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.
The only changes to the program since approval in the 2007 COP include rationalization in geographical
coverage and scope to include additional districts of Kisii and Gucha within Nyanza Province. Also,
NARESA is moving out of Kitui District and consolidating its activities in Makueni District among other
districts previously covered. This is to improve efficiency by not spreading the partner too thin in geographic
coverage as well as allowing for more in-depth coverage of selected site. NARESA will also strengthen
access to HIV counseling and testing for family members of HIV infected women.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in HIV/AIDS Treatment: ARV services (#8774, #6945, #8983, #8792, #8797,
#6866, #6867 and #8765).
2. ACTIVITY DESCRIPTION
The Network of AIDS Researchers in Eastern and Southern Africa (NARESA) was among the first
organizations to partner with the Ministry of Health and pilot PMTCT services in Kenya. With Emergency
plan funding, NARESA has been supporting implementation of PMTCT services in health facilities in the 12
districts of Bondo, Rachuonyo and Homa Bay in Nyanza Province; Nyeri, Muranga, Maragua, Kiambu and
Kirinyaga in Central Province; Kitui and Mwingi in Eastern Province; Kajiado in Rift Valley Province and Kilifi
District Hospital in Coast Province. ANC HIV prevalence ranges from 4% in Kirinyaga district to 28% in
Bondo district. Following rationalization of geographic coverage of PMTCT services in the country in 2007,
NARESA was mandated to support implementation of PMTCT services in the districts of Kisii and Gucha.
Consequently, NARESA supported implementation of services in a total of 420 sites. In 2008, NARESA will
continue supporting implementation of services in the Nyanza and Central region covering 350 health
facilities with the aim of providing comprehensive HIV care to all the HIV + pregnant women and their
infants and families. A total of 450 service providers will be trained on PMTCT service delivery including
integration of Family planning services within PMTCT settings. The program will provide HIV counseling and
testing to 151,088 pregnant women and will support WHO clinical staging for all HIV positive pregnant
women in order to identify the appropriate PMTCT ARV intervention. A total of 15,826 HIV positive women
will receive ARV prophylaxis; 3,165 of these women will receive HAART; 7,913 will receive both single dose
Nevirapine (sd NVP) and AZT, while 4,748 will receive only sd NVP. The program will provide ARV post
exposure prophylaxis to 15,856 HIV exposed infants. The ongoing follow-up clinics for HIV positive women
and their infants in all the district hospitals will be strengthened through the provision of a defined package
of care for both mother and infant. For the mother, the care components include counseling on appropriate
infant feeding practices, linkage to family planning services, and linkage to HIV care and treatment. The
care package for the infant includes administration of Cotrimoxazole to 9,514 HIV exposed infants starting
six weeks and DBS for PCR-HIV for Early infant diagnosis and will target 7,928 infants with this intervention.
The program will strengthen strategies to provide pediatric HIV treatment through collaboration with the
HIV/AIDS treatment/ARV services and/or provision of ART within the MCH. Additional strategies include
provision of HIV counseling to sick children attending pediatric outpatient clinics and pediatric inpatient
wards. Other program activities include increasing access to HIV testing to family members of HIV infected
women through facility and home based Provider Initiated Counseling and Testing (PITC), improved access
to FP services for the HIV + women (includes adolescents aged 15-24 years) and couple counseling to
address primary HIV prevention in PMTCT setting. The project will continue to consolidate other continuing
strategies for program uptake including using PLWA as peer counselors, providing joint monthly supervision
with MOH staff, supporting continuing education for MOH staff and supporting the collection and use of data
at both facility and national levels.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
PMTCT activities in these districts will significantly contribute to PEPFAR goals for primary prevention and
care by contributing 13 % of 2008 overall Emergency Plan CT PMTCT targets for Kenya and 17% of the
ARV PMTCT prophylaxis. This activity contributes to Kenya's Five-Year strategy of encouraging women,
their partners to know their HIV status and availing services to avert HIV infections among infants. It also
contributes to improved networks for pediatric ART.
4. LINKS TO OTHER ACTIVITIES
This activity relates to KEMRI ARV Services in Nyanza (#6945), APHIA II ARV services in Nyanza (#8774);
CDC TBD (#8983) and APHIA II Eastern ARV services in Eastern Province (#8792); APHIA II ARV services
in Rift Valley (#8797); and Columbia University ARV services in Central Province (#6866 and #6867). This
activity is most immediately linked to Palliative Care and HIV/AIDS treatment/ARV services through the
provision of ongoing care to the HIV+ woman in the ante-natal and post natal settings, care of the HIV
exposed and infected infant in the post natal period and appropriate referral to Pediatric HIV Care services.
5. POPULATIONS BEING TARGETED
This activity targets children (under 5 years); adolescents aged 15-24 years, adults, people living with
HIV/AIDS, and pregnant women.
6. KEY LEGISLATIVE ISSUES ADDRESSED/ EMPHASIS AREAS
This activity will increase gender equity in HIV/AIDS programs through providing PMTCT of HIV services to
pregnant women and their partners; in-service training to build staff capacity, and wrap around program to
improve the health outcome of women accessing PMTCT services. The wrap around activities include
improved access to Family Planning services through staff training and support supervision, increased
access to malaria prevention and treatment services at the facility and community levels through the
provision of focused antenatal care and community mobilization, and safe mother hood through the
provision of focused antenatal care services .
