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 HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
+ New activity emphasis on prevention with positives among patients coming for care and treatment
services.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
Partner will procure nutrition supplements for approximately 500 patients at $10,000.
COP 2008
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in ARV Services, pediatric ARV services, pediatric care and support TB/HIV,
and PMTCT.
2. ACTIVITY DESCRIPTION
The University of Nairobi, Department of Pediatrics (UNBO) will work to strengthen the palliative care
services available at the Kenyatta National Referral Hospital (KNH) and 3 additional sites in order to provide
services to 10,000 people with HIV. Their activities will emphasize the management of complicated
opportunistic infections among HIV patients and participants in United States (U.S.) government sponsored
research. Palliative care services will include cotrimoxazole preventive therapy, management of
opportunistic infections, management of malnutrition, and end-of-life care. Activities will strengthen KNH to
provide highly skilled and laboratory services, conduct training, and serve in other diagnostic and
management capacities. In addition to providing training to 200 health care workers, UNBO will provide
technical assistance to the National AIDS and STD Control Program (NASCOP) in the development of HIV
care policy and guidelines.
The UNBO has run research clinics for perinatal cohorts of HIV infected women at KNH for more than 13
years studying PMTCT, immune responses, and disease progression in women and children, as well as
managing a handful of patients receiving donated antiretroviral treatment (ART). Research physicians have
undergone short courses on the topic of HIV management and have now themselves conducted numerous
courses about HIV care. The KNH Comprehensive Care Center has been operating for more than 7 years
providing psychosocial care. More recently they have provided ambulatory medical care to PLWHA that has
included nutrition, opportunistic infection prophylaxis and care, and ART. The center has dedicated staff
providing psychosocial, nutritional, and medical care. By April 2008 more than 6,000 patients were receiving
care as a result of the activities of this partner.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to expansion of palliative care for people with HIV, strengthened human
resource capacity to deliver HIV care services, and a strengthened referral network for provision of these
services. These activities will develop the capacity of KNH to serve as a key network center, developing
clinical HIV expertise in the management of adults.
4. LINKS TO OTHER ACTIVITIES
This activity relates to ARV services supported by UNBO at these same sites, and TB/HIV, PMTCT
activities being implemented by University of Nairobi, OBGYN, ARV services coordinated by and supported
through the NASCOP, and training activities supported by the Kenya Pediatric Association, a treatment sub-
partner of the TBD Umbrella, and to multiple activities in and around Nairobi that refer to KNH as a network
center.
5. POPULATIONS BEING TARGETED
These activities target people living with HIV/AIDS. Public health care providers, including doctors, nurses,
pharmacists, and laboratory workers are targeted for increased HIV care 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, development of networks/linkages/referral
systems, human resources, policy and guidelines, quality assurance and supportive supervision, and
training.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15030
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15030 4925.08 HHS/Centers for University of 7016 217.08 Department of $250,000
Disease Control & Nairobi Pediatrics
Prevention
7096 4925.07 HHS/Centers for University of 4298 217.07 Department of $200,000
4925 4925.06 HHS/Centers for University of 3205 217.06 Department of $115,000
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities $10,000
Economic Strengthening
Education
Water
Table 3.3.08:
ACTIVITY UNCHANGED FROM COP 2008
This activity relates to activities in Adult Care and Support, Pediatric Care and Support, TB/HIV Pediatric
Treatment, and PMTCT.
The University of Nairobi Department of Pediatrics (UNBO) will work to strengthen services of the ongoing
antiretroviral therapy (ART) treatment activities at Kenyatta National Referral Hospital (KNH) and 3
additional sites with an emphasis on, management of complicated cases of patients on ART, and
participants in U.S. government sponsored research. Treatment, including ART, will be provided to 6,300
people with advanced HIV (3,000 new patients), increasing the number of individuals ever receiving ART to
7,560. Activities will strengthen KNH's ability to provide specialized care for HIV patients on ART who
develop complications, conduct trainings, and manage other diagnostic activities. Funds will be used to
support salaries for health care workers in accordance with Emergency Plan guidance, improve
infrastructure through renovation, purchase commodities including laboratory reagents, and train 300 health
workers. UNBO will also provide technical expertise to the National AIDS and STD Control Program
(NASCOP) in the development of policies, guidelines, and curriculum relating to ART. UNBO has run
research clinics on perinatal cohorts at KNH for 12 years studying PMTCT and immune responses and
disease progression in women, as well as managing a group of patients receiving donated ART. Research
doctors have undergone short trainings about HIV treatment and have conducted numerous courses on
ART. The KNH Comprehensive Care Center has been operating for more than 7 years providing
psychosocial care. Over the past year it has provided ambulatory medical care to PLWHA including
nutrition, opportunistic infection prophylaxis and treatment, and ART. It has dedicated staff providing
psychosocial, nutritional, and medical care. By April 2008, more than 4,000 patients were receiving
treatment as a result of the activities of this partner. UNBO will continue to develop mechanisms to allow
referral of uncomplicated ART patients to lower level health facilities to enable KNH to focus on tertiary
care.
