It improved following the secondment of a financial management specialist (financed by DfID) to NASCOP, but most annual audit reports by the Kenya Auditor General included qualifications.
One of the project's early activities was to support the MOH and NASCOP in the development of a Parliamentary Sessional Paper on HIV/AIDS to define a clear policy and legal framework.
Available data from NASCOP suggest that the reported number of STI cases treated in government health facilities increased from about 150,000 in 1999 to 260,000 in 2000.
The project financed posters, pamphlets, and billboards, and publications such as the annual AIDS in Kenya report produced by NASCOP (MOH 2001), and also sponsored events such as World AIDS Day.
The HP AC project financed construction of a new headquarters for NASCOP--completed in 1999--which brought NASCOP staff under the same roof for the first time.
NASCOP had formal responsibility, but inadequate staff and capacity.
Thus, despite the project's emphasis on improving treatment of STIs, neither districts nor NASCOP had trend data available on STI cases (NASCOP is in the process of entering and analyzing this backlog of data; preliminary results were shared with OED and incorporated into the discussion above).
Having two projects has helped reduce tensions among MOH, NASCOP, and NACC, while allowing the health sector to continue its past activities without waiting while the new multisectoral structures are consolidated.