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:
+Project will strengthen comprehensive prevention to include targeted interventions addressing cross-
generational sex, multiple concurrent partnerships, gender-based violence and Prevention with Positives.
+Project will increase its geographic coverage in locations around the current sites of Ongata Rongai,
Mlolongo, Thika.
+This project will incorporate HIV-free generation youth activities in Ongata Rongai and Mlolongo. $50,000
is attributed to this activity.
COP 2008
The only changes to the program since approval in the 2007 COP are:
• KANCO's RAY Project will initiate Helpline services to youth and include the integration of HYPE (Healthy
Youth Programs Initiative) into their two main sites, Ongata Rongai and Mlolongo.
• FY07 PLUS-UP ADDITIONS: This plus-up will support an expansion of current activities as detailed in the
07 COP. The Kenya AIDS NGOs Consortium (KANCO) in collaboration with the Maendeleo Ya Wanawake
organization currently implements activities targeting parents of youth served in the Ray Youth project. The
Ray Project will now implement the Families Matter! intervention for parents in Mlolongo, Ongata-Rongai,
Thika and selected locations in Embu and Kilifi ($100,000). This intervention will be integrated within the
larger prevention program and will enhance parent's skills in discussing HIV prevention with their young
adolescents. An important element in this intervention will be providing a broader prevention framework
that includes targeting parents with faithfulness messages and encouraging them to seek HIV counseling
and testing services, as well as disclosure to support mutual faithfulness.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in Condoms and Other Prevention (#6938) and Counseling and Testing
(#8748).
2. ACTIVITY DESCRIPTION
The Kenya AIDS NGOs Consortium (KANCO) will continue providing abstinence and faithfulness education
and life skills to 56,840 youth and young adults and train 197 people to deliver AB interventions. This will be
achieved through working with a network model of six partners namely: Kibera Community Self Help
Project, the National Organization of Peer Educators, Kenya Medical Association, Maendeleo ya
Wanawake Association and Community Capacity Building Initiative who work collaboratively to implement
the RAY (Responding to AIDS among youth) project. Each partner will continue implementing program
elements in which they have specialized skills based on their best practice to provide comprehensive
abstinence and faithfulness education to youth and young adults in three rapidly growing towns on the
outskirts of Nairobi (Mlolongo, Ongata Rongai and Thika) and selected sites in Embu and Kilifi. The RAY
project will strengthen the capacity of local groups to provide comprehensive AB education to youth in and
out of schools and strengthen its monitoring and evaluation system. Age-appropriate and targeted
information, education and communication materials will be developed and distributed through existing
youth resource centers as well as through the education outreach program. The Be Faithful element of the
AB program will be strengthened through specifically targeting young people in sexual partnerships as well
as young married people to improve their risk perceptions and motivate them to adopt and sustain
faithfulness to one partner. Update trainings will be conducted for peer educators who will undertake peer
communication while strengthening participatory approaches that improve life skills for youth in adopting
abstinence and faithfulness as a strategy for HIV prevention. The involvement of parents and adults in
supporting abstinence and faithfulness for youth will be strengthened, through implementing the "Families
Matter" intervention that has been shown to considerably improve parents' communication skills and helping
them to openly discuss HIV issues with their youth. An important addition to this program will be
incorporating alcohol and drug abuse risk reduction education to the AB education as an additional strategy
to reduce HIV risk behavior. The RAY project will actively engage other local organizations that are a part of
its consortium in delivering education and behavior change training for youth in schools within its target
areas. It will also target orphans and vulnerable children by providing them with comprehensive AB
education and life skills.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
The RAY project will reach 56,840 youth in its various project sites; 197 peer counselors and youth will be
trained in theatre skills particularly among the out of school youth population. Parents will participate in the
Families Matter intervention to strengthen their communication skills to discuss HIV/AIDS issues with their
youth. Linkages will be established with health providers to serve youth. There will be increased access to
HIV behavior change information through its existing resource centers.
4. LINKS TO OTHER ACTIVITIES
RAY's AB activities relate to activities in KANCO OP activity (#6938), KANCO CT (#8748). Services will be
integrated with existing community structures such as youth groups, faith communities and parents
associations. Combined outreaches services to the communities such as mobile VCT will incorporate AB
education outreach. The Kenya Medical Association will particularly develop linkages with health care
providers to improve access to adolescent care and treatment services. 5. POPULATIONS BEING
TARGETED This activity will target youth in school including primary, secondary and university students. It
will also target men and women of reproductive age including parents with faithfulness education. It will also
target parents and other supportive adults to motivate them towards providing a supportive adult
environment and to help reinforce social norms that promote abstinence and faithfulness among youth and
young adults. It will work with community leaders, program managers, religious leaders and volunteers. It
will also work with organizations including community based organizations, NGOs and rural communities.
All in-school programs will involve teachers.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity will address gender equity in HIV/AIDS programs and will particularly enhance youth
participation in its programs. It will address male norms and behaviors.
7. EMPHASIS AREAS
Activity Narrative: Major emphasis will be community mobilization/participation. Minor emphasis will be on development of
network and referral systems particularly youth HIV care referral networks. Through its resource centers,
KANCO will maintain a minor emphasis on strengthening Information, Education and Communication
strategies and supporting its sub-recipients through quality assurance, quality improvement and supportive
supervision and training. Human resources capacity-building is another emphasis with a modest number of
staff employed on the project.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14872
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14872 5132.08 HHS/Centers for Kenya AIDS NGO 6963 323.08 $437,500
Disease Control & Consortium
Prevention
6939 5132.07 HHS/Centers for Kenya AIDS NGO 4245 323.07 $300,000
5132 5132.06 HHS/Centers for Kenya AIDS NGO 3227 323.06 $100,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
+Project will expand its scope to include targeted interventions addressing cross-generational sex, multiple
concurrent partnerships, gender-based violence, MSM, working with men, boys and Prevention with
Positives.
+Clients of CSWs will be targeted with specific interventions that focus on consistent condom use and
knowing HIV status.
+This project will incorporate HIV-free generation youth activities in Ongata Rongai and Mlolongo sites.
$100,000 is attributed to this activity.
•FY07 PLUS UP ADDITIONS: This plus-up will support an expansion of existing 2007 COP activities. The
current prevention activities of the Kenya AIDS NGOs Consortium (KANCO)'s Ray Project work among
populations at high risk including migrant workers, long-distance truckers, farm and industry workers, khat
traders and young people out of school in underserved slum locations. The project will strengthen
interventions on CSWs and MSMs within these regions through targeted sexual risk reduction activities
including providing prevention education to CSWs and their clients as well as MSMs in these areas.
KANCO will train peer educators, provide functional linkages and referrals to both counseling and testing
services and to care and treatment provided through its night VCT mobile outreach activities and its regular
community education.
•$100,000 of this activity is programmed with funds from the $7 million FY 2008 plus up for the Healthy
Youth Programs Initiative.
This activity relates to activities in Abstinence and Be Faithful Programs (#6939) and Counseling and
Testing (#8748).
The Kenya AIDS NGOs Consortium (KANCO) will target 186,531 high-risk individuals with safer sex
interventions including condom promotion and train 472 people to deliver these interventions. 285 condom
outlets will be established. It will continue working through a network model of six partners to provide HIV
sexual transmission prevention education to youth and young adults. These partners include Kibera
Community Self Help Project, the National Organization of Peer Educators, Kenya Medical Association,
Maendeleo ya Wanawake Association and Community Capacity Building Initiative who work collaboratively
to implement the RAY (Responding to AIDS among youth) project. Each partner will continue implementing
program elements in which they have specialized skills based on their best practice to provide HIV
prevention education and condom promotion to youth and young adults in potentially high-risk areas of
Mlolongo, Ongata Rongai, Thika and selected sites in Embu and Kilifi. The RAY project provides condoms
and targeted other prevention services to high risk populations through intensified community education to
youth out of schools and in underserved locations such as upcoming slums which host migrant populations.
Condoms and other behavioral interventions will be provided at hotspots along the Mombasa highway at
Mlolongo near Nairobi and among quarry, transport and jua kali (small scale business) workers in Ongata
Rongai. Additional sites for expanded programs will continue to be identified adjacent to existing project
sites. Most importantly, KANCO's RAY project will provide targeted interventions for Positive Prevention
through multiple behavioral interventions for individuals with HIV. Adolescent girls and women who test
positive through the CT activity will be referred for reproductive health services to help prevent unintended
pregnancies. RAY will provide linkages to STI treatment and particularly focus on STI screening and
treatment for individuals with HIV and their partners. It will promote leadership by individuals with HIV in the
positive prevention campaign. The RAY project's monitoring and evaluation system will be improved and
targeted information, education and communication materials will be developed and distributed through
existing youth resource centers. Significant changes from 2006 to 2007 in this activity will be that RAY will
initiate activities that address alcohol and drug abuse as an important determinant in reducing HIV sexual
risk behavior. It will undertake to work with the estimated 60 bars in Mlolongo and Ongata Ronagi with
targeted alcohol and HIV risk reduction messages. Quarry workers, usually being migrant workers in the
building industry and truckers among others will receive targeted risk reduction messages including an
intensified campaign on correct and consistent condom use. The project will also ensure referrals and follow
up for ART and basic care and treatment for opportunistic infections.
KANCO's RAY project will reach 186,531 at risk youth and adults, particularly individuals with HIV in its'
project sites. It will train 472 peer educators, bar workers on alcohol abuse and other essential gatekeepers
in the quarry settlements, transport and small-trade sectors. Youth will be trained in theatre skills particularly
among the out of school youth population and linkages will be established with at least 10 health providers
to serve youth in STI treatment and referrals for care and treatment. 285 condom outlets will be established.
There will be increased access to HIV behavior change information through its existing resource centers.
KANCO will target serving high-risk youth populations including among the fishing and beach communities,
long-distant truckers' stops, slum population and other urban youth. These efforts will contribute to
promoting HIV preventive behaviors among youth as well as increase access to HIV/AIDS prevention
services for high risk and underserved populations, including improved provision of STI services particularly
among individuals with HIV and their partners.
KANCO's OP activities relate to activities in KANCO AB activity (#6939) and CT (#8748). This project will
establish essential linkages with 10 health care providers for specialized and youth friendly STI treatment,
opportunistic infections and where necessary ART care. Services will be integrated with existing community
structures such as youth groups, faith communities and parents associations. The Kenya Medical
Association will particularly develop linkages with health care providers to improve access to adolescent
care and treatment services for HIV people identified through the program.
5. POPULATIONS BEING TARGETED
Activity Narrative: This activity will target adult men and women of reproductive age including secondary school and university
students. It will also work with people living with HIV/AIDS, HIV/AIDS affected families and
widows/widowers. It will involve community based organizations and faith based organizations as well as
NGOs. It will target most at risk populations including truckers, commercial sex workers, men who have sex
with men, partners, clients of CSWs with a particular focus on trucking hotspots. It will work also with out of
school youth in slums an peri-urban locations. It will target bar workers and brothel owners in beer hot spots
and mobile populations working in quarries and large agricultural farms and industrial firms. KANCO will
continue working with volunteers and community, program and religious leaders. It will work with rural
populations in selected sites. Alongside involving teachers in its AB programs, this activity will also work
with teachers for other prevention education. Nurses from the private and public sector will be a target
especially for STI treatment.
participation in its programs. It will address male norms and behaviors and reduction of violence and
coercion as well as stigma and discrimination. Out of school youth and CSWs will be assisted to increase
their access to income and productive resources through the youth crafts and other initiatives.
