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.
Other change:
+ this TBD was awarded to Columbia University only a few days prior to COP submission.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in ARV Services (#8983), TB/HIV (#8761), and PMTCT (#6837).
2. ACTIVITY DESCRIPTION
The To be Determined (TBD) partner will expand a collaborative relationship with Machakos District
Hospital and 10 health facilities in other neighboring districts to enhance and expand the HIV care program
in the southern region of the Eastern Province of Kenya, providing care for 18,000 people with HIV,
including 1800 children. This region is characterized by moderately high rates of HIV (approximately 4%);
high rates of other infectious diseases including malaria, hepatitis, and schistosomiasis; and high rates of
food insecurity. Machakos District Hospital is a high-volume district hospital that serves as the referral
center for this area. Sites in this area previously received modest support through the Kenya Medical
Research Institute and have established good care programs providing HIV care for 8000 patients as of
April 2007. However, health facilities in this region will benefit from the enhanced material and technical
support from an additional partner. TBD will support staff salaries, training, laboratory evaluation, adherence
counseling, and monitoring. The activity will also support the training of 60 individuals in the provision of HIV
-related palliative care services. The package of services provided to patients will include cotrimoxazole
prophylaxis, treatment of opportunistic infections, management of malnutrition, improved access to safe
drinking water, and interventions to reduce the risk of malaria. TBD will work closely with, and support the
activities of, the Provincial ART Officer for the region, e.g., supporting regular meetings of area providers.
TBD will also support establishment/strengthening of other regional activities, including developing a system
for quality control at Machakos District Hospital and the development of a regional system for transfer of
blood samples/results to optimize the utilization of CD4 cell count machines. TBD will also assist with
development of a quality improvement program for the region and will assist the National AIDS and STD
Control Program (NASCOP) with implementation of a similar system nationally.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to the expansion of access to quality palliative care services for people with
HIV, strengthened human resource capacity to deliver HIV care services, and a strengthened referral
network for the provision of these services.
4. LINKS TO OTHER ACTIVITIES
These activities link closely to ARV services (#8983) and TB/HIV services (#8761) supported by this same
partner, to PMTCT activities being implemented AMREF (#6837), and training activities being implemented
by Mildmay International.
5. POPULATIONS BEING TARGETED
These activities target people living with HIV/AIDS, including HIV positive infants (0 - 5 years), children (6 -
14 years), adult men and women. Public health care providers, including doctors, nurses, pharmacists, and
laboratory workers are targeted for increased HIV care and treatment knowledge and skills.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through community
sensitization activities.
7. EMPHASIS AREAS
This activity includes minor emphasis in commodity procurement, community mobilization, development of
networks/linkages/referral systems, human resources, local organization capacity development, logistics,
quality assurance and supportive supervision, strategic information and training.
1.LIST OF RELATED ACTIVITIES
This activity relates to activities in Palliative Care: Basic Health Care and Support (#7043), ARV Services
(#8983), and Counseling and Testing (#8782).
2.ACTIVITY DESCRIPTION .
The To Be Determined Partner (TBD) will support TB/HIV services for patients in 11 sites in the southern
region of Eastern province of Kenya. TB screening will be offered to 9000 HIV patient and HIV screening for
2000 TB patients as a standard of care at the facilities; approximately 1,000 patients will be diagnosed as
co-infected with TB and HIV. Funds will support refresher training of laboratory staff and improvement of
basic laboratory microbiology capacity in order to meet the increased needs of TB testing. 30 health care
workers will be trained to provide clinical prophylaxis and/or treatment for TB to HIV-infected individuals.
The TBD will maintain data concerning the numbers of people served and will report both nationally and
through the Emergency Plan.
3.CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute towards the provision of integrated HIV/TB for dually infected patients care by
reducing TB morbidity and mortality in HIV-infected individuals and also reducing HIV related morbidity and
mortality in TB patients co-infected with HIV. These activities will strengthen referral systems, improve
diagnostics and treatment of TB among HIV-positive patients and strengthen capacity of health workers to
provide integrated HIV and TB services
4.LINKS TO OTHER ACTIVITIES
The overall program activity links closely to Palliative care and ARV services currently supported by this
TBD partner, and Counseling and Testing activities supported by JHPIEGO.
5.POPULATIONS BEING TARGETED
These activities target people living with HIV/AIDS. Public health care providers, including doctors, nurses,
pharmacists, laboratory workers will receive training in the diagnosis and management of TB using
government guidelines
7.EMPHASIS AREAS
This activity includes minor emphases in commodity procurement, human resources, local organization
capacity development, quality assurance, quality improvement and supportive supervision, and training.
N/A (exempt)
