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 project links with hundreds of health service delivery sites across the country in order to meet PEPFAR
targets in those areas. It also links to the Capacity Project in other program areas such as ART Services,
Laboratory Infrastructure, and Systems Strengthening.
2. ACTIVITY DESCRIPTION
Emergency Hiring Plan (EHP): This project will assist in providing critical human resource management
support to ensure increased service delivery for realization of health outcomes with specific emphasis on
HIV/AIDS services at recipient sites. The availability and retention of trained health personnel, particularly in
the public health sector, is the cornerstone of Kenya's response to the health needs of the country and its
response to the HIV/AIDS epidemic. Currently, Kenya's public health sector and not-for-profit health
organizations are overwhelmed by the strain of coping with HIV/AIDS prevention, treatment, care and
support in addition to other priority health services. Their human resource systems are also unable to keep
up with requirements for HIV/AIDS program planning, management and implementation. This ground
breaking emergency hiring and training program seeks to increase resources in qualified human capital that
will be made available to Kenya's public health sector. In areas where the bulk of health care services
including ART are provided by facilities managed by faith-based organizations and where they are clearly
faced with staffing shortages, the program has attracted and deployed health workers in such facilities.
Specifically, this initiative will enhance the capacity of the public health sector in Kenya to initially expand
access to treatment and care for HIV/AIDS patients and also strengthen the provision of quality health
programs especially in rural priority posts. The project shall consider various approaches that hold promise
for enhancing and sustaining the local health workforce both in the short and long term. As such, this
initiative should be envisioned as a strategic and humanitarian intervention in a setting that currently lacks
sufficient and adequately qualified health workers to mount an effective counterattack on HIV/AIDS and
continue to provide other essential health services at the same time. All the available evidence seems to
suggest that without such reinforcement of critical cadres of human resources for health, PEPFAR as well
as the Ministry of Health's ambitious coverage and treatment targets for Kenya will be difficult if not
impossible to achieve. The objectives of this emergency hiring plan are: 1) to develop and implement a fast-
track hiring and deployment model that will mobilize 830 additional health workers and deploy them in the
public sector to urgently tackle the HIV/AIDS crisis; 2) to develop and implement an accelerated "crash
training program" that will rapidly address the gaps in skills and competencies for the new hires; and 3) to
design and implement a monitoring, quality assurance and support system that will enable health care
workers by site to increase their efficiency and effectiveness. After the successful recruitment and
deployment of 830 health providers to government and faith-based facilities in 2008/9 on three-year
contracts, this project will, in 2009/10, support the management of the new hires to fill critical gaps in
HIV/AIDS services. This includes support to facilities providing PMTCT services, and PMTCT clinics. The
PMTCT program area will support 100 nurses. Capacity will document and develop tools and initiatives that
will improve job satisfaction, supervision systems and retention for the new hires. The new hires' salaries
have been matched with Ministry of Health salaries by position and qualification and Capacity, through its
improved administration system, will continue to ensure the timely monthly payment of each hire until the
end of their three-year contract. In addition, the project will strengthen on-site monitoring and supervision
through its Workforce Mobilization Program which seeks to make simple, cost-effective changes to the
workplace that improve supervision, monitoring, and staff morale.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
Capacity Project supports GOK and Mission service-delivery sites across the country by ensuring they have
the qualified staff they need to meet the patients' needs. The project maintains 830 health care providers at
facilities across the country, develops on-site supervision, and is working nationally to make these system
improvements sustainable. 100 nurses will be supported under PMTCT.
4. LINKS TO OTHER ACTIVITIES
targets in those areas. It also links to the Capacity Project in other program areas such as ARV services,
Lab Infrastructure, and Systems Strengthening.
5. POPULATIONS BEING TARGETED
This project targets health care providers in the public sector, in particular nurses at facilities that provide
PMTCT.
6. KEY LEGISLATIVE ISSUES
Through the emergency hiring plan, staff hired will help address gender equity in HIV programming and
improve service delivery to pregnant women, their infants and spouses. The staff hired will also help
address male norms that often hinder access to critical services by women.
7. EMPHASIS AREAS
The major emphasis area for this project is Human Resources. The minor emphasis area is on Quality
Assurance and Supportive Supervision. The project, in managing EHP staff, seeks to improve on-site
supervision quality through its Workforce Mobilization Program.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14853
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14853 8647.08 U.S. Agency for IntraHealth 6958 2328.08 Capacity Project $600,000
International International, Inc
Development
8647 8647.07 U.S. Agency for IntraHealth 4237 2328.07 Capacity Project $600,000
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $500,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
• Activity includes the following new activities:
+ Accredited CPD system with laboratory professional associations in support of the National Lab Training
Plan
+ Improved laboratory worker retention in demonstration project sites
+ Short-term management and supervisory skills training for lab personnel
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
HCD $4,900,000
COP 2008
This activity relates to activities in HLAB, System Strengthening and Prevention of Mother to Child
Transmission. And all activities in the HTXS, PDTX, PDCS and HBHC program areas.
This activity supports the management, supervision, and administration of the 830 health workers hired by
Capacity to primarily government facilities. In addition to filling critical gaps in HIV/AIDS laboratory services,
the new hires support anti-retroviral therapy (ART) screening and monitoring, HIV care and prevention
services. This project assists in providing critical human resource management support to ensure increased
service delivery for better health outcomes, specifically in HIV/AIDS at recipient sites. The availability and
retention of trained Health care workers (nurses and clinical officers), particularly in the public health sector,
is the cornerstone of Kenya's response to the health needs of the country and its response to the HIV/AIDS
epidemic. Currently, Kenya's public health sector and not-for-profit health organizations are overwhelmed
by the strain of coping with HIV/AIDS prevention, treatment, care and support in addition to other priority
health services. Their human resource systems are also unable to keep up with requirements for HIV/AIDS
program planning, management and implementation. This ground breaking emergency hiring and training
program seeks to increase resources in qualified human capital that will be made available to Kenya's
public health sector. In areas where the bulk of health care services including ARVs are provided by
facilities managed by faith-based organizations and where they are clearly faced with staffing shortages, the
program has attracted and deployed health workers in such facilities. Specifically, this initiative will enhance
the capacity of the public health sector in Kenya to initially expand access to treatment and care for
HIV/AIDS patients and also strengthen the provision of quality health programs especially in rural priority
posts. The project shall consider various approaches that hold promise for enhancing and sustaining the
local health workforce both in the short and long term. As such, this initiative should be envisioned as a
strategic and humanitarian intervention in a setting that currently lacks sufficient and adequately qualified
health workers to mount an effective counterattack on HIV/AIDS and continue to provide other essential
health services at the same time. All the available evidence seems to suggest that without such
reinforcement of critical cadres of human resources for health, PEPFAR as well as the Ministry of Health's
ambitious coverage and treatment targets for Kenya will be difficult if not impossible to achieve. 1) to
develop and implement training programs that will rapidly address the gaps in skills and competencies for
the laboratory workers; and 3) to design and implement a monitoring, quality assurance and support system
that will enable the laboratory workers at sites to increase their efficiency and effectiveness. In 2007 and
2008, the Emergency Hiring Plan (EHP) strengthened the health sector systems to improve and sustain the
new hires and facility performance to deliver the essential services. Capacity will document and develop
tools and initiatives that will improve job satisfaction, supervision systems and retention for the new hires.
The new hires salaries have been matched with the Ministry of Health salaries according to position and
qualifications and will be paid on time at the end of each month. At the same time, Capacity will implement
long-term human resource planning with the Ministry of Health. The EHP can only generate sustainable
results if its lessons and promising practices are taken up, applied and combined with existing effective
measures to address all the components of the Human Resources in Health (HRH) Framework. It will be
important to ensure appropriate skills amongst health workers to meet the health needs of the Kenyan
population, which means expansion of educational opportunities and curricula reforms. With donor support,
the MOH recently completed a three year Human Resource Strategic Plan and implementation plan. The
MOH will need to be encouraged and supported to take this strategic initiative forward. This project will work
with health sector leaders and primary stakeholders to strengthen HRH within the national health system,
assist the ministry to develop core technical capacity in HRH planning, management and offer support by a)
providing targeted technical assistance to assist the MOH with the implementation of the 3 year HR
strategic plan b) introducing an integrated human resource information system (HR IS), c) streamlining and
strengthening HR management processes and practices especially recruitment, deployment, transfers,
supervision and performance management and linking HR and payroll data, d)enrolling selected HRH
leaders and managers in a leadership development course, and d) working with the MOH divisions to
standardize curricula as needed, and e) expanding the Work Climate Improvement Initiative that seeks to
improve job satisfaction and aid retention, to sites with new hires.
Capacity will support the 830 Health care workers (nurses and clinical officers) who will provide HIV and
AIDS services to selected sites across the country.
Health care providers will be deployed to sites around Kenya with the greatest need in order to meet
PEPFAR targets in those areas. Most of these facilities are GOK facilities, and many are supported by
PEPFAR partners. This activity relates to activities in HLAB, System Strengthening and Prevention of
Mother to Child Transmission. And all activities in the HTXS, PDTX, PDCS and HBHC program areas.
This project targets health care workers primarily in the public sector, and MOH policymakers, HR
administrators, and hospital supervisors.
6. EMPHASIS AREAS
Activity Narrative: The major emphasis area for this project is human resources as it manages and seeks to retain 830 Health
care workers (nurses and clinical officers) to scale up HIV/AIDS services. Capacity will work with the MOH
on implementation of its Human Resource in Health policy, and seeks to improve on-site supervision
through its Workforce Mobilization Program.
Continuing Activity: 14854
14854 4316.08 U.S. Agency for IntraHealth 6958 2328.08 Capacity Project $5,500,000
6919 4316.07 U.S. Agency for IntraHealth 4237 2328.07 Capacity Project $4,100,000
4316 4316.06 U.S. Agency for IntraHealth 3300 2328.06 Capacity Project $4,607,274
Estimated amount of funding that is planned for Human Capacity Development $4,900,000
Table 3.3.09:
1. ACTIVITY DESCRIPTION
This activity relates to all Capacity projects narratives in HTXS, HLAB, and OHPS.
Capacity has continued to support seconded staff to various Government ministries and under this program
area will provide support to an Advisor on Tuberculosis at the Ministry of Health based at the National
Leprosy and Tuberculosis Program (NLTP). This advisor will bring additional skills in tuberculosis
laboratory needs serving as an advisor to the NLTP on the needs of the various TB/HIV diagnostic sites.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
Capacity supports 830 health care providers at facilities across the country, develops on-site supervision,
and is working nationally to make these system improvements sustainable. This activity will support a
senior Technical advisor at the MOH/NLTP to improve TB/HIV lab diagnostic.
3. LINKS TO OTHER ACTIVITIES
This activity links to all Capacity project activities that are involved in the hiring of health personnel as well
as seconding staff to the Ministry of Planning and National Development and the National AIDS and STI
Control Program (NASCOP).
4. POPULATIONS BEING TARGETED
This activity will strengthen TB diagnostic sites assisting in the appropriate testing of HIV positive persons
for Tuberculosis.
5. EMPHASIS AREAS / KEY LEGISLATIVE ISSUES ADDRESSED
The main emphasis area for this activity is local organization capacity building serving to strengthen the
National Leprosy and Tuberculosis Program (NLTP) by boosting the capacity to provide technical
assistance to TB diagnostic sites.
Continuing Activity: 16503
16503 16503.08 U.S. Agency for IntraHealth 6958 2328.08 Capacity Project $100,000
Health-related Wraparound Programs
* TB
Table 3.3.12:
+ Accredited CPD system with laboratory professional associations in support of the National RH Training
+Improved laboratory worker retention in demonstration project sites
+Short-term management and supervisory skills training for lab personnel
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS:
This activity will contribute to human capacity development through management and leadership
development, promotion of staff retention and training.
This activity relates to activities in ARV services, System Strengthening and Prevention of Mother To Child
Transmission.
This activity supports the management, supervision, and administration of the 90 laboratory technicians
hired by Capacity to primarily government facilities. In addition to filling critical gaps in HIV/AIDS laboratory
services, the new hires support anti-retroviral therapy (ART) screening and monitoring, HIV care and
prevention services. This project assists in providing critical human resource management support to
ensure increased service delivery for better health outcomes, specifically in HIV/AIDS at recipient sites. The
availability and retention of trained laboratory personnel, particularly in the public health sector, is the
cornerstone of Kenya's response to the health needs of the country and its response to the HIV/AIDS
ambitious coverage and treatment targets for Kenya will be difficult if not impossible to achieve. The
objectives of this emergency hiring plan are: 1) to develop and implement a fast-track hiring and deployment
model that will mobilize 90 additional laboratory workers and deploy them in the public sector to urgently
tackle the HIV/AIDS crisis; 2) to develop and implement training programs that will rapidly address the gaps
in skills and competencies for the laboratory workers; and 3) to design and implement a monitoring, quality
assurance and support system that will enable the laboratory workers at sites to increase their efficiency
and effectiveness. In 2007 and 2008, the Emergency Hiring Plan (EHP) will strengthen the health sector
systems to improve and sustain the new hires and facility performance to deliver the essential services.
Capacity will document and develop tools and initiatives that will improve job satisfaction, supervision
systems and retention for the new hires. The new hires salaries have been matched with the Ministry of
Health salaries according to position and qualifications and will be paid on time at the end of each month. At
the same time, Capacity will implement long-term human resource planning with the Ministry of Health. The
EHP can only generate sustainable results if its lessons and promising practices are taken up, applied and
combined with existing effective measures to address all the components of the Human Resources in
Health (HRH) Framework. It will be important to ensure appropriate skills amongst health workers to meet
the health needs of the Kenyan population, which means expansion of educational opportunities and
curricula reforms. With donor support, the MOH recently completed a three year Human Resource Strategic
Plan and implementation plan. The MOH will need to be encouraged and supported to take this strategic
initiative forward. This project will work with health sector leaders and primary stakeholders to strengthen
HRH within the national health system, assist the ministry to develop core technical capacity in HRH
planning, management and offer support by a) providing targeted technical assistance to assist the MOH
with the implementation of the 3 year HR strategic plan b) introducing an integrated human resource
information system (HR IS), c) streamlining and strengthening HR management processes and practices
especially recruitment, deployment, transfers, supervision and performance management and linking HR
and payroll data, d)enrolling selected HRH leaders and managers in a leadership development course, and
d) working with the OCPD on and MOH divisions to standardize curricula as needed, and e) expanding the
Work Climate Improvement Initiative that seeks to improve job satisfaction and aid retention, to sites with
new hires.
Capacity will support the 90 laboratory personnel who will provide HIV and AIDS services to selected sites
across the country.
PEPFAR partners. This activity links to Capacity activities in other program areas as well: PMTCT, ARV
Services, and System Strengthening.
This project targets laboratory technicians primarily in the public sector, and MOH policymakers, HR
Activity Narrative: administrators, and hospital supervisors.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity will address the issue of increasing gender equity in HIV/AIDS programs.
The major emphasis area for this project is human resources as it manages and seeks to retain 90
laboratory personnel to scale up HIV/AIDS services. Minor emphasis areas are Policy and Guidelines and
QA/QI/SS, as Capacity will work with the MOH on implementation of its Human Resource in Health policy,
and seeks to improve on-site supervision through its Workforce Mobilization Program.
Continuing Activity: 14855
14855 5361.08 U.S. Agency for IntraHealth 6958 2328.08 Capacity Project $750,000
6920 5361.07 U.S. Agency for IntraHealth 4237 2328.07 Capacity Project $700,000
5361 5361.06 U.S. Agency for IntraHealth 3300 2328.06 Capacity Project $300,000
Estimated amount of funding that is planned for Human Capacity Development $750,000
Table 3.3.16:
• Institutionalizing HRH capacities within the GOK for HRH planning, budgeting, budget advocacy, policy
development and coordination.
• Supporting a local institution to conduct HRH planning and policy-related analytical work and
demonstration projects and to provide advisory services to the GOK.
• Developing HRH planning and management capacities in the provincial level.
• Developing HRH planning and management capacities in key FBO institutions.
•Training needs assessment of pre-and in-service training systems.
•Establishing capacity within GOK in training management.
•Hiring of and mentoring by Advisors to GOK counterparts on emerging areas for technical assistance.
• Pilot testing and assessing the use of ICT in training.
• South-to-south exchanges and fellowships on emerging topics.
• Long-term advance degree training.
•Rapid evaluation of retention and task-shifting demonstration projects related to worker productivity.
•Developing and implementing a "community of practice" coordination mechanism to improve coordination
among HRH partners.
The budget that is attributable to HCD is $1,815,000.
The only changes to the program since approval in the 2007 COP are:
• Transitioning the EHP health workers into the GOK payroll.
• Promoting Task Shifting by rationalizing scopes of practice for existing health workers and also mobilizing
auxiliary cadres and delegating to them a controlled set of tasks.
• Developing and implementing innovative, low cost and locally relevant retention interventions at selected
sites, especially in hard-to-reach areas that are generally considered unattractive by health workers.
• Pursuing innovative approaches to increasing human resources for health, with a particular emphasis on
training youth, including as paramedical professionals, and utilizing retired health care workers.
• Sharing learning methods and models with pre-service institutions and reputable local training providers
so that relevant leadership and management programs can be efficiently adapted and applied.
• Providing management and technical support to the APHIA 2 NEP program in implementing innovative
staffing approaches to ensure the uptake of critical HIV and FP/RH services-especially at community levels.
• Training District Management Teams in national planning and budgeting
This activity relates to all facility-based service delivery projects. It also relates to Global Fund support under
the Futures Group/HPI project [HPI] in this same program area.
The Capacity Project will continue to implement long-term human resource planning with the Ministry of
Health. The Emergency Hiring Plan (EHP) can only generate sustainable results if its lessons and promising
practices are taken up, applied and combined with existing effective measures to address all the
components of the Human Resources in Health (HRH) Framework. It will be important to ensure
appropriate skills amongst health workers to meet the health needs of the Kenyan population, which means
expansion of educational opportunities and curriculum reforms. Kenya is also faced with a unique
absorptive capacity challenge: although it does not produce enough health providers to plug gaps in
coverage, it is also unable to find work for all its graduates, creating a "phantom surplus" of qualified,
unemployed health workers. Moreover, in most training schools, the curriculum is misaligned with the
country's health problems (for example, HIV/AIDS is not adequately covered), and pedagogic methods are
outdated, excluding practical problem-solving skills. Training and production of health workers is based not
on working competencies but on certification or traditional roles that are often controlled by and aligned to
the goals of professional bodies. This activity will strengthen three key aspects of long-term human
resources development in Kenya through: 1) support to the Ministry of Health's division to standardize their
HIV/AIDS curricula, 2) assistance to the Office of Continuing Professional Development (OCPD) to develop
the National Health Training Plan (NHTP), and 3) support for the development of a computerized database
of national health worker information and training participation, towards a goal of developing an
accreditation program of curricula and continuing medical education credits. The Capacity Project will also
provide focused technical assistance to the Global Fund as well as capacity building of the Country
Coordinating Mechanism (CCM) Secretariat. While it is essential to mobilize additional health workers to
avert the current workforce crisis and help combat priority diseases like HIV/AIDS, it is as important to help
develop and sustain policies and strategies over the longer term. All of these activities will be done in close
collaboration with the Ministry of Health (MOH). With donor support, the MOH recently completed a three
year Human Resource Strategic Plan and implementation plan. The MOH will need to be supported to take
this strategic initiative forward. In addition to the EHP, this year the project will work with health sector
leaders and primary stakeholders to strengthen HRH within the national health system, assist the Ministry to
develop core technical capacity in HRH planning and management and offer support by a) providing
targeted technical assistance to assist the MOH with the implementation of the 3 year HR strategic plan, b)
introducing an integrated human resource information system, c) streamlining and strengthening HR
management processes and practices especially recruitment, deployment, transfers, supervision and
performance management and linking HR and payroll data, d) enrolling selected HRH leaders and
managers in a leadership development course, e) supporting the OCPD to develop the NHTP and training
database, and f) expanding the Work Climate Improvement Initiative that seeks to improve job satisfaction
and aid retention, to sites with new hires. Secondly, the Capacity Project continues to support seconded
staff, and under this program area, will support the Advisor for HIV/AIDS Mainstreaming at the Ministry of
Planning and National Development (MPND). This person provides pivotal technical assistance by
supporting various arms of the government including the National AIDS Control Council (NACC) and the
National AIDS and STD Control Program (NASCOP) to engage in the national budgeting process with the
goal of increasing allocations for HIV and AIDS activities. The Advisor also provides technical assistance to
MPND to accelerate the agenda of mainstreaming HIV/AIDS through the national Poverty Eradication
Activity Narrative: Strategy (PRSP) in the public sector, and provides critical technical input into the collection and
management of data systems at the Central Bureau of Statistics that captures and addresses the national
level impact and mitigation strategies against the effects of HIV and AIDS. Lastly, the Capacity project will
allocate $250,000 of its Systems Strengthening budget for support of the Global Fund Country Coordinating
Mechanism (CCM) in Kenya with the implementation of the Transition Team Action Plan and management
of Global Fund grants. The GFATM has established transparent disbursement procedures, project
implementation modalities, oversight responsibilities, and financial and program performance reporting
responsibilities to ensure Principal Recipient (PR), CCM and sub-recipient accountability to the Government
of Kenya and to the GFATM. There are basic conditions which a country must meet before funds are
released for the approved projects. In Kenya, the Ministry of Finance is the PR and the performance of all
major grants that fall under its purview has been unsatisfactory. The Capacity project will provide technical
assistance to improve the management and implementation of these grants, including support to the CCM
secretariat. This might include recruitment of secretariat staff and meeting the costs of establishing a web-
based dataase of appropriate GF and CCM material such as approved meeting minutes, proposals and
other documentation.
The Capacity Project will contribute policy-level guidance on the critical processes of health planning and
management in support of national level goals and ensure sustainability of PEPFAR-supported hiring and
training activities.
This project links with hundreds of health service delivery sites across the country to meet PEPFAR targets
in those areas.
This activity targets government policy makers to improve the planning and management of human
resources, and implementation and development of HRH policies and systems at the national level, and
also works with HR and OCPD staff to develop their capacities. The USG and its collaborating agencies are
under continuous pressure to hire highly experienced professionals to guide PEPFAR-supported programs.
As a result, we have hired away over a dozen of the MOH's most qualified personnel. Many of these staff
have over 15 years experience in health management and their loss to the MOH has resulted in the
weakening of capacity of the very system that PEPFAR is pledging to build. Making matters worse, at the
same time that there are increasing shortages of senior health managers, there are deteriorating working
conditions and growing demand to incorporate new and labor-intensive services, such as antiretroviral
therapies for HIV/AIDS. We propose to help address these issues through the development of an intensive
program of management strengthening and staff development within the MOH and, more specifically,
NASCOP. This corresponds with a similar program being undertaken with the Kenya Medical Supplies
Agency (KEMSA) under the Millennium Challenge Account Threshold Agreement.
Continuing Activity: 14856
14856 8693.08 U.S. Agency for IntraHealth 6958 2328.08 Capacity Project $1,665,000
8693 8693.07 U.S. Agency for IntraHealth 4237 2328.07 Capacity Project $2,550,000
Estimated amount of funding that is planned for Human Capacity Development $1,815,000
Table 3.3.18:
