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.
US$40,000 was moved to KNCV (TBCAP Mechanism) to assist in the payment of DTLC salaries for a period of two months to bridge their transfer from PATH support to CAPACITY project support.
Table 3.3.08: Program Planning Overview Program Area: Orphans and Vulnerable Children Budget Code: HKID Program Area Code: 08 Total Planned Funding for Program Area: $ 32,064,817.00
Program Area Context:
Key Result 1: 288,000 orphans and vulnerable children cared for Key Result 2: 16,239 providers/caregivers trained in caring for OVC
CURRENT PROGRAM CONTEXT AND STATISTICS There are an estimated 1.5 million orphans and vulnerable children (OVC) in Kenya (Demographic and Health Survey, 2003). The number is expected to rise to 2.3 million by 2010 despite the introduction of antiretroviral treatment. The HIV/AIDS epidemic has had a specifically devastating effect on this population, making these children a critical priority for both Kenya and the Emergency Plan in Kenya.
Ensuring access to essential services for OVC has become too great a challenge for traditional community structures. Developing and strengthening additional and sustainable local structures is critical to meet growing needs of OVC consistent with Government of Kenya (GOK) guidelines.
SERVICES AND PROGRAM IMPLEMENTATION To address these needs, a variety of strategies will be used responsive to the local context. Current USG activities focus on strengthening communities to provide orphan support in a family environment, to identify and support more than 287,956 OVC, and to particularly identify and support adolescents affected by HIV/AIDS (as orphaned heads of household, infected individuals, or both). Core services identified as essential for OVC care and support follow the developmental model which acknowledges that children's needs differ with their stages of psychological, social, and physical development.
Essential services will be provided through collaborative efforts with other stakeholders at the community level who have concern for OVC in their mission or mandate. Program implementation will be strengthened by equipping communities to train local leaders, members of affected families, and care-givers in meeting specific needs of OVC. In accordance with PEPFAR guidelines, concerted efforts in Kenya have been and will continue to be focused on strengthening networks and systems by leveraging wrap-around programs. All partners will be expected to have this as a core component of their activities to encourage sustainable community-based solutions.
The most vulnerable population of OVC are those who are HIV+. Partners are expected to be especially proactive in 2007 in identifying HIV+ children in their programs to ensure access to clinical care and treatment linked with quality psychosocial care and other essential services.
Uninfected OVC are at heightened risk for HIV acquisition due to vulnerabilities stemming from acute levels of poverty and the lack of adult guidance on issues of sexuality. The Emergency Plan has made it a priority for 2007 to ensure that every OVC participates in age-appropriate HIV/AIDS education and prevention program, whether offered by OVC partners themselves or through linkages with AB partners.
Psychosocial care is also a 2007 priority for all children enrolled in PEPFAR-supported OVC programs. The psychological impacts of orphanhood include multiple detrimental long term effects. Programs under the Emergency Plan have recognized the importance of ensuring that their efforts go beyond meeting only practical or material needs. They must also include efforts to promote health development of competent and responsible citizens.
Finally, the Emergency Plan will also indirectly support most of the OVC in Kenya by working on policy change and systems strengthening at the national level (see below).
POLICY The Emergency Plan funds a variety of programs focused on policy and systems strengthening at the national level. The GOK is a major partner in these efforts of establishing guidelines for OVC programs as
well as being the leader in mapping services country wide to minimize duplication of services. This year the Emergency Plan will also support training of Children's Officers in issues of monitoring and evaluation and appropriate supervision of all OVC programs within their geographic area of responsibility.
WORK OF HOST GOVERNMENT AND OTHER DONORS The National Plan of Action for OVC in Kenya has stated that children under any OVC program must receive certain essential services to minimize the impact of HIV/AIDS on their well-being. PEPFAR Kenya wholeheartedly endorses this approach which conforms to PEPFAR OVC guidance and will follow both to ensure that each child is directly served either through primary or supplemental support.
The Department of Children's Services (DCS), UNICEF, World Bank and DFID work in collaboration to support NGOs and CBOs to ensure that essential OVC services are met. The DCS and USG work closely through the Interagency Technical Teams and the OVC National Steering Committee to provide national level guidance and leadership to define OVC work in Kenya.
Program Area Target: Number of OVC served by OVC programs 280,161 Number of providers/caregivers trained in caring for OVC 72,920
Table 3.3.08:
