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:
+ Increased emphasis on provision of comprehensive PMTCT services in the lower level facilities and
strategies to increase the uptake of HIV testing and counseling to male partners of women attending ANC
services.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key attributions in human capacity development through the training of health care
service providers on PMTCT and other HIV prevention and care topics in order to equip them with
knowledge and skills to provide quality PMTCT services. These service providers include doctors, nurses,
clinical officers, nutrition officers and health record clerks.
COP 2008
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in HIV/AIDS treatment/ARV services and Palliative Care: TB/HIV.
2. ACTIVITY DESCRIPTION
The Eastern Deanery AIDS Relief Program (EDARP) is a faith-based organization under the Roman
Catholic Archdiocese of Nairobi that was established in 1993 as a response to the HIV pandemic affecting
the people living in a slum setting in the Eastlands area of Nairobi. A network of community health workers
and clinical sites has been established, and now provides a variety of HIV prevention and treatment
services to many thousands of people with HIV. EDARP has one site that has been offering comprehensive
PMTCT since 2005, providing HIV counseling and testing to women accessing ANC services as well as
ARV prophylaxis to HIV positive women and their exposed infants. In addition referral linkages have been
established to centers providing antiretroviral therapy for continuum of care for the mother, male partner
and, infant. In FY 2009, EDARP will consolidate its PMTCT services at the seven existing sites. EDARP will
implement integrated comprehensive PMTCT service in accordance with the National Comprehensive
PMTCT guidelines. Comprehensive integrated PMTCT services include, but are not limited to counseling
and testing of pregnant women and their partners in antenatal clinics, delivery units and postnatal clinics
using the opt-out approach, clinical staging of all HIV-positive women using WHO guidelines, use of
appropriate antiretroviral regimens including HAART for maternal health in accordance to the National
Antiretroviral therapy guidelines, use of zidovudine plus single dose nevirapine or use of single dose
nevirapine for women presenting late in pregnancy, postnatal follow-up for the mother and exposed infants,
initiation of cotrimoxazole prophylaxis to all exposed infants at 6 weeks, Early Infant Diagnosis (EID) at six
weeks via PCR on Dry Blood Spots (DBS) from all exposed infants and successful referral of HIV-positive
mothers, their male partners and infected infants to antiretroviral treatment centers. EDARP targets
counseling and testing to 1000 pregnant women and 200 male partners and provide antiretroviral
prophylaxis for 110 HIV-positive women. All HIV-positive pregnant women with CD4 count of 350 or less
and those in WHO clinical stage 3 and 4 will be initiated on HAART, all the other women will be given the
more efficacious PMTCT regimen of AZT and sd Nevirapine. Early Infant Diagnosis (EID) using Dry Blood
Spots (DBS) at six weeks and co-trimoxazole prophylaxis will target all HIV exposed infants. The program
will support the training of 30 service providers on comprehensive PMTCT using the national PMTCT
training package.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will contribute to the Emergency Plan PMTCT targets for Kenya. Community participation and
male involvement will significantly contribute to PEPFAR goals for primary prevention, access to care and
treatment, and support of those affected and infected. EDARP will continue to facilitate capacity building of
facility management teams for improved management of health services and set up of referral networks and
linkages for a continuum of care from facilities to Home-based care within the community and among
various programs within the Eastleigh area. This activity contribute to increased awareness, demand
creation and stigma reduction leading to increased utilization of services towards the goal of universal
access to prevention, care and treatment services.
4. LINKS TO OTHER ACTIVITES
This activity will relate to the ARV services of EDARP and University of Manitoba ARV services. Linkages to
HIV care and treatment services will be strengthened, to ensure immediate appropriate care for the woman
and exposed infants, and family members as well and thus optimize utilization of complementary services
created through Emergency Plan funding.
5. POPULATIONS BEING TARGETED
This activity targets children less than five years, adolescents of reproductive age 15-24 years, adults,
pregnant women, and people living with HIV. Health care providers including doctors, nurses and other
health care workers will be targeted for training on PMTCT using the national NASCOP PMTCT CDC/WHO
based curriculum.
6. EMPHASIS AREAS /KEY LEGISLATIVE ISSUES ADDRESSED
This activity will address gender equity in HIV/AIDS programs through improved PMTCT service delivery at
antenatal clinics and maternity units. This activity includes emphasis on In service training for service
providers, and wrap around programming to include Malaria (PMI) through distribution of ITNs to all
pregnant women at the ANC as well as Intermittent Presumptive Malaria treatment, safe mother hood
through the provision of focused ante-natal care as well as improved TB screening among pregnant women
and linkage to TB treatment for all identified TB cases. Equity will be promoted through identification of
vulnerable groups and factors that make specific groups particularly vulnerable. Gender-related
vulnerabilities will be identified, analyzed, described and incorporated into all interventions. This includes
MAP, MTA, gender-based violence and cultural barriers that are related to gender norms.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14771
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14771 8654.08 HHS/Centers for Eastern Deanery 6943 282.08 $110,000
Disease Control & AIDS Relief
Prevention Program
8654 8654.07 HHS/Centers for Eastern Deanery 4222 282.07 $61,165
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
* Reducing violence and coercion
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
* Safe Motherhood
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $6,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
+ New activity emphasis on prevention with positives among patients coming for care and treatment
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS:
This partner will be contributing nutritional commodities for U.S. $90,000
This activity relates to activities in ARV Services, pediatric ARV services, pediatric care and support TB/HIV,
and PMTCT.
The Eastern Deanery AIDS Relief Program (EDARP) is a faith-based organization (FBO) under the Roman
Catholic Archdiocese of Nairobi that was established in 1993 in response to the HIV pandemic affecting
predominantly poor people living in the eastern slums of Nairobi. Key elements of the program have been
expanded in recent years to include HIV counseling and testing that targets entire communities, routine HIV
testing among confirmed and suspected TB patients, antiretroviral treatment (ART) and PMTCT services.
Through a network of community health workers and clinical sites, EDARP provides both facility and
community based palliative care to thousands of PLWHA. Palliative care covers a wide spectrum of both
community and facility based interventions that include HIV testing, HIV status disclosure, HIV prevention,
clinical monitoring, adherence counseling, monitoring and management of opportunistic infections,
psychosocial and spiritual support, pain management, terminal care, and provision of safe water,
multivitamins and supplementary food. Other activities include provision of emotional support to health care
workers who face enormous emotional challenges in providing services in this poverty-stricken area. In FY
2009/2010, EDARP will expand palliative care services to reach 17,000 adults with HIV through 12 service
outlets. Emergency Funds will also be used to provide training in palliative care services for 50 health care
workers in a setting characterized by widespread poverty and limited services.
These activities will expand access to palliative care services for PLWHA, strengthen human resource
capacity to deliver HIV services, and improve the referral network to provide these services.
4. LINKS TO OTHER ACTIVITIES
This activity links to activities in ARV Services, pediatric ARV services, pediatric care and support TB/HIV,
These activities target all PLWHA- adults, children and infants; MARPS (e.g. sex workers, street youth, and
pregnant women).
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through community
sensitization activities.
7. EMPHASIS AREAS
These include renovation of infrastructure, human capacity development, local organization capacity
building, TB, safe motherhood, child survival activities, strategic information development and support for
food.
Continuing Activity: 14772
14772 4128.08 HHS/Centers for Eastern Deanery 6943 282.08 $550,000
6878 4128.07 HHS/Centers for Eastern Deanery 4222 282.07 $250,000
4128 4128.06 HHS/Centers for Eastern Deanery 3215 282.06 $190,000
Estimated amount of funding that is planned for Food and Nutrition: Commodities $90,000
Table 3.3.08:
ACTIVITY UNCHANGED FROM COP 2008
This activity relates to activities in TB/HIV, Palliative care: HBHC, PDCS, Counseling and Testing, and
PMTCT.
The Eastern Deanery Aids Relief Program (EDARP) will expand services at 12 sites in the Eastlands slums
of Nairobi to provide ART to 11,700 adults with advanced HIV (2,400 new patients, with the total patients
ever provided with services at 14,040). Funds will also be used to provide HIV Care and Treatment training
for 50 health care workers. EDARP provides these services in urban slums in eastern Nairobi, an area with
relatively few Ministry of Health Medical Facilities and extreme challenges including severe poverty and very
limited availability of services such as access to affordable housing, sanitation, and safe drinking water.
EDARP provides a package of antiretroviral treatment that includes support for staff salaries, training of
staff, laboratory evaluation, adherence counseling, and monitoring. ARVs will be supplied to the sites
through the distribution system of the USG central supply network currently done through Mission for
Essential Drugs and Supplies (MEDS). The program also includes a very strong component of community-
based support for ART adherence, infrastructure improvement (renovations at the facilities), and production
and distribution of informational materials to patients. Other activities include the initiation of systems to
provide emotional support for health care workers who are facing the enormous challenges of providing
services in this area and those focused on reducing the risk of HIV transmission in care and treatment
settings. EDARP is a faith-based organization under the Roman Catholic Archdiocese of Nairobi that was
established in 1993 as a response to the HIV pandemic affecting the people living in the Eastlands area of
Nairobi. A network of community health workers and clinical sites has been established, and now provides a
variety of HIV prevention and treatment services to many thousands of people with HIV. Key elements of
the program have been expanded in recent years, including establishment of HIV counseling and testing
centers and demonstration programs that have successfully introduced routine HIV testing among TB
patients and have served as models for scale up of these activities nationally.
These activities will expand access to ARV treatment for clinically qualified HIV-positive patients, strengthen
human resource capacity to deliver ARV treatment, and strengthen the referral network for provision of
ART.
This activity links to EDARP supported activities in Palliative Care, TB/HIV, PMTCT and Counseling and
Testing services. The services are implemented in collaboration with the ART officer of Nairobi Province
and are linked to the network center at Kenyatta National Referral Hospital, supported by university of
Nairobi.
The populations targeted with this activity are adults with advanced HIV who are living in slums in Eastern
Nairobi. They are a priority because of high rates of HIV and because the population is extremely poor and
would otherwise have very limited access to health care services.
This activity includes minor emphases in commodity procurement, community mobilization, development of
networks/linkages/referral systems, training, human resources, information, education, and communication
and supportive supervision, and strategic information.
Continuing Activity: 14776
14776 4130.08 HHS/Centers for Eastern Deanery 6943 282.08 $4,300,000
6880 4130.07 HHS/Centers for Eastern Deanery 4222 282.07 $1,800,000
4130 4130.06 HHS/Centers for Eastern Deanery 3215 282.06 $1,360,000
Table 3.3.09:
ACTIVITY UNCHANGED FROM COP 2008:
This activity relates to the following activities: HVTB (#6879), HTXS (#6880), HVCT (#6881) and PMTCT
(#8654).
predominantly poor people living in the eastern slums of Nairobi. In FY 2009, EDARP will expand palliative
care services to reach 1,900 children, through 12 service outlets. Key elements of the program have been
expanded in recent years to include HIV counseling and testing targeting entire communities, routine HIV
testing among TB patients / suspects, ART and PMTCT services. Through a network of community health
workers and clinical sites, EDARP provides both facility and community based palliative care to thousands
of PLWHA. Palliative care covers a wide spectrum of both community and facility based interventions that
include HIV testing, HIV status disclosure, HIV prevention, clinical monitoring. adherence counseling and
monitoring, management of opportunistic infections, psychosocial and spiritual support, pain management,
terminal care, provision of safe water, multivitamins and supplementary food. Other activities include
provision of emotional support to health care workers who face enormous emotional challenges in providing
services in this poverty-stricken area. Emergency Funds will also be used to provide training in palliative
care services to children for 50 health care workers in a setting characterized by widespread poverty and
limited services.
capacity to deliver HIV services, and a strengthen referral network to provide these services.
This activity links to other services listed above and provides essential complementary support to Kenya
Government HIV and TB program activities
These activities target all children and infants living with HIV/AIDS
building, TB, child survival activities, strategic information development and support for food.
Table 3.3.10:
This activity relates to activities in TB/HIV (#6879), Palliative Care: Basic Health Care and Support (#6878),
Counseling and Testing (#6881), and PMTCT (#8654).
of Nairobi to provide ART to 1,300 children with advanced HIV. (130 new patients, with the total pediatric
patients ever provided with services at 1560). Funds will also be used to provide HIV Care and Treatment
training for 50 health care workers in pediatric antiretroviral treatment (ART). EDARP provides these
services in urban slums in eastern Nairobi, an area with relatively few Ministry of Health Medical Facilities
and extreme challenges including severe poverty and very limited availability of services such as access to
affordable housing, sanitation, and safe drinking water. EDARP provides a package of antiretroviral
treatment that includes support for staff salaries, training of staff, laboratory evaluation, adherence
counseling, and monitoring. ARVs will be supplied to the sites through the distribution system of the USG
central supply network currently done through Mission for Essential Drugs and Supplies (MEDS). The
program also includes a very strong component of community-based support for ART adherence,
infrastructure improvement (renovations at the facilities), and production and distribution of informational
materials to patients. In expanding services to children, EDARP is taking a lead role in addressing important
issues related to optimizing pediatric care, e.g., EDARP staff is implementing programs designed to support
pediatric ART adherence and developing policies and best practices related to difficult issues such as
disclosure of HIV status to children. Other activities include the initiation of systems to provide emotional
support for Health Care Workers who are facing the enormous challenges of providing services in this area
and those focused on reducing the risk of HIV transmission in Care and Treatment Settings. EDARP is a
Faith-Based Organization under the Roman Catholic Archdiocese of Nairobi that was established in 1993
as a response to the HIV pandemic affecting the people living in the Eastlands area of Nairobi. A network of
community health workers and clinical sites has been established, and now provides a variety of HIV
prevention and treatment services to many thousands of people with HIV. Key elements of the program
have been expanded in recent years, including establishment of HIV counseling and testing centers and
demonstration programs that have successfully introduced routine HIV testing among TB patients and have
served as models for scale up of these activities nationally.
These activities will expand access to ARV treatment for clinically qualified HIV-positive Children,
strengthen human resource capacity to deliver ARV treatment to children, and strengthen the referral
network for provision of ART. Because EDARP is among the first programs providing extensive services to
children, their experiences are being shared with other programs and are contributing to the quality of
services provided at other sites.
Testing services. The services are implemented in collaboration with the ART officer of Nairobi province and
are linked to the network center at Kenyatta National Referral Hospital, supported by university of Nairobi.
The populations targeted with this activity are children with advanced HIV who are living in slums in Eastern
Table 3.3.11:
This activity relates to activities in adult care and support, pediatric care and support, ARV Services ,
pediatric ARV services, and PMTCT and HVCT.
Catholic Archdiocese of Nairobi established that was in 1993 in response to the HIV pandemic affecting
predominantly poor people living in the eastern slums of Nairobi. Through a network of community health
workers and clinical sites, EDARP provides services to thousands of PLWHA. EDARP routinely tests TB
suspects for HIV and has underscored the importance of this approach by demonstrating higher HIV rates
in suspects without TB at first contact (64%) compared to those with TB (58%). This finding shows that
targeting only patients with confirmed TB represents a missed opportunity for identifying large numbers of
individuals who need additional HIV-related care. EDARP's TB/HIV activity will continue to partner closely
with its ARV program, funded as an HTXS activity. HIV testing for TB suspects identifies large numbers of
clients who are eligible for cotrimoxazole (CTX) and ART. This program continues to serve as a model for
the scale up of TB/HIV activities nationally. EDARP will continue to deliver TB preventive treatment (IPT) to
eligible PLWHA as one of few pilot sites previously designated by the TB program. The populations served
have high rates of HIV and TB and suffer widespread poverty and limited access to quality health services.
In FY 2009, due to increased demand, EDARP will further expand collaborative TB/HIV services at existing
TB/HIV service outlets and establish new ones.
To achieve this, EDARP will expand and strengthen HIV counseling and testing for all TB suspects/patients,
screen at least 90% of PLWHA served in all 12 EDARP HIV care settings for TB and further strengthen
patient referral systems between TB and HIV programs. In FY09, HIV testing for 3,000 TB patients will be
offered, and 6,000 HIV patients will receive TB screening. It is estimated that 1,500 patients will be HIV/TB
co-infected. EDARP will promote secondary HIV prevention (Prevention with Positives [PwP]), partner
notification, partner testing and, where appropriate, education on the use of condoms. All eligible HIV+ TB
patients /suspects will be place on cotrimoxazole and ART. To increase capacity to deliver TB/HIV services,
EDARP will hire, retain and train new and existing health workers, carry out renovations for some of their
sites, and support supply of HIV test kits and essential commodities and medicines. This includes training
60 staff. Other activities will include expansion of the network of community health workers through which
EDARP has developed a strong patient tracking systems invaluable for TB/HIV case finding and case
holding. FY 2009 Emergency Plan funds will also be used to support laboratory and X-ray services, salaries
for part of existing and new staff in accordance with Emergency Plan guidelines.
These activities will result in strengthened delivery of integrated HIV and TB services, including
strengthened referral systems, improved diagnostics and treatment of TB among HIV-positive patients and
of HIV in TB patients, strengthened capacity of health workers to provide integrated HIV and TB services
and strengthened systems capacity for program monitoring and evaluation and management of
commodities.
The TB/HIV activities will be linked to a variety of services, including CT, PMTCT, STI and ART. EDARP
also runs a successful feeding program for needy HIV and TB patients. These services are also linked to
the network center at Kenyatta National Referral Hospital and to TB/HIV services provided by the Nairobi
City Council facilities in the Eastern Deanery.
TB suspects (both adults and children) and PLWHA identified from VCT (adults), PMTCT (pregnant
women), STI (adults), ARV clinics (children and adults) and PLWHA organizations - TB screening among
PLWHA identified at these sites will be intensified.
Diagnostic HIV testing for all TB patients will be on an "opt out" principle. Guidelines on HIV testing based
on consent, confidentiality and counseling will be observed as part of standard practice. Increased
availability of CT in clinical settings and increased access to HIV-related care for TB patients will help
reduce stigma and discrimination.
These include facility renovations, local organization capacity development and human capacity
development (in-service training, task shifting, and staff retention activities).
Continuing Activity: 14773
14773 4129.08 HHS/Centers for Eastern Deanery 6943 282.08 $780,000
6879 4129.07 HHS/Centers for Eastern Deanery 4222 282.07 $500,000
4129 4129.06 HHS/Centers for Eastern Deanery 3215 282.06 $300,000
Table 3.3.12:
This activity relates to activities in TB/HIV (#6879), Palliative care: HBHC, PDCS, Counseling and Testing
(#6881), and PMTCT (#8654).
2. ACTIVITY DESCRIPTION (WITH FY09 UPDATES)
The Muangalizi component of the program will be enhanced to include post disclosure support to normalize
the experience of HIV in the family, with a focus on households looking after HIV positive children under the
Muangalizi model. The activity will also support the evaluation of the Muangalizi pilot in collaboration with
the other 4 USG supported and participating sites to facilitate lessons learnt and identification and
documentation of the effectiveness of different approaches to facilitate scale up. This activity was begun
with 2007 plus-up funds and is part of a five-site effort to strengthen the link between clinical and household
settings for HIV+ children. All sites meet regularly with a sixth entity, AED/Capable Partners, for real-time
sharing of lessons learned and review the effectiveness of different approaches in preparation for scale-up.
The Mwangalizi model is being tested in response to concern expressed by clinicians that assuring optimal
care for HIV+ OVC was difficult in many instance because they were accompanied to different clinic visits
by different relatives or community members, necessitating constant re-education of adults managing care
of children. Central to the approach is recruitment of adult patients who are successfully managing their
own care to accompany pediatric patients to all clinic visits when a consistent caregiver from the household
is not available. A total of 32 "accompagnateurs" will be trained to be on watch for 150 children for
development of side effects or complications, remunerated for their time, and expected to perform home
visits to monitor medication consumption. They will also be expected to develop an ongoing and supportive
relationship with the OVC household, assess the social environment and refer for needed services, and
seek wherever possible to identify a household or community contact who can be prepared to assume the
long-term responsibility of being a treatment advocate for the child. Sites were carefully selected to
represent a cross section of Nairobi and coastal urban slum (Eastern Deanery, Coptic, and Bomu), peri-
urban (AMPATH/Eldoret, Bomu) and rural (Kericho District Hospital) communities. Standard measures of
household and clinician satisfaction with the value-added by the accompagnateur, accompagnatuer
satisfaction with the experience, and clinical progress of OVC participating in the program will be tracked.
Numbers of OVC served are captured under care and treatment activities.
Continuing Activity: 14774
14774 12477.08 HHS/Centers for Eastern Deanery 6943 282.08 $250,000
12477 12477.07 HHS/Centers for Eastern Deanery 4222 282.07 $250,000
Table 3.3.13:
+ EDARP will expand home based VCT services to other parts of Nairobi, beyond the areas covered by the
2008 activity. In 2009 this will be mainly Dandora. This will lead to an increased target. The new targets are
80,000 people tested in 25 sites, with 250 trained.
The only changes to the program since approval in the 2007 COP are:
+ in FY08 EDARP will expand the CT program to include Home Based CT activities in the slums. This
strategy will work through the community health strategy which EDARP has developed over the years.
Mobilization, recruitment and follow up will be carried out by community health volunteers, whereas CT will
be provided by trained VCT counselors. Those who will be found to be HIV positive will be enrolled in the
PEPFAR supported care and treatment program. EDARP will therefore train more CT providers and
community volunteers.
This activity relates to activities with Eastern Deanery AIDS Relief Program in other HIV/AIDS activities of
ARV treatment, PMTCT and TB-HIV.
Catholic Archdiocese of Nairobi established in 1993 in response to the HIV/AIDS pandemic. It works
primarily among the very poor people dwelling in slum areas in the eastern part of Nairobi. In terms of HIV
counseling and testing (CT), EDARP has in the past provided mainly the client initiated CT in static sites
and in community outreach programs. In FY 2005, it began to expand this mandate by commencing the
provider-initiated CT, starting with TB patients and later with TB suspects. In FY 2006 and FY 2007, this
was further enhanced through the provision of pediatric HIV testing and family support. Because of their
broad type training, counselors in EDARP are highly qualified and able to provide different types of CT
services. The training they receive includes VCT, Provider Initiated Test and Counseling (PITC), couples
counseling and CT in children. In FY 2008 EDARP will continue providing all types of CT services in all the
previous sites, as well as in the outreach program. To facilitate the provision of all the CT services in FY
2008, EDARP will train 200 health workers and counselors on both VCT and PITC. This will lead to over
60,000 people being counseled and tested in at least 20 CT outlets. Because EDARP already has a vibrant
comprehensive care and treatment program, with the support of the Emergency Plan, those who will be
found to be eligible will receive appropriate care within the same facility, which should minimize loss to
follow up. CT services and prevention information will also be provided for family members of patients on
treatment. As part of the CT program, EDARP will also carry out community mobilization and education
activities in the same area, for the purpose of increasing uptake of CT and other HIV/AIDS services and
also in order to reduce the social stigma.
3. CONTRIBUTION TO OVERALL PROGRAM AREA
The services provided by EDARP will contribute less than 5% of the USG supported CT services in Kenya
in FY 2008. However, EDARP will be working in a unique environment with very innovative CT programs.
They have in the past and will in FY 2008 continue to consolidate provider initiated CT as well as the unique
VCT programs. They will also provide CT for children, which is an underdeveloped program area in Kenya.
This activity will be linked to the other PEPFAR supported EDARP activities, such as ARV treatment,
PMTCT, STI, and TB-HIV activities. Diagnostic HIV testing, which is part of the provider initiated CT will be
made available largely in TB and STI clinics. Those who will be found to be eligible will be referred to ARV
5. POPULATION BEING TARGETTED
EDARP works in a highly populated slum area of Nairobi. In this area EDARP serves the entire population,
including all adults and children. Most of the people who live in these slums are of very low socio-economic
status. CT services will be provided to patients in the health institutions as well as to the general community
in the outreach program. The program will follow a family approach to CT service provision, both for adults
and children, be it in health settings or in the community.
6. KEY LEGISLATIVE ISSUES
This activity will particularly address the gender disparities, as well as help reduce stigma and discrimination
in HIV/AIDS.
7. EMPHASIS AREA
Major emphasis will be placed on human resource development for quality service provision. They will also
undertake community mobilization and development of networks and referral systems. Another minor
emphasis will be in the area of information, education and communication in an effort to reduce stigma
around testing in the community and on improvement of infrastructure for CT service provision. EDARP will
focus mainly on building the capacity of local organizations to implement high quality HIV/AIDS
interventions responsive to the needs of target communities. The training component of the planned
activities will result into increased human resource capacity to provide both diagnostic and voluntary
counseling and testing at grassroots level. In settings where infrastructure for CT service provision is
underdeveloped or lacking, resources will be committed for minor alterations, improvements and furnishings
to create decent CT service outlets.
Continuing Activity: 14775
14775 6437.08 HHS/Centers for Eastern Deanery 6943 282.08 $600,000
6881 6437.07 HHS/Centers for Eastern Deanery 4222 282.07 $400,000
6437 6437.06 HHS/Centers for Eastern Deanery 3215 282.06 $150,000
Table 3.3.14:
