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 (#7095), TB/HIV (#9057), and PMTCT (#7097).
2. ACTIVITY DESCRIPTION The University of Nairobi Department of Pediatrics (UNBO) will work to strengthen the palliative care services available at the Kenyatta National Referral Hospital (KNH) and two additional sites in order to provide services to 4000 people with HIV, including 1000 children. Their activities will emphasize the provision of treatment to children, management of complicated opportunistic infections among HIV patients, and participants in US government sponsored research. Palliative care services will include cotrimoxazole preventive therapy, management of opportunistic infections, management of malnutrition, and end-of-life care. Activities will strengthen KNH to provide highly skilled and laboratory services, conduct training, infant diagnostic testing infants, and serve in other diagnostic and management capacities particularly with respect to care of children. In addition to providing training to 90 health care workers, UNBO will provide technical assistance to the National AIDS and STD Control Program (NASCOP) in the development of HIV care policy and guidelines.
The University of Nairobi Pediatrics Department has run research clinics for perinatal cohorts of HIV infected women at KNH for 12 years studying PMTCT, immune responses, and disease progression in women and children, managing a handful of patients receiving donated ART. Research doctors have undergone short courses on the topic of HIV management and have now themselves conducted numerous courses on the topic of HIV care. The KNH Comprehensive Care Center has been running for more than 6 years providing psychosocial care, and over the past year providing ambulatory medical care to PLWHA including nutrition, opportunistic infection prophylaxis, and treatment and ART. The center has dedicated staff providing psychosocial, nutritional, and medical care. By August 2006, more than 2500 patients, including approximately 300 children were receiving care as a result of the activities of this partner. Significant changes from FY 2006 to FY 2007 include development of mechanisms to allow referral of uncomplicated patients to lower level health facilities to enable KNH to focus on tertiary care.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA These activities will contribute to expansion of palliative care for people with HIV, strengthened human resource capacity to deliver HIV care services, and a strengthened referral network for provision of these services. These activities will develop the capacity of KNH to serve as a key network center, developing clinical HIV expertise in the management of both adults and children.
4. LINKS TO OTHER ACTIVITIES This activity relates to ARV services supported by UNBO at these same sites (#7095), and TB/HIV (#9057), PMTCT activities being implemented by University of Nairobi, OBGYN (#7097), ARV services coordinated by and supported through the NASCOP (#7004), and training activities supported by the Kenya Pediatric Association, a treatment sub-partner of CHF, and to multiple activities in and around Nairobi that refer to KNH as a network center.
5. POPULATIONS BEING TARGETED These activities target people (adults, children, infants) living with HIV/AIDS. Treatment services for diagnosis and care of very young children will be established through a relationship with Kenya Medical Research Institute (KEMRI), whereby filter paper samples are transported to the KEMRI lab for polymerase chain reaction (PCR) for infant testing. Public health care providers, including doctors, nurses, pharmacists, and laboratory workers are targeted for increased HIV care knowledge and skills.
6. KEY LEGISLATIVE ISSUES ADDRESSED This activity addresses legislative issues related to stigma and discrimination through community sensitization activities.
7. EMPHASIS AREAS This activity includes minor emphasis in commodity procurement, development of networks/linkages/referral systems, human resources, policy and guidelines, quality
assurance and supportive supervision, and training.
1. LIST OF RELATED ACTIVITIES This activity relates to activities in ARV Services (#7095) and Palliative Care (#7096).
2. ACTIVITY DESCRIPTION The University of Nairobi Department of Pediatrics (UNBO) will support TB/HIV services for approximately 4,000 patients at the Kenyatta National Referral Hospital (KNH) and two additional sites in Nairobi. UNBO will offer TB screening to all HIV infected patients; approximately 500 will be diagnosed with TB/HIV. Funds will be used to support improved TB screening and diagnosis using sputum smear microscopy and, if indicated, sputum culture and chest x-rays. Refresher training of laboratory staff will be initiated and basic laboratory microbiology capacity improved in order to meet the increased needs of TB testing. 20 health care workers will be trained to provide clinical prophylaxis and/or treatment for TB to HIV-infected individuals.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA These activities will contribute towards the provision of integrated HIV/TB care by reducing TB morbidity and mortality in HIV-infected individuals and also reducing HIV related morbidity and mortality in TB patients co-infected with HIV. These activities will strengthen referral systems, improve diagnostics and treatment of TB among HIV-positive patients, and strengthen capacity of health workers to provide integrated HIV and TB services.
4. LINKS TO OTHER ACTIVITIES The overall program activity links closely to Palliative care and ARV services currently supported by UNBO, and ART services coordinated by and supported through the National AIDS and STD Control Program (#7004).
5. POPULATIONS BEING TARGETED These activities target people living with HIV/AIDS and TB suspects. Public health care providers, including doctors, nurses, pharmacists, laboratory workers will receive training in the diagnosis and management of TB using government guidelines.
7. EMPHASIS AREAS This activity includes minor emphasis in commodity procurement, development of networks/linkages/referral systems, local organization capacity development, quality assurance, quality improvement and supportive supervision, and training.
1. LIST OF RELATED ACTIVITIES This activity relates to activities in Palliative Care: Basic Health Care and Support (#7096), TB/HIV (#9057), and PMTCT (#7097).
2. ACTIVITY DESCRIPTION The University of Nairobi Department of Pediatrics (UNBO) will work to strengthen services of the ongoing ART treatment activities at Kenyatta National Referral Hospital (KNH) and two additional sites with an emphasis on the provision of treatment to children, management of complicated cases of patients on ART, and participants in US government sponsored research. Treatment, including antiretroviral therapy will be provided to 4,000 people with advanced HIV (1,000 new patients) including 800 of which are children, increasing the number of individuals ever receiving ART to 5,000. Activities will strengthen KNH's ability to provide specialized care for HIV patients on ART who develop complications, conduct training, perform diagnostic testing in infants, and manage other diagnostic activities, particularly with respect to care of children. Funds will be used to support salaries for health care workers in accordance with Emergency Plan guidance, improve infrastructure through renovation, purchase commodities including laboratory reagents, and train 90 health workers. UNBO will also provide technical expertise to the National AIDS and STD Control Program (NASCOP) in development of policy, guidelines, and curriculum relating to ART. The University of Nairobi Pediatrics Department has run research clinics on perinatal cohorts at KNH for 12 years studying PMTCT and immune responses and disease progression in women and children, as well as managing a handful of patients receiving donated ART. Research doctors have undergone short training about HIV treatment and have conducted numerous courses on ART. The KNH Comprehensive Care Center has been running for more than 5 years providing psychosocial care. Over the past year it has provided ambulatory medical care to PLWHA including nutrition, opportunistic infection prophylaxis and treatment, and ART. It has dedicated staff providing psychosocial, nutritional, and medical care. By August 2006, more than 2,000 patients, including approximately 200 children were receiving treatment as a result of the activities of this partner. Significant changes from 2006 to 2007 include development of mechanisms to allow referral of uncomplicated ART patients to lower level health facilities to enable KNH to focus on tertiary care.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA These activities will contribute to the expansion of ARV treatment for clinically qualified HIV-positive patients, strengthened human resource capacity to deliver ARV treatment, and a strengthened referral network for provision of ARV services.
4. LINKS TO OTHER ACTIVITIES This activity relates to palliative care and TB/HIV services supported by UNBO at these same sites, PMTCT activities being implemented by University of Nairobi, OBGYN, ART services coordinated by and supported through the NASCOP, and training activities supported by the Kenya Pediatric Association, a treatment sub-partner of Cooperative Housing Foundation, and to multiple activities in and around Nairobi that refer to KNH as a network center.
5. POPULATIONS BEING TARGETED These activities target people (adults, children, infants) living with HIV/AIDS. Treatment services for diagnosis and treatment of very young children will be established through a relationship with Kenya Medical Research Institute (KEMRI), whereby filter paper samples are transported to the KEMRI lab for polymerase chain reaction (PCR) for infant testing. Public health care providers, including doctors, nurses, pharmacists, and laboratory workers are targeted for increased HIV care and treatment knowledge and skills.
7. EMPHASIS AREAS This activity includes minor emphases in commodity procurement, development of networks/linkages/referral systems, human resources, policy and guidelines, and training.
