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: 2007 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 SCMS activities in other program areas: Laboratory Infrastructure (#8763), HIV/AIDS
Treatment: ARV Services (#8854), Counseling and Testing (#8783), HIV/AIDS Treatment: ARV Drugs
(#6997), (#6989), (#6969), and Palliative Care: TB/HIV (#8754).
2. ACTIVITY DESCRIPTION
The Partnership for Supply Chain Management Systems, SCMS, will support all of PEPFAR Kenya's
service delivery activities through provision of an uninterrupted supply of HIV/AIDS- related commodities.
Commodities will come through a regional warehouse established in Kenya (Regional Distribution Center-
RDC), significantly decreasing the lead time in procurement. From the regional warehouse, supplies will
enter into existing supply chain management systems, including the national distribution system, run by
KEMSA, and in some cases, "buffer" stocks to ensure that PEPFAR sites have adequate commodities when
there is national shortage. The project will receive forecasting and quantification information from existing in
-country partners. This activity will also liaise and strengthen local procurement and distribution partners
such as MEDS and KEMSA, by working transparently and collaboratively with them. SCMS will be asked to
procure commodities with a focus on results - ensuring not only that the product is delivered, but that there
are the required maintenance, inputs and upgrades so that the target number of tests are achieved. In this
12-month period, SCMS will procure 500,000 Government of Kenya (GOK)-approved test kits for
Counseling and testing programs within PMTCT, CD4 reagents and consumables for Early Infant Diagnosis
(EID) worth $300,000. 2008 funds will be used to purchase CD4 tests for HIV positive pregnant women and
children presenting in MCH clinics. This will help address any gaps experienced in putting HIV positive
pregnant women and their families on tripple therapy. The CD4 tests will also be used in improving services
for children identified through provider initiated counseling and testing in MCH clinics, pediatric wards and
pediatric out-patient clinics to increase the number of children on care and follow up. Infants identified as
HIV positive through early infant diagnosis will also require more laboratory work up to put them on care and
treatment.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This program will contribute to counseling and testing of pregnant women at PMTCT facilities by ensuring
adequate supply of rapid test kits and identification of infants requiring early treatment within the program.
4. LINKS TO OTHER ACTIVITIES
This activity relates to all service delivery activities offering counseling and testing to pregnant women and
EID through PCR, as well as the RPM+/MSH activity in logistics information management, distribution
support, and forecasting and quantification (#6989), in ARV Drugs (#6997); KEMSA logistics and
information management and distribution systems, (#6969); and SCMC procurements in HVCT, (#8783),
HLAB (#8763), and HTXS (#8854). It also links to the SCMS activity in Palliative Care: TB/HIV (#8754).
5. POPULATIONS BEING TARGETED
The target populations for this activity are pregnant women in the general population for HIV/AIDS testing. It
will also target families of the HIV+ pregnant women.
6. KEY LEGISLATIVE ISSUES:
Through the SCMS, procured commodities will be utilized to help address gender equity in HIV
programming and improve service delivery to pregnant women, their infants and spouses.
7. EMPHASIS AREAS
The major area of emphasis for this activity is commodity procurement.
1. ACTIVITY DESCRIPTION
Supplies Chain Management System (SCMS) will support all of PEPFAR Kenya's service delivery activities
through provision of an uninterrupted supply of HIV/AIDS- related commodities. Under Blood Safety SCMS
will procure equipment necessary for safe storage of blood and blood products at hospitals. The National
Blood transfusion service (NBTS) has recently trained personnel in several hospitals to form hospital
transfusion committees which serve to enforce appropriate blood use. These committees will be guided by
the recently released Standards for Transfusion services in Kenya and the Guidelines for Appropriate Blood
Use. This activity will support the NBTS to procure multi point sealers, strippers, blood weighing scales and
mixers, top pan balances, blood donor chairs, thermometers, transport boxes, coolants, refrigerated
centrifuges, bench top centrifuges, platelet conductivity meters, hydrometers, rotators, platelet agitators,
multipipettes and other equipment for the production of blood and blood products. To improve hospital
transfusion practice SCMS will procure essential blood banking equipment such as platelet mixers, hospital
blood bank fridges and freezers for storage of blood components.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will contribute to prevention of HIV through blood transfusion. Kenya aims to collect 140,000
units of blood from low risk volunteer blood donors. All the blood will be tested for HIV, hepatitis B, Hepatitis
C and syphilis. This activity will facilitate blood component preparation through procurement of equipment.
Components will increase blood availability through appropriate use and also reduce the occurrence of
adverse transfusion events. Blood donors will be notified of their test results and given information to
promote healthy positive living so that negative donors become regular repeat blood donors. HIV positive
donors will be counseled and referred for evaluation care and treatment as appropriate. Appropriate blood
use will minimize unnecessary transfusions which may expose healthy individuals to HIV infection. The
World Health organization estimates that 10% of HIV may be attributed to transfusion with infected blood.
3. LINKS TO OTHER ACTIVITIES
This activity relates to all service delivery activities by SCMS which will enhance efficiency by maximizing on
economies of scale achieved through mass procurements and timely delivery of commodities. This activity
also links to Cooperative agreements with NBTS and American Association of Blood Banks (AABB) for the
provision of safe and adequate blood supplies.
4. POPULATIONS BEING TARGETED
This activity will benefit the general population by supporting the acquisition of blood free of HIV infection.
5. EMPHASIS AREAS The major area of emphasis for this activity is commodity procurement.
The only changes to the program since approval in the 2007 COP are:
+ Partnership for supply chain management will use the $400,000 allocated in 08 to procure TB culture
test. This will go along way in strengthening MDR/TB surveillance.
1.LIST OF RELATED ACTIVITIES
This activity relates to SCMS activities in the following program areas: Laboratory Infrastructure (#8763),
PMTCT (#8757), and Counseling and Testing (#8783). It also supports all PEPFAR service-delivery
activities.
2.ACTIVITY DESCRIPTION
SCMS will support all of PEPFAR Kenya's service delivery activities through provision of an uninterrupted
supply of HIV test kits in TB/HIV and other clinical settings. Commodities will come through a regional
warehouse established in Kenya (District Regional Center - DRC), significantly decreasing the lead-time in
procurement. From the regional warehouse, supplies will enter into existing supply chain management
systems, including the national distribution system, run by KEMSA, and in some cases, "buffer" stocks to
ensure that PEPFAR supported sites have adequate test-kits when there is national shortage. The project
will receive forecasting and quantification information from existing in-country partners. This activity will also
liaise and strengthen local procurement and distribution partners such as MEDS and KEMSA, by working
transparently and collaboratively with them. SCMS will be asked to procure commodities with a focus on
results - ensuring not only that the product is delivered, but that there are the required maintenance, inputs
and upgrades so that the target number of tests are achieved. In this 12-month period, SCMS will procure
250,000 Government of Kenya (GOK)-approved test kits for CT programs within TB/HIV treatment
programs in health facilities.
3.CONTRIBUTIONS TO OVERALL PROGRAM AREA
This program will contribute to counseling and testing of HIV infected persons presenting for care in health
settings by ensuring adequate supply of rapid test kits.
4.LINKS TO OTHER ACTIVITIES
This activity relates to all service delivery activities offering counseling and testing to pregnant women, as
well as the RPM+/MSH ARV Drugs activity in logistics information management, distribution support, and
forecasting and quantification (#6989), the mission competitive procurement (#6997), KEMSA logistics and
information management and distribution systems (#6969) and SCMS procurements in Laboratory
Infrastructure (#8763), PMTCT (#8757), and Counseling and Testing (#8783).
5.POPULATIONS BEING TARGETED
The target populations for this activity adults, youth and children in the general population for HIV/AIDS
testing.
6.EMPHASIS AREAS
rocurement.
This activity relates to SCMS activities in the following program areas: Laboratory Infrastructure, PMTCT,
HVTB, and Blood Safety. It also supports all PEPFAR service-delivery activities.
SCMS will support PEPFAR Kenya's service delivery activities through provision of an uninterrupted
supplies of commodities for ART services settings. Commodities will come through a regional warehouse
established in Kenya (District Regional Center - DRC), significantly decreasing the lead-time in
ensure that PEPFAR supported sites have adequate supplies when there is national shortage. The project
liaise and strengthen local procurement and distribution partners such as KEMSA and TBD/Mission
Competitive Procurement, by working transparently and collaboratively with them. SCMS will be asked to
are the required maintenance, inputs and upgrades so that the target number of patients are served.
This program will contribute to provision of HTXS services by ensuring adequate supplies of needed
commodities.
well as the SPS/MSH ARV Drugs activity in logistics information management, distribution support, and
forecasting and quantification, the mission competitive procurement, KEMSA logistics and information
management and distribution systems and SCMS procurements in Laboratory Infrastructure and PMTCT.
As this is a commodity procurement activity, there are no target populations. Target populations and
numbers of people receiving the commodities are captured under the activities through which they receive
care and treatment.
The area of emphasis for this activity is commodity procurement.
The only changes to the program since approval in the 2007 COP are
+ other (NON-SUBSTANTIVE) change will include the following:
SCMS will continue to procure reagents and lab equipment including standard equipment for hematology
and chemistry that will be provided to major labs. It is estimated that SCMS will procure - EQUIPMENT: 20
automated high volume and 60 automated low volume chemistry analyzers; an additional 8 FACSCalibur
machines; and , automated hematology analyzers ; REAGENTS: to be used for Liver function tests (LFTs),
CD4 reagents, PCR for infant diagnosis, and hematology reagents.
This activity relates to SCMS activities in other program areas: PMTCT (#8757), Treatment: ARV Services
(#8854), Counseling and Testing (#8783), and TB/HIV (#8754). It also supports all PEPFAR service-
delivery activities.
through provision of an uninterrupted supply of HIV/AIDS- related commodities. Commodities will come
through a regional warehouse established in Kenya, significantly decreasing the lead time in procurement.
From the regional warehouse, supplies will enter into existing supply chain management systems, including
the national distribution system, run by Kenya Medical Supplies Agency (KEMSA), and in some cases,
"buffer" stocks to ensure that PEPFAR sites have adequate commodities when there is national shortage.
The project will receive forecasting and quantification information from existing in-country partners. This
activity will also liaise and strengthen local procurement and distribution partners such as Mission for
essential drugs and Supplies (MEDS) and KEMSA, by working transparently and collaboratively with them.
SCMS will be asked to procure commodities with a focus on results - ensuring not only that the product is
delivered, but that there are the required maintenance, inputs and upgrades so that the target number of
tests are achieved. In this 12-month period, SCMS will procure low through put BD FACSCount (CD4)
machines for an additional 16 laboratories (44 already have equipment) and 7 high throughput FACSCalibur
CD4 machines for seven provincial hospitals, reagents for all 60 sites to perform 550,000 CD4 tests,
tuberculosis (TB) sputum tests for 10,000 cultures, and two million government of Kenya (GOK)-approved
HIV/AIDS test kits for both VCT and DCT programs.
This program will contribute to patient monitoring by ensuring the supply and maintenance of diagnostic
machines and reagents, test kits, TB cultures, and medical equipment for the use in laboratories of
government and mission hospitals providing HIV/AIDS treatment and care.
This activity relates to all service delivery activities, as well as the RPM+/MSH activity in logistics
information management, distribution support, forecasting and quantification, (#6989), MEDS, in ARV Drugs
(#6997 ); KEMSA logistics and information management and distribution systems, (#6969); and SCMC
procurements in HVCT (#8783), HLAB (#8763) and HTXS (#8854).
The target populations for this activity are adults and children in the general population for HIV/AIDS and TB
testing, people living with HIV/AIDS for monitoring, and TB tests.
6. EMPHASIS AREAS
The major area of emphasis for this activity is commodity procurement
• In addition to procuring consumables SCMS will also assist in procuring linen and instruments for the
health facilities to allow them to carry out the minor procedures. A facility kit will be developed that will
include the list of essential instruments and linen. A patient kit will be developed that includes a list of the
essential consumables needed for each circumcision that will include gloves, surgical blades, sutures and
also local anesthesia, and oral analgesics.
This activity links to all other activities implementing Male Circumcision.
Procurement of circumcision supply packages: Through SCMS and other existing PEPFAR mechanisms,
we propose to procure circumcision consumable supplies and initiate a supply chain system in year one.
SCMS will design a circumcision kit that will include the following consumables will include surgical blades,
local anesthesia, syringes, needles, gloves and bandages. This activity will help to strengthen service
delivery systems for MC implementation in Kenya.
