1. LIST OF RELATED ACTIVITIES This activity is related to activities in strategic information (#7002, #9220, and #9012).

2. ACTIVITY DESCRIPTION This activity has several components. The first component of this activity ($563,000), will continue to support the position of an SI resident advisor ($440,000) to coordinate and support USG PEPFAR reporting in Kenya by: 1) coordinating PEPFAR reporting among all of Kenya's implementing partners ($8,000); 2) maintaining the Kenya-Program Monitoring System, KePMS and providing database training to all new PEPFAR implementing partners (IPs) ($10,000); 3) continuing to work with PSRI to assess the M&E training needs and provide general (40 people) and targeted (30 people) M&E training to staff of 100 PEPFAR IPs ($105,000 sub-contract to PSRI). In the second component ($880,000), MEASURE will support NACC to fully develop Community Based Program Activity Reporting (COBPAR) by implementing the stakeholder consultation and data use modules in the two provinces of Rift Valley and Coast in addition to the on going national roll out. This is a phased process that will initially start in the two provinces, but gradually, based on its success, will be expanded to other provinces. MEASURE will achieve this by 1) providing technical support to build community-level capacity to generate and use information for program planning in these two provinces and assist with expansion of community level program reporting through the stakeholder engagement processes in other provinces (sub contract NACC $230,000 and $50,000 TA); 2) assisting NACC with remote data capture and dissemination through automation of their data entry by purchasing hardware and providing training at the CACC level for 26 district technical committees' computers ($80,000) and for 70 PDA ($135,000) for 70 CACCs; 3) training staff by sub-contracting PSRI ($125,000) to train 96 people in 3 5-day trainings at Coast and Rift Valley); 4) conducting evaluation of this focused approach in 2 provinces to learn lessons valuable to its expansion, develop national database (COBPAR, CRIS), and upgrade the system to allow for routine data analysis ($70,000). MEASURE will carry out a capacity building assessment, and, jointly with NACC management, develop a capacity building action plan and follow-up on its implementation ($70,000).

For increased system ownership and data use among all stakeholders, MEASURE will further support 1) upgrading of the COBPAR training manual to include lessons learnt during training of trainers (TOT) in 2 provinces; 2) inclusion of COBPAR training modules in management training courses; 3) development and printing of data collection tools (registers) for COBPAR reporting; and 4) technical assistance for central engagement of stakeholders in reviewing the COBPAR system and data use ($120,000). The third component ($240,000) will support both short and long-term M&E training needs in Kenya, in order to build a cadre of professionals in Kenya who are skilled in monitoring and evaluation of HIV/AIDS programs. In the short run, MEASURE will seek to improve and increase the number of professionals with HIV/AIDS M&E skills in Kenya, by collaborating with PSRI to implement a 2-week short course on M&E of HIV/AIDS for 30 program managers and MOH staff, currently involved in implementing HIV/AIDS programs ($165,000).

For long term M&E capacity building in the country, MEASURE will provide technical support to University of Nairobi/PSRI to develop a graduate level M&E training course. ($75,000). This support will aid in meeting the high demand for advanced-level M&E training in Kenya by increasing access to graduate level M&E training at affordable costs. MEASURE's technical support will be in the area of development/adaptation of the existing M&E training curricula to be implemented in a MPH-level M&E concentration at the university. PSRI will manage course operations and cover training expenses through course fees.

In the fourth component ($100,000), MEASURE will seek to strengthen existing sources of cause-specific mortality statistics by improving the consistency and standardization of AIDS mortality data collection procedures and methodology in 5 Demographic Surveillance Sites (Kilifi, KEMRI, Kibera, Rusinga and Nairobi Urban), Central Bureau of Statistics, and Ministry of Health. MEASURE will design and support a focused action plan to improve the quality of mortality data. Technical input and collaboration will also be sought from members of the Health Metrics Network ‘Monitoring of Vital Events' (MoVE) Task Group specifically: CDC National Center for Health Statistics, Health Metrics Network, and INDEPTH. Use of facility and community-based data sources, including resources will be

enhanced through a) facilitating implementation of plans for increased coordination, collaboration, and harmonization of methods relating to mortality surveillance at existing DSS; b) increasing use of AIDS-specific mortality outputs by stakeholders at all levels through broad-based stakeholders joint planning and reporting; c) collaborating with existing DSS sites in Kenya and MOH to expand demographic and mortality surveillance using SAVVY to increase representativeness, quality and use of AIDS-specific mortality data. Quality assessment methods for Kenya's vital registration system/routine medical certification and coding of AIDS-related mortality will be strengthened and use of available mortality data by various stakeholders improved. MEASURE will develop a detailed annual work plan that will guide the implementation of this activity, monitoring of key results, information dissemination, reporting and use at all levels of the national HIV/AIDS response.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA The activity builds on FY 2006 activities that support the national M&E systems as well as contributing to the Emergency Plan's training outputs. The activity will provide technical assistance to 200 local organizations and community based structures in strategic information in addition to supporting the training of 292 other health care workers like M&E/HMIS Officers, Program managers, District Technical Committees and CACCS in M&E/HMIS, reporting and data use for program management.

4. LINKS TO OTHER ACTIVITIES This activity is related to the strategic information activity to be carried out by NASCOP (#7002), where NASCOP will be rolling out Form 726, Form 727 and program specific client registers for data collection and reporting at health facilities. It is also related to SI TE/TBD (#9220), that will attempt to investigate the causes for low reporting rate by health facilities and recommend strategies for achieving 100% reporting level by health facilities. It is related to strategic information activity to be carried out by Price WaterhouseCoopers/NACC (#9012) which will support the development of data management infrastructure and supportive field supervision of COBPAR activities by the M&E Coordinator.

5. POPULATIONS BEING TARGETED This activity targets host government workers.

6. EMPHASIS AREAS The major emphasis is USG database and reporting system while minor includes monitoring, evaluation, or reporting (or program level data collection and information technology (IT) and communications infrastructure.

Measure Evaluation will use the additional funds ($400,000) to 1) strengthen the capacity of the Resident Advisor's office by recruiting additional Strategic Information Officers to provide the much needed M&E technical support to PEPFAR partners at provincial and district levels 2) to support the recruitment, relocation and transition expenses for the new Resident Advisor for Kenya.