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 The UNICEF PMTCT activities in Eastern and North Eastern provinces relate to Palliative Care (#8867), Counseling and Testing (#8778), and HIV/AIDS Treatment: ARV services (#8805) in North Eastern province which are also PEPFAR funded
2. ACTIVITY DESCRIPTION UNICEF has years of experience working in the rugged, inhospitable, and often insecure areas of northern Rift Valley, Eastern, and North Eastern Provinces. With Presidential Initiative and Emergency Plan funds, they have been working with the Ministry of Health to provide services to prevent mother-to-child HIV transmission (PMTCT). In 2007, with support from USAID, the facilities that UNICEF supports will counsel and test 24,177 pregnant women and provide antiretroviral prophylaxis for 881 HIV-positive women. Significant changes from 2006 for this activity include more comprehensive coverage in depth in the same districts increasing total number of women served and providing a more comprehensive PMTCT package that includes ARV for pregnant women who need them.
UNICEF is uniquely capable of undertaking PMTCT activities in these geographic areas. It has a long-term commitment to these areas, and implements projects in several sectors there. To implement these projects they established a field office in Garissa, with knowledgeable local staff and appropriate infrastructure. With USAID, UNICEF co-funded the "Kenya PMTCT Project" which started in 1999 and which launched PMTCT activities in Kenya. In 2007 UNICEF will continue to work with the Ministry of Health to train 80% of appropriate health staff in PMTCT reaching 90 health care workers in 35 facilities, renovate fixed facilities, use mobile PMTCT/VCT facilities, and promote PMTCT in the communities served by these services. It will also roll out its stigma reduction campaign in these communities.
The districts in which UNICEF is working - Ijara, Garissa, Wajir, and Mandera in North Eastern Province, Marsabit, Isiolo and Moyale in Eastern Province and Turkana and Samburu in Rift Valley Province- are among the most remote and underserved in Kenya. While HIV prevalence is currently low, these areas have long-distance truck routes running through them, refugee and nomadic peoples easily crossing porous borders, and residents visiting high prevalence areas, especially urban ones. There is a national policy to work in these areas, both as an equity measure and to prevent a further increase in HIV infection.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA UNICEF activities in the specific geographic areas will contribute to 2.5% of overall PEPFAR goals for PMTCT activities in Kenya in the funding period. It's good to note that UNICEF works in hard to reach areas with low prevalence thus increasing equity and preventing further spread of HIV in these areas. Planned activities will improve equity in access to HIV prevention and care services since the currently underserved rural communities will have better access, and UNICEF will work to ensure there are adequate networks and linkages between their sites and medical sites where AIDS care and treatment are available for both adults and children.
4. LINKS TO OTHER ACTIVITIES The UNICEF PMTCT activities in Eastern and North Eastern provinces relate to Palliative Care (#8867), Counseling and Testing (#8778), and HIV/AIDS treatment/ARV services (#8805) in North Eastern province which are also PEPFAR funded. PMTCT services include counseling and testing which is largely diagnostic, provision of ARV prophylaxis, and appropriate referrals for the management of opportunistic infections and HIV/AIDS treatment. UNICEF will use its stigma reduction module in order to reduce stigma within the community.
5. POPULATIONS BEING TARGETED This activity targets adults of reproductive health age, pregnant women, family planning clients, infants, youth, and health care providers in public facilities, increasing access for community members who are generally mobile, marginalized and hard to reach. It also targets opinion leaders in pastoralist communities who will help reduce stigma and increase demand.
6. KEY LEGISLATIVE ISSUES ADDRESSED This activity will increase gender equity in programming through PMTCT services targeted
to pregnant women, their spouses and the youth in hard to reach areas. Women have the highest HIV burden both through infection and as care givers. Identifying them through PMTCT will give them an opportunity to access care and improved pregnancy outcomes for themselves their spouses and their infants. Increased availability of PMTCT services will help reduce stigma at community and facility level.
7. EMPHASIS AREAS This activity includes major emphasis on training and minor emphasis on quality assurance and supportive supervision, infrastructure development, commodity procurement and community mobilization.
