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.
Years of mechanism: 2007 2008 2009
1. LIST OF RELATED ACTIVITIES This activity relates to SCMS activities in other program areas: Laboratory Infrastructure (#8763), HIV/AIDS Treatment: ARV Services (#8854), Counseling and Testing (#8783), HIV/AIDS Treatment: ARV Drugs (#6997), (#6989), (#6969), and Palliative Care: TB/HIV (#8754).
2. ACTIVITY DESCRIPTION The Partnership for Supply Chain Management Systems, SCMS, will support all of PEPFAR Kenya's service delivery activities through provision of an uninterrupted supply of HIV/AIDS- related commodities. Commodities will come through a regional warehouse established in Kenya (District Regional Center - DRC), significantly decreasing the lead time in procurement. From the regional warehouse, supplies will enter into existing supply chain management systems, including the national distribution system, run by KEMSA, and in some cases, "buffer" stocks to ensure that PEPFAR sites have adequate commodities when there is national shortage. The project will receive forecasting and quantification information from existing in-country partners. This activity will also liaise and strengthen local procurement and distribution partners such as MEDS and KEMSA, by working transparently and collaboratively with them. SCMS will be asked to procure commodities with a focus on results - ensuring not only that the product is delivered, but that there are the required maintenance, inputs and upgrades so that the target number of tests are achieved. In this 12-month period, SCMS will procure 500,000 Government of Kenya (GOK)-approved test kits for Counseling and testing programs within PMTCT.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This program will contribute to counseling and testing of pregnant women at PMTCT facilities by ensuring adequate supply of rapid test kits.
4. LINKS TO OTHER ACTIVITIES This activity relates to all service delivery activities offering counseling and testing to pregnant women, as well as the RPM+/MSH activity in logistics information management, distribution support, and forecasting and quantification (#6989), in ARV Drugs (#6997); KEMSA logistics and information management and distribution systems, (#6969); and SCMC procurements in HVCT, (#8783), HLAB (#8763), and HTXS (#8854). It also links to the SCMS activity in Palliative Care: TB/HIV (#8754).
5. POPULATIONS BEING TARGETED The target populations for this activity are pregnant women in the general population for HIV/AIDS testing.
6. KEY LGISLATVE ISSUES Through the SCMS, procured commodities will be utilized to help address gender equity in HIV programming and improve service delivery to pregnant women, their infants and spouses.
7. EMPHASIS AREAS The major area of emphasis for this activity is commodity procurement.
Plus up funds will be used to purchase CD4 tests for HIV positive pregnant women and children presenting in MCH clinics. This will help address any gaps experienced in putting HIV positive pregnant women and their families on tripple therapy. The CD4 tests will also be used in improving services for children identified through provider initiated counseling and testing in MCH clinics, pediatric wards and pediatric out-patient clinics to increase the number of children on care and follow up. Infants identified as HIV positive through early infant diagnosis will also require more laboratory work up to put them on care and treatment.
1. LIST OF RELATED ACTIVITIES This activity relates to the following injection safety activities: John Snow Inc- Making Medical injections Safer (#6926, #8985) and Ministry of Health - National AIDS and STI Control Program (#7010). It also links to Supply Chain Management Systems (SCMS) activities in other program areas: PMTCT (#8757), Treatment: ARV Services (#8854), Lab Infrastructure (#8763), and TB/HIV (#8754). It also supports all PEPFAR service-delivery activities where sharps are used.
2. ACTIVITY DESCRIPTION This SCMS activity will procure injection safety related commodities including waste disposal materials such as needle disposal boxes and bins for medical waste segregation. SCMS will be able to use its volume procurement to reduce costs for this equipment and thereby increase the proportion of injection equipment that is either auto-disable, protective, or both. SCMS will support all of PEPFAR Kenya's service delivery activities through provision of an uninterrupted supply of these commodities, since shortages of needles and syringes is a primary factor in re-use and other dangerous practices. Commodities will come through a regional warehouse established in Kenya (Regional Distribution Center - RDC), significantly decreasing the lead time in procurement. From the regional warehouse, supplies will enter into existing supply chain management systems, including the national distribution system, run by the Kenya Medical Supplies Agency (KEMSA), and in some cases, "buffer" stocks to ensure that PEPFAR sites have adequate commodities when there is national shortage. The project will work with the Ministry of Health and John Snow, Inc./Making Medical Injections Safer (JSI-MMIS) project to forecast requirements. This activity will also liaise and strengthen local procurement and distribution partners such as KEMSA, by working transparently and collaboratively with them. SCMS will be asked to procure commodities with a focus on results. In this 12-month period, SCMS will procure commodities to support injection safety activities.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This activity will contribute to reduction in HIV transmission throughout the country through injection safety activities implemented by JSI/MMIS, MOH and all PEPFAR partners.
4. LINKS TO OTHER ACTIVITIES This activity relates to all service delivery activities that pose injection safety risks and in particular the JSI-MMIS and MOH-NASCOP activities.
5. POPULATIONS BEING TARGETED This activity targets health care workers, the community, medical waste handlers,and policy-makers.
6.EMPHASIS AREAS The major area of emphasis for this activity is commodity procurement.
It is estimated that up to 5% of HIV infections arise from unsafe injections given in health care facilities. Injection safety can be enhanced by rational injection use, improved injection practices and proper disposal of medical sharps. In this activity Supply Chain Management Systems will procure safety boxes for disposal of medical sharps. Colour coded waste disposal bins and bags and transfer trolleys will also be procured to facilitate segregation of health care waste and its appropriate disposal. These supplies will be distributed to health facilities through various partners in the Kenya Injection safety program. Safe injections will contribute towards reduction of HIV transmission.
1. LIST OF RELATED ACTIVITIES This activity relates to SCMS activities in the following program areas: Laboratory Infrastructure (#8763), PMTCT (#8757), and Counseling and Testing (#8783). It also supports all PEPFAR service-delivery activities.
2. ACTIVITY DESCRIPTION SCMS will support all of PEPFAR Kenya's service delivery activities through provision of an uninterrupted supply of HIV test kits in TB/HIV and other clinical settings. Commodities will come through a regional warehouse established in Kenya (District Regional Center - DRC), significantly decreasing the lead-time in procurement. From the regional warehouse, supplies will enter into existing supply chain management systems, including the national distribution system, run by KEMSA, and in some cases, "buffer" stocks to ensure that PEPFAR supported sites have adequate test-kits when there is national shortage. The project will receive forecasting and quantification information from existing in-country partners. This activity will also liaise and strengthen local procurement and distribution partners such as MEDS and KEMSA, by working transparently and collaboratively with them. SCMS will be asked to procure commodities with a focus on results - ensuring not only that the product is delivered, but that there are the required maintenance, inputs and upgrades so that the target number of tests are achieved. In this 12-month period, SCMS will procure 250,000 Government of Kenya (GOK)-approved test kits for CT programs within TB/HIV treatment programs in health facilities.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This program will contribute to counseling and testing of HIV infected persons presenting for care in health settings by ensuring adequate supply of rapid test kits.
4. LINKS TO OTHER ACTIVITIES This activity relates to all service delivery activities offering counseling and testing to pregnant women, as well as the RPM+/MSH ARV Drugs activity in logistics information management, distribution support, and forecasting and quantification (#6989), the mission competitive procurement (#6997), KEMSA logistics and information management and distribution systems (#6969) and SCMS procurements in Laboratory Infrastructure (#8763), PMTCT (#8757), and Counseling and Testing (#8783).
5. POPULATIONS BEING TARGETED The target populations for this activity adults, youth and children in the general population for HIV/AIDS testing.
6. EMPHASIS AREAS The major area of emphasis for this activity is commodity procurement.
1. LIST OF RELATED ACTIVITIES This activity relates to SCMS activities in other program areas: PMTCT [#8757], Treatment: ARV Services [#8854], Lab Infrastructure [#8763] and TB/HIV [#8754]. It also supports all PEPFAR service-delivery activities.
2. ACTIVITY DESCRIPTION The Supply Chain Management System (SCMS) will support all of PEPFAR Kenya's service delivery activities through provision of an uninterrupted supply of HIV/AIDS-related commodities. Commodities will come through a regional warehouse established in Kenya (Regional Distribution Center - DRC), significantly decreasing the lead time in procurement. From the regional warehouse, supplies will enter into existing supply chain management systems, including the national distribution system, run by the Kenya Medical Supplies Agency (KEMSA), and in some cases, "buffer" stocks to ensure that PEPFAR sites have adequate commodities when there is national shortage. The project will receive forecasting and quantification information from existing in-country partners. This activity will also liaise and strengthen local procurement and distribution partners such as the Mission for Essential Drugs (MEDS) and KEMSA, by working transparently and collaboratively with them. SCMS will be asked to procure commodities with a focus on results - ensuring not only that the product is delivered, but that there are the required maintenance, inputs and upgrades so that the target number of tests are achieved. In this 12-month period, SCMS will procure 800,000 Government of Kenya (GOK)-approved HIV/AIDS test kits for both VCT and DCT programs.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This program will contribute to counseling and testing of patients in both VCT and DCT settings by ensuring an adequate supply of test kits (rapid and long, as appropriate) for these programs.
4. LINKS TO OTHER ACTIVITIES This activity relates to all service delivery activities offering counseling and testing, as well as the Management Sciences for Health - Rational Pharmaceutical Management plus (MSH/RPM+) activity in logistics information management, distribution support, and forecasting and quantification; MEDS, in ART Services; KEMSA logistics and information management and distribution systems; and SCMC procurement activities in PMTCT[#8757], HLAB[#8763], and HTXS[#8854].
5. POPULATIONS BEING TARGETED The target populations for this activity are adults, youth and children in the general population for HIV/AIDS testing.
6. KEY LEGISLATIVE ISSUES None
1. LIST OF RELATED ACTIVITIES This activity relates to SCMS activities in other program areas: PMTCT (#8757), Treatment: ARV Services (#8854), Counseling and Testing (#8783), and TB/HIV (#8754). It also supports all PEPFAR service-delivery activities.
2. ACTIVITY DESCRIPTION Supplies Chain Management System (SCMS) will support all of PEPFAR Kenya's service delivery activities through provision of an uninterrupted supply of HIV/AIDS- related commodities. Commodities will come through a regional warehouse established in Kenya, significantly decreasing the lead time in procurement. From the regional warehouse, supplies will enter into existing supply chain management systems, including the national distribution system, run by Kenya Medical Supplies Agency (KEMSA), and in some cases, "buffer" stocks to ensure that PEPFAR sites have adequate commodities when there is national shortage. The project will receive forecasting and quantification information from existing in-country partners. This activity will also liaise and strengthen local procurement and distribution partners such as Mission for essential drugs and Supplies (MEDS) and KEMSA, by working transparently and collaboratively with them. SCMS will be asked to procure commodities with a focus on results - ensuring not only that the product is delivered, but that there are the required maintenance, inputs and upgrades so that the target number of tests are achieved. In this 12-month period, SCMS will procure low through put BD FACSCount (CD4) machines for an additional 16 laboratories (44 already have equipment) and 7 high throughput FACSCalibur CD4 machines for seven provincial hospitals, reagents for all 60 sites to perform 550,000 CD4 tests, tuberculosis (TB) sputum tests for 10,000 cultures, and two million government of Kenya (GOK)-approved HIV/AIDS test kits for both VCT and DCT programs.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This program will contribute to patient monitoring by ensuring the supply and maintenance of diagnostic machines and reagents, test kits, TB cultures, and medical equipment for the use in laboratories of government and mission hospitals providing HIV/AIDS treatment and care.
4. LINKS TO OTHER ACTIVITIES This activity relates to all service delivery activities, as well as the RPM+/MSH activity in logistics information management, distribution support, forecasting and quantification, (#6989), MEDS, in ARV Drugs (#6997 ); KEMSA logistics and information management and distribution systems, (#6969); and SCMC procurements in HVCT (#8783), HLAB (#8763) and HTXS (#8854).
5. POPULATIONS BEING TARGETED The target populations for this activity are adults and children in the general population for HIV/AIDS and TB testing, people living with HIV/AIDS for monitoring, and TB tests.
Procurement of circumcision supply packages: Through SCMS and other existing PEPFAR mechanisms, we propose to procure circumcision consumable supplies and initiate a supply chain system in year one. SCMS will design a circumcision kit that will include the follwoing consumables will include surgical blades, local anaesthesia, syringes, needles, gloves and bandages. This activity will help to strengthen service delivery systems for MC implementation in Kenya.
Table 3.3.14:
