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 prevention with positives among patients coming for care and treatment
services.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This partner will be contributing nutritional commodities for US $72,000.
COP 2008
The only change to the program since approval in the 2007 COP is:
+geographic coverage has been revised to include expansion in Kitui and Nairobi while transitioning support
to Rachuonyo District in Nyanza Province to APHIA.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in Adult ARV Services, Pediatric Care and Support, Pediatric ARV Services,
Counseling and Testing, TB/HIV, PMTCT.
2. ACTIVITY DESCRIPTION
Liverpool Voluntary Counseling, Testing and Care Project (LVCT) will expand existing programs to provide
palliative care services to 18,000 adults with HIV at 11 sites in Nairobi and Eastern Provinces. The package
of palliative care services includes cotrimoxazole prophylaxis for opportunistic infections, treatment of
opportunistic infections, multivitamins, improved access to malaria prevention interventions, and end-of-life
care. LVCT will also support implementation of regional activities, such as regional quality assurance and
coordination meetings in collaboration with the Provincial ART Officer and the APHIA II care and treatment
partner for Eastern South. Funds will be used to support salaries for health care providers in accordance
with Emergency Plan guidance, train 80 individuals in the provision of HIV-related palliative care services,
and to procure commodities such as laboratory reagents. Supported activities will also include sensitization
and mobilization of the communities in the areas of the supported facilities and dissemination of
informational brochures. Significant changes from FY 2008 to FY 2009 include geographic consolidation of
activities, expanded support for coordination activities, and an increased emphasis on support for treatment
of adults and quality assurance for care through semi-annual audits.
LVCT is a local, Kenyan organization that started as a project under the Liverpool School of Hygiene and
Tropical Medicine. When LVCT became a Kenyan NGO, they retained the name of Liverpool because of its
wide recognition in Kenya. LVCT has been a key provider of VCT services in Kenya and since 2003 has
been supporting implementation of HIV care and treatment programs. In the specific area of palliative care,
Liverpool staff brings substantial medical expertise, and have played a crucial role in development of
national policies and training materials and a desk-top referral manual that has now been made available
throughout Kenya.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to expansion of palliative care services for people with HIV, strengthened
human resource capacity to deliver palliative care services, and a strengthened referral network for
provision of these services.
4. LINKS TO OTHER ACTIVITIES
These activities link ARV treatment services supported by LVCT in these sites, LVCT pediatric care and
support, and pediatric ART activities, PMTCT, and ART and non ART services supported by other
provincial partners, University of Nairobi in Kenyatta National Hospital, and JHPIEGO and ICAP in Eastern.
5. POPULATIONS BEING TARGETED
The primary target group for these activities is adults living with HIV/AIDS. LVCT activities serve high
priority, vulnerable, and stigmatized populations, e.g. high risk slum populations, the deaf, and men who
have sex with men. Health care workers are also targeted for training in care and treatment.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through involvement of
PLWAs in service provision and community sensitization activities.
7. EMPHASIS AREAS
This activity includes minor emphasis in commodity procurement, community mobilization, development of
networks, human resources, information, education, and communication, local organization capacity
building, policy and guideline development, training, quality assurance and supportive supervision, and
logistics.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14918
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14918 4177.08 HHS/Centers for Liverpool VCT and 6974 360.08 $200,000
Disease Control & Care
Prevention
6984 4177.07 HHS/Centers for Liverpool VCT and 4257 360.07 $200,000
4177 4177.06 HHS/Centers for Liverpool VCT and 3235 360.06 $200,000
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities $72,000
Economic Strengthening
Education
Water
Table 3.3.08:
ACTIVITY UNCHANGED FROM COP 2008
This activity relates to activities in Palliative Care: Basic Health Care and Support, Counseling and Testing,
HBHC, PDCS, TB/HIV, and PMTCT.
antiretroviral therapy (ART) to 10,300 people (3,600 new resulting in a total of 12,360 ever), with advanced
HIV at 11 sites in Nairobi and Eastern Provinces. Support for ART in Rachuonyo District in Nyanza has
been transitioned to APHIA. LVCT will also support implementation of regional activities such as regional
quality assurance and coordination meetings in collaboration with the provincial ART officer. Funds will be
used to support salaries for health care providers in accordance with Emergency Plan guidance, to train 50
health care workers, and to procure commodities such as laboratory reagents. Supported activities will also
include sensitization and mobilization of the communities in the areas of the supported facilities and
dissemination of informational brochures, for example information about antiretroviral (ARV) drugs and the
importance of adherence and psychosocial support to PLWAs. Significant changes from 2008 to 2009
include geographic consolidation of activities. VCT is a local, Kenyan organization that started as a project
under the Liverpool School of Hygiene and Tropical Medicine. When LVCT became a Kenyan NGO, they
retained the name of Liverpool because of its wide recognition in Kenya. LVCT has been a key provider of
VCT services in Kenya and since 2003 has been supporting implementation of HIV treatment programs. In
the specific area of HIV treatment, Liverpool staff brings substantial medical expertise, and have played a
crucial role in development of national policies and training materials and a desk-top referral manual that
has now been made available throughout Kenya.
These activities will contribute to expansion of ARV treatment for clinically qualified HIV-positive patients,
strengthened human resource capacity to deliver ARV treatment, and a strengthened referral network for
provision of ART.
This activity relates to LVCT-supported non-ART care and CT services, CT, PMTCT, ART, and non-ART
Services by other Emergency Plan partners (University of Nairobi and Pathfinder in Nairobi, Columbia
University and JHPIEGO for Eastern Province, and KEMRI in Nyanza).
The primary target group for these activities is people living with HIV/AIDS. LVCT activities serve high
priority, vulnerable, and stigmatized populations (e.g., high risk slum populations, the deaf, and men who
have sex with men). Health care workers are also targeted for training in care and treatment.
This activity addresses legislative issues related to stigma and discrimination through community
sensitization activities.
building, policy and guideline development, quality assurance and supportive supervision, training, and
Continuing Activity: 14921
14921 4178.08 HHS/Centers for Liverpool VCT and 6974 360.08 $1,000,000
6985 4178.07 HHS/Centers for Liverpool VCT and 4257 360.07 $1,250,000
4178 4178.06 HHS/Centers for Liverpool VCT and 3235 360.06 $700,000
Table 3.3.09:
+Significant changes from FY 2008 to FY 2009 include geographic consolidation of activities +Expanded
support for coordination activities and an increased emphasis on support for treatment of children
+Quality assurance for care through semi-annual audits.
This activity relates to activities in ARV Services (#6985, #8983), Counseling and Testing (#6983), TB/HIV
(#6944), PMTCT (#6949) and HBHC activities (#7043).
palliative care services to 2,000 children with HIV at 11 sites in Nairobi and Eastern Provinces. The
package of palliative care services includes cotrimoxazole prophylaxis for opportunistic infections, treatment
of opportunistic infections, multivitamins, improved access to malaria prevention interventions, and end-of-
life care. LVCT will also support implementation of regional activities such as regional quality assurance and
informational brochures. LVCT is a local, Kenyan organization that started as a project under the Liverpool
School of Hygiene and Tropical Medicine. When LVCT became a Kenyan NGO, they retained the name of
Liverpool because of its wide recognition in Kenya. LVCT has been a key provider of VCT services in Kenya
and since 2003 has been supporting implementation of HIV care and treatment programs. In the specific
area of palliative care, Liverpool staff brings substantial medical expertise, and have played a crucial role in
development of national policies and training materials and a desk-top referral manual that has now been
made available throughout Kenya.
These activities will contribute to expansion of palliative care services for children with HIV, strengthened
These activities link ARV treatment services supported by LVCT in these sites (#6985), LVCT HBHC
activities (#7043)and ART and non ART services supported by other provincial partners, e.g. KEMRI in
Nyanza TB/HIV (#6944), and PMTCT (#6949), University of Nairobi in Kenyatta National Hospital, and
JHPIEGO (#6925) and Columbia University in Eastern (#8983).
The primary target group for these activities is children living with HIV/AIDS. LVCT activities serve high
priority, vulnerable, and stigmatized populations. Health care workers are also targeted for training in care
and treatment.
Table 3.3.10:
ACTIVITY UNCHANGED FROM COP 2008:
This activity relates to activities in Palliative Care: Basic Health Care and Support (#6984), Counseling and
Testing (#6983), Palliative Care: TB/HIV (#6944), and PMTCT (#6949).
antiretroviral therapy (ART) to 810, (572 new) children with advanced HIV at 11 sites in Nairobi and Eastern
Provinces. This brings the total ever served to 972. Support for ART in Rachuonyo District in Nyanza has
dissemination of informational brochures, for example information about ARVs and the importance of
adherence and psychosocial support to PLWAs. Significant changes from 2008 to 2009 include geographic
consolidation of activities, expanded support for coordination activities, and an increased emphasis on
support for treatment of children. LVCT is a local, Kenyan organization that started as a project under the
Liverpool School of Hygiene and Tropical Medicine. When LVCT became a Kenyan NGO, they retained the
name of Liverpool because of its wide recognition in Kenya. LVCT has been a key provider of VCT services
in Kenya and since 2003 has been supporting implementation of HIV treatment programs. In the specific
area of HIV treatment, Liverpool staff brings substantial medical expertise, and have played a crucial role in
These activities will contribute to expansion of ARV treatment for clinically qualified HIV-positive pediatric
patients, strengthened human resource capacity to deliver ARV treatment, and a strengthened referral
network for provision of ART.
The primary target group for these activities is children living with HIV/AIDS, including infants. LVCT
activities serve high priority, vulnerable, and stigmatized populations. Health care workers are also targeted
for training in care and treatment.
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
Liverpool Voluntary Counseling, Testing and Care (LVCT) will support TB/HIV services for approximately 11
sites in Nairobi (2), Eastern (1), and Nyanza Provinces (8). Intensified TB screening and treatment for 3,000
HIV patients and HIV screening for 450 TB suspects/patients will be offered as a standard of care in all the
facilities; approximately 225 patients will be identified as being infected with both TB and HIV. Funds will
support refresher training of laboratory staff and improvement of basic laboratory microbiology capacity in
order to meet the increased needs for TB testing. Twenty-five health care workers will be trained to provide
clinical prophylaxis and/or treatment for TB to HIV-infected individuals. Fund will support expanded and
strengthened delivery of integrated HIV and TB services including strengthened referral systems. Additional
activities will include community mobilization and dissemination of educational materials to patients. LVCT
will maintain data concerning the numbers of people served and will report both nationally and through the
Emergency Plan. LVCT is a local, Kenyan organization that started as a project under the Liverpool School
of Hygiene and Tropical Medicine. When LVCT became a Kenyan NGO, they retained the name of
These activities will contribute towards the provision of integrated HIV/TB services for dually infected
patients by reducing TB morbidity and mortality in HIV-infected individuals and also reducing HIV related
morbidity and mortality in TB patients co-infected with HIV. These activities will strengthen referral systems,
improve diagnostics and treatment of TB among HIV-positive patients and strengthen capacity of health
workers to provide integrated HIV and TB services.
The overall program activity links closely to Palliative Care, ARV Services currently supported by this
partner as well as HIV/TB services supported by NLTP.
These activities target people living with HIV/AIDS. Public health care providers, including doctors, nurses,
pharmacists, laboratory workers will receive training in the diagnosis and management of TB using
government guidelines.
This activity includes minor emphasis in commodity procurement, development of networks/linkages/referral
systems, community mobilization, human resources, local organization capacity development, quality
assurance, quality improvement and supportive supervision, and training.
Continuing Activity: 14919
14919 12459.08 HHS/Centers for Liverpool VCT and 6974 360.08 $70,000
12459 12459.07 HHS/Centers for Liverpool VCT and 4257 360.07 $50,000
Table 3.3.12:
+ In 2009 Liverpool VCT and Care will use the additional funds to support the national HIV testing
campaign, which will be held in October and November 2009. The funds will be used to carry out training of
service providers, and also for supporting quality assurance during the campaign. A small portion of these
resources will be used to strengthen communication and coordination for the campaign. With these
additional resources, LVCT will counsel and test 50,000 during the campaign, which will be accounted for in
the annual and semi-annual report.
+ In FY 2007 LVCT piloted home based counseling and testing in a peri-urban settlement in the outskirts of
Nairobi. In FY 2008 LVCT will continue providing this service in this and other regions of the country. The
lessons learnt from the implementation of HBCT will enable LVCT to develop HBCT training and operational
materials. LVCT will also support HBCT training, supervision and quality assurance.
+ In FY 2008 LVCT will facilitate the scale up of Couple CT nationally through training, mentorship and
supervision. It will also involve community education and demand creation. This will be supported by a
national media campaign on couple CT which will be implemented in the same period. LVCT will support
the strengthening of Couple CT in all CT services including PITC, VCT and PMTCT. Couple CT (and family
CT) will be particularly crucial in care and treatment settings, so as to facilitate CT for family members of
patients in care or on treatment.
+ In FY 2008 LVCT will roll out the Work Place VCT program. Under the coordination of the National AIDS
Control Council many private companies in Kenya have developed company HIV/AIDS policies. One of the
strong components in most of these policies is the provision of VCT services to employees. LVCT has in the
past facilitated workplace VCT programs for government, non-government, faith based and commercial
institutions. Because of its experience and organizational capacity LVCT was asked to host the secretariat
(coordinating unit) for this program. In FY 2008 this program will experience further growth and support from
other stakeholders.
This activity relates to activities in ARV treatment/services.
