PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
+ New activity emphasis on laboratory human capacity development in Kenya, through medical laboratory
training curriculum revision and implementation.
+Work with local organizations to support external quality assurance schemes for public sector (NPHLS)
laboratories.
+ New activity also focuses on strengthening the in-country capacity to efficiently certify, license and
regulate medical laboratory practice so as to improve laboratory standards
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
+This activity supports of key cross-cutting budget attributions relating to human capacity development
through pre-service training using the reviewed basic medical laboratory training curriculum at Kenya's main
medical laboratory college, the Kenya Medical Training College (KMTC).
+Strengthening the KMLLTB to license and regulate medical laboratory practitioners also contribute to in
country HCD through human resource information systems (HRIS).
COP 2008
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in Counseling and Testing, TB/HIV, HIV Care and treatment and PMTCT.
2. ACTIVITY DESCRIPTION
Over 60% of health Para-medical staff are trained by the Kenya Medical Training College (KMTC). This
activity will ensure that pre-service curricula include appropriate HIV diagnosis and monitoring components.
The national HIV reference lab has struggled to produce and distribute quality assurance material for HIV
testing and monitoring sites. This however has detracted from their core business of referral and quality
assurance testing. Under this activity, ASCP will work with local organizations to provide professionally
prepared proficiency testing material for laboratories within the NPHLS system. Mechanisms sustainability
of the EQA schemes will be developed. The Kenya Medical Laboratory Technicians and Technologists
Board (KMLTTB), established in 1999 has the fundamental objective of ensuring quality medical laboratory
services countrywide. The Ministry of Health (MOH) depends on this young body to give leadership in
regulating training in medical laboratory sciences and establishing systems to ensure quality laboratory
practice. It is a government requirement for all practicing laboratory technicians and technologists to be
registered by this Board. By end of FY 08, the KMLTTB had made significant progress including
assessment of all relevant training institutions and establishing a national database for laboratory workforce.
The curricula of training institutions have been reviewed and standards for professional training institutes
and registration set. The board now plans to embark on a program of support to laboratories within the
country to ensure they are adequately resourced to support HIV/AIDS prevention, care, treatment and
surveillance programs. The ASCP will assist KMLTTB specifically to : i) establish a system to register and
ensure validation of reagents for HIV diagnosis and treatment support; ii) preparation of standards and
procedures to assure the competence of laboratory personnel; iii) development and implementation of
program for continuing training and education program in areas of clinical chemistry, hematology and CD4
cell counts; iv) review of curricula from training institutions to ensure that ART monitoring techniques are
sufficiently covered; v) establish an inspectorate for HIV testing laboratories that will review, consolidate,
and revise existing documentation for registration of HIV diagnostic and treatment related reagents.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
Well trained laboratory personnel will support all HIV prevention (Counseling & testing, PMTCT_ and care
and treatment programs as well as HIV surveillance activities. Improved quality systems will ensure that
patients get the best care based on accurate lab results. A strengthened KMLTTB will ensure regulation of
laboratory practice for improved delivery of HIV services related to HIV testing, monitoring of anti-retroviral
and opportunistic infection therapy, assuring safe blood supplies, measuring the burden of HIV infection in
populations and monitoring trends of the epidemic (surveillance).
4. LINKS TO OTHER ACTIVITIES
This activity is linked to the agreement with the Kenya Medical Research Institute Laboratory Infrastructure,
which supports the development of National Quality Assurance Programs within the National Public Health
Laboratories (NPHLS) for Blood Safety and HIV testing in Surveillance, HVCT, MTCT and monitoring of anti
-retroviral treatment regimens, and all MTCT, Counseling and Testing, and HIV treatment programs.
5. POPULATIONS BEING TARGETED
This activity primarily targets laboratory workers.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity represents a twinning between equivalent technical agencies.
7. EMPHASIS AREAS
This activity includes MAJOR EMPHASIS in the area of local organization capacity development and minor
emphasis in the area of development of laboratory policies and guidelines. Pre-service education will be
strengthened through curriculum development and faculty training.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14731
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14731 4819.08 HHS/Centers for American Society 6926 3483.08 $600,000
Disease Control & of Clinical
Prevention Pathology
6844 4819.07 HHS/Centers for American Society 4205 3483.07 $400,000
4819 4819.06 HHS/Centers for American Society 3483 3483.06 $149,990
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $150,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.16:
