Effect of Integrating Drop-in Centres (DiCsE) into Public Health Facilities on Service Utilization and Treatment Outcomes Among Key Populations Clients in Migori County, Kenya

This study explored effect of integration of Key Population (KP) programs into public health facilities. Kenya have historically been implemented KP program through donor-funded Drop-in Centres (DICEs) providing dedicated HIV, STI, and TB services to Female Sex Workers (FSWs), Men who have Sex with Men (MSM), People Who Inject Drugs (PWID), transgender persons, and survivors of gender-based violence. Following the withdrawal and restructuring of donor support, many DICE services were integrated into public health facilities. Evidence on the effect of this transition on service utilization and treatment outcomes remains limited. Staffing and mentorship: Expand recruitment and retain KP-competent staff during transition to MOH platforms. Protected service pathways: Maintain confidential, KP-friendly service points within integrated facilities to reduce attrition linked to stigma. Restore essential program supports: There is urgent need to prioritize commodities, defaulter tracing, supervision, and fair compensation that were discontinued after integration. Targeted training that is linked integration training to measurable service-delivery outcomes, especially waiting time management and EMR documentation for Key Population clients.