Major emphasis will be community mobilization/participation. Minor emphasis will include development of
KANCO will provide information, Education and Communication strategies and training to its project
partners and community volunteers. KANCO's main role in the partnership is Quality assurance, quality
improvement and supportive supervision. Human resource will also be a minor emphasis as KANCO
employs a modest number of staff.
Continuing Activity: 14873
14873 4153.08 HHS/Centers for Kenya AIDS NGO 6963 323.08 $587,500
6938 4153.07 HHS/Centers for Kenya AIDS NGO 4245 323.07 $325,000
4153 4153.06 HHS/Centers for Kenya AIDS NGO 3227 323.06 $150,000
* Reducing violence and coercion
Table 3.3.03:
ACTIVITY UNCHANGED FROM COP 2008
+ Target population has been expanded to include other high risk groups such as men who have sex with
men (MSM)
+ In FY 2008, KANCO will cover institutions of higher learning such as universities and colleges. They will
engage the leadership of these institutions on the best strategy for each institution. In some institutions a CT
campaign strategy may be appropriate, whereas other institutions would prefer information and education
and referral information. The education component will be linked the PEPFAR funded AB and OP activities.
This activity is related to activities in AB and OP.
The Kenya AIDS NGOs Consortium (KANCO) is an umbrella organization, which was formed in 1994, to
support non-governmental organizations (NGO's) working in the area of HIV/AIDS in Kenya. Since FY
2005, they have received support from the President's Emergency plan to implement HIV prevention
activities. They have done so in collaboration with other NGOs, who have expertise or experience in a
specific area. In CT they have worked mainly with WHEMIS in the Thika area. In FY 2009 KANCO will
provide counseling and testing services to 20,000 people, both adults and youth. They will train 20
counselors who will work in 10 mobile and static VCT sites located in Nairobi and in neighboring towns of
Thika, Athi River and Ongata Rongai. Both the mobile and the static sites will have a youth emphasis,
whereby they will serve as comprehensive youth centers. KANCO will also coordinate the provision of
mobile VCT services to communities in the target areas. These include slum dwellings in Athi River and
around the Mlolongo area inhabited by migrant workers and Ongata Rongai which has quarry workers.
KANCO will also target truckers, sex workers and their partners and the jua kali (informal sector) workers by
providing mobile VCT services at the Mlolongo hotspot at convenient hours, including late in the night to
cater for truckers and those clients who would be more available at night. The RAY project's monitoring and
evaluation system will be improved and a data base set up to closely monitor the counseling and testing
interventions. KANCO will also work closely with health service providers to offer diagnostic testing and
counseling alongside STI screening and treatment. Following on from the provision of CT services, the
project will also ensure referrals and follow up for ART and basic care and treatment for opportunistic
infections.
3. CONTRIBUTION TO OVERALL PROGRAM AREA
The CT services that will be provided by KANCO will contribute modestly towards less than 1% of the total
CT target supported by the President's Emergency plan in FY 2009. However, their support for high risk
groups like commercial sex workers and migrant workers is important. Also, their work in the informal
commercial sector (Jua Kali) is noteworthy.
This activity will be linked to KANCO's AB and OP activities.
5. POPULATION BEING TARGETED
As stated above, this activity will target high risk groups such as commercial sex workers, together with their
clients, truckers and migrant workers. It will also target the out of school youth.
This activity will reduce the HIV related stigma and discrimination, as well as address the problem of gender
in-equity. This will allow women and girls to access HIV/AIDS services without any obstacles or limitations.
The activity will have a major emphasis on community mobilization and minor emphasis in capacity building
for other organizations. To a lesser extent, the activity will focus on the production of information, education
and communication materials. Another minor emphasis area is in the field of human resources.
Continuing Activity: 14874
14874 8748.08 HHS/Centers for Kenya AIDS NGO 6963 323.08 $200,000
8748 8748.07 HHS/Centers for Kenya AIDS NGO 4245 323.07 $60,000
Table 3.3.14:
