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 HIV/AIDS Treatment: ARV services (#8774, #6945, #8983, #8792, #8797, #6866, #6867 and #8765).
2. ACTIVITY DESCRIPTION The Network of AIDS Researchers in Eastern and Southern Africa, (NARESA) was among the first organizations to partner with the Ministry of Health and pilot PMTCT services in Kenya .With Emergency plan funding, NARESA has been supporting implementation of PMTCT services in health facilities in the 12 districts of Bondo, Rachuonyo and Homa Bay in Nyanza Province; Nyeri, Muranga, Maragua, Kiambu and Kirinyaga in Central Province; Kitui and Mwingi in Eastern Province; Kajiado in Rift Valley Province and Kilifi District Hospital in Coast Province. ANC HIV prevalence ranges from 4% in Kirinyaga district to 28% in Bondo district. To date, NARESA has supported HIV counseling and testing of 17,003 women, and given PMTCT ARV prophylaxis to 1,917 HIV-postive women. In 2007, NARESA will consolidate services in the 250 existing sites and will support additional 100 new health facilities to provide PMTCT services with the aim of providing comprehensive HIV care to all the HIV + pregnant women and their infants and families. A total of 880 service providers will be trained on PMTCT service delivery. The program will provide HIV counseling and testing to 118,910 pregnant women and will support WHO clinical staging for all HIV positive pregnant women in order to identify the appropriate PMTCT ARV intervention. A total of 11,960 HIV positive women will receive ARV prophylaxis, 1,200 of these women will receive HAART; 5,380 will receive both sd Nevirapine and AZT, while 5,380 will receive only sd Nevirapine. The program will provide ARV post exposure prophylaxis to 11,960 HIV exposed infants. The ongoing follow-up clinics for HIV positive women and their infants in all the district hospitals will be strengthened through the provision of a defined package of care for both mother and infant. For the mother, the care components include counseling on appropriate infant feeding practices, linkage to family planning services, and linkage to HIV care and treatment. The care package for the infant will include administration of Cotrimoxazole to 5,980 HIV exposed infants starting six weeks and DBS for PCR-HIV for Early infant diagnosis and will target 5,980 infants with this intervention. The program will collaborate with the HIV/AIDS treatment/ARV services to provide pediatric HIV services to all eligible infants identified through the program. The program will identify and use innovative strategies to reach eligible women in the districts with PMTCT services both in the community and in labor and delivery units. The project will continue to consolidate other continuing strategies for program uptake including using PLWA as peer counselors, providing joint monthly supervision with MOH staff, supporting continuing education for MOH staff and supporting the collection and use of data at both facility and national levels. NARESA will also support the MoH (NASCOP and Kenya Expanded Immunization Program-KEPI) to undertake Targeted Evaluation activity on the integration of medical services for HIV exposed infants into routine immunization, which will evaluate the impact of early infant diagnosis on immunization and enhance follow up of HIV exposed infants.
Key significant change in 2007 is the focus on providing the more efficacious PMTCT ARV regimen and expansion in Early Infant HIV diagnosis services.
"The plus up funds will be used to support the scale up of HIV counseling and testing services to partners and family members of PMTCT mothers with an emphais on reaching family members of HIV+ mothers with a target of reaching 160,000 partners and family members in Nyanza and Central Province.The program will enhance efforts to support improved access to FP services for HIV+ women through strengthened intergration of FP services within PMTCT settings as well as targeting HIV+ adolescent girls.Plus up funds wil also be used to establish and strengthen provision of comprehensive HIV care services (including provision of ART) within MCH settings. Strategies include linkage with MCH and peadiatric services within MCH settings and provision of HIV counseling to sick children attending peadiatric outpatient clinics and peadiatric inpatient wards.Program targets to reach 150,000 women and 30,000 children with these interventions, in Nyanza and Central Provinces.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA PMTCT activities in these districts will significantly contribute to PEPFAR goals for primary prevention and care by contributing 12 % of 2007 overall Emergency Plan CT PMTCT targets for Kenya and 14% of the ARV PMTCT prophylaxis. Technical assistance and
support to facilities will contribute to the goal of improving access to quality PMTCT services. The expansion in scope of services delivered to include comprehensive PMTCT will provide an opportunity for the HIV-positive women to access comprehensive HIV care services. Further, this model provides an opportunity for establishing the infant's HIV status through linkage with available pediatric diagnostic and treatment and care facilities. Comprehensive PMTCT will also provide an entry point for HIV prevention, care and treatment to other members of the woman's family. This activity also contributes to Kenya's Five-Year strategy of encouraging women to know their HIV status and availing services to avert HIV infections among infants. It also contributes to improved networks for pediatric ART.
4. LINKS TO OTHER ACTIVITIES This activity relates to KEMRI ARV Services in Nyanza (#6945), APHIA II ARV services in Nyanza (#8774); CDC TBD (#8983) and APHIA II Eastern ARV services in Eastern Province (#8792); APHIA II ARV services in Rift Valley (#8797); and Columbia University ARV services in Central Province (#6866 and #6867). This activity is most immediately linked to Palliative Care and HIV/AIDS treatment/ARV services through the provision of ongoing care to the HIV+ woman in the ante-natal and post natal settings, care of the HIV exposed and infected infant in the post natal period and appropriate referral to Pediatric HIV Care services.
5. POPULATIONS BEING TARGETED This activity targets adults of reproductive age, pregnant women, Infants, HIV+ pregnant women, and HIV-positive infants (0-5years). The PMTCT+ initiatives will also target HIV affected families through providing mechanism for improving access to care of the family members of the HIV-positive women. Public health care workers will also be targeted for training using nationally approved training packages, to equip them with knowledge and skills to provide comprehensive HIV prevention and care services.
6. KEY LEGISLATIVE ISSUES ADDRESSED This activity will increase gender equity in HIV/AIDS programs through providing PMTCT of HIV services to pregnant women and their partners. HIV-positive women have often reported violence, stigma and discrimination from partners and their families following disclosure of HIV-positive status. This activity will also reduce violence and coercion through promotion of strategies for stigma reduction towards the HIV-positive women through peer support networks at both facility and community levels.
7. EMPHASIS AREAS This activity includes major emphasis on Quality Assurance and Supportive Supervision and minor emphasis on Training; Community Mobilization/Participation; Development of Network/Linkages/Referral Systems as detailed in section 1 above. Targeted Evaluation is another minor emphasis area.
