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 UNCHANGED FROM COP 2008
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in Palliative Care: Basic Health Care and Support, Palliative Care: TB/HIV,
and Orphans and Vulnerable Children.
2. ACTIVITY DESCRIPTION
Catholic Relief Services (CRS), within AIDS Relief (a consortium of the Catholic Medical Mission Board,
Futures Group, Interchurch Medical Assistance, and the Institute of Human Virology at the University of
Maryland), will continue providing services currently supported with Track 1 funds. This includes providing
HIV treatment to approximately 14,500 patients (including 1450 children) at 25 primary service delivery sites
throughout Kenya. This brings the total ever treated by CRS to 37800 and is in addition to the over 23,300
patients currently supported by in country funding for this partner).
CRS provides on-site preceptorship that builds clinical, adherence counseling, and laboratory skills.
Institutional capacity is also strengthened through support for strategic information systems, commodities
management, and finance and administrative management capacities. Leveraging of other resources
through wrap-around programs will increase access to clean water, provide insecticide treated bed nets,
and support improved nutrition for patients. CRS partners with various in-country organizations
(government, FBO, NGO) for additional training resources. By working with faith-based CBO's firmly
embedded in communities, CRS ensures that the community supports the health facility by reducing
HIV/AIDS stigma, which contributes to the continuity of care.
CRS supports salaries for comprehensive teams providing HIV treatment, ensuring that each point of
service has at least the minimum amount of staffing required by the National AIDS and STD control
Program (NASCOP) for an Antiretroviral Treatment (ART) program. 120 health care workers will be trained
as part of this activity. In line with the national dialogue regarding an increased role of nurses in HIV/AIDS
treatment, CRS is focusing on mentoring and training nurses at all of their treatment sites.CRS also funds
the costs of laboratory examinations for all patients on ART at supported sites, including CD4 counts as
necessary for monitoring patients on treatment. Antiretroviral (ARV) drugs are supplied to the sites primarily
through the distribution system of the Mission for Essential Drugs and Supplies (MEDS). In addition, CRS
has established agreements with a number of Mission facilities in Kenya, and has supported rapid scale up
of treatment at these facilities. By June 2008, more than 23,300 patients were accessing ART as a result of
Track 1 and in-country funding awarded to this partner.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
CRS activities will contribute to the expansion of ARV treatment for clinically qualified HIV-positive patients
at faith-based facilities. CRS will strengthen human resource and community capacity to deliver adult and
pediatric ARV treatment, tighten linkages between prevention, care, and treatment activities, and strengthen
referral networks for AIDS services.
4. LINKS TO OTHER ACTIVITIES
The overall program activity links closely to non-ART and TB/HIV services currently supported by CRS, as
well as ARV treatment services supported by this partner through in-country funding, and ART services
coordinated by and supported through the National AIDS and STD Control Program [NASCOP]. Specific
facilities have also developed linkages, such as Nazareth that has established treatment referral linkages
with Nyeri District Hospital, which is supported by Columbia University (#6867, #6866). There are also
linkages to OVC programs (e.g., CRS-supported and USAID-funded OVC activities in Rift Valley, #6857,
#9029).
5. POPULATIONS BEING TARGETED
These activities target people (adults, children, infants) living with HIV/AIDS. Treatment services for
children with HIV are being established or expanded at all sites. Treatment services for diagnosis and
treatment of very young children are being established through a relationship with the Kenya Medical
Research Institute (KEMRI), which involves filter paper samples being transported to the KEMRI lab for
polymerase chain reaction (PCR) infant testing. Public health care providers, including doctors, nurses,
pharmacists, and laboratory workers are targeted for increased training related to HIV care and treatment.
Activities also target community and other faith-based organizations Kenya Episcopal Conference (KEC),
Christian Health Association of Kenya, (CHAK), and community and religious leaders.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma of HIV/AIDS and discrimination through
community sensitization activities.
7. EMPHASIS AREAS
This activity includes minor emphases in commodity procurement, community mobilization, development of
networks/linkages/referral systems, human resources, local organization capacity development, quality
assurance and supportive supervision, strategic information and training.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14743
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14743 5483.08 HHS/Health Catholic Relief 6932 3730.08 $5,851,680
Resources Services
Services
Administration
6853 5483.07 HHS/Health Catholic Relief 4212 3730.07 $2,170,974
5483 5483.06 HHS/Health Catholic Relief 3730 3730.06 $93,628
Table 3.3.09:
