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 Counseling and Testing and Condoms and other Prevention.
2. ACTIVITY DESCRIPTION
In 2008, the Uniformed Services program was supported thru the KEMRI Coag and managed to introduce
the Men As Partners Program in the Uniformed Services Training colleges for new recruits. Each year, the
combined services which comprise uniformed services i.e. Kenya Police, Kenya Wildlife Service, National
Youth Service and the Administrative Police recruits. Due to the nature of their jobs and age, the uniformed
services personnel are in high risk of acquiring STIs and HIV. Collectively, these services recruit over
20,000 young men and women aged 18-24 annually. Most of these young people are out-of- school youth.
The spouses and children of Uniformed staff are equally at risk of acquiring HIV. The activity aims at
identifying adolescent children of staff and the recruits at the entry point of their uniformed careers and
targeting specific behaviours that are consistent with ensuring prevention of HIV. Efforts to build skills of
young people and communication for their parents through the "Families Mater Initiative" will be
strengthened in view of protecting young people from HIV acquisition. The program will also address
pervasive gender stereotypes and male behaviors that are relevant to uniformed services personnel. Due to
the wide distribution of Uniformed services installations, the program will train peer educators to promote
abstinence and faithful programs. During the FY07/08 period, the Uniformed Services Chaplains were
trained on Behavior Change Communication and Pastoral counseling including HIV counseling and Testing.
This initiative will be supported to enable the chaplains reach many uniformed personnel, their spouses and
children with behavior change communication and HIV education, counseling and information during their
routine interaction with the uniformed Population. The major emphasis of the AB component of the program
will contribute to the outcome of changed social norms to promote HIV prevention behaviors among the
youth who constitute a part of the population highly vulnerable to HIV infection. This will ensure larger
numbers are reached with HIV prevention efforts and adults become actively involved as supportive
mentors for youth. A total of 95,786 individuals will be reached with messages that promote HIV prevention
through Abstinence and/or Being Faithful, while 665 individuals will be trained.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
AB activities within the Uniformed Services Program will contribute to FY09 prevention targets for Kenya,
especially among young recruits who are entering the Non-Military Uniformed Services. The activities will
also focus on the youthful dependants within the non-military camps and young people living within their
neighborhood of the camps in order to address the prevention needs of the whole non-military uniformed
services.
4. LINKS TO OTHER ACTIVITIES
This activity is linked to the Counseling and testing activity by promoting VCT services as a way of
promoting secondary abstinence. The activity also links to the Condoms and Other Prevention activities by
offering comprehensive prevention messages for the non-military community.
5. POPULATIONS BEING TARGETED
This activity targets young adults and adolescents, both men and women in reproductive age. It will have a
special focus on the non-military personnel who, due to the nature of their duties are vulnerable to HIV
transmission. Particular emphasis will be placed on young non-military recruits and young dependants of
uniformed staff residing inside the camps as well as young people living in the neighborhood of the camps.
6. KEY LEGISLATIVE ISSUES ADDRESSED
Through the skill building in communication and behaviour change that occurs as part of the Families Matter
Initiative, the activity will address pervasive gender stereotypes and male behaviors that are relevant to
uniformed services personnel, including gender based violence, stigma and discrimination. The involvement
of both male and female in AB activities will promote gender equity in HIV/AIDS programs to ensure women
are not left out of these important prevention activities.
7. EMPHASIS AREAS
The major emphasis will be improving parental communication with their children and training of recruits
and youth who live within the camps as peer educators to promote abstinence and Being faithful activities.
Minor emphasis areas include workplace programs, information, education and communication and
community youth participation/mobilization.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19420
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19420 19420.08 HHS/Centers for Program for 12000 12000.08 Uniformed $300,000
Disease Control & Appropriate Services Project
Prevention Technology in
Health
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
+ Prime partner PATH has been competitively selected to implement the activity
COP 2008
1. LIST OF RELATED ACTIVITIES.
This activity relates to activities in Abstinence and Be Faithful Programs, Counseling and Testing, Palliative
care: Basic Health Care and Support.
The proposed activities include community outreaches to promote correct and consistent use of condoms
among the Non-Military Uniformed Services personnel who are most at risk of HIV infection and who
engage in high risk behaviors. Proper condom supply channels will be put in place to ensure availability in
all uniformed Services camps, station and parks and colleges countrywide. Regular monitoring of condom
utilization and refills will be done. Units will be required to file reports on both male and female condom use
on monthly basis. Peer educators will be trained to distribute condoms as they conduct the other peer-led
activities. Where applicable, members of the surrounding community who routinely interact with members of
uniformed services will be involved. Additional activities will focus on youth entering the uniformed services.
Due to the nature of their jobs and age, the uniformed services personnel, in Particular the Kenya Police,
Administration Police, Kenya Wildlife service and the National Youth Service are in high risk of acquiring
STIs and HIV. Collectively, these services recruit over 20,000 young men and women aged 18-24 annually.
Most of these young people are out-of- school youth. They will be targeted in the focused program referred
as "Men As Partners" in their training colleges/institutions to strengthen behavior change and address
gender norms and stereotypes that put them at risk of HIV acquisition. Uniformed instructors will be trained
as Trainers of Trainers (TOT) to educate all recruits on all aspects educate all recruits on all aspects of
comprehensive HIV prevention including risks of cross generational sex, multiple concurrent partnerships,
male involvement on gender based violence, benefits and risks of Male circumcision and encouragement to
knowing ones HIV status as well as the partners status. Links will be established to promote Prevention with
Positives (PWP) activities. These activities will result in reaching 208,900 individuals with HIV prevention
information, training of 621 staff as well as establishing 500 condom outlets.
3. CONTRIBUTION TO OVERALL PROGRAM AREA
OP activities within the Uniformed Services will contribute to the overall Emergency Plan for FY 2009
prevention targets for Kenya. This activity contributes to Kenya's strategy of reducing new infections by
reducing the risk of HIV acquisition/transmission among young people.
4. LINKS TO OTHER ACTVITIES
This activity is linked to CT activity targeting to serve unformed services personnel, since all OP activities
will at all times encourage routine counseling and testing among Uniformed Services personnel, their
families and the community personnel they routinely interact with. This OP activity is also linked to
Uniformed Services AB activity that promotes prevention among the youth of the uniformed community.
5. POPULATION BEING TARGETED
The OP activities will reach the most at risk populations of uniformed personnel, their families and
discordant couples. It will also reach the civilian population living and working in the uniformed workplaces
and also the host population living in the uniformed services neighborhood. HIV/AIDS affected families
PLWHAs will be a target for prevention with positives.
The activity will address the issues of male norms and behaviors, since most of Uniformed services
personnel are young men. It will also challenge traditional male norms and stereotypes that have been
identified as contributing to sexual coercion, gender based violence and multiple concurrent sexual
partnerships. The Uniformed services program will address stigma and discrimination that often is a
significant obstacle to adopting behaviors that contribute to HIV prevention.
7. EMPHASIS AREA
The major emphasis area for this activity will be workplace program for the non-military uniformed services.
Training will also be an emphasis area to ensure appropriate Human Capacity development capable of
ensuring sustainable HIV prevention within uniformed Services. Other emphasis areas will be information,
education and communication to promote behavior change. Supervision and quality assurance will be
supported.
Continuing Activity: 19422
19422 19422.08 HHS/Centers for Program for 12000 12000.08 Uniformed $652,500
Workplace Programs
Table 3.3.03:
1. ACTIVITY DESCRIPTION AND EMPHASIS AREAS
The Non-military Uniformed Services received support from the Emergency Plan to implement a
comprehensive HIV/AIDS program since FY 2005. The Non-Military Uniformed Services comprises of the
Kenya Police, The Administration Police, The National Youth Service and the Kenya Wildlife Service.
Activities in these uniformed groups have previously been supported thru the Community Housing
Foundation (CHF) CoAg. In FY09 this program will be implemented and managed by PATH. One of the key
components of this program is HIV testing and counseling (HTC), which is required, both for prevention and
to ensure access to care. The Uniformed Services population can be classified as a high-risk population,
due to a high proportion of the personnel being posted away from their families and living in communal
settings. A comprehensive HIV/AIDS program, including HTC is therefore essential in the Uniformed
Services Population. In FY 2009 Uniformed Services will expand its CT activities in both the static sites and
through community and mobile (outreach) activities. Old operational sites will be maintained while 5 new CT
sites will be created, to have a total of 25 sites, either stand alone or integrated in Health facilities. Core
activities will include training and continued support to the existing VCT sites and counselors, introducing
them to new counseling protocol especially PITC approach. By so doing Uniformed Services will have
adequate capacity to provide HTC to an additional estimated 20,000 people, including staff and their
dependants, civilian employees, and the general population living in the general area. All those who test
HIV positive will be referred to the nearest Uniformed Service clinics for care. In terms of training, 200
people (mostly health care workers) will be trained and retrained in Provider-Initiated Testing and
Counseling (PITC), while lay counselors, including PLWHA, will be trained in VCT. In FY 2009, the
Uniformed Services program will intensify mobile VCT services targeting the distant uniformed camps with
no fixed site in all regions in Kenya (Nairobi, Eastern, Central, Rift Valley, Western and Coast). In addition,
greater involvement of people living with HIV/AIDS (GIPA) will be sought and encouraged as one of the
ways of reducing the stigma associated with HIV. Quality assurance (QA) for both counseling and testing
will be expanded to cope with increased service uptake during the planned scale up in FY 2009. The QA
program will be done in keeping with national and international standards. QA for counseling will involve
monthly support supervision to practicing counselors.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
The Uniformed Services CT program will contribute to the overall national CT target by providing CT
services to the Non-military Uniformed Officers and their dependants, as well as civilians living in the
neighborhood of Uniformed Services camps. The mobile VCT services will improve access to HIV
prevention and care services in remote areas that do not have fixed VCT sites, thus ensuring better access
to CT services and contributing to universal access. This activity will also contribute substantively to
Kenya's 5-year strategy that emphasizes universal knowledge of HIV status amongst Kenyans. Links
between CT services and medical sites where AIDS care and treatment are available.
3. LINKS TO OTHER ACTIVITIES
This activity is part of a comprehensive HIV care and treatment program within the Uniformed Services
program and it is linked to other services such as AB, OP, TB/HIV and ART. Linkages between CT services
and care outlets will be harmonized and strengthened to improve utilization of care opportunities in the
Uniformed Services health infrastructure through PEPFAR funding.
4. POPULATIONS BEING TARGETED
This activity will mainly target the Non-military uniformed personnel, their dependants and members of the
general public in the immediate neighborhoods. The Uniformed Services Health facilities and VCT sites are
open to the general public and are popular health service delivery points for the surrounding communities.
New sites will include facilities with large populations and will be placed strategically to optimize service
delivery.
5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
There are no secondary cross-cutting budget attributions for this activity.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.14:
