Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4279
Country/Region: Kenya
Year: 2007
Main Partner: Program for Appropriate Technology in Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $360,000

Funding for Care: TB/HIV (HVTB): $360,000

1. LIST OF RELATED ACTIVITIES This activity is related to activity #7001 in the TB/HIV program area.

2. ACTIVITY DESCRIPTION Cooperative Housing Foundation (CHF) will build organizational capacity and provide sub-grants to NGOs, FBOs, and CBOs, resulting in the provision of antiretroviral treatment to 2,000 HIV-infected people in 9 health care facilities, including 100 children. 250 health care providers will be trained to provide antiretroviral therapy. The key activities of the primary partner will be to develop capacity of local organizations and provide supportive supervision. Funds granted through CHF to sub-partners will be used to provide a standard package of ARV treatment including support for health care worker salaries in accordance with Emergency Plan guidance, training, infrastructure improvement (for example through renovation of clinic spaces), community mobilization activities, support for laboratory evaluation, and adherence counseling and monitoring. ARVs are supplied to the sites through distribution system of the Mission for Essential Drugs and Supplies (MEDS) and the Kenya Medical Supplies Agency (KEMSA). This activity will expand existing programs and continue to place emphasis on providing treatment for children. The primary implementing partner in this activity, CHF, has over 50 years of experience in building the capacity of local and indigenous organizations in numerous countries, and in providing sub-grants to local organizations.

By March 2006, CHF was supporting 4 organizations, whose combined activities were providing ARVs to approximately 2000 individuals with advanced HIV. Capacity building activities have included both strengthening of administrative operations (such as planning and accounting) and technical capacity (specific ability to implement care programs). Sub-partners funded through CHF will support HIV treatment in 3 districts in Nyanza Province, and remote areas of Rift Valley and Eastern Provinces. This activity includes support to the following sub-recipients for activities integral to the program: Merlin $230,000 Christian Missionary Fellowship 150,000; Kenya Pediatric Association 250,000; Community of St. Egidio 280,000; Kenyan Pallative Care Association $40,000 One of the partners funded through CHF is the Kenya Pediatric Association. This local professional organization is providing national classroom, practical training, and mentorship related to pediatric treatment, and is strengthening networks for pediatric HIV treatment (for example through an E-mail list-serve and national meetings).

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA These activities will result in 10,000 HIV/TB co-infected persons receiving care in TB and HIV care settings.

4. POPULATIONS TARGETTED Populations targeted are persons living with HIV/AIDS that are also co-infected with TB, and health care workers.

5. LINKS TO OTHER ACTIVITIES PATH's activity in TB/HIV is directly related to NLTP's efforts in this same program area.

6. KEY LEGISLATIVE ISSUES This activity addresses stigma and discrimination in the training setting.

7. EMPHASIS AREAS The major emphasis area is training with a minor emphasis in human resources.