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.
The US DOD manages the Emergency Plan in Kenya almost exclusively by Kenyans (FSNs) through a sub-contract/cooperative agreement with the Kenya Medical Research Institute. In the current (FY 2006) year, only 1 FTE US contractor (USPSC) supports Counseling and Testing and OVC programs through a sub-contract with the Henry M. Jackson Foundation for the Advancement of Military Medicine. This number is proposed to increase to 2 in FY07. In FY 2007, 0.25 FTE for the Kenya DOD HIV Program (USDH) will exist, an unfunded FTE of 1 in FY04 that has decreased yearly as Kenyan leadership has been developed. Otherwise, US DOD M&S leadership of the Emergency Plan program has been transferred to exclusively to Kenyans.
The US Department of Defense (DoD) will provide technical and managerial support to two primary programs: the Kenya Department of Defense (KDoD) and the South Rift Valley HIV Program. Collectively between the two programs, more than 3 million Kenyans will have access to HIV prevention, care, and treatment services. Covering active military and their dependents and fostering direct US-Kenya military interactions, the Kenya Department of Defense Program is based in Nairobi and covers 5 military treatment sites and approximately 20 care facilities nationwide. Administrative support costs manage the growing program as it decentralizes from Nairobi to provide more national level coverage to Kenya military and dependents as well as Kenyan civilians in areas underserved by other HIV services. Increasing by 1 from last year, six Kenyan (LES) staff in FY07 will provide direct management and technical support to this program including: 1 KDoD Program Manager; 2 technical advisors providing mainly clinical support in treatment program areas; 1 accountant; and 1 technical advisor/ program, and 1 new administrator.
The South Rift Valley HIV Program is centered in Kericho, the primary location for the United States Army Medical Research Unit-Kenya (USAMRU-K) HIV research activities. The US DoD brought comprehensive HIV care and treatment services to this area of the Rift Valley Province in April 2004 under the Emergency Plan, thereby fulfilling a moral obligation to Kenyans living in a previously underserved geographic region with no existing comprehensive HIV/AIDS programs. This successful treatment program has grown to nearly 15,000 in newly opened HIV clinics and has been a model for Kenya treatment. In FY07, the program will continue to grow and provide care and treatment in 6 districts including 12 primary treatment facilities (with increased linkages to rural health care facilities) and over 80 care/prevention sites. In FY07, 24 staff will support the South Rift Valley HIV Program including: the HIV Program Director (USDH with FTE of 0.25); the HIV Program Deputy Director (LES with FTE of 0.25); two full-time (1 new in FY07) USPSC providing TA in Prevention, CT, OVC, and BHCS activities to both the S. Rift Valley and KDOD HIV Programs; 11 LES providing technical assistance in treatment, care and prevention activities; and, 5 LES providing necessary administrative, logistical, and IT support. Four new nurses (LES) will be added to the M&S core to assist in the markedly expanding PMTCT program in the larger South Rift Valley.
Administrative costs will support both the Kenya Department of Defense and South Rift Valley HIV Programs and include the provision of technical assistance (both national and headquarters based) required to implement and manage the Emergency Plan activities. Partial funding will be used for training 1 Kenyan staff in advanced HIV virology and diagnostics, both critical as the S. Rift Valley and KDOD treatment programs begin to struggle with issues around treatment failure and resistance. Finally, DOD personnel, travel, management, and logistics support in-country will be included in these costs.
"Cost of Doing Business" Assessment The cost of doing business associated with the DOD managment and staffing entries includes ICASS charges only.
Table 3.3.15:
