
treatment 73.3 95.0 80.0 100.0 90.9 100.0 
Condom promotion and distribution 65.5 100.0 100.0 100.0 100.0 100.0 
Access to va 60.0 87.5 100.0 100.0 81.8 87.0 
Care for orphans and vulnerable 
children 17.9 35.9 80.0 36.4 27.3 
Care for persons living with HIV/AIDS 27.6 61.5 80.0 100.0 36.4 68.2 
Refferal for treatment and other care 
and support services 73.3 100.0 100.0 100.0 100.0 100.0 
In Coast province, the trend is similar, with proportion of workplaces supporting staff on 
information and education on HIV/AIDS improving from 79.2 percent to 100 percent. 
Support with condom promotion and distribution doubled over the intervention period from 
50 percent to 100 percent. However, the lowest increase in support provided was recorded 
in care for orphans and vulnerable children by 5.2 percent and access to STI prevention and 
treatment by 4.4 percent. 
Table 3.3: Type of support provided by workplace/institutions in Coast 
Support provided 2007 2010 
Baseline Total Total Goods/services Tour and hotel Manufacturing Agriculture 
provider industry 
Providing staff with information and 
education on HIV/AIDS 79.2 100.0 100.0 100.0 100.0 100.0 
Access to STI prevention and 
treatment 75.0 80.6 ) 81.3 90.0 60.0 80.0 
Condom promotion and distribution 50.0 97.3 94.1 100.0 100.0 100.0 
Access to va 58.3 86.1 82.4 100.0 80.0 75.0 
Care for orphans and vulnerable 
children 34.8 62.2 64.7 80.0 40.0 40.0 
Care for persons living with HIV I AIDS 16.7 80.6 82.4 90.0 60.0 75.0 
Refferal for treatment and other care 
and support services 62.5 88.9 82.4 100.0 100.0 80.0 
END OF PROJECT EVALUATlON ON COMPREHENSIVE 19 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
21.7 percent and condom distribution, an increase of 34.5 percent. Care for persons living with 
HIV/AIDS improved drastically from 27.6 percent to 68.2 percent. This is a positive indication 
of increased HIV/AIDS awareness and reduced stigmatization. 
Table 3.2: Type of support provided by workplace/institutions in Rift Valley 
Support provided 2007 I 2010 
Baseline Total Total Goods/services Tour and hotel Manufacturing Agriculture 
provider industry 
Providing staff with information and 
education on HIVIAIDS 82.8 100.0 100.0 100.0 100.0 100.0 
Access to STI prevention and 
treatment 73.3 95.0 80.0 100.0 90.9 100.0 
Condom promotion and distribution 65.5 100.0 100.0 100.0 100.0 100.0 
Access to va 60.0 87.5 100.0 100.0 81.8 87.0 
Care for orphans and vulnerable 
children 17.9 35.9 80.0 36.4 27.3 
Care for persons living with HIV/AIDS 27.6 61.5 80.0 100.0 36.4 68.2 
Refferal for treatment and other care 
and support services 73.3 100.0 100.0 100.0 100.0 100.0 
In Coast province, the trend is similar, with proportion of workplaces supporting staff on 
information and education on HIV/AIDS improving from 79.2 percent to 100 percent. 
Support with condom promotion and distribution doubled over the intervention period from 
50 percent to 100 percent. However, the lowest increase in support provided was recorded 
in care for orphans and vulnerable children by 5.2 percent and access to STI prevention and 
treatment by 4.4 percent. 
Table 3.3: Type of support provided by workplace/institutions in Coast 
Support provided 2007 2010 
Baseline Total Total Goods/services Tour and hotel Manufacturing Agriculture 
provider industry 
Providing staff with information and 
education on HIV/AIDS 79.2 100.0 100.0 100.0 100.0 100.0 
Access to STI prevention and 
treatment 75.0 80.6 ) 81.3 90.0 60.0 80.0 
Condom promotion and distribution 50.0 97.3 94.1 100.0 100.0 100.0 
Access to va 58.3 86.1 82.4 100.0 80.0 75.0 
Care for orphans and vulnerable 
children 34.8 62.2 64.7 80.0 40.0 40.0 
Care for persons living with HIV I AIDS 16.7 80.6 82.4 90.0 60.0 75.0 
Refferal for treatment and other care 
and support services 62.5 88.9 82.4 100.0 100.0 80.0 
END OF PROJECT EVALUATlON ON COMPREHENSIVE 19 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
3.3 HIV and AIDS Capacity Building Activities 
The successful implementation of a comprehensive workplace policy is dependent on the 
capacity building opportunities that were available for the employees. Information on trainings 
undertaken in specific areas was sought from the respondents. 
3.3.1 HIV&AlDS workplace coordination and implementation mechanism 
Analysis of Table 3.4 shows that 800 management staff was sensitized on HIV/AIDS workplace 
policy and programs in 2010 compared to 350 in 2007, an increase of 70.9 percent. Those 
trained on staff induction in Rift Valley were 3,124 in 2007 rising to 10,476 in 2010, an increase 
of235.3 percent. The total number of employees inducted as at 2010, was 21,029 of whom 49.8 
percent were from Rift Valley. In 2007, coast province had 15 staff members trained on HIVI 
AIDS program design & implementation with number rising to 246 in 2010. A total 2,261 
employees in the project sites were trained as coordinators whose responsibility was quality 
assurance, monitoring and supervision. 
Table 3.4: Number and percentage of employees trained on HIV/AIDS workplace roles 
Business Category 2007 2010 
Rift Valley Coast Total Rift Valley Coast Total 
Goods/services provider 2,5211 9,433 11,959 10,823 19,842 30,665 
Tour and hotel industry 10,929 22,888 33,817 2,830 10,965 13,795 
Manufacturing 2,095 1,199 3,294 36,604 3,697 40,301 
Agriculture 3,029 1,569 4,598 43,817 4,818 48,635 
Total 18,579 35,089 53,668 94,074 39,322 133,396 
3.3.2 Areas of training of the employees in HIVI AIDS capacity building 
Analysis of Table 3.5 reveals that number of employees who attended training from the project 
sites in 2007 and 2010 in various areas of HIV/AIDS. The largest number and increase in 
training of employees was in early cancer detection (20,547) at 5,576 percent followed by TB 
prevention, treatment and care at 572 percent. Rift Valley province accounted for 98.6 percent 
of employees trained on early cancer detection. A total of 4,340 employees were trained on 
STIs and HIV/AIDS by 2010 as compared to 3,572 in 2007, an increase of21.5 percent with 
Coast province accounting for 47.8 percent. A total of 2,233 employees were trained on peer 
education. The employees also went through training on: sexuality and gender (1,354); care 
and support for PLWHA (2,139); behaviour change communication (2,929); TB prevention, 
treatment and care (2,8797) and stigma and discrimination reduction strategies(2,496). 
Philip Mbugua, NOPE Executive Director 
Awards KPA Manager with a CWPP Gold 
Recognition Award 2009 
Mama Ruth Odindo (second from left front taw) pauses for a group 
photo with all APHIA If Coast 2009 Gold Recognition winning 
Award Workplaces celebtations ceremony at Serena Beach Hotel 
1 0 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
3.3 HIV and AIDS Capacity Building Activities 
The successful implementation of a comprehensive workplace policy is dependent on the 
capacity building opportunities that were available for the employees. Information on trainings 
undertaken in specific areas was sought from the respondents. 
3.3.1 HIV&AlDS workplace coordination and implementation mechanism 
Analysis of Table 3.4 shows that 800 management staff was sensitized on HIV/AIDS workplace 
policy and programs in 2010 compared to 350 in 2007, an increase of 70.9 percent. Those 
trained on staff induction in Rift Valley were 3,124 in 2007 rising to 10,476 in 2010, an increase 
of235.3 percent. The total number of employees inducted as at 2010, was 21,029 of whom 49.8 
percent were from Rift Valley. In 2007, coast province had 15 staff members trained on HIVI 
AIDS program design & implementation with number rising to 246 in 2010. A total 2,261 
employees in the project sites were trained as coordinators whose responsibility was quality 
assurance, monitoring and supervision. 
Table 3.4: Number and percentage of employees trained on HIV/AIDS workplace roles 
Business Category 2007 2010 
Rift Valley Coast Total Rift Valley Coast Total 
Goods/services provider 2,5211 9,433 11,959 10,823 19,842 30,665 
Tour and hotel industry 10,929 22,888 33,817 2,830 10,965 13,795 
Manufacturing 2,095 1,199 3,294 36,604 3,697 40,301 
Agriculture 3,029 1,569 4,598 43,817 4,818 48,635 
Total 18,579 35,089 53,668 94,074 39,322 133,396 
3.3.2 Areas of training of the employees in HIVI AIDS capacity building 
Analysis of Table 3.5 reveals that number of employees who attended training from the project 
sites in 2007 and 2010 in various areas of HIV/AIDS. The largest number and increase in 
training of employees was in early cancer detection (20,547) at 5,576 percent followed by TB 
prevention, treatment and care at 572 percent. Rift Valley province accounted for 98.6 percent 
of employees trained on early cancer detection. A total of 4,340 employees were trained on 
STIs and HIV/AIDS by 2010 as compared to 3,572 in 2007, an increase of21.5 percent with 
Coast province accounting for 47.8 percent. A total of 2,233 employees were trained on peer 
education. The employees also went through training on: sexuality and gender (1,354); care 
and support for PLWHA (2,139); behaviour change communication (2,929); TB prevention, 
treatment and care (2,8797) and stigma and discrimination reduction strategies(2,496). 
Philip Mbugua, NOPE Executive Director 
Awards KPA Manager with a CWPP Gold 
Recognition Award 2009 
Mama Ruth Odindo (second from left front taw) pauses for a group 
photo with all APHIA If Coast 2009 Gold Recognition winning 
Award Workplaces celebtations ceremony at Serena Beach Hotel 
1 0 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
Table 3.S: Number of employees who attended training and percentage increases by training type 
Training Attended 2007 2010 Percentage Increase 
Rift Valley Coast Total Rift Valley Coast Total Rift Valley Coast Total 
(STls) and HIVIAIDS as part of 
capadty building exercise. 3150 422 3,572 2,266 2,074 4,340 (28.1) 391.5 21.5 
Care and support for PLWHA 916 67 983 1,699 440 2,139 85.5 556.7 117.6 
va 2168 78 2,246 1,332 441 1,773 (38.6) 465.4 (21.1) 
ART (Antiretroviral therapy) 1489 75 1,564 1,295 249 1,544 (13.0) 232.0 (1.3) 
Mother-to-child HIV transmision 1529 79 1,608 1,539 307 1,846 0.7 288.6 14.8 
Facilitation skills 218 242 460 1,248 384 1,632 472.5 58.7 254.8 
Peer education 496 298 794 1,412 821 2,233 184.7 175.5 181.2 
Sexuality and gender 190 104 294 811 543 1,354 326.8 422.1 360.5 
Traing of trainers (TOT) 74 47 121 590 129 719 697.3 174.5 494.2 
Social marketing of condoms 836 289 1,125 774 393 1,167 (7.4) 36.0 3.7 
Behaviour change 
communication 547 144 691 1,170 1,759 2,929 113.9 1,121.5 323.9 
Peer counseling 404 46 450 428 280 708 5.9 508.7 57.3 
Malaria prevention & treatment 1530 10 1,540 1,650 1,461 3,111 7.8 14,510.0 102.0 
TB prevention,treatment & care 417 11 428 1,608 1,271 2,879 285.6 11,454.5 572.7 
Family planing & reproductive 
health 1257 16 1,273 1,483 1,230 2,713 18.0 7,587.5 113.1 
Stigma & descrimination 
reduction strategies 1256 33 1,289 1,391 1,105 2,496 10.7 3,248.5 93.6 
Nutrition and general awareness 367 34 401 1,239 1,247 2,486 237.6 3,567.6 520.0 
Early (breast,cervical & prostrate) 
cancer detection 349 13 362 20,260 287 20,547 5,705.2 2,107.7 5,576.0 
3.3.3 Family and Outreach Activities 
Figure 3.3 illustrates that majority of the workplaces supported community outreach at 81.0 
percent with Rift Valley standing at 85.4 percent as compared to Coast, 76.3 percent. The 
family day and spouses fun day was reported in 20.3 percent and 12.7 percent respectively. 
The parents & youth fun day was reported to take place in 9.8 percent and 10.5 percent of the 
enterprises in Rift Valley and coast province respectively. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 111 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley, 2010 
Table 3.S: Number of employees who attended training and percentage increases by training type 
Training Attended 2007 2010 Percentage Increase 
Rift Valley Coast Total Rift Valley Coast Total Rift Valley Coast Total 
(STls) and HIVIAIDS as part of 
capadty building exercise. 3150 422 3,572 2,266 2,074 4,340 (28.1) 391.5 21.5 
Care and support for PLWHA 916 67 983 1,699 440 2,139 85.5 556.7 117.6 
va 2168 78 2,246 1,332 441 1,773 (38.6) 465.4 (21.1) 
ART (Antiretroviral therapy) 1489 75 1,564 1,295 249 1,544 (13.0) 232.0 (1.3) 
Mother-to-child HIV transmision 1529 79 1,608 1,539 307 1,846 0.7 288.6 14.8 
Facilitation skills 218 242 460 1,248 384 1,632 472.5 58.7 254.8 
Peer education 496 298 794 1,412 821 2,233 184.7 175.5 181.2 
Sexuality and gender 190 104 294 811 543 1,354 326.8 422.1 360.5 
Traing of trainers (TOT) 74 47 121 590 129 719 697.3 174.5 494.2 
Social marketing of condoms 836 289 1,125 774 393 1,167 (7.4) 36.0 3.7 
Behaviour change 
communication 547 144 691 1,170 1,759 2,929 113.9 1,121.5 323.9 
Peer counseling 404 46 450 428 280 708 5.9 508.7 57.3 
Malaria prevention & treatment 1530 10 1,540 1,650 1,461 3,111 7.8 14,510.0 102.0 
TB prevention,treatment & care 417 11 428 1,608 1,271 2,879 285.6 11,454.5 572.7 
Family planing & reproductive 
health 1257 16 1,273 1,483 1,230 2,713 18.0 7,587.5 113.1 
Stigma & descrimination 
reduction strategies 1256 33 1,289 1,391 1,105 2,496 10.7 3,248.5 93.6 
Nutrition and general awareness 367 34 401 1,239 1,247 2,486 237.6 3,567.6 520.0 
Early (breast,cervical & prostrate) 
cancer detection 349 13 362 20,260 287 20,547 5,705.2 2,107.7 5,576.0 
3.3.3 Family and Outreach Activities 
Figure 3.3 illustrates that majority of the workplaces supported community outreach at 81.0 
percent with Rift Valley standing at 85.4 percent as compared to Coast, 76.3 percent. The 
family day and spouses fun day was reported in 20.3 percent and 12.7 percent respectively. 
The parents & youth fun day was reported to take place in 9.8 percent and 10.5 percent of the 
enterprises in Rift Valley and coast province respectively. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 111 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley, 2010 
Figure 3.1: Proportion of workplaces with family and outreach activities in their workplace 
90.0 
80.0 
70.0 
60.0 
t SO.O 
i 40.0 
1fI. 30.0 
20.0 
10.0 
0 
Rift Valley 
• Coasl 
• To1al 
14.6 9.8 
26.3 13.2 21.1 
20.3 12.7 15.2 
10.5 
10.1 
Convnunity outreach 
85.4 
76.3 
81.0 
Data presented in Table 3.6 provides details of the workplaces that have integrated outreach 
activities in their workplaces in the different business enterprises. Community outreach activities 
were reported to be taking place in all the APHIA II Project partner sites. Rift Valley province 
had between 81.8 percent and 100 percent of the business enterprises incorporating outreach 
activities in 2010 as compared to between 10.0 percent and 66.7 percent in 2007. However in 
2010, family fun day, spouses fun day and children's fun days did not take place in Goods and 
Services provider sector in Rift Valley. 