These activities will contribute to the expansion of antiretroviral (ARV) treatment for clinically qualified HIV-
positive patients, strengthened human resource capacity to deliver ARV treatment, and a strengthened
referral network for provision of ARV services.
This activity relates to Adult care and support, pediatric care and support, pediatric ARV services, and
TB/HIV services supported by UNBO at these same sites, PMTCT activities being implemented by
University of Nairobi, OBGYN, ART services coordinated by and supported through the NASCOP, and
training activities supported by the Kenya Pediatric Association, a treatment sub-partner of the TBD
Umbrella organization and to multiple activities in and around Nairobi that refer to KNH as a network
pharmacists, and laboratory workers are targeted for increased HIV care and treatment knowledge and
skills.
This activity includes minor emphases in commodity procurement, development of
networks/linkages/referral systems, human resources, policy and guidelines, and training.
Continuing Activity: 15032
15032 4104.08 HHS/Centers for University of 7016 217.08 Department of $2,300,000
7095 4104.07 HHS/Centers for University of 4298 217.07 Department of $1,700,000
4104 4104.06 HHS/Centers for University of 3205 217.06 Department of $982,154
Table 3.3.09:
ACTIVITY UNCHANGED FROM COP 2008:
This activity relates to activities in ARV Services (#7095), Adult Care and Support, Pediatric ARV services,
TB/HIV (#9057), and PMTCT (#7097).
The University of Nairobi, Department of Pediatrics (UNBO) will work to strengthen the pediatric care
pediatric HIV care services including psychosocial support to 1,100 children below 15 years. Pediatric care
and support services will include cotrimoxazole preventive therapy, management of opportunistic infections,
management of malnutrition, support to care givers, and end-of-life care. Activities will strengthen KNH to
provide highly skilled and laboratory services, conduct pediatric training, infant diagnostic testing infants,
and serve in other diagnostic and management capacities with respect to care of children. In addition to
providing training to 100 health care workers, UNBO will provide technical assistance to the National AIDS
and STD Control Program (NASCOP) in the development of pediatric HIV care policy and guidelines.
UNBO will also work with Kenya pediatric association to support on site pediatric training and mentorship of
nurses and clinical officers in provision of pediatric care. The University of Nairobi Pediatrics Department
has run research clinics for perinatal cohorts of HIV infected women at KNH for over 12 years studying
PMTCT, immune responses, and disease progression in women and children, managing a handful of
patients receiving donated ART. Research doctors have undergone short courses on the topic of HIV
management and have now themselves conducted numerous courses on the topic of HIV care. The KNH
Comprehensive Care Center has been operating for more than 6 years providing psychosocial care, and
over the past year providing ambulatory medical care to PLWHA, including nutrition, opportunistic infection
prophylaxis and treatment and ART. The center has dedicated staff providing psychosocial, nutritional, and
medical care. By April 2008, more than 5,600 patients, including approximately 500 children, were receiving
These activities will contribute to the expansion care for children with HIV; strengthen human resource
capacity to deliver pediatric HIV care services, and a strengthened referral network for provision of these
clinical HIV expertise in the management and children.
This activity relates to adult and pediatrics ARV services supported by UNBO at these same sites (#7095),
and TB/HIV (#9057), PMTCT activities being implemented by University of Nairobi, OBGYN (#7097), ARV
services coordinated by and supported through the NASCOP (#7004), and training activities supported by
the Kenya Pediatric Association, a treatment sub-partner of the TBD umbrella organization , and to multiple
activities in and around Nairobi that refer to KNH as a network center.
These activities target children below 15 years living with HIV/AIDS. Treatment services for diagnosis and
care of very young children will be established through a relationship with Kenya Medical Research Institute
(KEMRI), whereby filter paper samples are transported to the KEMRI lab for polymerase chain reaction
(PCR) for infant testing. Public health care providers, including doctors, nurses, pharmacists, and laboratory
workers are targeted for increased pediatric HIV care knowledge and skills.
Table 3.3.10:
This activity relates to activities in Palliative Care: Basic Health Care and Support (#7096), Pediatric care
and support TB/HIV (#9057), and PMTCT (#7097).
The University of Nairobi Department Of Pediatrics (UNBO) will work to strengthen the pediatric treatment
services available at Kenyatta National Referral Hospital (KNH) and 3 additional sites in order to provide
pediatric treatment and psychosocial support to 1,100 children below 15 years (including 500 newly initiated
children). This will increase the total number of children ever receiving ART to 1,320. Activities will include
the provision of antiretroviral (ARV) drugs to children, management of complicated cases of children on
antiretroviral treatment (ART), and participants in U.S. government sponsored research. Activities will
strengthen KNH's ability to provide specialized care for children with HIV on ART who develop
complications, conduct training, perform diagnostic testing in infants, and manage other diagnostic
activities, particularly with respect to the care of children. Funds will be used to support salaries for health
care workers in accordance with Emergency Plan guidance, improve infrastructure through renovation,
purchase commodities including laboratory reagents, and train 100 health workers. UNBO will provide
technical expertise to the National AIDS and STD Control Program (NASCOP) in development of policy,
guidelines, and curriculum relating to Pediatric ART. UNBO will also work with the Kenya Pediatric
Association to support on site pediatric training and mentorship of nurses and clinical officers in the
provision of pediatric ART. UNBO has run research clinics on perinatal cohorts at KNH for 12 years related
to studying PMTCT and immune responses and disease progression in women and children, as well as
managing a group of patients receiving donated ART. Research physicians have undergone short trainings
about HIV treatment and have conducted numerous courses on ART. The KNH Comprehensive Care
Center has been providing psychosocial care for more than 7 years. Over the past year it has provided
ambulatory medical care to PLWHA including nutrition, opportunistic infection prophylaxis and treatment,
and ART. It has dedicated staff providing psychosocial, nutritional, and medical care. By April 2008, more
than 2,000 patients, including approximately 529 children, were receiving treatment as a result of the
activities of this partner. UNBO will continue to develop mechanisms to allow referral of uncomplicated
pediatric ART patients to lower level health facilities to enable KNH to focus on tertiary care.
These activities will contribute to the expansion of ART for clinically qualified HIV-positive patients,
strengthened human resource capacity to deliver ART, and a strengthened referral network for provision of
ARV services.
This activity relates to adult and pediatric care and support, adult ARV services and TB/HIV services
supported by UNBO at these same sites. PMTCT activities are being implemented by the University of
Nairobi, OBGYN, and ART services are coordinated by and supported through NASCOP. Training activities
are supported by the Kenya Pediatric Association, a treatment sub-partner of the TBD umbrella and to
multiple activities in and around Nairobi that refer to KNH as a network center.
These activities target, children and, infants living with HIV/AIDS. Services for diagnosis and treatment of
very young children will be established through a relationship with Kenya Medical Research Institute
(PCR) for infant testing. Public health care providers, including doctors, nurses, pharmacists, and
laboratory workers are targeted for increased pediatric HIV care and treatment knowledge and skills.
Table 3.3.11:
1. LIST OF RELATED ACTIVITIES This activity relates to activities in ARV Services and Palliative Care,
Pediatric care and support and Pediatric ARV services.
The University of Nairobi Department of Pediatrics (UNBO) will support TB/HIV services for patients at the
Kenyatta National Referral Hospital (KNH) and 3 additional sites in Nairobi. UNBO will offer TB screening to
5,000 HIV infected patients and HIV screening for 200 TB patients; approximately 100 will be diagnosed
with TB/HIV. Funds will be used to support improved TB screening and diagnosis using sputum smear
microscopy and, if indicated, sputum culture and chest X-rays. Refresher training of laboratory staff will be
initiated and basic laboratory microbiology capacity improved in order to meet the increased needs of TB
testing. Fifty health care workers will be trained to provide clinical prophylaxis and/or treatment for TB to HIV
-infected individuals.
These activities will contribute towards the provision of integrated HIV/TB 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.
The overall program activity links closely to Adult antiretroviral (ARV) services, Adult care and support,
Pediatric care and support and Pediatric ARV services currently supported by UNBO, and ART services
coordinated by and supported through the National AIDS and STD Control Program.
These activities target people living with HIV/AIDS and TB suspects. Public health care providers, including
doctors, nurses, pharmacists, laboratory workers will receive training in the diagnosis and management of
TB using government guidelines.
systems, local organization capacity development, quality assurance, quality improvement and supportive
supervision, and training.
Continuing Activity: 15031
15031 9057.08 HHS/Centers for University of 7016 217.08 Department of $150,000
9057 9057.07 HHS/Centers for University of 4298 217.07 Department of $50,000
Table 3.3.12:
