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:
+The only change to this activity since approval in the 2008 COP is that cooperative agreement with
Mildmay will end in 2009 and will be competed.
COP 2008
1. LIST OF RELATED ACTIVITIES
This activity related to activities in ARV services, Adult Care and Support, Pediatric ARV Services, Pediatric
Care and Support.
2. ACTIVITY DESCRIPTION
TBD Partner will continue to support the mobile teams that provide training in HIV treatment. This training
uses material developed and approved by the National AIDS and STD Control Program (NASCOP) and
provides trainings for health care workers in Nairobi, Central, and Eastern provinces although the focus is
on the heavily affected Nyanza province. The Adult antiretroviral treatment (ART) trainings will be
conducted using the new NASCOP curriculum on Integrated Management of Adolescent and Adult Illness
(IMAI). The initial Adult ART curriculum will still continue to be used for health workers from higher level
facilities depending on NASCOP's and MOH need's and on how soon the 2nd level advanced curriculum is
released. The same curricula will also be used to train health workers from the Department of Defense
(DOD) on IMAI and Adult ART in Nyanza and South Rift Valley. These activities will result in classroom and
practical training of 360 health care workers in antiretroviral (ARV) drug management. These will be part of
training on comprehensive care of people with HIV/AIDS and will incorporate components of follow up and
quality assurance at the sites where these trained health care workers are engaged. An additional 1,200
health care providers will receive continuing medical education (CME). TBD partner will support this activity
by maintaining two teams of specially trained trainers. Members of these training teams will also provide
patient care at supported sites. This on-site participation helps to maintain the clinical skills of the trainers,
ensures that the trainers are teaching from recent and relevant experience, and assist with meeting critical
staffing needs. Funds will support salaries for the trainers, office costs related to coordinating the trainings
and preparing and conducting the CME sessions, accommodation costs for the training participants, and
travel costs for participants and trainers
This activity has been previously supported through Mildmay International. The cooperative agreement with
Mildmay will end in mid 2009 and will be competed with COP 09 funds. By April 2008, two multidisciplinary
teams have provided ART classroom training to over 135 health care professionals and had reached over
1,200 health care workers through CME sessions addressing care of pediatric patients and management of
patients co-infected with TB and HIV. The teams have undergone trainings in teaching methodology as well
as advanced training in adult and pediatric HIV management.
3. OVERALL PROGRAM AREA
These activities will contribute to the results of expanded provision of a basic package of health services for
patients with HIV, improved integration of prevention and treatment services, and strengthened networks of
treatment. These activities will also increase the number of health care workers in Kenya who can provide
adult ART services.
4. LINKS TO OTHER ACTIVITIES
This activity relates to care and ART services supported through other U.S. government funded partners in
Nyanza, Eastern, Nairobi, Central and South Rift provinces and Mildmay's home-based care activities. In
addition, through USAID funding Mildmay will also assist six Kenya Medical Training Colleges build their
capacity to design, develop, and deliver quality short courses on integrated adult and pediatric HIV care and
ART as well as incorporate ART and HIV care into their curricula.
5. POPULATIONS TARGETED
These activities directly target health care workers, and indirectly target people living with HIV/AIDS. The
geographic area where activities are focused is a high priority because of high rates of HIV (overall rates of
HIV in Nyanza Province are the highest in Kenya).
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through training activities.
7. EMPHASIS AREAS
This activity includes major emphasis on training and minor emphases on human resources, local
organization capacity development, quality assurance, and supportive supervision.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14926
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14926 4132.08 HHS/Centers for Mildmay 6977 285.08 $1,000,000
Disease Control & International
Prevention
6991 4132.07 HHS/Centers for Mildmay 4261 285.07 $900,000
4132 4132.06 HHS/Centers for Mildmay 3216 285.06 $437,500
Table 3.3.09:
ACTIVITY UNCHANGED FROM COP 2008:
This activity related to activities in ARV services (#) and Palliative Care: Basic Health Care and Support (#).
TBD Partner will continue to support the mobile teams that provide training in HIV treatment. These training
teams use materials developed and approved by the National AIDS and STD Control Program (NASCOP)
and are focused in the heavily affected Nyanza province. The demand for the pediatric trainings remains
high, especially at lower level facilities. These trainings contribute towards an increased number of children
receiving care and antiretroviral treatment (ART) and a better quality of care being offered to HIV infected
children. These activities will result in classroom and practical training of 390 health care workers in
antiretroviral (ARV) drug management as part of a course on comprehensive care of people with HIV/AIDS.
This training will incorporate components of follow up and quality assurance at the sites where these trained
health care workers are engaged. An additional 1,200 health care providers will receive continuing medical
education (CME). TBD Partner will support this activity by maintaining two teams of specially trained
trainers. Members of these training teams will also provide patient care at supported sites. This on-site
participation helps to maintain the clinical skills of the trainers, ensures that the trainers are teaching from
recent and relevant experience, and assist with meeting critical staffing needs. Funds will support salaries
for the trainers, office costs related to coordinating the trainings and preparing and conducting the CME
sessions, accommodation costs for the training participants, and travel costs for participants and trainers.
Mildmay will end in mid 2009 and will be competed with COP 09 funds. By April 2008 two multidisciplinary
teams have provided ART classroom training to over 667 health care professionals and had reached over
3. CONTRIBUTION TO OVERALL PROGRAM AREA
pediatric ART services.
This activity relates to care and ART services supported through other USG-funded facilities in Nyanza,
Eastern, Nairobi, Central and South Rift provinces and Mildmay's home-based care activities (#).
These activities are directly targeted health care workers, and indirectly targeted at people living with
HIV/AIDS. The geographic area where activities are focused is a high priority because of high rates of HIV
(overall rates of HIV in Nyanza Province are the highest in Kenya).
Table 3.3.11:
