Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4207
Country/Region: Kenya
Year: 2007
Main Partner: Association of Schools of Public Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $400,000

Funding for Health Systems Strengthening (OHSS): $400,000

1. LIST OF RELATED ACTIVITIES This activity relates directly to activities of the Capacity Project and Ministry of Health/NASCOP but supports PEPFAR partners providing Prevention of Mother To Child Transmission, Counseling and Testing, HIV/AIDS treatment/ARV services, Palliative Care TB/HIV, Strategic Information and Laboratory Services.

2. ACTIVITY DESCRIPTION The overarching objective of this activity is to assist the Kenya Ministry of Health in developing technical capacity for human resource strategic planning and management in response to the increased need for HIV care and treatment. The activity focuses on building a data-driven HRH knowledge base that can provide reliable workforce analysis to facilitate human resource capacity building in response to the need. The expectation is that this system will provide a "best practice" model which can be shared and replicated in countries also struggling to implement HIV/AIDS interventions, especially in sub-Saharan Africa.

This project, which began as a cooperative agreement between CDC's Office of Global Health and Emory University, has now entered the second phase of activities supported by PEPFAR funding. During phase 1 (FY 2002-2005), the project created a national electronic database of Kenya's professional nurses. By the conclusion of the project's original 3-year funding period, the database comprised of electronic records of over 44,000 nurses that can link relevant data between the Nursing Council of Kenya, and the Chief Nursing Officer, Ministry of Health.

Over the current funding period the activities include field test electronic entry and submission of workforce data from Homa Bay District to Nyanza Province and to MOH Headquarters. This will be expanded to include electronic communications and use of the MoH workforce database in Nairobi and two other provinces. Current operating systems will be maintained and research plans will be developed to further analyze and utilize these data. There will be development of regular reporting systems for Nursing Council of Kenya (NCK) and MOH administrators, including indicators, timing, and dissemination of reports. The expansion will begin computerization of data from laboratory technicians, working with the Kenya Medical Laboratory Technicians and Technologists Board (KMLTTB) which has the responsibility of registering laboratory technicians and technologists. In addition, there will be computerization of data from physicians through the Medical and Dental Practitioners Board. This will build capacity among administrators and managers at the MoH and each of these professional boards in data protection and utilization, dissemination of project achievements, and collaboration with other partners. The project will track training of health care workers on HIV/AIDS programs to better target training activities and assess coverage and utilization of training.

3. CONTRIBUTION TO OVERALL PROGRAM AREA The first and second component of this activity will strengthen human resource information systems. The project has provided hardware and software materials. Capacity building will be continuous to cover most of the health workers directly involved will data management and policy makers. In FY07, PEPFAR will support the expansion of the database to include other heath workers which will assist the leaders to answer policy questions and proper human resource management. This database will be critical for quality service delivery of the PEPFAR programs.

4. LINKS TO OTHER ACTIVITIES This activity is complementary to the Capacity Project's efforts to hire temporary staff for critical areas to expand HIV care and treatment programs. It will enhance the capacity of MoH/NASCOP to coordinate training and distribution of health care providers who provide PMTCT (NASCOP), counseling and testing (NASCOP), HIV/AIDS treatment/ARV (NASCOP) and Palliative care TB/HIV (NASCOP) services. This will be achieved through the provision of data on health workers who have received in-service and training in prevention, care and treatment. This activity will also strengthen the strategic information (NASCOP) activity through proper deployment of health workers by using the database in selected work sites. Human resource policies will be more focused and guided by the program.

5. POPULATIONS BEING TARGETED This activity primarily targets public health care providers in all cadres.

6. EMPHASIS AREAS This activity largely focuses on strengthening systems for human resource information system to respond to the PEPFAR activities.