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
ACTIVITY UNCHANGED FROM COP 2008
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in Other/Policy and System Strengthening Laboratory Infrastructure ,
HIV/TB , MTCT and HVCT.
2. ACTIVITY DESCRIPTION
This activity aims to improve the capacity of the Kenya Medical Supplies Agency (KEMSA) in the
procurement, warehousing, distribution, management and reporting of public sector anti-retroviral drugs, as
well as other medical and pharmaceutical commodities related to HIV/AIDS. KEMSA is the government of
Kenya public sector health commodities supply agent involved in ensuring the delivery of all health
commodities including ARVs to public sector health institutions. In the fall of 2006, USAID supported an
independent evaluation of KEMSA, and supported an MOH assessment of the MOH procurement system;
both were to help inform the Ministry of Health (MOH) to develop a new procurement policy. This new policy
will prescribe the role of KEMSA relative to other arms of the Ministry of Health in procurement. This activity
will assist KEMSA continue to develop its role in procurement, warehousing, distribution, and information
management in line with the new MOH policy. The nature of this assistance is in short and medium-term
consultancies as well as short-term deployment of senior level advisors to strengthen identified weak areas.
One of the major areas for improvement is in information management, and in monitoring and evaluation of
distribution at the "last mile" to make sure that reports are returned to the district warehouse in order to fully
implement a "pull" commodity system. Another challenge is managing the increasingly complex distribution
schedule which includes increased numbers of commodities related to HIV/AIDS, and a mandate to deliver
to points of service rather than district warehouses for some commodities. As a result, the warehouse is
often overflowing, as trucks cannot make distributions fast enough. In 2007 the SCMS contract started to
procure commodities on a large scale for the PEPFAR program, and will continue to distribute most of them
through the KEMSA system. This support will ensure that these commodities are tracked and distributed in
a timely manner and with the required reporting. This support will go directly to KEMSA to hire short and
medium-term logistics consultants or staff experts in areas of greatest need. It may also contribute to minor
renovations and computer equipment as necessary. MCC resources are leveraged in the KEMSA PEPFAR
support.
3. CONTRIBUTION TO OVERALL PROGRAM AREA
This activity will contribute to improving the public sector medical and pharmaceutical supply chain system
for ARVs and other HIV/AIDS-related commodities.
4. LINKS TO OTHER ACTIVITIES
This activity links to other KEMSA support in Other/Policy and System Strengthening , MSH/SPS activities
in Laboratory Infrastructure, and HIV/TB, and SCMS activities in Laboratory Infrastructure , HIV/TB , MTCT
and HVCT.
5. POPULATIONS BEING TARGETED General population, people living with HIV/AIDS, and KEMSA
managers.
6. EMPHASIS AREAS
The major area of emphasis is distribution logistics, and the minor emphasis areas are Local Organization
Capacity Development and QA/QI/SS.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14910
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14910 5008.08 U.S. Agency for Kenya Medical 6969 1242.08 $950,000
International Supplies Agency
Development
6969 5008.07 U.S. Agency for Kenya Medical 4250 1242.07 $0
5008 5008.06 U.S. Agency for Kenya Medical 3261 1242.06 $850,000
Table 3.3.15:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
+ Providing technical assistance and training in the roll-out of the "pull" system.
+ Building partners' capacity in the quantification of HIV/AIDS and other essential commodities
+ Providing technical assistance for procurement oversight by the GOK
+ Strengthening capacity of district and community committees on commodities receipt and storage
oversight
+ Supporting the development and implementation of policies to improve governance and accountability in
public sector supply chain
+ Providing technical assistance in improving the commercial viability of KEMSA
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
Secondary attribution to HCD is $200,000.
COP 2008
The only changes to the program since approval in the 2007 COP are:
•Supporting technical assistance to assess the governance structure of KEMSA and advocacy for
improvements.
•Supporting technical assistance to assess the feasibility of providing grants to health facilities for purchase
of commodities.
•Supporting the implementation of tracking surveys to measure progress in HIV/AIDS commodities
distribution and use at the facility-levels.
•Supporting civil society and communities for oversight activities on commodities procurement.
•South-to-south exchanges on procurement best practices.
This activity relates to activities in ARV Drugs, Laboratory Infrastructure, HIV/TB, MTCT and Counseling
and Testing.
This activity seeks to improve the capacity of the Kenya Medical Supplies Agency (KEMSA) in the
procurement, warehousing, distribution, management, and reporting of public sector anti-retroviral drugs, as
well as other medical and pharmaceutical commodities related to HIV/AIDS. KEMSA is the Government of
commodities including anti-retroviral drugs (ARVs) to public sector health institutions. In the fall of 2006,
USAID supported an independent evaluation of KEMSA and a Ministry of Health (MOH) assessment of the
MOH procurement system; both were to help inform the MOH in developing a new procurement policy. This
new policy will decide the role of KEMSA relative to other arms of the MOH in procurement. This activity will
assist KEMSA continue to develop its roe in procurement, warehousing, distribution, and information
consultancies to implement their business plan, and strengthen identified weak areas. One of the major
areas for improvement is in information management, and in monitoring and evaluation of distribution at the
"last mile" to make sure that reports are returned to the district warehouse in order to fully implement a "pull"
commodity system. Another challenge is managing the increasingly complex distribution schedule which
includes increased numbers of commodities related to HIV/AIDS, and a mandate to deliver to points of
service rather than district warehouses for some commodities. As a result, the warehouse is often
overflowing, as trucks cannot make distributions fast enough. In FY 2007, the SCMS contract will begin to
procure commodities on a large scale for the Emergency Plan, and will distribute most of them through the
KEMSA system. This support will ensure that these commodities are tracked and distributed in a timely
manner and with the required reporting. This support will go directly to KEMSA to hire short and medium-
term logistics consultants or staff experts in areas of greatest need. It may also contribute to minor
renovations and computer equipment as necessary.
This activity links to other KEMSA support in ARV Drugs [#6969 and #6989] Laboratory Infrastructure
[#6990 and #8763], HIV/TB [#8713], MTCT [#8757] and Counseling and Testing [#8783].
5. POPULATIONS BEING TARGETED
KEMSA managers.
The major area of emphasis is Logistics, and the minor emphasis areas are Local Organization Capacity
Development and Strategic Information as it relates to maintaining and upgrading KEMSA's information and
reporting system. A new partner will assist KEMSA with plus-up funds to upgrade their Logistics
Management Information System (LMIS), using one system that will integrate inventory, procurement,
distribution, reporting, and pipeline of commodities. These funds will be leveraged with those of other
donors following an assessment of the LM Unit. This activity will also complement MCA activities in Kenya.
Continuing Activity: 14911
14911 8401.08 U.S. Agency for Kenya Medical 6969 1242.08 $700,000
8401 8401.07 U.S. Agency for Kenya Medical 4250 1242.07 $0
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.18:
