endTB in Kenya

Implementer: Médecins Sans Frontières

Site: Green House-Mathare (Nairobi)

The WHO estimated there were 107,000 cases of TB in Kenya in 2015 and 9,000 deaths (excluding deaths linked to HIV and TB coinfection), making TB the fourth-leading cause of death in the country. HIV/AIDS continues to be an important driver of the TB epidemic in Kenya, with approximately 33% of TB patients (with known HIV status) also living with HIV.

In 2015, 368 cases of MDR-TB were identified and started on treatment (WHO, 2016). Thirty percent of reported MDR-TB cases are among refugees residing in Kenya. WHO currently estimates there are 2,000 cases of MDR-TB, with a study conducted at the Central Reference Laboratory assessing 1.3% and 9.4% drug resistance among new and previously treated patients, respectively.

Kamukunji Sub-County is part of Nairobi County, with an estimated population of 276,572 (2009 census). In 2012, Kamukunji notified 2,103 cases of all types of drug-sensitive TB (1766 new and 337 retreatment). The MSF clinic has been following 60% of the cases diagnosed in Nairobi only — data are available through 2013.