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.
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 [#6973], Palliative Care: Basic Health
Care and Support [#6922] and Palliative Care TB/HIV [#6922]
2.ACTIVITY DESCRIPTION
Tenwek Mission Hospital is a 300-bed, faith-based hospital in Bomet District serving an estimated
population of 500,000 people. Counseling and testing (CT) activities for the hospital have primarily been
conducted through the Tenwek Community Health Department (TCHD) in six districts within the Rift Valley
Province through 9 stand alone Voluntary Counseling and Testing (VCT) sites as well as mobile VCT
services which attends to the undeserved, hard-to-reach rural areas throughout the six districts. In FY
2008, these sites will expand to 15 which will include service delivery sites providing counseling and testing
in the clinical care settings as well as through an expanded mobile VCT activities. In FY 2007, Tenwek
Mission Hospital was able to reach 14,000 individuals through continued support of their existing sites as
well as scale up the testing of in-patient and TB patients for HIV. The six districts in Kenya in which TCHD
has had a significant presence in the area of CT are characterized by its high rural population and poor
infrastructure which severely limits the accessibility of medical services. TMH has been an Emergency Plan
partner since 2004 and has successfully provided VCT to approximately 35,000 Kenyans in some of the
most- difficult to reach areas in the south Rift Valley. With the assistance of the FY 2008 Emergency Plan
funding, TCHD will continue to bring CT services to many of the migrant seasonal workers in the tourism
industry in a few Kenyan national parks through mobile VCT. TCHD will also continue to ramp up services
at their VCT site in Naikara which serves the migratory population of the traditional Masaai community
through both a stand alone site as well as mobile VCT services. TCHD is also targeting at-risk populations
through the prisons and outreach VCT services to commercial sex workers in many of the towns along the
major Kenyan highways. They have also converted three of their stand alone sites to youth friendly sites, in
order to attract and serve both in and out of school youth which contributed greatly to an increase in the
number of individuals counseled and tested for HIV at these sites. Through the promotion of CT services to
the youth, TCHD/TMH provides an important link to early prevention and subsequent behavior change to
youth between the ages of 15-24 who are globally most at risk for transmission of HIV. TCHD will also
continue to use mobile VCT as a major strategy in reaching their targets in CT. In FY 2006, TCHD was able
to reach over 6,000 individuals through mobile VCT which sought to bring quality VCT services to a
population that would not have had access to this service. In order to further expand counseling and testing
activities in FY08, 80 health care workers will be trained in Provider Initiated Counseling and Testing (PICT)
at TMH as well as other TCHD sites. In addition, funds will be used to train 20 qualified individuals to
provide services through the existing stand alone VCT sites and mobile VCT by pursuing trainings for
couple counseling and VCT supervision.
3.CONTRIBUTIONS TO OVERALL PROGAM AREA
TCHD, in conjunction with TMH, will successfully allow 50,000 more Kenyans to gain a personal knowledge
of their HIV status through traditional VCT sites and mobile counseling and testing services. In accordance
with the national initiative of increasing HIV testing in clinical sites, TMH will also bring quality PITC in their
hospital in Bomet District, which will contribute to the number of individuals learning their HIV status.
Furthermore, in accordance with the Emergency Plan's overview for CT, special populations will be targeted
in FY 2008 in CT for Tenwek by focusing on bringing quality CT services to identified at-risk populations.
4.LINKS TO OTHER ACTIVITIES
TMH CT activity is closely linked with KEMRI-South Rift Valley TB/HIV activities (#6975) and HBHC (#6922)
as well as with existing Antiretroviral Therapy (#6973) programs in the south Rift Valley.
5.POPULATIONS BEING TARGETED
Many of TCHD VCT stand alone sites are situated along the busy transportation routes of Kenyan
highways; the initiative of many of these sites is to target commercial sex workers and other mobile
populations such as truck drivers. The transformation of 3 of their existing sites to become youth friendly in
FY05 has also captured the youth population. The mobile CT services are bringing CT migrant workers
currently working in the seasonal tourism industry in a few of the Kenyan national parks that are part of the
geographic area that TMH serves. TMH CT services will also be extended to reach the frequent discordant
couple phenomenon found in the church community. PICT will also be targeting the general population
seeking medical services at TMH as well as training private health care workers in the delivery of PICT in
the clinical setting.
6.KEY LEGISLATIVE ISSUES ADDRESSED
CT activities undertaken by TMH will focus on improving the availability and accessibility of gender sensitive
CT services to women and young girls. They will focus on utilizing CT services as a behavior change
intervention that empowers young girls to be more pro-active regarding issues surrounding sexuality as well
as serving as a tool to counsel men on gender-specific traditional roles and beliefs that have had a direct
relationship to the rapid spread of HIV in the area.
7.EMPHASIS AREAS
TCHD's budget will be split up into community mobilization, human resources, information, education and
communication, and training. A small emphasis of the TMH efforts will also be used to continue the financial
support of their dedicated counselors and staff providing quality CT services. TCHD will be mobilizing
community resources to disperse educational material to prepare communities for their mobile VCT. Also,
the TCHD will need to conduct recruitment and training to meet the needs of their expanding VCT activities.
