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
The COGRI Lea Toto Home Based Care activities will relate to HIV/AIDS treatment services (#6862),
counseling and testing (#6860), TB/HIV (___) and orphans and vulnerable children (#6861).
2. ACTIVITY DESCRIPTION
The goal of the Lea Toto Project is to mitigate the impact of HIV/AIDS and decrease the risk of HIV
transmission through the provision of a comprehensive home based care package. The project was started
in September 1999, and implements programs in selected slums in Nairobi in Kangemi, Kariobangi, Kibera,
Kawangware. In FY 2008 Children of God Relief Institute/Lea Toto Project will provide high quality facility
and home based care and other support services to 3,000 children. In addition, 100 caregivers will be
trained in home-based care services. The facility-based activities will include strengthening of facilities that
are already serving as network referral centers for pediatric HIV care, payment of laboratory services for
HIV related tests, OI prophylaxis (cotrimoxazole, fluconazole) and strengthening pharmaceutical
management. Lea Toto will also strengthen the ability of targeted local communities to prioritize needs of
HIV+ children and their families and carry out activities to meet these needs. In the community, the Lea Toto
Project will work with trained community workers at the activity sites and provide or facilitate access to a
range of services for families and OVC caregivers. It is anticipated that these services will include training
around OVC support; anti-retroviral treatment education; vocational and micro-business training for family
income support and psychosocial support, including succession planning. Other program activities include
nutritional support; micro-finance and empowering of caregivers through the self help groups. Group
therapy sessions will include life skills training, disclosure meetings, support group meetings and follow up
counseling sessions. Life skills training sessions that are held with adults and children aged between 7 and
16 years address issues related to drug adherence basic hygiene and nutrition. The activity will also
improve the organizational capacity of the Lea Toto program to deliver high quality care and counseling and
other support services for HIV+ children and their families.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will contribute to the Kenya 5-year strategy by increasing the number of people receiving
HIV/AIDS care and support. Specifically, 3,000 children will be provided with HIV-related palliative care and
100 heath care and community workers trained to provide palliative care. This activity will contribute to
increasing the number of HIV positive children receiving medical care, and accounts for 2% of all persons in
care for this program area.
4. LINKS TO OTHER ACTIVITIES
counseling and testing (#6860), and orphans and vulnerable children (#6861). As vulnerable children are
identified, they will go through counseling and testing and will be enrolled as appropriate to care and
treatment activities.
5. POPULATIONS BEING TARGETED
This activity will target people affected by HIV/AIDS including Caregivers, HIV positive infants and children,
OVC and PLWHA. The activity will also target community and religious leaders as well as community
volunteers. Community health care workers will be targeted for training and groups/organizations that will be
worked through include community-based organizations, faith-based organizations and NGOs in Nairobi.
6. KEY LEGISLATIVE ISSUES ADDRESSED
By meeting the needs of vulnerable children and their care providers, stigma and discrimination will
decrease and allow children to return to school and parents/providers improve in health and earn income to
contribute to the family's welfare. Gender issues will also be addressed to increase women's access to
income and productive resources.
7. EMPHASIS AREA
The main area of emphasis will be Community Mobilization/Participation as Lea Toto strengthens the ability
of targeted local communities to prioritize needs of HIV+ children and their families and carry out activities to
meet these needs. Minor emphasis will be in training of care providers and providing IEC in Life Skills
Training.
The COGRI Lea Toto TB/HIV activities are related to their Home Based Care activities (__), HIV/AIDS
treatment services (#6862), counseling and testing (#6860), and orphans and vulnerable children (#6861).
The goal of the Lea Toto Project is to mitigate the impact of HIV/AIDS and reduce the risk of HIV
transmission through the provision of a comprehensive HIV prevention, care and treatment package. The
project was started in September 1999, and implements programs in selected slums in Nairobi in Kangemi,
Kariobangi, Kibera, Kawangware. In FY 2008 Children of God Relief Institute/Lea Toto Project will use
these funds to intensify provider-initiated HIV counseling and testing in health care settings, seeking to
enhance HIV testing among children presenting with TB symptoms across their network of 6 sites.
Intensified TB screening for 1500 HIV patients and HIV screening for 100 TB suspects/patients will be
offered as a standard of care in all the facilities; approximately 50 TB patients will be identified as being
infected with both TB and HIV. Other activities supported will include intensified TB case finding among
household contacts of confirmed TB cases, as well as community-level contact tracing of TB suspects. HIV
positive children and family members identified via these activities will be offered ART treatment in the Lea
Toto network of clinics. This will complement the current DCT program that has intensified testing in
facilities where both TB and ART services are provided. An additional 100 TB/HIV infected children will be
identified and treated with these resources.
This activity will contribute to intensified TB/HIV case finding among co-infected children in the slums of
Nairobi. Through this activity, an additional 100 TB/HIV infected children will be identified and provided with
care services.
volunteers.
of targeted local communities to prioritize needs of HIV+ children and their families.
The COGRI orphans and vulnerable children activities will relate to HIV/AIDS treatment services (#6862),
counseling and testing (#6860), HBHC (#6863).
Children of God Relief Institute/Lea Toto Project will provide care and support services to 5,000 orphans
and vulnerable children (OVC) with high quality home based care and other support services. This activity is
a continuation of the project which was started in September 1999, and implemented in selected slums in
Nairobi in Kangemi, Kariobangi, Kibera, Kawangware. Lea Toto Project will work with trained community
workers at the activity sites and will provide or facilitate access to a range of services for families and OVC
caregivers. It is anticipated that these services will include training around OVC support; anti-retroviral
treatment education; vocational and micro-business training for family income support and psycho-social
support, including succession planning. Other program activities include nutritional support, micro-finance
and empowering of caregivers through the self help groups. This activity will strive to strengthen the ability
meet these needs. Lea Toto Project will work with trained community workers at the activity sites and will
provide or facilitate access to a range of services for families and OVC caregivers. It is anticipated that
these services will include training around OVC support; anti-retroviral treatment education; vocational and
micro-business training for family income support and psycho-social support, including succession planning.
Other program activities include nutritional support, micro-finance and empowering of caregivers through
the self help groups. Lea Toto will also strengthen the ability of targeted local communities to prioritize
needs of HIV+ children and their families and carry out activities to meet these needs. The goal of the Lea
Toto Project is to mitigate the impact of HIV/AIDS and decrease the risk of HIV transmission through the
provision of a comprehensive home based care package. Some of the activities include group therapy
sessions include life skills training, disclosure meetings, support group meetings and follow up counseling
sessions. Life skills training sessions which are held with adults and children aged between 7 and 16 years
address issues related to drug adherence basic hygiene and nutrition. The activity will also improve the
organizational capacity of the Lea Toto program to deliver high quality care and counseling and other
support services for HIV+ children and their families. Other program activities include nutritional support,
microfinance and empowering of caregivers through the self help groups.
This activity will contribute to the Kenya 5-year strategy, will increase the number of OVC receiving
HIV/AIDS care and support, and will reach 5,000 OVC with comprehensive quality services and train 500
caregivers.
This activity is linked to ARV treatment (#6862), counseling and testing services (#6860) and palliative care
(#6863) implemented by COGRI and also linked to other USG CT programs managing test kits procurement
and distribution.
This activity targets orphans and vulnerable children, caregivers of OVC, community leaders as well as
Community-based and Faith-based organizations.
The key legislative issues being addressed is stigma and discrimination through enhanced medical and
psychological well being, and demonstrated improved quality of life. This activity also addresses the wrap
around issue of food.
7. EMPHASIS AREAS
Major emphasis area is Community Mobilization and Participation and a minor emphasis in Training.
The COGRI/Lea Toto counseling and testing activities will relate to COGRI/Lea Toto HIV/AIDS treatment
services (#6862),COGRI-Lea Toto orphans and vulnerable children (#6861), COGRI Lea Toto palliative
care: HBCS (#6863).
In 2008 Children of God Relief Institute/Lea Toto Project will provide counseling and testing services to
10,000 children and at least 5,000 adults in 5 existing Voluntary Counseling and Testing centers situated
within the project sites in the selected slums of Nairobi. In addition, 20 VCT counselors will be trained. The
activity will also improve the organizational capacity of the Lea Toto program to deliver high quality care and
counseling services for HIV+ children and their families. Referrals for VCT services which are mainly
through CHWs, caregivers, community leaders and other institutions within the Program area will be
strengthened. Program Counselors and Community Based Counselors (CBCs) will carry out continuous
dissemination of prevention information both during Voluntary Counseling and Testing and in any other
counseling and / or group therapy session organized by the project. These group therapy sessions include
life skills training, disclosure meetings, support group meetings and follow up counseling sessions. The
project was started in September 1999, and the first phase was implemented for 2 years in Kangemi.The
goal of the Lea Toto Project is to mitigate the impact of HIV/AIDS and decrease the risk of HIV transmission
through the provision of a comprehensive HIV/AIDS services.
This activity will contribute to the Kenya 5-year strategy and increase the number of people counseled and
tested for HIV/AIDS by training 15 VCT counselors and testing 10,000 children and 5,000 adults.
The COGRI/Lea Toto counseling and testing activities will relate to related COGRI Lea Toto activities in
HIV/AIDS treatment services (#6862), orphans and vulnerable children (#6861), HBHC (#6863). This
activity is also linked to other USG CT program on CT promotion and procurement of test kits.
Targeted population include the General population (men and women), Families affected by HIV/AIDS
including HIV positive infants and children, care givers, community health workers.
This activity will work to reduce stigma and address discrimination faced by individuals infected or affected
by HIV/AIDS. This activity will address issues on disclosure of ones status to partner and family members.
Training of VCT counselors to enhance their ability to provide quality HIV/AIDS services that are responsive
to the clients' needs is the major emphasis area while community mobilization and participation are the
minor emphasis areas.
N/A (exempt)
