Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1503
Country/Region: Kenya
Year: 2008
Main Partner: U.S. Department of Defense
Main Partner Program: NA
Organizational Type: Other USG Agency
Funding Agency: USDOD
Total Funding: $1,233,299

Funding for Management and Operations (HVMS): $1,233,299

THIS IS AN ONGOING ACTIVITY. THE NARRATIVE HAS BEEN UPDATED TO REFLECT CHANGES.

Activity Narrative:

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 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 administrator. In FY08, the KDOD

program will expand to include the additional positions: One IT Manager (LES), one lab manager (LES), one

pharmacy advisor (LES), one logistics and administrator officer (LES) and one social worker (LES). The

total number for FY08 will be 8 LES providing technical assistance in treatment, care and prevention

activities; and, 7 LES providing necessary administrative, logistical, and IT support.

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 18,000 in newly opened HIV clinics and has been a model for Kenya treatment. In FY08, the

program will continue to grow and provide care and treatment in 7 districts including 12 primary treatment

facilities (with increased linkages to rural health care facilities) and over 200 care/prevention sites. In FY08,

38 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); one full-time USPSC providing TA

in Prevention, CT, OVC, and BHCS activities to both the S. Rift Valley and KDOD HIV Programs; 25 LES

providing technical assistance in treatment, care and prevention activities; and, 10 LES providing necessary

administrative, logistical, and IT support. In FY08, the new positions will consist of the following to assist in

the expanding comprehensive HIV prevention, care, treatment and support services in 7 districts: One

nutritionist (LES) and one Care and treatment assistant. Two new nurses and two lab technologist (LES) will

be added to the M&S core to assist in the markedly expanding PMTCT program in the larger South Rift

Valley. Support staff will be increased by a procurement officer and an M&E officer.

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. Finally, DOD personnel, travel, management, and

logistics support in-country will be included in these costs.