Table 3.6 Outreach activities undertaken by economic sector and province, 2007 and 2010 
Outreach Activity Goods and Services provider Tour and hotel industry Manufacturing 
Rift Coast Total Rift Coast Total Rift Coast Total 
Family fun day 
Spouses fun day 
Childrens fun day 
Valley 
2007 66.7 50.0 
2010 - 1l.8 
2007 -
2010 -
2007 -
2010 -
1l.8 
16.7 
Parent and youth fun day 2007 -
2010 -
Community outreach 2007 66.7 20.0 
2010 100.0 70.6 
55.6 
9.1 
9.1 
11.1 
37.5 
77.3 
1 2 I END OF PROJECT EVALUAnON ON COMPREHENSIVE WORKPlACE PROGRAMS (CWPP) REPORT: APHIA 1/ Coast and Rift Valley. 2010 
Valley 
12.5 
40.0 
10.0 
25.0 
50.0 
12.5 
10.0 
25.0 
100.0 80.0 
Valley 
12.5 10.0 16.7 
36.4 1 8.2 20.0 
10.0 
9.1 
25.0 
45.5 
12.5 
9.1 
25.0 
8l.8 
18.2 
10.0 
9.1 
9.1 
10.0 
8l.8 
20.0 
20.0 
20.0 
66.7 
60.0 
12.5 
18.8 
6.3 
18.8 
6.3 
12.5 
12.5 
31.3 
75.0 
Agriculture 
Rift Coast Total 
Valley 
10.0 
13.0 
10.0 
8.7 
30.0 
8.7 
10.0 
8.7 
20.0 
82.6 
20.0 
7.7 
17.9 
7.7 
7.1 
23.1 
10.7 
8.3 
20.0 10.7 
50.0 25.0 
100.0 85.7 
Figure 3.1: Proportion of workplaces with family and outreach activities in their workplace 
90.0 
80.0 
70.0 
60.0 
t SO.O 
i 40.0 
1fI. 30.0 
20.0 
10.0 
0 
Rift Valley 
• Coasl 
• To1al 
14.6 9.8 
26.3 13.2 21.1 
20.3 12.7 15.2 
10.5 
10.1 
Convnunity outreach 
85.4 
76.3 
81.0 
Data presented in Table 3.6 provides details of the workplaces that have integrated outreach 
activities in their workplaces in the different business enterprises. Community outreach activities 
were reported to be taking place in all the APHIA II Project partner sites. Rift Valley province 
had between 81.8 percent and 100 percent of the business enterprises incorporating outreach 
activities in 2010 as compared to between 10.0 percent and 66.7 percent in 2007. However in 
2010, family fun day, spouses fun day and children's fun days did not take place in Goods and 
Services provider sector in Rift Valley. 
Table 3.6 Outreach activities undertaken by economic sector and province, 2007 and 2010 
Outreach Activity Goods and Services provider Tour and hotel industry Manufacturing 
Rift Coast Total Rift Coast Total Rift Coast Total 
Family fun day 
Spouses fun day 
Childrens fun day 
Valley 
2007 66.7 50.0 
2010 - 1l.8 
2007 -
2010 -
2007 -
2010 -
1l.8 
16.7 
Parent and youth fun day 2007 -
2010 -
Community outreach 2007 66.7 20.0 
2010 100.0 70.6 
55.6 
9.1 
9.1 
11.1 
37.5 
77.3 
1 2 I END OF PROJECT EVALUAnON ON COMPREHENSIVE WORKPlACE PROGRAMS (CWPP) REPORT: APHIA 1/ Coast and Rift Valley. 2010 
Valley 
12.5 
40.0 
10.0 
25.0 
50.0 
12.5 
10.0 
25.0 
100.0 80.0 
Valley 
12.5 10.0 16.7 
36.4 1 8.2 20.0 
10.0 
9.1 
25.0 
45.5 
12.5 
9.1 
25.0 
8l.8 
18.2 
10.0 
9.1 
9.1 
10.0 
8l.8 
20.0 
20.0 
20.0 
66.7 
60.0 
12.5 
18.8 
6.3 
18.8 
6.3 
12.5 
12.5 
31.3 
75.0 
Agriculture 
Rift Coast Total 
Valley 
10.0 
13.0 
10.0 
8.7 
30.0 
8.7 
10.0 
8.7 
20.0 
82.6 
20.0 
7.7 
17.9 
7.7 
7.1 
23.1 
10.7 
8.3 
20.0 10.7 
50.0 25.0 
100.0 85.7 
4.0 PROVISION OF HIV AND REPRODUCTIVE 
HEALTH CARE SERVICES 
This chapter discusses issue related to financing of employees' access to HIV and reproductive 
health care. In the implementation of the comprehensive HIV/AIDS prevention care and 
support programs, one key strategy is availability of medical support to employees. This is only 
possible when a workplace provides budget allocation for financing of health services including 
those related to HIV and AIDS. 
4.1 Financing of HIV I AIDS Services 
4.1.1 Testing and Counselling ofHIV/AIDS 
The proportion of workplaces financing testing and counseling of HIV I AIDS nearly doubled 
from 44.8 percent in 2007 to 83.5 percent in 2010, as illustrated in Figure 4.1. The main 
financing mode for testing and counseling of HI VI AIDS is through on site clinic as reported by 
47 percent of the workplaces. This is followed by contract with NGOs at 27 percent and private 
insurance, 9 percent. However, 16.5 percent of the workplaces reported not financing this health 
service. 
Figure 4.1: Mode of financing for testing and counseling of HIV/AIDS 
90.0 
80.0 
70.0 
., 80.0 
0> 
50.0 
8. 
40.0 
30.0 
20.0 
10.0 
0.0 
46.8 
25.8 
Through an on 
site clinic 
8.9 
1.7 
Private insuance 
26.6 
17.7 
Contract with 
NGO 
1.3 
Contract wiIh 
private lor proIit 
health bc:iIIies 
552 
services not 
provided by the 
.2007 
• 
63.5 
Total 
Further information presented in Table 4.1 shows that a total of 45.5 percent of the 
workplaces financed testing and counseling ofHIV/AIDS through an onsite clinic with Rift 
Valley constituting 
END OF PROJECT EVALUATION ON COMPREHENSIVE 11 3 
WORKPLACE PROGRAMS (CWPp) REPORT: 
APHIA II Coast and Rift Valley, 2010 
4.0 PROVISION OF HIV AND REPRODUCTIVE 
HEALTH CARE SERVICES 
This chapter discusses issue related to financing of employees' access to HIV and reproductive 
health care. In the implementation of the comprehensive HIV/AIDS prevention care and 
support programs, one key strategy is availability of medical support to employees. This is only 
possible when a workplace provides budget allocation for financing of health services including 
those related to HIV and AIDS. 
4.1 Financing of HIV I AIDS Services 
4.1.1 Testing and Counselling ofHIV/AIDS 
The proportion of workplaces financing testing and counseling of HIV I AIDS nearly doubled 
from 44.8 percent in 2007 to 83.5 percent in 2010, as illustrated in Figure 4.1. The main 
financing mode for testing and counseling of HI VI AIDS is through on site clinic as reported by 
47 percent of the workplaces. This is followed by contract with NGOs at 27 percent and private 
insurance, 9 percent. However, 16.5 percent of the workplaces reported not financing this health 
service. 
Figure 4.1: Mode of financing for testing and counseling of HIV/AIDS 
90.0 
80.0 
70.0 
., 80.0 
0> 
50.0 
8. 
40.0 
30.0 
20.0 
10.0 
0.0 
46.8 
25.8 
Through an on 
site clinic 
8.9 
1.7 
Private insuance 
26.6 
17.7 
Contract with 
NGO 
1.3 
Contract wiIh 
private lor proIit 
health bc:iIIies 
552 
services not 
provided by the 
.2007 
• 
63.5 
Total 
Further information presented in Table 4.1 shows that a total of 45.5 percent of the 
workplaces financed testing and counseling ofHIV/AIDS through an onsite clinic with Rift 
Valley constituting 
END OF PROJECT EVALUATION ON COMPREHENSIVE 11 3 
WORKPLACE PROGRAMS (CWPp) REPORT: 
APHIA II Coast and Rift Valley, 2010 
Table 4.1: Financing Mode for workplace/institution for testing and counseling of HIV /AIDS 
Financing Mode The business nature of the respondents company/institution(%) Total 
Goods/services 1 Tourand horel I Manufacturing Agriculture 
provider industry 
Through an on site clinic 
Rift Valley 0.0 9.1 31.3 60.7 29.9 
Coast 13.6 27.3 18.8 10.7 15.6 
Total 13.6 36.4 50.0 71.4 45.5 
Private Insurance 
Rift Valley 3.6 1.3 
Coast 13.6 27.3 7.8 
Total 13.6 27.3 3.6 9.1 
Contract through NGO 
Rift Valley 13.6 37.5 14.3 16.9 
Coast 22.7 18.2 3.6 10.4 
Total 36.4 18.2 37.5 17.9 27.3 
Contract with private for profit health facilities 
Coast 4.5 1.3 
Total 4.5 1.3 
services not provided by the company 
Rift Valley 9.1 3.6 3.9 
Coast 22.7 18.2 12.5 3.6 13.0 
Total 31.8 18.2 12.5 7.1 16.9 
4.1.2 Anti Retro Viral Treatment (ART) 
Analysis of Figure 4.2 indicates that the workplaces financing provision of ARTs to employees 
increased from 44.6 percent in 2007 to 68.4 percent in 2010, an increase of 24.2 percentage 
points. This revealed an increase in acceptance of treatment by HIV positive employees coupled 
with the improved willingness by the employers to provide the services. 
Figure 4.2: Mode of financing Anti Retro Viral Treatment (ART) 
70.0 
60.0 
SO.O 
40.0 
30.0 
20.0 
10.0 
68.4 
.2007 
.2010 
0.0 .J-_='--..:....-__ -==-=-__ ...;::::,._--'-__ --:::=----::: ____________ _ 
Through an on 
site clinic 
Private insurance 
1 41 END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT. APHIA II Coast and Rift Valley. 2010 
Contract with 
NGO 
Contracl with 
privale for profit 
health facilities 
services not 
provided by the 
company 
Total 
Table 4.1: Financing Mode for workplace/institution for testing and counseling of HIV /AIDS 
Financing Mode The business nature of the respondents company/institution(%) Total 
Goods/services 1 Tourand horel I Manufacturing Agriculture 
provider industry 
Through an on site clinic 
Rift Valley 0.0 9.1 31.3 60.7 29.9 
Coast 13.6 27.3 18.8 10.7 15.6 
Total 13.6 36.4 50.0 71.4 45.5 
Private Insurance 
Rift Valley 3.6 1.3 
Coast 13.6 27.3 7.8 
Total 13.6 27.3 3.6 9.1 
Contract through NGO 
Rift Valley 13.6 37.5 14.3 16.9 
Coast 22.7 18.2 3.6 10.4 
Total 36.4 18.2 37.5 17.9 27.3 
Contract with private for profit health facilities 
Coast 4.5 1.3 
Total 4.5 1.3 
services not provided by the company 
Rift Valley 9.1 3.6 3.9 
Coast 22.7 18.2 12.5 3.6 13.0 
Total 31.8 18.2 12.5 7.1 16.9 
4.1.2 Anti Retro Viral Treatment (ART) 
Analysis of Figure 4.2 indicates that the workplaces financing provision of ARTs to employees 
increased from 44.6 percent in 2007 to 68.4 percent in 2010, an increase of 24.2 percentage 
points. This revealed an increase in acceptance of treatment by HIV positive employees coupled 
with the improved willingness by the employers to provide the services. 
Figure 4.2: Mode of financing Anti Retro Viral Treatment (ART) 
70.0 
60.0 
SO.O 
40.0 
30.0 
20.0 
10.0 
68.4 
.2007 
.2010 
0.0 .J-_='--..:....-__ -==-=-__ ...;::::,._--'-__ --:::=----::: ____________ _ 
Through an on 
site clinic 
Private insurance 
1 41 END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT. APHIA II Coast and Rift Valley. 2010 
Contract with 
NGO 
Contracl with 
privale for profit 
health facilities 
services not 
provided by the 
company 
Total 
4.1.3 Coordination for Home based care ofHNIAIDS 
The concept of home based care is one where quality of care is made available [0 all who need 
it, spanning from a health facility to the community and to the family. In the project sites, 
financing of home based care of HI VI AIDS increased from 44.8 percent in 2007 to 53.2 percent 
in 2010, an increase of8.4 percent in 2010. A total of29.1 percent of the workplaces implement 
it through an onsite clinic, 17.7 percent through contract NGO and 2.5 percent get services 
from insurance service. The data shows that contract with private for profit health facilities 
declined from 12.1 percent in 2007 to 5.1 percent in 2010. The provision of home based care, at 
health facility and at home level ensures that care focuses on the employees family-patient needs 
through the provision of physical, social, psychological, emotional and spiritual care. 
Figure 4.3: Mode of financing coordination of home based care for HIV IAIDS 
60.0 
Ttvoughanon 
site clinic 
Private insurance Contract with 
NGO 
4.1.4 Mother to Child Transmission ofHNIAIDS 
Contract with 
private fOf profit 
health facilities 
55.2 
services not 
provided by the 
company 
Total 
In 2010, 75.9 percent of the workplaces provided financing support on treatment for prevention 
of mother to child transmission of HIV/AIDS compared to 64.1 percent in 2007. There was 
tremendous increase in workplaces offering PMCT through onsite clinic from 16.9 percent in 
2007 to 40.5 percent in 2010. Also, the workplaces offering financial services through; private 
insurance, contract with NGO and contract with private health facilities constituted 11.4 
percent, 19.0 percent and 7.6 percent respectively. 
Figure 4.4: Workplaces supporting treatment preventing mother to child transmission of HIV IAIDS 
24.1 Service not pn:Mded by the company 35.7 
Employee contribution on fund (solidarity fund) 1.3 
0.0 
Contract with private for profit health facilities 7.6 8.9 
Contract with NGO 19.0 7.1 
Reimbursement expenses to employees 2.5 1.8 
Private insurance 11.4 
0.0 J 
TlYough an on site cline 
40.5 
16.9 
0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 
.2010 .2007 
.2007 
.2010 
END OF PROJECT EVALUA1l0N ON COMPREHENSIVE 11 5 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA \I Coast and Rift Valley. 2010 
4.1.3 Coordination for Home based care ofHNIAIDS 
The concept of home based care is one where quality of care is made available [0 all who need 
it, spanning from a health facility to the community and to the family. In the project sites, 
financing of home based care of HI VI AIDS increased from 44.8 percent in 2007 to 53.2 percent 
in 2010, an increase of8.4 percent in 2010. A total of29.1 percent of the workplaces implement 
it through an onsite clinic, 17.7 percent through contract NGO and 2.5 percent get services 
from insurance service. The data shows that contract with private for profit health facilities 
declined from 12.1 percent in 2007 to 5.1 percent in 2010. The provision of home based care, at 
health facility and at home level ensures that care focuses on the employees family-patient needs 
through the provision of physical, social, psychological, emotional and spiritual care. 
Figure 4.3: Mode of financing coordination of home based care for HIV IAIDS 
60.0 
Ttvoughanon 
site clinic 
Private insurance Contract with 
NGO 
4.1.4 Mother to Child Transmission ofHNIAIDS 
Contract with 
private fOf profit 
health facilities 
55.2 
services not 
provided by the 
company 
Total 
In 2010, 75.9 percent of the workplaces provided financing support on treatment for prevention 
of mother to child transmission of HIV/AIDS compared to 64.1 percent in 2007. There was 
tremendous increase in workplaces offering PMCT through onsite clinic from 16.9 percent in 
2007 to 40.5 percent in 2010. Also, the workplaces offering financial services through; private 
insurance, contract with NGO and contract with private health facilities constituted 11.4 
percent, 19.0 percent and 7.6 percent respectively. 
Figure 4.4: Workplaces supporting treatment preventing mother to child transmission of HIV IAIDS 
24.1 Service not pn:Mded by the company 35.7 
Employee contribution on fund (solidarity fund) 1.3 
0.0 
Contract with private for profit health facilities 7.6 8.9 
Contract with NGO 19.0 7.1 
Reimbursement expenses to employees 2.5 1.8 
Private insurance 11.4 
0.0 J 
TlYough an on site cline 
40.5 
16.9 
0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 
.2010 .2007 
.2007 
.2010 
END OF PROJECT EVALUA1l0N ON COMPREHENSIVE 11 5 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA \I Coast and Rift Valley. 2010 
4.1.5 Adherence Counselling on ARVS 
Analysis of Figure 4.5 shows that the proportion of workplaces that did not provide the financing 
on adherence counseling on ARVs declined from 57.1 percent in 2007 to 27.8 percent in 2010. 
Those that provided the support through an onsite clinic stood at 38.0 percent in 2010 as 
compared to 16.4 percent in 2007. The proportion of workplaces financing the service through 
contract with NGOs and private insurance was 32.9 percent and 6.3 percent respectively. There 
was a decline in number of workplaces using contract with private for profit health facilities 
from 8.9 percent in 2007 to 2.5 percent in 2010. 
Figure 4.5: Workplaces mode of financing of adherence in counseling on ARVs 
.2007 
.2010 
60.0 57.1 
50.0 
40.0 380 
30.0 
20.0 
10.0 
0.0 
164 
Through an on 
sileclinic 
32.9 
19.6 
2.5 
0.0 
Private insurance Reimbursement Contract with 
expenses to NGO private for profit 
employees 
4.1.6 Counselling on abstinence 
27.8 
B.9 
Contract with Empfoyee services not 
contribution on provided by 
health facilities fund (solidarity fund) the company 
Figure 4.6 presents information on mode of financing counselling on abstinence. The analysis 
indicates that 16.5 percent did not provide the service in 2010 as compared to 52.8 percent 
in 2007. Most of the workplaces financed through an onsite clinic and contract with NGO as 
reported by 50.6 percent and 38.0 percent respectively. There was improvement on workplaces 
offering counselling on abstinence through private insurance and contract with private for profit 
health facilities, an increase of 1.3 percent and 5.1 percent. 
Figure 4.6: Proportion of workplaces financing counseling on abstinence 
60.0 
50.0 
40.0 
30.0 
20.0 
10.0 
0.0 
TIvough an on 
site clinic 
Private 
insurance 
Reimbursement 
expenses to 
employees 
1 61' END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
Contract WIth 
NGO 
Contract with 
private for profit 
health facilities 
Empfoyee 
contribution on 
fund (solidanty fund) 
10.5 
.2007 
.2010 
services not 
provided by 
the company 
4.1.5 Adherence Counselling on ARVS 
Analysis of Figure 4.5 shows that the proportion of workplaces that did not provide the financing 
on adherence counseling on ARVs declined from 57.1 percent in 2007 to 27.8 percent in 2010. 
Those that provided the support through an onsite clinic stood at 38.0 percent in 2010 as 
compared to 16.4 percent in 2007. The proportion of workplaces financing the service through 
contract with NGOs and private insurance was 32.9 percent and 6.3 percent respectively. There 
was a decline in number of workplaces using contract with private for profit health facilities 
from 8.9 percent in 2007 to 2.5 percent in 2010. 
Figure 4.5: Workplaces mode of financing of adherence in counseling on ARVs 
.2007 
.2010 
60.0 57.1 
50.0 
40.0 380 
30.0 
20.0 
10.0 
0.0 
164 
Through an on 
sileclinic 
32.9 
19.6 
2.5 
0.0 
Private insurance Reimbursement Contract with 
expenses to NGO private for profit 
employees 
4.1.6 Counselling on abstinence 
27.8 
B.9 
Contract with Empfoyee services not 
contribution on provided by 
health facilities fund (solidarity fund) the company 
Figure 4.6 presents information on mode of financing counselling on abstinence. The analysis 
indicates that 16.5 percent did not provide the service in 2010 as compared to 52.8 percent 
in 2007. Most of the workplaces financed through an onsite clinic and contract with NGO as 
reported by 50.6 percent and 38.0 percent respectively. There was improvement on workplaces 
offering counselling on abstinence through private insurance and contract with private for profit 
health facilities, an increase of 1.3 percent and 5.1 percent. 
Figure 4.6: Proportion of workplaces financing counseling on abstinence 
60.0 
50.0 
40.0 
30.0 
20.0 
10.0 
0.0 
TIvough an on 
site clinic 
Private 
insurance 
Reimbursement 
expenses to 
employees 
1 61' END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
Contract WIth 
NGO 
Contract with 
private for profit 
health facilities 
Empfoyee 
contribution on 
fund (solidanty fund) 
10.5 
.2007 
.2010 
services not 
provided by 
the company 
4.1.7 Counselling on Sexually Being Faithful 
Analysis of Figure 4.7 indicates that only 17.7 percent of the workplaces did provide financing 
for counselling on being sexually faithful. The workplaces that provided the service through 
an onsite clinic rose from 33.9 percent in 2007 to 53.2 percent in 2010, an increase of 13.3 
percent. Proportion of workplaces financing through contract with NGOs and contract with 
private for profit heath facilities stood at 26.6 percent and 3.8 percent respectively. 
Figure 4.7: Proportion of workplaces by financing mode of counseling on being sexually faithful 
60.0 
SO.O 
40.0 
30.0 
20.0 
10.0 
0.0 
53.2 
33.9 
Through an on 
SIte clinic 
00 2.5 
Private 
insurance 
18 1.3 
Reimbursement 
expenses to 
employees 
4.1.8 Counselling on alcohol and drug abuse 
26.6 
8.9 
Contract with 
NGO 
7.6 
18 
Contract with 
pnvate for profrt 
health facililoes 
Employee 
contribution on 
fund (solidarity !\rod) 
.2007 
.2010 
17.7 
services not 
provided by 
the company 
Workplaces that offered employees financing for counseling on alcohol and drug abuse nearly 
doubled, from 48.2 percent in 2007 to 82.9 percent in 2010. Those offering financing through 
an onsite clinic increased by 19.3 percent from 33.9 percent in 2007 to 53.2 percent in 2010. 
Contract with NGOs stood at 26.6 percent as compared to 8.9 percent in 2007. 
Figure 4.8: Proportion of workplaces financing mode for counseling on alcohol and drug abuse 
60.0 
SO.O 
40.0 
30.0 
20.0 
10.0 
0.0 
53.2 
Through an on 
SIte cl:nic 
0.0 
-
Private 
inSItrnnee 
Retmbursement 
expenses to 
employees 
4.1.9 Counselling on correct condom use 
26.6 
Contract with 
NGO 
Contract with 
private for profrt 
health facilrties 
Employee 
contribution on 
nm (solidarity !\rod) 
518 
.2007 
.2010 
17.7 
services not 
providOd by 
lhecompany 
Analysis of Figure 4.9 illustrates that only 14.1 percent of the workplaces did not provide 
financing of counseling on correct condom use in 2010 as compared to 29.3 percent in 2007. 
Those that financed through an onsite clinic increased from 40.7 percent in 2007 to 57.7 percent 
in 2010. Similarly, workplaces financing through contract with NGO stood at 35.9 percent in 
2010 as compared to 10.7 percent in 2007. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 11 7 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
4.1.7 Counselling on Sexually Being Faithful 
Analysis of Figure 4.7 indicates that only 17.7 percent of the workplaces did provide financing 
for counselling on being sexually faithful. The workplaces that provided the service through 
an onsite clinic rose from 33.9 percent in 2007 to 53.2 percent in 2010, an increase of 13.3 
percent. Proportion of workplaces financing through contract with NGOs and contract with 
private for profit heath facilities stood at 26.6 percent and 3.8 percent respectively. 
Figure 4.7: Proportion of workplaces by financing mode of counseling on being sexually faithful 
60.0 
SO.O 
40.0 
30.0 
20.0 
10.0 
0.0 
53.2 
33.9 
Through an on 
SIte clinic 
00 2.5 
Private 
insurance 
18 1.3 
Reimbursement 
expenses to 
employees 
4.1.8 Counselling on alcohol and drug abuse 
26.6 
8.9 
Contract with 
NGO 
7.6 
18 
Contract with 
pnvate for profrt 
health facililoes 
Employee 
contribution on 
fund (solidarity !\rod) 
.2007 
.2010 
17.7 
services not 
provided by 
the company 
Workplaces that offered employees financing for counseling on alcohol and drug abuse nearly 
doubled, from 48.2 percent in 2007 to 82.9 percent in 2010. Those offering financing through 
an onsite clinic increased by 19.3 percent from 33.9 percent in 2007 to 53.2 percent in 2010. 
Contract with NGOs stood at 26.6 percent as compared to 8.9 percent in 2007. 
Figure 4.8: Proportion of workplaces financing mode for counseling on alcohol and drug abuse 
60.0 
SO.O 
40.0 
30.0 
20.0 
10.0 
0.0 
53.2 
Through an on 
SIte cl:nic 
0.0 
-
Private 
inSItrnnee 
Retmbursement 
expenses to 
employees 
4.1.9 Counselling on correct condom use 
26.6 
Contract with 
NGO 
Contract with 
private for profrt 
health facilrties 
Employee 
contribution on 
nm (solidarity !\rod) 
518 
.2007 
.2010 
17.7 
services not 
providOd by 
lhecompany 
Analysis of Figure 4.9 illustrates that only 14.1 percent of the workplaces did not provide 
financing of counseling on correct condom use in 2010 as compared to 29.3 percent in 2007. 
Those that financed through an onsite clinic increased from 40.7 percent in 2007 to 57.7 percent 
in 2010. Similarly, workplaces financing through contract with NGO stood at 35.9 percent in 
2010 as compared to 10.7 percent in 2007. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 11 7 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
Figure 4.9: Proportion of workplaces by financing mode for counseling on correct condom use 
70.0 
60.0 
50.0 
40.0 
30.0 
20.0 
10.0 
0.0 
57.7 
Through an on 
site clinic 
0.0 1.3 1.8 1.3 
Private 
insu-ance 
Rembu;sement 
expenses 10 
erT"4lIoyees 
Contract with 
NGO 
Contract with 
private for profit 
health facilities 
Employee 
contribution on 
flJ'ld (solidarity f\xld) 
39.3 
.2007 
.2010 
services not 
provided by 
the company 
The finding revealed that more workplaces adopted information on counseling on abstinence 
and condom use as means of prevention among the workplace populations. This shows a 
more wholesome approach to prevention among the workplaces in 2010 than in 2007 due to 
Technical support from APHIA II project. 
4.2 Financing of Family Planning Services 
This section discusses the family planning services that employees can access and are financed 
by the workplaces. Information was obtained that sought to know the mode of financing 
in provision of male condoms, pills, IUD/UCD, injectables, implants, vasectomy and tubal 
ligation as shown in Table 4.2. 
More workplaces (55.6%) adopted family planning during the project period than when the 
project started (25%). 
County Council of Kwale Manager displays the APHIA /I CWPP Platinum recognition award. 
1 81 END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley, 2010 
Figure 4.9: Proportion of workplaces by financing mode for counseling on correct condom use 
70.0 
60.0 
50.0 
40.0 
30.0 
20.0 
10.0 
0.0 
57.7 
Through an on 
site clinic 
0.0 1.3 1.8 1.3 
Private 
insu-ance 
Rembu;sement 
expenses 10 
erT"4lIoyees 
Contract with 
NGO 
Contract with 
private for profit 
health facilities 
Employee 
contribution on 
flJ'ld (solidarity f\xld) 
39.3 
.2007 
.2010 
services not 
provided by 
the company 
The finding revealed that more workplaces adopted information on counseling on abstinence 
and condom use as means of prevention among the workplace populations. This shows a 
more wholesome approach to prevention among the workplaces in 2010 than in 2007 due to 
Technical support from APHIA II project. 
4.2 Financing of Family Planning Services 
This section discusses the family planning services that employees can access and are financed 
by the workplaces. Information was obtained that sought to know the mode of financing 
in provision of male condoms, pills, IUD/UCD, injectables, implants, vasectomy and tubal 
ligation as shown in Table 4.2. 
More workplaces (55.6%) adopted family planning during the project period than when the 
project started (25%). 
County Council of Kwale Manager displays the APHIA /I CWPP Platinum recognition award. 
1 81 END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley, 2010 
Table 4.2: Proportion of workplaces financing mode of the family planning services 
Family Planning Service! Through an Private I Reimbursement Contract Contract with Employee Service not 
Mode of Finandng on site dinic insurance expenses to withNGO private for contribution provided by 
employees profit health on fund (solidality the company 
fadlities fund) 
Male condoms 
2007 48.3 3.6 16.1 1.8 33.9 
2010 54.4 6.3 2.5 30.4 12.7 12.7 12.7 
Pills 
2007 21.3 3.5 5.3 7 64.9 
2010 45.6 7.6 2.5 13.9 10.1 27.8 
IUD/UCD 
2007 16.4 3.6 8.9 69.6 
2010 29.1 6.3 2.5 20.3 8.9 1.3 41.8 
Injectables 
2007 21.3 3.6 7.1 66.1 
2010 43.0 8.9 2.5 13.9 10.1 1.3 27.8 
Implants 
2007 14.8 3.6 7.1 69.6 
2010 24.1 8.9 2.5 20.3 10.1 3.8 41.8 
Vasectomy 
2007 1.6 3.6 1.8 12.5 75 
2010 11.4 7.6 2.5 19.0 11.4 2.5 53.2 
Tubal ligation 
2007 [1.6 
[ ;.6 
[3.6 [1.8 [12.5 [ 1.8 [75 
2010 11.4 2.5 20.3 11.4 1.3 54.4 
4.2.1 Male condoms 
Analysis shows that the proportion of workplaces not financing male condoms declined from 
33.9 percent in 2007 to 12.7 percent in 2010. Majority of the workplaces financed this service 
through an onsite clinic and contract with NGO constituting 54.4 percent and 30.4 percent 
respectively. Similarly, contract with private for profit health facilities and employee contribution 
on fund accounted for 12.7 percent each in 2010. 
4.2.2 Pills 
There was near triple increase in workplaces financing provision of pills from 25.1 percent in 
2007 to 72.2 percent in 2010. The highest mode of financing was through onsite clinic at 46.6 
percent of the workplaces followed by contract with NGO, 13.9 percent and contract with 
private for profit health facilities, 10.1 percent. 
4.2.3 Intra Uterine Contraceptive Device (IUCD/IUD) 
A total of 41.4 percent of the workplaces did not finance provision of IUCDIIUD in 2010 as 
compared to 69.6 percent in 2007. On site clinics accounted for 29.1 percent followed by contract 
with NGO, 20.3 percent and the least was employee contribution on fund, 1.3 percent. 
4.2.4 Injectables 
Financing of injectables was carried out in 72.2 percent of the workplaces in 2010 as compared 
to 33.9 percent in 2007. Provision of inject abies through on site clinic constituted 43.0 percent 
in 2010, an increase from 21.3 percent in 2007. In 2010, contract with NGO and contract with 
private for profit health facilities accounted for 13.9 percent and 10.1 percent respectively. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 11 9 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
Table 4.2: Proportion of workplaces financing mode of the family planning services 
Family Planning Service! Through an Private I Reimbursement Contract Contract with Employee Service not 
Mode of Finandng on site dinic insurance expenses to withNGO private for contribution provided by 
employees profit health on fund (solidality the company 
fadlities fund) 
Male condoms 
2007 48.3 3.6 16.1 1.8 33.9 
2010 54.4 6.3 2.5 30.4 12.7 12.7 12.7 
Pills 
2007 21.3 3.5 5.3 7 64.9 
2010 45.6 7.6 2.5 13.9 10.1 27.8 
IUD/UCD 
2007 16.4 3.6 8.9 69.6 
2010 29.1 6.3 2.5 20.3 8.9 1.3 41.8 
Injectables 
2007 21.3 3.6 7.1 66.1 
2010 43.0 8.9 2.5 13.9 10.1 1.3 27.8 
Implants 
2007 14.8 3.6 7.1 69.6 
2010 24.1 8.9 2.5 20.3 10.1 3.8 41.8 
Vasectomy 
2007 1.6 3.6 1.8 12.5 75 
2010 11.4 7.6 2.5 19.0 11.4 2.5 53.2 
Tubal ligation 
2007 [1.6 
[ ;.6 
[3.6 [1.8 [12.5 [ 1.8 [75 
2010 11.4 2.5 20.3 11.4 1.3 54.4 
4.2.1 Male condoms 
Analysis shows that the proportion of workplaces not financing male condoms declined from 
33.9 percent in 2007 to 12.7 percent in 2010. Majority of the workplaces financed this service 
through an onsite clinic and contract with NGO constituting 54.4 percent and 30.4 percent 
respectively. Similarly, contract with private for profit health facilities and employee contribution 
on fund accounted for 12.7 percent each in 2010. 
4.2.2 Pills 
There was near triple increase in workplaces financing provision of pills from 25.1 percent in 
2007 to 72.2 percent in 2010. The highest mode of financing was through onsite clinic at 46.6 
percent of the workplaces followed by contract with NGO, 13.9 percent and contract with 
private for profit health facilities, 10.1 percent. 
4.2.3 Intra Uterine Contraceptive Device (IUCD/IUD) 
A total of 41.4 percent of the workplaces did not finance provision of IUCDIIUD in 2010 as 
compared to 69.6 percent in 2007. On site clinics accounted for 29.1 percent followed by contract 
with NGO, 20.3 percent and the least was employee contribution on fund, 1.3 percent. 
4.2.4 Injectables 
Financing of injectables was carried out in 72.2 percent of the workplaces in 2010 as compared 
to 33.9 percent in 2007. Provision of inject abies through on site clinic constituted 43.0 percent 
in 2010, an increase from 21.3 percent in 2007. In 2010, contract with NGO and contract with 
private for profit health facilities accounted for 13.9 percent and 10.1 percent respectively. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 11 9 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
4.2.5 Implants 
The financial provision for implants took place in 58.2 percent of the workplaces in 2010 as 
compared [030.4 percent in 2007. The workplaces financing the implants service through 
on site clinic accounted for 24.1 percent followed by contract with NGO, 20.3 percent and 
contract with private for profit making health facilities, 10.1 percent. 
4.2.6 Vasectomy 
The proportion of workplaces not financing vasectomy declined from 75 percent in 2007 to 53.2 
percent in 2010. Majority of the workplaces financed through onsite clinic, contract with NGO 
constituting and contract with private for profit heath facilities (11.4 percent, 19.4 percent and 
11.4 percent respectively). 
4.2.7 Tubal Ligation 
A total of 45.6 percent of the workplaces offered financing for tubal ligation in 2010 as compared 
[0 25.0 percent in 2007. Majority of the workplaces financed through onsite clinic, contract 
with NGO constituting and contract with private for profit heath facilities (11.4 percent, 20.3 
percent and 11.4 percent respectively). 
4.3 Financing of Other Reproductive Health Services 
This section discusses about the other reproductive health s services that employees can access 
and are financed through the workplaces. Information was obtained that sought [0 know the 
mode of financing in provision of STI diagnosis and treatment, antenatal care labor and delivery, 
post partum care, pap smear and mammogram as shown in Table 4.3. 
Table 4.3: Financing mode of other reproductive health service 
Family Planning Service! I Reimbursement Contract I Contract with Employee 
Mode of Finandng 
STI diagnosis and treatment 
2007 7.3 1.8 
201 0 56.4 11.5 
Ante natal care 
2007 20 3.6 
2010 56.4 11 .5 
Labor and Delivery 
2007 15 [1.8 
2010 25.3 12.7 
Postpartum care 
2007 15 1.8 
2010 29.1 12.7 
Pap smear(Cervical cancer detection 
2007 [ 6.7 [1.9 
2010 17.7 11 .4 
Mammogram(Breast cancer detection) 
2007 6.7 1.9 
2010 16.5 11 .4 
20 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT' APHIA II Coast and Rift Valley. 2010 
expenses to 
employees 
1.8 
5.1 
3.6 
5.1 
5.5 
3.8 
3.6 
3.8 
0 
3.8 
0 
3.8 
with NGO private for contribution 
, profit health I on fund (solidality 
fadlities fund) 
5.5 5.5 1.8 52.7 
16.7 14.1 2.6 16.7 
5.5 5.5 [ 1.8 56.4 
16.7 14.1 2.6 16.7 
3.6 12.7 [1.8 58.2 
17.7 15.2 7.6 35.4 
3.6 5.5 3.6 60 
19.0 12.7 6.3 31.6 
3.8 [ 9.4 [1.9 71.7 
21.5 17.7 5.1 36.7 
3.8 9.4 1.9 71.7 
20.3 19.0 5.1 36.7 
4.2.5 Implants 
The financial provision for implants took place in 58.2 percent of the workplaces in 2010 as 
compared [030.4 percent in 2007. The workplaces financing the implants service through 
on site clinic accounted for 24.1 percent followed by contract with NGO, 20.3 percent and 
contract with private for profit making health facilities, 10.1 percent. 
4.2.6 Vasectomy 
The proportion of workplaces not financing vasectomy declined from 75 percent in 2007 to 53.2 
percent in 2010. Majority of the workplaces financed through onsite clinic, contract with NGO 
constituting and contract with private for profit heath facilities (11.4 percent, 19.4 percent and 
11.4 percent respectively). 
4.2.7 Tubal Ligation 
A total of 45.6 percent of the workplaces offered financing for tubal ligation in 2010 as compared 
[0 25.0 percent in 2007. Majority of the workplaces financed through onsite clinic, contract 
with NGO constituting and contract with private for profit heath facilities (11.4 percent, 20.3 
percent and 11.4 percent respectively). 
4.3 Financing of Other Reproductive Health Services 
This section discusses about the other reproductive health s services that employees can access 
and are financed through the workplaces. Information was obtained that sought [0 know the 
mode of financing in provision of STI diagnosis and treatment, antenatal care labor and delivery, 
post partum care, pap smear and mammogram as shown in Table 4.3. 
Table 4.3: Financing mode of other reproductive health service 
Family Planning Service! I Reimbursement Contract I Contract with Employee 
Mode of Finandng 
STI diagnosis and treatment 
2007 7.3 1.8 
201 0 56.4 11.5 
Ante natal care 
2007 20 3.6 
2010 56.4 11 .5 
Labor and Delivery 
2007 15 [1.8 
2010 25.3 12.7 
Postpartum care 
2007 15 1.8 
2010 29.1 12.7 
Pap smear(Cervical cancer detection 
2007 [ 6.7 [1.9 
2010 17.7 11 .4 
Mammogram(Breast cancer detection) 
2007 6.7 1.9 
2010 16.5 11 .4 
20 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT' APHIA II Coast and Rift Valley. 2010 
expenses to 
employees 
1.8 
5.1 
3.6 
5.1 
5.5 
3.8 
3.6 
3.8 
0 
3.8 
0 
3.8 
with NGO private for contribution 
, profit health I on fund (solidality 
fadlities fund) 
5.5 5.5 1.8 52.7 
16.7 14.1 2.6 16.7 
5.5 5.5 [ 1.8 56.4 
16.7 14.1 2.6 16.7 
3.6 12.7 [1.8 58.2 
17.7 15.2 7.6 35.4 
3.6 5.5 3.6 60 
19.0 12.7 6.3 31.6 
3.8 [ 9.4 [1.9 71.7 
21.5 17.7 5.1 36.7 
3.8 9.4 1.9 71.7 
20.3 19.0 5.1 36.7 
4.3.1 STI Diagnosis and Treatment 
The number of workplaces that do not finance STI diagnosis and treatment services declined 
from 52.7 percent in 2007 to 16.7 percent in 2010. Majority of the workplaces supported 
STI diagnosis and treatment through an onsite clinic, 56.4 percent followed by contract with 
NGO, 16.7 percent and contract with private to profit health facilities. Also, 11.5 percent 
financed the services through private insurance and 5.1 percent on reimbursement expenses to 
employees. 
4.3.2Ante Natal Care 
The proportion of workplaces not financing ante natal care declined from 56.4 percent in 2007 
to 16.7 percent in 2010. Majority of the workplaces financed through onsite c1inic(56.4 percent} 
followed by contract with NGO constituting, 16.7 percent and contract with private for profit 
heath facilities, 14.1 percent. 
4.3.3 Labor and Delivery 
The mmber of workplaces financing labor and delivery services rose from 41.8 percent in 2007 
to 64.( percent in 2010. The highest mode of financing was through onsite clinic at 25.3 percent 
of the vorkplaces followed by contract with NGO, 17.7 percent and contract with private for 
profit lealth facilities, 15.2 percent. 
4.3.4 lost partum care 
A total of 68.4 percent of the workplaces offered financing for post partum care in 2010 as 
compard to 40.0 percent in 2007. Majority of the workplaces financed through onsite clinic, 
contrac with NGO constituting and contract with private for profit heath facilities (29.1 
percent 19.0 percent and 12.7 percent respectively). 
4.3.5Ptp smear (Cervical cancer detection) 
The wO'kplaces that did not finance pap smear services declined from 71.7 percent in 2007 to 
36.7 pe'cent in 2010. Majority of the workplaces offering support in pap smear finances them 
using cmtract with NGO, 21.5 percent, followed by through an onsite clinic, 56.4 percent, 
and comact with private to profit health facilities. Also, 11.5 percent financed the services 
throughprivate insurance and 5.1 percent on reimbursement expenses to employees. 
4.3.6 Mammogram (Breast cancer detection) 
The prorortion of workplaces financing mammogram decreased from 71.7 percent in 2007 
to 36.7rercent in 2010. Most of the workplaces financing mammogram service use contract 
with NCO, 20.3 percent, followed by 19.0 percent with contract with private for profit health 
facilitiesand through onsite clinic, 16.5 percent. 
4.4 Fimncing of Child Health Services 
This seeton discusses financing of the child health that employees can access and are financed 
through:he workplaces. Information was obtained that sought to know the mode of financing 
in provhon of immunization/well child visits and sick child care as shown in Table 4.4. There 
was impovement in immunization/child visits with data indicating decline in workplaces not 
supportitg from 52.7 percent in 2007 to 32.9 percent in 2010. Majority (38.0 percent) were 
carried tLrough an onsite clinic followed by contract with NGO at 17.7 percent. Also, support 
for sick hild with care improved from 47.3 percent in 2007 to 72.2 percent in 2010. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 121 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and !;11ft Valley. 2010 
Table 4.4: Financing mode of other reproductive health service 
Family Planning Service! Through an Private Reimbursement I Contract Contract with Employee Service not 
Mode of Financing on site dinic insurance expenses to withNGO I private for contribution provided by employees profit health l on fund (soJidality the company 
fatilities fund) I 
Immunization/well child visits 
2007 7.3 1.8 1.8 5.5 5.5 1.8 52.7 
2010 38.0 2.5 6.3 17.7 10.1 1.3 32.9 
sick child with care 
2007 
2010 
co 
C> 
g 
c: 
7.3 1.8 1.8 5.5 5.5 1.8 52.7 
44.3 5.1 7.6 15.2 12.7 1.3 27.8 
4.5 Beneficiaries of Health Financing 
The study sought to confirm the categories of employees whose access to health services spaid 
for by the workplace. 
4.5.1 Employees Benefiting from Provision of Health Service 
Majority of the workphices did indicate that the full time, management/administraor are 
provided with health care financing as stated by 84.6 percent in 2010 and 85.2 percent ir 2007. 
Also, full time, skilled production employees benefit from health care financing as repo'ted by 
82.3 percent of the workplaces while those for fulltime unskilled employees accounted f>r 62.8 
percent. Only 17.6 percent of the workplaces did not pay for health care service in :010 as 
compared to 26.7 percent in 2007. 
Figure 4.10 Proportion of workplaces by categories of employees benefiting from financing of til! health 
services 
90.0 85.2 84.6 
80.0 
70.0 
60.0 
50.0 
40.0 
30.0 
20.0 
100 
0.0 
Ful time 
managemenV 
administrative 
employees 
82.3 
Full time. 
skilled 
production 
employees 
Full time. 
unskined 
production 
employees 
Seasonal 
employees does not pay 
forheahh 
services 
4.5.2 FamUy Members Benefiting from Provision of Health Service 
.207 
2(0 
l>I'ryother 
A total of 63.3 percent of the workplaces provided health care financing to spouses in2010 as 
compared to 64.7 percent in 2007. Similarly, 60.8 percent of the workplaces had 1:ological 
children provided in health financing in 2010 while adopted children was 37.2 perent. The 
proportion of workplaces supporting orphans increased from 8.3 percent in 2007(0 21.8 
percent in 2010. 
2 2 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPU\CE PROGRAMS (CWPP) REPORT' APHIA II Coast and Rift Valley. 2010 
Figure 4.11 Proportion of workplaces by category of family members received financing in health care 
70,0 64,7 63,3 
60,0 
SO,O 
t 40,0 i 30,0 
20,0 
10,0 
0,0 
Spouse Cohabiling 
Partner 
63,5 
37,2 
20.4 
I 
Adopted 
children 
21.8 
Orphans 
.2007 
2010 
16 
ph n : 0 
Peter Mwarogo FHI Country Director, awards Sarova Taita Hills Unit Manager with a CWPP 
Platinum recognition award. 
END OF PROJECT EVALUATION ON COMPREHENSIVE I 3 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
5.0 NON PROVISION OF HIV AND REPRODUCTIVE 
HEALTH CARE SERVICES 
In the previous chapter the extent of provision of HIV and reproductive health care services by 
the business enterprises was discussed. However, in this chapter the factors that resulted into 
workplaces not financing any of the health care services to its employees are deliberated. The 
main areas being evaluated is regarding; cost of the service, utilization level, free Government 
service and availability of HI VI AIDS service in the workplace. 
5.1 HIV/AIDS Services 
Majority (79.5 percent) of the workplaces reported that they did not provide some of the HIVI 
AIDS services since they were available free Government services. In 2007, 28.8 percent of 
the workplaces reported that the service were too expensive as compared to 19.7 percent in 
2010. More workplaces reported low utilization of the services standing at 19.7 percent in 2010 
compared to 9.8 percent in 2007. 
Figure 5.1: Proportion of workplaces stating reasons for not financing some of the HIV I AIDS services 
80.0 
70.0 
60.0 
50.0 
40.0 
30.0 
20.0 
10.0 
0.0 
Too expensive Low utilization 
5.2 Family Planning Services 
79.5 
56.9 
Free Government 
services 
HIV/AIDS seMces 
provided by the 
company 
Other 
.2007 
2010 
The workplaces were also asked to explain reasons for not financing some of the family planning 
services such as contraceptives for men and/or women. In 2010, a total of 59.6 percent reported 
that it is free service from the Government as compared to 56.9 percent in 2007. The workplaces 
which reported that the service is expensive declined from 28.8 percent to 22.0 percent. The 
workplaces reporting that they offered all the family planning services declined from 15.7 percent 
in 2007 to 8.7 percent in 2010. 
241 END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT; APHIA II Coast and Rift Valley. 2010 
Figure 5.2: Proportion of workplaces stating reasons for not financing some of the Family planning services 
60.0 56.9 
59.6 
.2007 
2010 
so.O 
400 
30.0 
20.0 
lOG 
O.G 
Too expensive Low utilization 
5.3 Other Reproductive Health Services 
Free Goverm1enl 
services 
Family planning 
services provided 
Other 
The services of STI diagnosis and treatment ante natal care, labour and delivery, post partum 
care, cervical and breast cancer detection formed the other reproductive health services. A 
comprehensive provision of health services was not taken up since the workplaces felt that the 
services were available free in the Government facilities. 
Figure 5.3: Proportion of workplaces stating reasons for not financing other reproductive health services 
3.8 
70.0 
60.0 54.8 
59.7 .2007 .2010 
so.O 
40.0 
30.0 
20.0 
10.0 
0.0 
Too expensive 
5.4 Child Health Services 
Low utilization Free Govenment 
services 
Other reproductive 
health services 
provided by the 
company 
Other 
Information was sought from the workplaces on the reasons for not financing some of the 
child health services. In 2010, a total of 57. 1 percent reported that it is free service from the 
Government as compared to 46.7 percent in 2007. The workplaces which reported that the 
service is expensive declined from 20.4 percent in 2007 to 16.9 percent in 2010. The workplaces 
reporting that they offered all the child health services increased from 17.4 percent in 2007 to 
23.1 percent in 2010. . 
END OF PROJECT EVALUAllON ON COMPREHENSIVE 125 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
Figure 5.4: Proportion of workplaces stating reasons for not financing some of the child health service 
60.0 
50.0 
40.0 
30.0 
20.4 
20.0 
10.0 
0.0 
Too expensive low utilization 
57.1 
Free Goverrment 
services 
Child health 
services provided 
by the company 
.2007 
.2010 
17.4 
0.0 
Other 
Ruth Odhiambo, Deputy Director APHIA /I Rift Valley, awards REA Vipingo Management with a 
CWPP Platinum recognition award. 
2 61 END OF PROJECT EVAlUATION ON COMPREHENSIVE WORKPlACE PROGRAMS (CWPp) REPORT: APHIA " Caaat and Rift 2010 
6.0 PROVISION OF SERVICES IN ON-SITE HEALTH 
CLINICS 
6.1 Existence of an On-site Health Clinic 
A total of 56.9 percent of the workplaces reported to have an established on site health clinic 
since 2007. Rift Valley accounted for 37.5 percent of the workplaces with an on-site health clinic 
and Coast, 19.4 percent. The proportion of workplaces with onsite health clinic was highest in 
the agriculture sector at 85.2 percent followed by tour and hotel industry at 60.0 percent. 
Table 6.1: Proportion of workplaces reported in 2007 to have had on -site health clinic 
Province/ On sit e 
clinic 
Rift Valley 
Yes 
No 
Not Applicable 
Coast 
Yes 
No 
Not Applicable 
Total 
Yes 
No 
Not Applicable 
Goods and Services provider Tour and hotel industry 
5.3 10.0 
21.1 -
- -
21.1 50.0 
36.8 20.0 
15.8 20.0 
26.3 60.0 
57.9 20.0 
15.8 20.0 
6.2 Motivation for establishment of on-site clinic 
Manufacturing 
31.3 
25.0 
12.5 
12.5 
18.8 
. 
43.8 
43.8 
12.5 
Agriculture 
-
74.1 
11.1 
-
--I-
--
11.1 
3.7 
-
85.2 
14.8 
-
The study sought to know what motivated the workplaces to establish an onsite-health clinic. 
Data presented in Table 6.2 indicates that 40.5 percent of the workplaces with onsite-health 
clinics were motivated to establish the clinics due to lack of health facilities in the community, 
50.0 percent wanted to retain staff and 64.3 percent reported due to employee demand. About 
4.9 percent of the workplaces inherited the services after privatization by the government and 
25.0 percent due to reduced medical expenses. 
Total 
37.5 
15.3 
2.8 
19.4 
18.1 
6.9 
56.9 
333 
9.7 
END OF PROJECT EVALUATION ON COMPREHENSIVE 127 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
Table 6.2: Proportion of companies by motivation for establishment of an on-site health clinic 
Employee I Coast I 
category I Goods! services Tour and hotel Manufacturing Agriculture Goods! services Tour and hotel Manufacturing Agriculture Total 
provider industry I provider I industry 
Full-time, permanent physicians 
Yes 20.0 18.2 30.4 21.4 20.0 20.0 20.0 23.0 
No 20.0 100.0 36.4 69.6 42.9 40.0 40.0 60.0 50.0 
Not ApplIcable 60.0 45.5 35.7 40.0 40.0 20.0 27.0 
Full-time, permanent nurses 
Yes 20.0 100.0 45.5 78.3 28.6 60.0 20.0 75.0 53.4 
No 20.0 9.1 21.7 28.6 20.0 16.4 
Not Applicable 20.0 1.4 
FUll-time, permanent laboratory technicians 
Yes 100.0 18.2 26.1 21.4 20.0 50.0 21.9 
No 40.0 36.4 73.9 35.7 40.0 0.0 25.0 49.3 
Not Applicable 60.0 45.5 42.9 40.0 40.0 25.0 28.8 
Full-time, permanent phamacy staff 
Yes 100.0 27.3 13.0 21.4 30.0 50.0 20.8 
No 40.0 27.3 7 .9 35.7 30.0 50.0 25.0 45.8 
Not Applicable 13.0 4.2 
6.3 Employees in On-site health clinic 
Analysis of Table 6.2 indicates that in on- site health clinics, 53.4 percent of the workplaces 
have employed full time permanent nurses followed by 23.0 percent full time permanent 
physicians. Under tour and hotel industry, Rift Valley workplaces had no full time permanent 
employees, while Coast was 20.0 percent. The reported fulltime permanent nurses were highest 
in Tour and Hotel industry (Rift Valley) at 100 percent followed Agriculrure(Rift valley) at 
78.3 percent and Agriculture (Coast) at 75.0 percent. 
Table 6.3: Proportion of workplaces reporting category of employees in the on-site health clinic 
Reason for Onsite health clinic 
Lack of health facilities in the community 
Staff retention 
Employee demand 
Inhented servICes after prIvatIzatIon by the government 
To reduce transport expenses 
To reduce medical expenses 
To comply with company's act 
Free medical servICes to employees is a Co Policy 
No onsite dinic Refferal to MOH 
Demand by gvt for a mandatory onsite clinic if staff is > 100 
2 8 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA " Coast and Rift Valley. 2010 
Yes 
40.5 
50.0 
64.3 
4.9 
25.0 
25.0 
25.0 
8.3 
0.0 
16.7 
No Don't know Not Applicable 
54.8 2.4 2.4 
42.9 4.8 2.4 
26.2 7.1 2.4 
82.9 73 4.9 
-, 1 
6.4 Laboratory Tests in on- site health clinic 
Information on whether tests are taken in the workplace in on-site health clinics is presented in 
Table 6.3. A total of 42.5 percent of the workplaces carried out HIV testing tests followed by 
Basic hematology, 21.9 percent and Blood chemistry tests at 19.2 percent. Also the proportion 
of the workplaces carrying out CD4 counts hematology tests, Viral load test and culture tests 
was 8.2 percent, 4.1 percent and 13.7 percent respectively. 
Table 6.4 Proportion of workplaces having tests taken in the on-site health clinic 
Tests taken in on site Rift Valley 1 Coast 
dinic Goods/services Tour and hotel Man.mcturing Agriculture Goods/services Tour and hotel Manufacturing Agriculture 
provider industry industry 
Basic hematology tests 
Yes 100.0 18.2 26.1 21.4 20.0 40.0 
No 40.0 36.4 73.9 35.7 40.0 20.0 75.0 
Not Applicable 60.0 45.5 42.9 40.0 40.0 25.0 
Blood chemistry tests 
Yes 100.0 18.2 17.4 21.4 30.0 0.0 25.0 
No 40.0 36.4 82.6 35.7 30.0 60.0 50.0 
Not Applicable 60.0 45.5 42.9 40.0 40.0 25.0 
Cultures tests 
Yes 100.0 9.1 8.7 2l.4 20.0 0.0 25.0 
No 40.0 45.5 91.3 35.7 40.0 60.0 50.0 
Not Applicable 60.0 45.5 42.9 40.0 40.0 25.0 
HIV testing tests 
Yes 100.0 36.4 56.5 35.7 30.0 40.0 75.0 
No 40.0 18.2 43.5 21.4 30.0 20.0 0.0 
Not Applicable 60.0 45.5 42.9 40.0 40.0 25.0 
CD4 counts hematology tests 
Yes 100.0 9.1 2l.4 10.0 0.0 0.0 
No 40.0 45.5 95.7 35.7 50.0 60.0 75.0 
Not Applicable 0.0 4.3 0.0 0.0 0.0 0.0 
Viral load tests 
Yes 9.1 7.1 10.0 0.0 0.0 
No 40.0 100.0 45.5 95.7 50.0 50.0 60.0 75.0 
Not Applicable 0.0 4.3 0.0 0.0 0.0 0.0 
6.5 Utilization of UIV I AIDS Service 
Table 6.4 provides details of the employees who received the various HIV/AIDS services in the 
onsite health clinics from the various business sector. A total of24,987 were counseled on correct 
condom use, 14,428 employees were provided with HIV/AIDS testing and counseling, 10,637 
counseling on being sexually faithful and 8,420 counseling on abstinence. The least service 
provided was diagnosis and treatment for opportunistic infections (138) and coordination of 
home based care for HIV/AIDS use. Other services provided were adherence counseling on 
ARVs and counseling on drug/alcohol abuse 
Total 
21.9 
49.3 
28.8 
19.2 
52.1 
28.8 
13.7 
57.5 
28.8 
42.5 
28.8 
28.8 
8.2 
6l.6 
l.4 
4.1 
65.8 
l.4 
END OF PROJECT EVALUAllON ON COMPREHENSIVE I 29 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
Table 6.5 Number of employees who received the HIVIAIDS service by business sector 
HIVIAIDS Service Goods/services Tour and hotel Manufacturing Agriculture 
provider industry 
Testing and counseling for HIVIAIDS 1,520 270 6,881 5,757 
coordination of home based-care for HIVI AIDS use 10 12 0 170 
Diagnosis and treatment for Ols 23 13 7 95 
Diagnosis and treatment for Ols 537 4 11 1,797 
Adherence counseling on ARVs 724 0 1,107 240 
Counseling on abstinence 195 1,081 2,280 4,864 
Counseling on being sexually faithful 1,924 1,569 2,280 4,864 
Drug/alcohol use as related to HIV / AIDS 282 1,187 2,330 4,614 
Counseling on correct condom use 2,1 94 1,284 14,430 7,059 
6.6 Status of ARVs provision in Workplace On-site Clinics 
Information on provision of ARVs and reasons for not providing was sought from the 
workplaces. 
6.6.1 Provision of ARVs 
Total 
14,428 
192 
138 
2,349 
2,071 
8,420 
10,637 
8,413 
24,967 
Analysis of Figure 6.1 indicates that the proportion of workplaces providing ARV s to their 
employees improved marginally from 13.8 percent in 2007 to 14.0 percent in 2010. During 
the period of assessment 7.0 percent stated they Donlt know and 4.7 percent Not applicable. 
Figure 6.1 Proportion of workplaces with on-site clinic providing ARVs 
.2007 
90.0 86.2 2010 
80.0 
70.0 
60.0 
I 50.0 40.0 
30.0 
20.0 
10.0 7.0 4.7 
0.0 0.0 0.0 
Yes No Don't know Not 
-
applicable 
6.6.2 Reasons for Non provision of ARVs 
Majority of the workplaces with on-site clinics reported not providing ARVs due to the 
government offering free access as stated by 72.5 percent in 2010 and 57.1 percent in 2007. 
Another 20.0 percent stated that it is due to costs in 2010 as compared to 28.7 percent in 2007. 
Other reasons are; due to lack of access to supplies and limitation of national regulation as 
reported by 17.5 percent and 20.0 percent respectively. 
3 0 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT. APHIA II Coast and Rift Valley. 2010 
Table 6.6 Reasons for non provision of ARVs in on site health clinics 
Reasons for Not providing ARVs 2007 2010 
Baseline Yes No Dontknow Not Applicable 
Due to costs 28.7 20.0 62.5 7.5 10.0 
Due to Limitation by national regulation 13.6 20.0 575 12.5 10.0 
Due to access to supplies 18.2 17.5 67.5 7.5 75 
Due to low utilization 9.5 20 675 2.5 10 
Due to government offering free access to ARVs 57.1 72.5 17.5 2.5 75 
Stigma among staff 25 
Inadequate trained medical personnel 50 
Done at Private Hospital to reduce Stigma 25 
6.6.3 Monitoring Employees ART Progress 
The monitoring mechanisms of employees ART progress in the onsite health clinics was sought. 
Table 6.7 presents data indicating that in 2010, 41.9 percent of the workplaces monitored at the 
onsite clinic as compared to 20.0 percent in 2007. Also, 83.7 percent refer to government facility, 
32.6 percent refer to private facility and 9.5 percent refer to NGO in 2010. The proportion of 
workplaces not monitoring employees ART progress declined from 12.0 percent in 2007 to 9.5 
percent in 2010. 
Table 6.7: Proportion of workplaces with on-site dinic monitoring employees ART progress 
Monitor employee ART progress 2007 2010 
Baseline Yes No Oontknow Not Applicable 
At on site clinic 20.0 41.9 51.2 4.7 2.3 
Refer to government faality 50.0 83.7 11.6 4.7 
Refer to private clinic 25.0 32.6 65.1 2.3 
Refer to NGO 123.1 95 85.7 4.8 
No Monitoring 12.0 95 83.3 7.1 
6.6.4 Provision of ART Statistics Report to Government 
Information in Figure 6.1 shows the status of the workplaces providing ART statistics to the 
government. A total of 42 percent of the workplaces with onsite clinics provided ART statistics 
while 49 percent did not. 
Figure 6.2 Workplaces reporting Clinic ART Statistics to the Government 
No 42% No 49% 
END OF PROJECT EVAlUATION ON COMPREHENSIVE 131 
WORKPlACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
6.6.5 Impact of Government policy 0 Free Access to ARVs 
The workplaces were further asked if there was an impact on its services the Government 
policy of free access to ARVs. Figure 6.4 indicates that 46.3 percent of the workplaces reported 
it improved their ability as compared to 2.45 percent who said it reduced their ability. However, 
19.5 percent stated that there was no impact on ability while 12.2 percent reported they don't 
know. 
Figure 6.3 Impact of free access to ARVs to clinics ability to provide ART 
50 463 
45 
40 
35 
30 
25 
20 
15 
10 
5 
0 
Improved abi.1y Reduced No impact on Don't know 
abo ilY ability 
9,6 
Don'tp" . e 
ART 
96 
Not 
applICable 
Margaret Kabue, Program Officer APHIA 1/ Rift Valley, awards Nandi Tea with a CWPP level 2 Gold 
award. 
3 2 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
7.0 STOCKING OF HIV/AIDS-RELATED HEALTH 
PRODUCTS IN ONSITE CLINICS 
Information on the supplies and stocks available in the last 12 months that addresses the 
employee's health service needs in onsite clinics is presented in this chapter. The ability of the 
onsite clinics to address the client's needs in the provision of ARVs, HIV/AIDS kits is also 
discussed. 
7.1 Source of Supplies for HIV/AIDS Related products 
The workplaces onsite health clinic relied on several sources to get its supplies of the HIVI 
AIDS related products that included; the Government, NGOs and private for profit 
organizations. 
7.1.1Anti Retro Viral (ARVs) 
Analysis of Figure 7.1 shows that in 2010, the Government is the major supplier of Anti Retro 
Viral (ARVs) to workplaces onsite clinics at 53.5 percent followed by NGOs at 16.3 
percent. Conversely, in 2007 NGOs were the highest suppliers at 30.8 percent followed by 
the Government, 23.1 percent. During the period under review, the proportion of workplaces 
receiving ARVs from private for profit entities declined from 15.4 percent in 2007 to 2.3 percent 
in 2010, a reduction of 13.1 percent. In 2010, the workplaces indicating that they did not get 
the ARVs supplies was 1l.6 percent on Government, 9.3 percent from NGOs and 14.0 percent 
from private for profit workplaces. 
Figure 7.1 Source of ARVs supplies for the onsite health clinic 
• NWs entitles from Government 
• AAVs entibes from NGOs 
• ARVs entitles from pnvate, for profit 
Company does not offer NWs entities 
7.1.2 HNTests Kits 
60 
50 
40 
30 
20 
10 
o 
Yes 
2007 
23.1 
30.8 
15,4 
34.6 
Yes No Don't know 
2010 
53.5 11.6 7.0 
16.3 9.3 2.3 
2.3 14.0 16.3 
25.6 4.7 30.2 
The proportion of workplaces receiving HIV test kits to workplaces on site clinics increased 
tremendously from 46.2 percent in 2007 to 72.1 percent in 2010. However, in the same period, 
supplies from NGOs declined from 33.3 percent to 25.6 percent of the workplaces. There was 
marginal increase in HIV test kits between 2007 and 2010, at 7.4 percent and 9.3 percent. On 
END OF PROJECT EVALUATION ON COMPREHENSIVE 133 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and RlIt Valley. 2010 
the other hand, the proportion of workplaces not offering HIV ests stood at 7.4 percent in 2007 
as compared to 9.3 percent in 2010. 
Figure 7.2 Source of HIV test kits supplies for the onsite healt h clinic 
• HIV tests entJbes from Govemment 
• HIV tests enlJlies from NGOs 
• HIV tests entlbes from pnvate. for profrt 
Corr4lanY does not offer HIV tests entrtl8S 
80 
70 
60 
50 
40 
30 
20 
10 
0 
Yes 
2007 
46.2 
33.3 
7.4 
259 
7.1.3. Opportunistic Infections Drugs 
Yes 
72.1 
25.6 
9.3 
9.3 
No Don't know 
2010 
4,7 2.3 
4.7 2.3 
14.0 0.0 
2.3 11.6 
Figure 7.3 indicates that majority of the workplaces had opportunistic infection (01) drugs 
supplied by the Government, as reported by 67.4 percent in 2010 compared to 26.9 percent in 
2007. The current status of or drugs supply from private for profit organizations accoun ed for 
14.0 percent of the workplaces while NGOs stood at 11.0 percent. The workplaces not offering 
0 1 drugs were 14.0 percent. 
Figure 7.3 Source of 0 1 drugs supplies for the onsite health clinic 
• 01 drugs entities from Government 
• 01 drugs entities from NGOs 
• 01 drugs entities from private, for profit 
Company does not oller 01 drugs entities 
80 
70 
60 
50 
40 
30 
20 
10 
0 
7.1.4 Tuberculosis Drugs 
Yes Yes 
2007 
26.9 67.4 
12.0 11.6 
32.0 14.0 
32.0 14.0 
No Don t know 
2010 
2.3 2.3 
70 23 
11.6 25.6 
2.3 16.3 
Analysis of Figure 7.4 illustrates that the government is the major supplier of Tuberculosis Drugs 
(TB) drugs at workplaces onsite clinics standing at 74.4 percent in 2010, an increase from 
50.0per cent in 2007. In 2010, TB supplies from N GOs and private for profit entities accounted 
for 11.6 percent and 7.0 percent respectively. in 2increasing to 74.4 percent of the saying 
so. Very few workplaces stated that NGOs and private for profit organizations provide them 
with TB drugs at 11.1 per cent and 14.8per cent respectively. 25.9per cent of the conducted 
workplaces do not provide TB drugs. 
341 END OF PROJECT EVALUAnON ON COMPREHENSIVE WORKPLACE PROGRAMS (cwpp) REPORT: APHIA II Coast and Rift Vallay. 2010 
Figure 7.4 Source ofTB drugs supplies for the onsite health clinic 
80 
70 
60 
50 
40 
30 I .. 20 10 
0 •• 1 _ .• - __ II 
• TB drugs entities from Government 
• TB drugs entities from NGOs 
• TB drugs entities from private, for profrt 
Company does not offer TB drugs 
7.1.5. Male Condoms 
Yes 
2007 
50 
11,1 
14,8 
25.9 
Yes 
74.4 
11.6 
7.0 
16.3 
No Oon'tknOw 
2010 
2.3 2.3 
7.0 2.3 
11.6 18.6 
2.3 18.6 
In 2010, majority of the workplace onsite clinics (90.0 percent) cited Government as the 
supplier for male condoms and increase from 60.0 percent in 2007. The workplaces onsite 
clinics reporting supplies of male condoms from the NGOs marginally increased from 24.1 
percent in 2007 to 25.6 percent in 2010. Only 4.4 percent of the workplaces stated to have 
sourced male condoms from the private for profit entities in 2010 while 2.3 percent did not offer 
condoms at the workplaces. 
Figure 7.5 Source Male condom supplies for the onsite health clinic 
• Male condoms entities from GCYerM1eI1t 
• Male condoms entities from NGOs 
100 
90 
80 
70 
60 
50 
40 
30 
20 
10 
o 
• Male condoms entrties from pnvate, for profrt 
Company does not offer Male condoms entities 
Yes 
2007 
60.0 
24.1 
0.0 
20.7 
Yes 
90.7 
25.6 
4.7 
2.3 
No Oon'tknOw 
2010 
2.3 2.3 
11.6 4.7 
14.0 18.6 
4.7 7.0 
7.2 Stock Run Outs ofHlV/AIDS Related Products 
Table 7.1 presents data on the reported status of stock run outs in the last 12 months of the 
various HIV/AIDS related products such as ARVs, HIV test kits and 01 drugs among others. 
This section provides a detailed account of the status in 2007 compared to 2010. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 135 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
Table 7.1 Proportion of workplaces experiencing stocks run out In the last 12 months 
Stods 2007 2010 
Yes Yes No Dontknow Not Applicable 
ARVs 3.7 2.3 41.9 7.0 48.8 
HIV tests 12.0 14.0 67.4 2.3 16.3 
01 drugs 16.0 16.3 515 30.2 
TB dru s 26.1 5.0 47.5 47.5 
Malaria Drug 44.0 23.3 69.8 7.0 
Male condoms 40.7 25.6 72.1 2.3 
IUD/IUCD 
Pills 
Injectable 
Implants 
Antibiotics 
21.7 9.5 40.5 47.6 
29.2 18.6 65.1 16.3 
29.2 21.4 61.9 16.7 
20.8 16.3 37.2 44.2 
29.6 27.9 62.8 9.3 
7.2.1 Ante Retro Viral Drugs 
Table 7.1 indicates that in 2010, 2.3 percent of the workplaces onsite clinics ran out of ARVs stock 
in the last 12 months prior to the study as compared to 3.7 percent in 2007, an improvement 
of 1.4 percent. In 2010, a total of 4 1.9 percent stated they had enough ARV stock while 7.0 
percent stated don't know. Though the proportion of workplaces onsite clinincs with ARV s 
stocks running out is small, it has a significant impact on the employees relying on the supply. 
7.2.2 HIVTest Kits 
There was a 2.0 percent increase of workplaces onsite clinics running out of HIV test kits from 
12.0 percent in 2007 to 14.0 percent in 2010. However, in 2010, 67.4 percent reported to have 
adequate stocks while 2.3 percent stated don't know and 16.3 percent were not applicable. It is 
important that the workplaces maintain consistency provision to enhance user confidence in the 
servIce. 
7.2.3 Opportunistic Infection Drugs 
There was no significant change in workplaces onsite clinics running out of stock for 0 1 drugs 
between 2007 and 2010 as reported by 16.0 percent and 16.3 percent respectively. However, in 
20 10,53.5 percent of the clinics reported to have adequate stock while 30.2 percent stated not 
applicable. 
7.2.4 Tuberculosis drugs 
There was great improvement in proportion of workplaces running out of stock of TB drugs 
from 26. 1 percent in 2007 to 5.0 percent in 2010, a decline of 21. 1 percent. However, the five 
percent cases ofTB drugs stock run out is a concern, since the patients will require consistent 
availability of the drugs. The analysis further shows that in 2010, 47.5 percent of the onsite 
clinics had enough stock and 47.5 percent stated not applicable. It is therefore important the 
supply ofT B drugs needs to be maintained to avoid the patients missing out their drug intake. 
361 END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley, 2010 
7.2.5 Malaria drugs 
Reliable stocking of malaria drugs at the clinic is important so that patients access them as soon 
as possible. The data shows that there has been tremendous decline of 16.7 percent in workplaces 
with malaria stocks run out from 44.0 percent in 2007 to 23.3 percent in 2010. In 2010, a total 
of 69.8 percent of the workplace onsite clinics reported having adequate stock while 7.0 percent 
stated not applicable. 
7.2.6 Male Condoms 
Supply of male condoms in the 12 months prior to the study improved, with workplaces reporting 
stock run out declining by 15.1 percent from 40.7 percent in 2007 to 25.6 percent in 2010. 
In 2010, the workplaces stating adequate male condoms stock were 72.1 percent and those not 
applicable were 2.3 percent. However, the proportion reporting shortages is high and therefore a 
need for constant supply of condoms to reduce the employees' risk of HIV infections. 
7.2.7 Intra Uterine contraceptive devices 
The workplaces that ran out of stock ofIUD/IUCD declined by 12.2 percent from 21.7 percent 
in 2007 to 9.5 percent in 2010. In 2010, 40.5 percent workplaces with onsite clinics reported to 
have adequate IUD/IUeD stock while 47.6 percent stated not applicable. 
7.2.8 Pills 
In 2010, the workplace with pills out of stock in the period of twelve months prior to the study, 
were 18.6 percent as compared to 29.2 percent in 2007. A total of 61.9 percent workplaces with 
onsite clinics reported to experience adequate stock while 16.3 percent stated not applicable. 
7.2.9 Injectable 
The data shows that 21.4 percent of the workplaces had run out of injectables in 2010 as 
compared to 29.2 percent in 2007, a decline of 7.8 percent. A total of 61.9 percent of the 
workplaces with onsite clinics reported to have adequate stocks in 2010 while 16.7 percent 
stated not applicable. 
7.2.10 Implants 
The supply of implants to the workplace onsite clinics was adequate for the 12 months prior 
to the study in 2010 as reported by 37.2 percent while 44.2 percent stated not applicable. 
However, 16.3 percent reported to have implants stock run out in 2010 as compared to 20.8 
percent in 2007. 
7.2.11 Antibiotics for STIs 
There was minimal change of 1.9 percent in workplaces with onsite clinics reporting antibiotics 
stock run out in 2010 at 27.9 percent compared to 29.8 percent in 2007. A total of62.8 percent 
of the onsite clinics reported to have adequate stock in the 12 months prior to the study while 
9.3 percent stated not applicable. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 137 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
8.0 CONCLUSION AND RECOMMENDATIONS 
8.1 Conclusion 
APHIA Project sites and workplace 
The assessment study was carried out in APHIA II project business enterprise workplaces for 
Coast and Rift Valley provinces. The aim of the study was to determine the impact ofinterventions 
under the comprehensive workplace policy programs (CWPP) for the period 2008 to 2010. In 
all, 36.4 percent of the enterprises were from the agriculture sector, 28.6 percent, goods/services, 
20.8 percent, manufacturing and 14.3 percent, hotel and tour industry. The workplaces had a 
total of 133,396 employees in the 79 workplaces with Coast and Rift Valley province accounting 
for 29.5 percent and 70.5 percent. A total of 6.8 percent of The APHIA II Project partner sites 
employees were fulltime management/administrative while 21.8 percent were full time unskilled 
production employees. 
Comprehensive workplace policy and programs 
There has been great improvement of uptake of comprehensive workplace policy and programs 
by the business workplaces from 50.9 percent to 90.9 percent in 2010. This indicates a positive 
achievement of the APHIA II project in mainstreaming ofHIV/AIDS workplace policies in the 
business enterprises. Support by workplaces on aspects of CWPP was enhanced with condom 
promotion and distribution reported at 100 percent, IEC materials, 100 percent and referral for 
treatment and other care and support materials. 
Several capacity building activities were carried out during the study period targeting all the 
levels of employees. This includes management sensitization that covered 800 employees drawn 
from Coast and Rift Valley provinces (50.4 percent and 49.8 percent). Program design and 
implementation was among other trainings conducted benefiting a total of 2,261 employees. 
The employees were taken through a series of trainings on specific areas of the CWPP targeting 
between 55,479 employees from Rift valley and 26,034 employees from Coast. Majority (86.1 
percent) of the workplaces supported family and community outreach activities. 
HIV/ AIDS Services 
There was considerable improvement in HIV/AIDS service provision in the workplaces with 
financing mode ranging from onsite clinic, private insurance, reimbursement to employees, 
contract with NGO, contract with private for profit and employee contribution on fund. The 
proportion of workplaces financing testing and counseling of HI V I AIDS rose from 44.8 percent 
in 2007 to 83.5 percent in 2010. Majority (47 percent) reported financing mode for testing 
and counseling of HI VI AIDS is through on site clinic. The proportion of workplaces financing 
3 81 END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley. 2010 
- -------
provision of ARTs to employees increased from 44.6 percent in 2007 to 68.4 percent in 2010. 
The same case for home based care ofHIV/AIDS increasing from 44.8 percent in 2007 to 53.2 
percent in 2010. Service provision on treatment for prevention of mother to child transmission 
ofHIV/AIDS rose from 64.1 percent to 75.9 percent. However, adherence counseling on ARVs 
suppon declined from 57.1 percent to 27.8 percent. On the other hand counseling on alcohol 
and drug abuse rose from 48.2 percent to 82.9 percent. Workplaces that offered employees 
financing for counseling on alcohol drug abuse rose from 48.2 percent in 2007 to 82.9 percent 
in 2010. Only 14.1 percent of the workplaces sup po ned counseling on correct condom use in 
2010 as compared to 29.3 percent in 2007. 
Family Planning Services 
The proportion of workplaces not financing male condoms declined from 33.9 percent in 2007 
to 12.7 percent in 2010 while provision of pills rose from 25.1 percent to 72.2 percent in the 
same period. A total of 41.4 percent of the workplaces did not finance provision ofIUCD/IUD 
in 2010 as compared to 69.6 percent in 2007. Financing of injectables was carried out in 72.2 
percent of the workplaces in 2010 as compared to 33.9 percent in 2007. The financial provision 
for implants took place in 58.2 percent of the workplaces in 2010 as compared to 30.4 percent 
in 2007. The proponion of workplaces not financing vasectomy declined from 75 percent in 
2007 to 53.2 percent in 2010. A total of 45.6 percent of the workplaces offered financing for 
tubal ligation in 2010 as compared to 25.0 percent in 2007. 
Other Reproductive Health Services 
There proportion of workplaces' not financing STI diagnosis and treatment services declined 
from 52.7 percent in 2007 to 16.7 percent in 2010 as well as ante natal care from 56.4 percent 
to 16.7 percent. Labor and delivery services rose from 41.8 percent in 2007 to 64.6 percent in 
2010 while post partum care improved from 40.0 percent in 2007. Pap smear services declined 
from 71.7 percent in 2007 to 36.7 percent in 2010 and the same case for mammogram services 
from 71.7 percent to 36.7 percent. 
Child Health Services 
There were two levels of child health care financing; immunization/well child visits and sick 
child with care reported by 67.1 percent and 72.2 percent of the workplaces in 2010. This was 
an improvement from the status of 2007 where only 47.3 percent of the workplaces financed 
the child health services. 
Beneficiaries of Health Care services 
The proportion of workplaces not paying for health care services declined from 26.7 percent in 
2007 to 17.6 percent in 2010. The study also showed that majority of the workplaces finance 
health services for fulltime, management/administrative staff at 85.2 percent. A total of 49.4 
percent of the workplaces reported financing seasonal employees in 2010, an increase from 26.7 
percent in 2007. Health service financing for the spouse was reported by 63.3 percent of the 
workplaces, a slight decline from 64.7 percent in 2007. The trend was similar for suppon of 
biological children declining from 63.5 percent to 60.8 percen t. However, there was improvement 
in workplaces supporting adopted children and orphans, an increase from 7.8 percent and 13.8 
percent respectively. 
END OF PROJECT EVAlUATION ON COMPREHENSIVE 139 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
Barriers to implementation of HIV I AIDS workplace policies and activities 
The srudy looked at factors that inhibit provision ofa CWPP based on cost of the service, utilization 
level, free government service and availability of HIV I AIDS service in the workplace. 
In provision of HI VIA IDS services, 79.5 percent of workplaces reported not providing it because 
it was a free Government service. During the study period the proportion of workplaces that 
reported HIV/AIDS services were too expensive and low utilization declined by nearly half. The 
proportion of workplaces not offering family planning services declined from 15.7 percent to 
8.7 percent. However, free government service accounted for 59.6 percent of the workplaces not 
financing Family planning service while 22.0 percent stated it was expensive. Reasons for not 
providing other reproductive health services and child health services were; too expensive (25.6 
percent and 16.9 percent) and availability of free government services (59.7 percent and 57.1 
percent). 
Health service provision in workplace onsite clinics 
The onsite health clinics were established in 56.9 percent of the workplaces (37.5 percent in Rift 
valley and 19.4 percent in Coast). The motivation of establishing the onsite clinics was due to 
employee demand (64.3 percent), staff retention (50.0 percent) and lack of health facilities in 
the community (40.5 percent). Other reasons were to reduce medical expenses (25.0 percent) 
and inherited service after government privatization (4.9 percent). Analysis further shows that 
53.4 percent of the employees are full time permanent nurses while 23.0 percent are full time 
permanent physicians. Laboratory tests were carried out in the onsite clinics; 42.5 percent of 
workplaces carried out HIV testing tests, Basic hematology, 21.9 percent, Blood chemistry tests, 
19.2 percent. CD4 counts hematology tests, 8.2 percent, Viral load test, 4.1 percent and culture 
tests, 13.7 percent. Information on service utilization was provided with a total 24,987 were 
counseled on correct condom use, 14,428 employees were provided with HIVI AIDS testing and 
counseling, 10,637 counseling on being sexually faithful and 8,420 counseling on abstinence. 
The proportion of workplaces providing ARVs in the onsite clinic rose marginally from 13.8 
percent to 14.0 percent. Most workplaces (72.5 percent) with onsite clinics stated that they 
did not provide ARVs since it is available free from the Government. Other reasons given were; 
lack of access to supplies (17.5 percent) and limitation of national regulation (20.0 percent). 
The monitoring of employees ART progress was reported mainly to take place at onsite clinic 
(41.9 percent) and refer to government facility (83.7 percent) and refer to private clinic (32.6 
percent). Only 42.0 percent of the workplaces with onsite clinics reported ART statistics to the 
government. Further investigation was done on the impact of free government.ARV services on 
site clinic provision. About 46.3 percent of the workplaces reported it improved their ability, 
19.5 percent stated no impact on ability while only 2.4 percent stated reduced ability. 
The results showed that HIV/AIDS related products for the onsite health clinics relied on 
supplies from the government, NGOS and private for profit organizations. In 2010, the major 
supplier to ARVs to the clinics was the government (53.5 percent) and the NGOs (16.3 percent) 
compared to NGOs (30.8 percent) and government (23.1 percent) in 2007. It is likely that the 
Government free access policy resulted in less workplaces relying from the private entities which 
declined from 15.4 percent to 2.3 percent. The government was the highest supplier for HIVI 
AIDS test kits (72.1 percent), Opportunistic infections drugs (67.4 percent), Tuberculosis drugs 
(74.4 percent) and male condoms (90.0 percent). The NGOs and entities from private for 
profit organizations supplied to a limited number of workplaces' onsite clinics. It was also noted 
that there were cases of onsite clinics having stock run out in the last 12 months prior to the 
40 I END OF PROJECT EVALUAnON ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPp) REPORT: APHIA " Coast and Rift Valley. 2010 
study. However, cases of stock run out was lower in 2010 as compared to 2007, depicting that 
the workplaces were more prepared in ensuring stock adequacy. The highest cases of stock run 
out was noted with Antibiotics(27.9 percent), male condoms(25.6 percent), malaria drug(23.3 
percent), implants(I6.3 percent), 01 drugs(16.3 percent) and HIV test kits(I4.0 percent). 
However, lack ofTB drugs and ARVs was reported by 5.0 percent and 2.3 percent of the onsite 
health clinics is a serious concern. 
8.2 Recommendations 
The partnership with Government of Kenya for access to services improved access to services. 
There is therefore a need for formalize partnerships to enhance on accountability in reporting. 
There is need for the workplaces to move a step further to carry out a program Cost-Benefit 
Analysis. This is because the increased confidence in workplace on-site health facilities could be 
reflected as an increase in medical cost which could be undesirable to investors. 
The integration of other health services including maternal and child health, family planning and 
other reproductive health services was successful indicating that other related interventions with 
the UNAIDS Continuum of Prevention, Care and Support can be included in the workplace 
program like alcohol and drugs control, succession planning, economic sustainability services, etc 
The successful linkage with government health facilities as evident in the preferred and actual 
sources of the services in the survey showed that the workplace can fit very well into the 
community strategy of the government of Kenya. The number of workplaces providing Home￾Based Care increased during the period surveyed which shows referral from the facilities to the 
workplaces as per the community strategy. 
Oby Obyerodhyambo, Senior Technical advisor, awards Kapset Tea Factory with a CWPP level 2 
Gold award. 
END OF PROJECT EVALUATION ON COMPREHENSIVE 141 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
ANNEXE 
A1 : 
Number of Employees in Workplace/Institution by 
Category, economic sector and Region 
Full time management! administrative employees 
Male 137 2,212 550 
Female 637 1,519 134 
Total 774 2,910 684 
Full time, skilled production employees 
Male 767 2,699 988 
Female 163 2,364 988 
Total 1,789 3,076 988 
Full time, unskilled production employees 
Male 1,056 4,088 988 
Female 1,035 4,111 988 
Total 1,117 4,260 988 
Part-time, all year employees 
Male 3,996 3,211 170 
Female 3,996 3,099 988 
Total 3,996 3,324 170 
Seasonal, all year employees 
Male 2,997 6,190 
Female 2,997 6,027 
Total 3,147 6,272 
Total Employees 
Male 1,967 1,693 1,800 
Female 2,223 822 400 
Total 3,191 9,540 2,200 
4 21 END OF PROJECT EVAlUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPp) REPORT: APHIA " Coast and Rift Valley, 2010 
258 109 740 
68 20 74 
326 284 814 
2,633 1,676 528 
2,212 1,406 157 
2,858 10,875 685 
2,163 3,908 176 
2,034 3,544 52 
2,210 4,454 228 
3,221 8,001 1,184 
3,047 7,986 1,140 
3,293 8,786 1,325 
2,212 1,114 561 
2,053 617 84 
2,278 12,205 645 
1,307 3,563 2,054 
597 2,910 528 
2,031 5,486 2,942 
3,006 61 7,073 
2,730 16 5,198 
3,219 79 9,090 
4,042 207 13,540 
3,549 43 10,882 
5,741 250 26,262 
9,841 2,372 24,592 
10,602 1,397 23,763 
13,060 2,780 29,097 
12,330 1,403 33,516 
12,210 1,171 33,637 
12,563 1,585 35,042 
7,985 1,056 22,1 15 
7,009 67 18,854 
9,234 124 33,905 
9,768 2,076 24,228 
9,765 686 17,931 
15,024 2,762 43,176 
A2: 
Number of employees who attended training in Rift Valley by type 
of service 
Training Attended I Tou.r and hotel I Manufacturing I Agriculture I Total 
provider Industry 
Managers sensitization 36 
Staff induction/all employees awareness forum 379 
HIV/AIDS committee training 3S 
HIV/AIDS program design & implementation 4S 
coordinator training (quality assurance, monitoring, 9 
supervision) 
(STls) and HIVIAIDS as part of capacity building exercise. 224 
care and support for PlWHA 99 
VCT 61 
ART (Antiretroviral therapy) 59 
mother-to-child transmission HIV 100 
Facilitation skills 130 
Peer education 132 
Sexuality and gender 131 
Traing of trainers (TOT) 16 
Social marketing of condoms 91 
Behaviour change communication 121 
Peer counseling 10 
Malaria prevention & treatment 114 
TB prevention, treatment & care 139 
Family planning & reproductive health 132 
Stigma & discrimination reduction strategies 131 
Nutrition and general awareness 75 
Early (breast, cervical & prostrate) cancer detection 23 
Any other 4 
4 187 170 
100 1,686 8,311 
7 81 156 
7 S60 1,403 
2 43 56 
100 1,077 86S 
100 913 587 
1,051 220 
1,051 185 
100 1,054 285 
100 640 378 
100 654 526 
100 145 435 
12 529 33 
100 525 58 
630 419 
4 72 342 
100 628 808 
100 626 743 
100 426 825 
100 426 734 
100 367 697 
20,003 234 
2 
END OF PROJECT EVALUAnON ON COMPREHENSIVE 143 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
397 
10,476 
279 
2,015 
110 
2,266 
1,699 
1,332 
1,295 
1,539 
1,248 
1,412 
811 
590 
774 
1,170 
428 
1,650 
1,608 
1,483 
1,391 
1,239 
20,260 
7 
A3: 
Number of employees who attended training in Coast by type of 
service 
Training Attended I Goods/services Tour and hotel Manufacturing I Agriculture Total 
provider industry 
Managers sensitization 172 
Staff induction/all employees awareness forum 7,813 
HIV/AIDS committee training 
HIV/AID5 program design & implementation 
coordinator training (quality Assurance, monitoring, 
supervision) 
(STls) and HIV/AIDS as part of capacity building exercise. 
Care and support for PlWHA 
VeT 
ART (Antiretroviral therapy) 
Mother-to-child transmission HIV 
Facilitation skills 
Peer education 
Sexuality and gender 
Training of trainers (TOT) 
social marketing of condoms 
Behavior change communication 
Peer counseling 
Malaria prevention & treatment 
TB prevention, treatment & care 
Family planning & reproductive health 
stigma & discrimination reduction strategies 
Nutrition and general awareness 
Early (breast, cervical & prostrate) cancer detection 
Any other 
441 END OF PROJECT EVAlUATlON ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPp) REPORT: APHIA II Coast and Rift Vaney, 2010 
153 
102 
48 
490 
246 
305 
128 
98 
112 
443 
191 
85 
218 
519 
93 
269 
231 
206 
472 
161 
17 
10 
154 42 35 
1,249 1,376 115 
99 11 46 
55 79 10 
27 7 7 
432 1,088 64 
87 86 21 
79 37 20 
83 21 17 
98 92 19 
164 71 37 
195 116 67 
164 102 86 
18 23 3 
83 75 17 
113 1,078 49 
54 89 44 
365 788 39 
173 788 79 
156 788 80 
105 461 67 
393 654 39 
165 102 3 
3 
403 
10,553 
309 
246 
89 
2,074 
440 
441 
249 
307 
384 
821 
543 
129 
393 
1,759 
280 
1,461 
1,271 
1,230 
1,105 
1,247 
287 
13 
STUDY QUESTIONNAIRE: 
APHIA II COAST & RIFT VALLEY PROJECTS 
COMPREHENSIVE HIV/AIDS WORKPLACE PROGRAMME ASSESSMENT 
Introduction 
The APHIA II project through its partner National Organization of Peer Educators (NOPE), is carrying out 
a situation analysis of comprehensive HIVIAIDS workplace initiatives in public and private companies/ 
institutions in selected districts(Taita Taveta, Mombasa, Malindi, Kwale, Kilifi, Nakuru, Naivasha, Koibatek, 
Kericho, Narok, Nandi). The information obtained will assist in the improvement of ongoing and new 
HIVIAIDS workplace programs as well as identify and strengthen linkages to prevention, treatment, 
care and support services. The results of this assessment will help in proposing appropriate strategies to 
enhance mainstreaming of HI VI AIDS and well ness programs in the normal business of the organizations 
to benefit their employees and families. 
The questionnaire shall be self administered and shall take approximately 30 minutes to complete. Be 
assured that information you share will be kept strictly confidential and results generalized. We therefore 
request that you respond to the questions as honestly as possible. If you have any questions about this 
survey, you can contact of APHIA II in District, 
on Tel: APHIA II on telephone number or by email at 
@nope.or.ke, or moruko@nope.or.ke 
Instructions (PLEASE READ) 
To answer each question, please check or code the appropriate response. If you work in a branch that is 
part of a larger company or institution, please answer questions based on the business practices in the 
location you work in. 
This survey is intended for human resource personnel and health clinicians. If you find during any point 
in the survey that there is a term you do not understand and need defined, please read the glossary of 
terms that is attached to the questionnaire. 
Because this survey asks questions about a wide variety of topics, there may be some questions that 
you may not be able to answer. If you don't know the answer to a question, this is not a problem. Simply 
respond, "1 don't If some of your work colleagues may be able to answer the questions you don't 
know, please seek clarification with them and complete the questions. 
Finally, in the report that will come from this survey, we will categorize the company or institutions 
based on comprehensiveness of the HIV/AIDS workplace initiatives and recommend on areas of 
improvement. 
Thank you for sparing some of your time to fill-in the questionnaire. 
END OF PROJECT EVALUA1l0N ON COMPREHENSIVE 145 
WORKPLACE PROGRAMS (CWPP) REPORT: 
APHIA II Coast and Rift Valley. 2010 
STUDY QUESTIONNAIRE: 
A. Background 
First, we would like to ask you about your company/institution and your job. 
A1. What is the name ofthe company/institution where you work? _____ _ ____ ____________ _ 
Al. What is the business nature of your company/institution? D 
1= Goods/services provider 2= Tour and Hotel Industry 
3= Manufacturing 4= Agriculture 
5= Other (spedfy) 
Al What is your job title? 
A4. What is your email address? 
AS. what is your phone number? 
A6. Date: __ I __ 2010 
B. Background Information about Employees 
Next, we would like to ask you some questions about the employees at your company/institution. 
Bl. How many employees work at this location based on each of the categories be/ow? 
Bla. Full-time management/administrative employees 
o Male o Female o Total o Don'tKnow o Not Applicable 
Blb. Full-time, skilled production employees 
o Male o Female o Total o Don'tKnow o Not Applicable 
Blc. Full-time, unskilled production employees 
o Male o Female o Total D Don'tKnow D Not Applicable 
Bld. Part-time, all year employees 
o Male o Female o Total o Don'tKnow o Not Applicable 
Ble. Seasonal employees 
o Male o Female D Total o Don'tKnow D Not Applicable 
B2. Approximately how many employees work for your company in this region? (If response is you don't know, tick the box.) 
o Male o Female o Total 
461 END OF PROJECT EVALUAnON ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPp) REPORT' APHIA II Coast and Rift Valley, 2010 
o Don'tKnow o Not Applicable 
STUDY QUESTIONNAIRE: 
C: HIVIAIDS PROGRAMS AND POLICIES 
The questions that follow are seeking answers regarding HIV & AIDS programs in your companylinstitution 
C1. Does your company/institution have an HIV & AIDS workplace policy? 
Code: 1 = Yes 2= No 3= Don't Know D 
Q. Which of the following activities is your organization supporting? (check all that apply) 
a. Providing Staff with information and education on HIV & AIDS 
(Code: 1 = Yes 2= No 3= Don't Know) D 
b. Access to STI prevention and treatment 
(Code: 1 = Yes 2= No 3= Don't Know) 
c. Condom promotion and distribution 
(Code: 1= Yes 2= No 3= Don't Know) 
d. Access to VeT 
D 
D 
(Code: 1= Yes 2= No 3= Don't Know) D 
e. Care for orphans and vulnerable children (OVC) 
(Code: 1= Yes 2= No 3= Don't Know) 
f. Care for persons living with HIV and AIDS 
(Code: 1= Yes 2= No 3= Don't Know) 
D 
D 
g. Referral of staff for treatment and other care and support services 
(Code: 1= Yes 2= No 3= Don't Know) D 
h. Other (specify) _____________ _ 
0. As part of HIV&AIDS workplace coordination and implementation mechanism, how many employees have ever received training in the 
following areas? 
1= Managers sensitization D 
2:::: Staff Induction/all employees awareness forumO 
3= HIV / AIDS committee training 0 
4:::: HIVIAIDS program design & implementation 0 
5= Coordinator training (quality assurance, monitoring, supervision) 0 
(4. As part of the HIV&AIDS capacity building activities for the company/institution, how many employees have ever received some training in the 
following areas? 
1= Sexually transmitted infections (STls) and HIV/AIDS D 
2 = Care and support for People living With AIDS (PlWHA) 0 
3= Voluntary Counseling and testing (VeT ) 0 
4 = Antiretroviral therapy (ART) 0 
5 = Mother-to-child transmission of HIV 0 
6 = Facilitation skills 0 
7 = Peer education D 
8 = Sexuality and Gender 0 
9 = Training ofTrainers (TOT) 0 
10 = Social Marketing of Condoms 0 
11 = Behavior change communication 
12 =Peer Counseling 
13=Malaria prevention & treatment 
14= TB prevention, treatment & care 
15= Family planning & reproductive health 
16= Stigma & discrimination reduction strategies 
17= Nutrition & general wellness 
18= Early (breast, cervical & prostrate) cancer detection 
19 = Other (specify) 
END OF PROJECT EVAlUATION ON COMPREHENSIVE 147 
WORKPLACE PROGRAMS (cwpp) REPORT: 
APHIA II Coast and Rift Valley, 2010 
D 
0 
0 
0 
0 
0 
D 
D 
STUDY QUESTIONNAIRE: 
(5 As part of your HIV & AIDS work place activities, does your company Iinstitution carry out the following actiVities? (check all that apply) 
a) Family Fun day d) Parent & youth fun day 
(Code: 1= Yes 2= No 3= Don't Know) 0 (Code: 1= Yes 2= No 3= Don't Know) 
b) Spouses fun day e) Community outreach 
(Code: 1= Yes 2= No 3= Don't Know) 0 (Code: 1= Yes 2= No 3= Don't Know) 
c) Children's fun day f) Others (Spedfy) 
(Code: 1= Yes 2= No 3= Don't Know) 0 
D. General Financing of HIV and Reproductive Health (are 
This section pertains to general financing of HIV IAIDS care and treatment and reproductive health by your company. 
01 For each service, please indicate how your company/institution provides for employees'health care. (Check all that apply.) 
HIV/AIDS Through an on Pnvate Reimburse 
SERVICES -site climc insurance expenses to 
employees 
organizations 
Testing and counseling 
for HIV/AIDS 
Antiretroviral 
treatment (ART) 
for AIDS 
Coordination of 
home-based care for 
HIV/AIDS 
Treatmentto prevent 
mother-to-child 
transmission of 
HIV/AIDS (Nevirapine) 
Post Exposure 
Prophylaxis 
Diagnosis and 
treatment of 
opportunistic 
infections (01), not 
including tuberculosis 
(TB) 
Diagnosis and 
treatment ofTB 
Psychosocial support! 
counseling for people 
living with HIV/AIDS 
(PlWHA) 
48 1 END OF PROJECT EVAlUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPp) REPORT- APHIA II Coast and Rift Valley, 2010 
Contract with Contract with Employee 
non private, for contribution 
govemmental profit health fund (i.e. 
facilities solidarity fund) 
0 
0 
Service not Don't know 
provided by 
company 
STUDY QUESTIONNAIRE: 
HIV/AIDS Through an on Private Reimburse 
SERVICES -site clinic insurance expenses to 
employees 
organizations 
Adherence counseling 
for ARVs 
Counseling on 
abstinence 
Counseling on being 
sexually faithful 
Counseling on 
drug/alcohol use 
Counseling on 
correct condom use 
02 Family Planning Services 
HIV/AIOS Through an on Private Reimburse 
SERVICES -site dinic insurance expenses to 
employees 
organizations 
Male condoms 
Pills 
IUOIIUCD 
Injectables 
Implants 
Vasectomy 
Tubal Ligation (Tl) 
03 Other Reproductive Health Services 
HIV/AIOS Through an on Private Reimburse 
SERVICES -sitedinic insurance expenses to 
employees 
organizations 
STI diagnosis and 
treatment 
Antenatal care 
labor/delivery 
Postpartum care 
Pap smear (cervical 
cancer detection) 
Mammogram (breast 
cancer detection) 
Contract with Contract with Employee Service not Oon'tknow 
non private, for contribution provided by 
governmental profit health fund (i.e. company 
facilities solidarity fund) 
Contract with Contract with Employee Service not Oon'tknow 
non private, for contribution provided by 
governmental profit health fund (i.e. company 
facilities solidarity fund) 
Contract with Contract with Employee Service not Oon'tknow 
non private, for contribution provided by 
govemmental profit health fund (i.e. company 
facilities solidarity fund) 
END OF PROJECT EVALUATION ON COMPREHENSIVE 149 
WORKPLACE PROGRAMS (CWPp) REPORT: 
APHIA II Coast and Rift Valley, 2010 
STUDY QUESTIONNAIRE: 
HIVIAIDS Through an on Private Reimburse Contract with Contract with Employee Service not 
SERVICES -site dinic insurance expenses to non private, for contribution provided by 
employees govemmental profit health fund (Le. company 
organizations facilities solidarity fund) 
1- -
Immunizations/well 
child visits 
Sick child care 
E1 If some or all Hlv/AIDS services in 01 are not provided through your company, why aren't they? (Check all that apply.) 
Too expensive 
o 
All HIV! AIDS services are provided by the company 
(Code: 1= Yes 2= No 3= Don't Know) 
Don't know 
1- ,-
(Code: 1= Yes 2= No 3= Don't Know) o 
low utilization Other (please specify) ____________ _ 
(Code: 1= Yes 2= No 3= Don't Know) 
Services available for free from the govemment 
(Code: 1 = Yes 2= No 3= Don't Know) 
o 
o 
E2 If some or all family planning services 02 (e.g. contraceptives for men and/or women) are not provided through your company, why aren't they? (Check all 
that apply.) 
Too expensive 
(Code: 1 = Yes 2= No 3= Don't Know) 
low utilization 
(Code: 1= Yes 2= No 3= Don't Know) 
Services available for free from the govemment 
(Code: 1= Yes 2= No 3= Don't Know) 
o 
o 
o 
All family planning services are provided by the company 
(Code: 1= Yes 2= No 3= Don't Know) o 
Other (pleasespecify) ____________ _ 
E3 If some or all other reproductive health services in 03 (e.g. STI services, pregnancy care) are not provided through your company, why aren't they? (Check all 
that apply 
Too expensive 
(Code: 1= Yes 2= No 3= Don't Know) 
low utilization 
(Code: 1= Yes 2= No 3= Don't Know) 
Services available for free from the govemment 
(Code: 1 = Yes 2= No 3= Don't Know) 
o 
o 
o 
All reproductive health services are provided by the company 
(Code: 1 = Yes 2= No 3= Don't Know) o 
Other (pleasespeclfy) ____________ _ 
E4 If some or all child health services in 04 are not provided through your company, why aren't they? (Check all that apply.) 
Too expensive 
(Code: 1 = Yes 2= No 3= Don't Know) 
low utilization 
(Code: 1= Yes 2= No 3= Don't Know) 
Services available for free from the govemment 
(Code: 1= Yes 2= No 3= Don't Know) 
50 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPp) REPORT: APHIA II Coast and Rift Valley, 2010 
All child health services are provided by the company 
o (Code: 1= Yes 2= No 3= Don't Know) o 
Other(pleasespedfy) ____________ _ 
o 
o 
STUDY QUESTIONNAIRE: 
E5 For which of the following types of employees will the company pay for health services? (Check all that apply.) 
Full-time, management/administrative employees 
(Code: 1 = Yes 2= No 3= Don't Know) 
Full-time, skilled production employees 
o 
o 
Seasonal employees 
(Code: 1= Yes 2= No 3= Don't Know) 
Company does not pay for health services 
(Code: 1= Yes 2= No 3= Don't Know) 
o 
(Code: 1= Yes 2= No 3= Don't Know) o 
Full-time, unskilled production employees Other (please specify) ____________ _ 
(Code: 1= Yes 2= No 3= Don't Know) o 
E6 For which of the following family members will the company pay for health services? (Check all that apply.) 
Spouse Adopted children 
(Code: 1= Yes 2= No 3= Don't Know) 0 (Code: 1= Yes 2= No 3= Don't Know) 0 
Cohabiting partner Orphans 
(Code: 1=Yes 2= No 3= Don't Know) 0 (Code: 1= Yes 2= No 3= Don't Know) 0 
Biological children Only staff member is eligible for paid health services 0 
(Code: 1= Yes 2=No 3= Don't Know) 0 
E7 Up to what age does the company pay for health services for children? (If you don't know the age up to which benefits are offered, please type "don't know" 
in the box.) 
Years 
Don't Know(tick) 0 
F1 Did you report that you had an on-site clinic at your work location? 
1 =Yes 2=No 3=Don't Know. (if No, go to end) 0 
F2 Does your clinic have any of the following full-time, permanent staff? (Code the correct response) 
Code: 1 =Yes 2=No 3=Don't Know 
Physicians 
Nurses 
Laboratory technicians 
Pharmacy staff 
o 
o 
o 
o 
F3 Which of the following lab tests can be performed at this location? (Code the correct response) 
Code: 1 =Yes 2=No 3=Don't Know 
Basic hematology 
Blood chemistry 
Cultures 
o 
o 
o 
HIVtesting 
(04 counts 
Viral load 
o 
o 
o 
F4 00 you share information about the number of employees that have been served with HIV / AIDS services at to staff of programs/institutions that support you? 
1=Yes 2=No 3=Don't Know. 0 
END OF PROJECT EVALUATION ON COMPREHENSIVE 151 
WORKPLACE PROGRAMS (CWPP) REPORT: 
. APHIA II Coast and Rift Valley. 2010 
-
STUDY QUESTIONNAIRE: 
F5 In the past 12 months, approximately how many employees at your company received the following HIVIAIDS services at your on-site clinic? (If you don't 
know, please tick "Don't know" in the corresponding box.) 
Testing and counseling for HIV / AIDS 
Number 
Don't Know 
Coordination of home-based care of HIV /AIDS 
use 
Don't Know 
D 
D 
D 
D 
Diagnosis and treatment of opportunistic infections, not including T8 D 
Don't Know D 
Psychosocial support/counseling for people living with HIV / AIDS (PLWHA)D 
Don't Know D 
Adherence counseling on ARVs 
Don't Know 
Counseling on abstinence 
Don't Know 
Counseling on being sexually faithful 
Don't Know 
Counseling on drug/alcohol use as related to HIV/AIDS 
Don't Know 
Counseling on correct condom use 
F6 Are antiretroviral (ARVs) provided to employees by this clinic to manage HIVIAIDS? 
1 =Yes 2=No 3=Don't Know. (If Yes, go to F8) D 
F7 What is the reason for not providing ARVs in this clinic? 
(Check all that apply.) 
a. Cost 
(Code: 1 = Yes 2= No 3= Don't Know) 
b.limited by national regulation 
D 
D 
d. Low utilization 
(Code: 1= Yes 2= No 3= Don't Know) 
e. Government offer free access to ARVs 
(Code: 1= Yes 2= No 3= Don't Know) 
D 
D 
D 
D 
D 
D 
D 
D 
D 
D 
(Code: 1= Yes 2= No 3= Don't Know) D 
c. Access to supplies g. Other (please specify) ___________ _ 
(Code: 1 = Yes 2= No 3= Don't Know) D 
F8 How do you monitor employee progress on ART (i.e. (04 and follow-up health care visits)? (Check all that apply if Yes in either F7:- a, b, c, d and e) 
a. At on-site clinic d. Refer to NGO 
(Code:l=Yes 2= No 3= Don't Know) D (Code:l=Yes 2= No 3= Don't Know) D 
b. Refer to government facility e. Don't monitor progress on ART 
(Code: 1= Yes 2= No 3= Don't Know) D (Code: 1= Yes 2= No 3= Don't Know) 
c. Refer to private clinic 
(Code: 1= Yes 2= No 3= Don't Know) D 
F9 Do you report your clinic's ART statistics to the govemment? 
l=Yes 2=No 3=Don'tKnow. D 
FlO How has free access to ARVs affected your clinic's ability to provide ART? (code the correct response) D 
1= Improved ability 4= Don't know 
2= Reduced ability 5;;;:; Other(Specify) 
3= No impact on ability 
5 2 I END OF PROJECT EVALUATION ON COMPREHENSIVE WORKPLACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rm Valley. 2010 
D 
STUDY QUESTIONNAIRE: 
F11 From which entities do you procure the following HIV / AIDS-related health products for your dinic? (Check all that apply.) 
ARVs 
HIVtests 
01 drugs 
18 drugs 
Male condoms 
Govemment 
l=Yes 2=No 
3=00n't Know. 
Non govemmental 
organizations 
l=Yes 2=No 
3=00n't Know. 
Private, for profit 
l=Yes 2=No 
3=00n't Know. 
Don't offer this product 
F12 Have you had stock outs of any of the following health products in the last 12 months? ( Code the correct response in the box provided) 
l=Yes 2=No 3=00n't 4=00n't offer this know product 
ARVs 0 
HIV tests 
01 drugs 
T8 drugs 
Malaria Drugs 
Male condoms 
o 
o 
o 
o 
o 
IUO/IUCD 0 
Pills 0 
Injectables 0 
Implants 0 
Antibiotics for sn 0 
F13 What motivated your company to establish an on-site dinic? (Check all that apply.) 
o 
d.lnherited services after privatization by the govemment 
(Code: 1= Yes 2= No 3= Don't Know) 
Other 
o 
a.lack of health facilities in community 
(Code: 1= Yes 2= No 3= Don't Know) 
b. Staff retention 
o 
e Other (please specify) ____________ _ 
(Code: 1= Yes 2= No 3= Don't Know) 
c. Access to supplies 
(Code: 1= Yes 2= No 3= Don't Know) o 
END OF PROJECT EVALUATION ON COMPREHENSIVE 153 
WORKPLACE PROGRAMS (CWPp) REPORT: 
APHIA II Coast and Rnt Valley. 2010 
REFERENCES 
1. Workplace Implementation Strategy: Comprehensive HIV I AIDS Prevention, care and 
Support Programs (CWPPs) APHIA II Coast and Rift Valley 2007 
2. Kenya AIDS indicator Survey 2007, September 2009. 
3. Kenya National AIDS Strategic Plan 2009/10-2010/13 November 2009 
541 END OF PROJECT EVAlUAnON ON COMPREHENSIVE WORKPtACE PROGRAMS (CWPP) REPORT: APHIA II Coast and Rift Valley, 2010