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: 2008 2009
THIS IS AN ONGOING ACTIVITY. THE NARRATIVE IS UNCHANGED EXCEPT FOR UPDATED
REFERENCES TO TARGETS AND BUDGETS.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in HIV/AIDS Treatment: ARV services (#7095), (#6836), (#6880), (#7094),
(#6869), (#6866), (#6867), (#7100), and Palliative Care: TB/HIV (#6879).
2. ACTIVITY DESCRIPTION
In FY 2007 Pathfinder International provided support for implementation of PMTCT services in a total of 12
districts across three Provinces of Nairobi, Eastern and Central. These districts include: Nairobi (8 districts),
Eastern (5 districts), and Central (1 district) provinces. The support provided includes provision of
comprehensive antenatal package for all pregnant women. PFI has facilitated the establishment of over 100
support groups of PLWHAs, formed around PMTCT sites by mothers who have benefited from the program
services. Referral linkages have been established to centers providing antiretroviral therapy for continuum
of care for the mother, male partner and, infant. PFI will implement integrated comprehensive PMTCT
service in accordance with the National Comprehensive PMTCT guidelines. Comprehensive integrated
PMTCT services include, but are not limited to counseling and testing of pregnant women and their partners
in antenatal clinics, delivery units and postnatal clinics using the opt-out approach, clinical staging of all HIV-
positive women using WHO guidelines and use of appropriate antiretroviral regimens. Early Infant
Diagnosis (EID) at six weeks via PCR on Dry Blood Spots (DBS) from all exposed infants and successful
referral of HIV-positive mothers, their male partners and infected infants to antiretroviral treatment centers.
In FY 2008, PFI targets counseling and testing to 143,169 pregnant women and provide antiretroviral
prophylaxis to 11,158 (2,238 on HAART; 5,594 on AZT+sdNVP and 3,326 sdNVP) HIV-positive women.
The target for EID using DBS at six weeks and cotrimoxazole prophylaxis to exposed infants is 6,000. The
number of sites will increase from 300 to over 320. Innovative approaches will be used to increase male
partner participation such as using peer approaches, work place awareness creating as well as targeting
men in social settings. Pathfinder will train and update skills of 350 service providers in comprehensive HIV
management for HIV-positive pregnant mothers, their infants and their families.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will contribute to 12% of the overall 2008 Emergency Plan PMTCT targets for Kenya.
Community participation and male involvement will significantly contribute to PEPFAR goals for primary
prevention, access to care and treatment, and support of those affected and infected. Technical assistance
to the Ministry of health facilities will contribute to improvement of the quality of services. PFI will facilitate
capacity building of DHMTs for improved management of health services and set up of referral networks
and linkages for a continuum of care from facilities to Home-based care within the community and among
various programs within the district. This activity contribute to increased awareness, demand creation and
stigma reduction leading to increased utilization of services towards the goal of universal access to
prevention, care and treatment services.
4. LINKS TO OTHER ACTIVITES
Linkages to HIV care and treatment services will be strengthened, to ensure immediate appropriate care for
the woman and exposed infants, and family members as well and thus optimize utilization of
complementary services created through Emergency Plan funding. This activity will relate to the ARV
services of University of Nairobi, Department of Pediatrics (#7095), AMREF (#6836), EDARP (#6880),
University of Manitoba (#7094), CHF (#6869), University of Columbia (#6866 and #6867) and University of
Washington (#7100), and TB/HIV (#6879).
5. POPULATIONS BEING TARGETED
This activity targets children (under 5 years old), Adolescents of reproductive age (15-24 year), adults,
people living with HIV/AIDS, and pregnant women.
6. KEY LEGISLATIVE ISSUES ADDRESSED/EMPHASIS AREAS
This activity will address gender equity in HIV/AIDS programs through improved PMTCT service delivery at
ante-natal clinics and maternity units. Community health workers will conduct community mobilization
activities that will help increase service uptake as well as address issues of stigma and discrimination at
community level. Other emphasis areas include capacity building through supporting in-service training for
providers on comprehensive PMTCT programming that addresses all the four prongs, wrap around
programs for family planning, malaria and safe mother hood through the provision of comprehensive
PMTCT package that addresses all these elements. The comprehensive PMTCT package includes focused
antenatal care that addresses safe mother hood issues, malaria prevention through the provision of
insecticide treated bed nets for the pregnant woman and intermittent presumptive treatment for malaria, and
increased access to family planning with a focus on dual method for the HIV + mothers .