During FY 2007, Liverpool VCT and Care program (LVCT) will continue to improve model programs of CT
and care through technical assistance to non-governmental organizations (NGO), community-based
organizations and faith-based organizations (FBO). Core activities will include provision of CT to 200,000
people in medical and non-medical settings, training of 1,500 service providers and quality assurance
support to partners. CT services will be provided in 110 services outlets and HIV positive clients referred to
comprehensive care centers established through the President's Emergency funds. Specific efforts will be
aimed at promoting couple CT, assisting discordant couples, and assisting HIV infected clients to disclose
their status to their sexual partners. LVCT will continue to address the CT needs of special groups including
men who have sex with men and people with visual and hearing impairments. In FY 2008 LVCT will
continue facilitating prompt and appropriate referrals to care. It will maintain a regional presence in Eastern
province, Central Nairobi and Nyanza provinces and will implement multiple models of CT services
including mobile VCT where appropriate. By the end of FY 2007, 5,000 HIV positive persons tested will be
started on ART at LVCT-operated care outlets. In addition, 10,000 will receive non-ARV treatment including
prophylaxis for opportunistic infections. In keeping with its commitment to enhance local capacity to provide
quality HIV/AIDS services, LVCT will conduct various types of CT trainings including DTC, VCT, couple
counseling and Training of Trainers courses. To enhance service delivery of CT and care to the public,
LVCT will provide technical assistance, capacity building and program support to selected government
institutions. LVCT will also offer ongoing quality assurance trainings for its service providers and those of
collaborating partners to ensure continuous improvement in quality of CT services. LVCT will also continue
to carry out counselor supervision in 14 districts of Nyanza and central provinces in support of QA
improvement. LVCT is a Kenyan NGO widely known for its leading role in providing quality VCT services
and trainings. LVCT has been a CDC Kenya partner since 2002 and was awarded a CDC Cooperative
agreement in September 2004 to continue providing VCT using multiple approaches, to train service
providers in CT and support supervision; and to expand access to both ART and non ART Care for CT
clients who test HIV positive. LVCT will continue to expand these activities during FY 2008.
Through LVCT's efforts, an estimated 200,000 Kenyans will access CT in settings with well-established
linkages to care services created through the president's Emergency fund. LVCT's CT targets will include
significant numbers of counselors trained. LVCT will also provide mobile VCT services in selected
underserved parts of Central, Eastern, Rift valley and Nyanza provinces to improve access to HIV
prevention and care services. Many underserved rural communities will have better access to these
essential services. Linkages between outreach Mobile VCT programs and medical sites where AIDS care
and treatment are available will be enhanced thereby enabling many HIV infected individuals to access
appropriate medical care and prevention services.
HIV positive individuals identified through LVCT's CT activities will be linked to LVCT's Comprehensive
Care Centers whose expansion will be designed to serve geographical clusters of CT sites. The model CT
sites operated by LVCT will continue to be centers for best practice and training of service providers
besides forming a platform to pilot activities that will guide National CT program improvement. Model youth
friendly CT sites operated by LVCT will improve the program's responsiveness to the needs of the youth
thereby improving access to services by this highly vulnerable sub-segment of Kenya's population. LVCT
will also receive President's Emergency Fund to implement other HIV interventions that complement CT
efforts. Such interventions will include direct links to LVCT ARV treatment/services activity and other efforts
that can be implemented as integrated packages.
This activity targets multiple high risk groups including people with disabilities, young people, as well as
Activity Narrative: other most at risk populations especially men who have sex with men and survivors of rape. Public health
care workers as well as leaders of FBOs and NGOs will be trained to address the particular needs of these
groups, which also include widows/widowers, HIV positive pregnant women and mobile populations such as
truck drivers and migrant workers.
This activity will increase equity in programming through expansion of CT services that are responsive to
the unique needs of the deaf, blind, men who sex with men, rape survivors, the youth and other
marginalized groups. Increased availability of CT services for these special vulnerable groups will help to
reduce stigma and discrimination amongst them.
This activity includes major emphasis in trainings on provider-initiate CT, client-initiated CT and quality
assurance. There will be minor emphasis on development of infrastructure to provide space for CT service
delivery, especially in medical facilities that have not yet institutionalized provider initiated CT. Another
minor emphasis is in the area of quality assurance through LVCT catering to the increase in interest in
quality of CT by the Kenyan Ministry of Health has been demonstrated through recent approval of new
National strategy and tools for supervision and quality assurance (QA) for CT. Other minor emphasis areas
are in the area of community mobilization and development of network/linkages/referral systems.
Continuing Activity: 14920
14920 4176.08 HHS/Centers for Liverpool VCT and 6974 360.08 $2,400,000
6983 4176.07 HHS/Centers for Liverpool VCT and 4257 360.07 $1,520,000
4176 4176.06 HHS/Centers for Liverpool VCT and 3235 360.06 $1,340,000
Gender
* Increasing gender equity in HIV/AIDS programs
Workplace Programs
Table 3.3.14:
