PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
1. LIST OF RELATED ACTIVITIES This activity relates to activities in ARV Services (#6945, #7004) and Palliative Care: Basic Health Care and Support (#6992).
2. ACTIVITY DESCRIPTION Mildmay International will continue to support mobile teams to provide training in HIV treatment using materials developed and approved by the National AIDS and STD Control Program (NASCOP), with a focus in the very heavily affected Nyanza Province. These activities will result in classroom and practical training of 600 health care workers in ARV management as part of a package of training on comprehensive care of people with HIV/AIDS and will incorporate components of follow up supportive supervision and quality assurance at the sites where these trained health care workers are engaged. An additional 1,200 health care providers will receive continuing medical education (CME). Mildmay will support this activity by sustaining two teams of specially trained trainers. Members of these training teams will also provide patient care at supported sites, (these targets are reported by partners providing other direct support at these facilities). This on-site participation helps to maintain the clinical skills of the trainers, ensure that the trainers are teaching from recent and relevant experience, and assist with meeting critical staffing needs. Funds will support salaries for the trainers, office costs related to coordinating the trainings and preparing and conducting the CME sessions, accommodation costs for training participants, and travel costs for participants and trainers. Mildmay will also assist six Kenya Medical Training colleges build their capacity to design, develop, and deliver quality short courses on integrated adult and pediatric HIV and ART care and incorporate ART and HIV care into their curricula.
A significant change from 2006 to 2007 will be increased emphasis on pediatric scale-up activities with a pediatric demonstration project at a selected health facility. The demonstration project will provide a venue for practicum training and will provide operational guidance for facilities having difficulties identifying, enrolling, and retaining pediatric patients.
Mildmay International is a Christian not-for-profit organization, involved in the provision of consultancy, training and AIDS palliative care services worldwide. Staff from the Kenyan Ministry of Health, including district medical officers, hospital superintendents, and staff from the National AIDS and STD Control Program have traveled to Uganda to participate in Mildmay HIV program management course and have been empowered and motivated to establish or expand treatment programs in their areas. The mobile training teams have been functioning in Kenya since late 2004 and have been highly successful. By May 2006, two multidisciplinary teams have provided ART classroom training to 667 health care professionals and had reached over 1200 health care workers through CME sessions addressing care of pediatric patients and management of patient co-infected with TB and HIV. The teams have undergone training in teaching methodology as well as advanced training in HIV management, both adult and pediatric.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA These activities will contribute to the results of expanded provision of a basic package of health services for patients with HIV, improved integration of prevention and treatment services, and strengthened networks of treatment. These activities will also increase the number of health care workers in Kenya who can provide pediatric ART services.
4. LINKS TO OTHER ACTIVITIES This activity relates to care and ART services supported through other USG- funded facilities in Nyanza, Eastern, Nairobi and Central provinces and Mildmay's home-based care activities (#6992).
5. POPULATIONS BEING TARGETED These activities directly target health care workers, and indirectly target people living with HIV/AIDS. The geographic area where activities are focused is a high priority because of high rates of HIV (overall rates of HIV in Nyanza Province are 15%, the highest in Kenya).
6. KEY LEGISLATIVE ISSUES ADDRESSED This activity addresses legislative issues related to stigma and discrimination through training activities.
7. EMPHASIS AREAS This activity includes major emphasis on training and minor emphases on human resources, local organization capacity development, quality assurance, and supportive supervision.
