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:
+ Specific AB messages will target both adult men and women with the aim to reduce multiple concurrent
partners
COP 2008
The only changes to the program since approval in the 2007 COP are:
•60,000 people with prevention messages: 20,000 disabled, 20,000 college students and 20,000 high
school students reached by new partners to be identified. 300 peer educators will be trained in HIV/AIDS
issues.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in HVOP, HVCT and Palliative Care: Basic Health Care and Support HBHC.
2. ACTIVITY DESCRIPTION.
Capable Partners is a project of AED that acts as an umbrella organization in Kenya. This activity will
contribute to the 2009 targets by implementing a community outreach program that will reach 169,957
people with prevention messages: disabled, college students and high school students reached by new
partners to be identified. 400 peer educators will be trained in HIV/AIDS issues.
One of their grantees is Handicap International (HI) who will be sub-granting to a number of organizations
working with disabled Kenyans to promote access to HIV/AIDS information. As in most developing
countries, the situation of disabled persons in Kenya is alarming. Many live a life of discrimination, negative
attitudes and exclusion from the mainstream community activities with no access to information or other
basic necessities. Parallel to this is ignorance of the sexuality of the disabled; quite often it is assumed that
disabled people are incapable of having sex or sexual relationships. In all cases, the abuse and
marginalization they suffer combined with the inaccessibility to information and resources predispose them
to HIV/AIDS. Compounding the problem of vulnerability to HIV exposure is the challenge of communicating
messages about HIV/AIDS. Low literacy rates among disabled individuals and disadvantages in accessing
radio and/or television messages for the deaf and the blind present real challenges to prevention efforts.
Through eight organizations working specifically with people with disabilities, the program will reduce their
risk of acquiring HIV/AIDS by promoting accessibility to HIV/AIDS information and education, developing
appropriate communication materials for the various types of disabilities (the project therefore aims to
translate existing HIV/AIDS information, including information, education and communication materials
produced by National AIDS and STI Control Program into formats such as braille, large print, sign language
etc.); and promoting behavior change among youth with disabilities.
400 peer educators (disabled youth themselves) will be trained in HIV/AIDS issues. The peer educators will
be expected to assist others to build self-esteem by enabling disabled people to understand their rights and
measures to protect themselves from abuse or unsafe sex and other risky behaviors that could predispose
them to HIV/AIDS. On visiting a VCT centre, a disabled person should have equal access to testing and
advice. They should be able to fully communicate their concerns as well as understand the advice and
support given. This will be made possible by training VCT counselors on the needs of persons with
disabilities and training deaf people to provide VCT services for the deaf. The project also aims to develop
awareness among family members and the community that they have a duty to protect disabled people
from sexual exploitation and to ensure perpetrators face legal action.
The activity includes continuing support to the following sub-recipients for activities integral to this program:
United Disabled Persons of Kenya, Blind and Low Vision Network, Dandora Deaf Self-Help Group, Kenya
Disability Action Network, Kenya Society for the Mentally Handicapped, Nairobi Family Support Services
and the Disabled Group of Trans Nzoia.
This activity will also support a highly successful outreach program focusing on services for street children
operated by Wema Center in Mombasa. Street children lifestyles are characterized by continued
marginalization from basic services and support such as lack of food, proper shelter, education, health care,
parental care and guidance. These children and street youth suffer from a multiplicity of socio-economic
problems that inevitably lead to desperation and anti-social behavior. They constantly encounter sexual
abuse and drug addiction as the most prevalent problems. These problems are caused by widespread
poverty, both in rural and urban areas, domestic violence, retrogressive socio-cultural beliefs and practices
and the far-reaching negative impact of HIV/AIDS on poor families. Young girls are particularly sexually
vulnerable, while boys are more likely to go into crime and drug abuse. Wema Center will scale up services
to reach more children and provide additional services in Mombasa in addition to expanding services in
Nairobi and Kisumu. The focus of activities in 2009 will be to consolidate this expansion.
This activity will build on the work being undertaken by I Choose Life. CAP is working with ICL to develop
parameters and pilot Youth Empowerment Centers (YEC) in 2 tertiary institutions: Kenyatta University and
National Youth Service in Nairobi. In 2009 CAP will support ICL to build on the activities in the YECs in
Eldoret Polytechnic and Egerton University to reach significant numbers of the campus communities with
prevention messages. ICL will train 100 peer educators to reach 20,000 youth
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will address some marginalized populations including the disabled but will also focus on youth,
a primary target population identified in the country strategy.
4. LINKS TO OTHER ACTIVITIES
This activity is linked to the AED/Capable Partners/ Handicap International activities in HVOP, HVCT, IDUP
and HBHC. These activities will strengthen those described in this narrative by providing additional support
in material design, outreach, VCT and IEC activities.
5. POPULATIONS BEING TARGETED
Activity Narrative: The project expects to target a variety of populations with different interventions, particularly disabled youth.
6. KEY LEGISLATIVE ISSUES ADDRESSED
At the moment, little is being done to provide access for the disabled to services on HIV/AIDS, reproductive
health and sexuality. Gender will also be addressed due to a rise in gender-based violence Almost 90% of
violence is sexual in nature. Service providers will be on the look-out for victims of such violence and
appropriate services will be offered to them promptly to avoid complications that may arise. In all project
activities, equity will also be a key focus. Female youth and disabled women in general will be provided with
more access to services. The aim of this will be to provide ‘more at risk' segments of the population with
adequate information for prevention and also care and support as access may have been compromised
because of their condition.
7. EMPHASIS AREAS
The major area of emphasis is capacity building and training. The project will train 400 individuals to
promote prevention behaviors. Peer educators (incl. high school students, university students and disabled
youth themselves) will be trained in HIV/AIDS issues. VCT counselors will be trained on the needs of
persons with disabilities and training a deaf person in counseling to be able to provide VCT services to the
deaf. A minor emphasis is on community mobilization/participation and policy and guidelines through the
development of awareness among family members and the community that they have a duty to protect
disabled people from sexual exploitation and to ensure perpetrators face legal action.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14714
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14714 5091.08 U.S. Agency for Academy for 6920 441.08 Capable $800,000
International Educational Partners
Development Development
6832 5091.07 U.S. Agency for Academy for 4198 441.07 Capable $600,000
5091 5091.06 U.S. Agency for Academy for 3247 441.06 Capable $350,000
Emphasis Areas
Gender
* Reducing violence and coercion
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:
+ Specific prevention messaging targeting women, men and discordant couples will be incorporated into CT
interventions. Specific messages will be developed for each target group.
•Four new partners addressing substance-abuse will be identified during 2008
•75,000 people reached with community outreach promoting HIV prevention
•500 individuals will be trained to promote HIV/AIDS prevention through comprehensive programming
•30 condom outlets will be made available at VCT sites targeting different populations
This activity relates to activities in HVOP IDUP, and HVCT.
2. ACTIVITY DESCRIPTION
This activity will reach 95,631 people with community outreach promoting HIV prevention. 500 individuals
will be trained to promote HIV/AIDS prevention, and 150 condom outlets will be made available. Handicap
International (HI) will be sub-granting to a number of organizations working with Persons with Disabilities to
promote access to HIV/AIDS information. As in most developing countries, the situation of disabled persons
in Kenya is alarming. Many live a life of discrimination, negative attitudes and exclusion from the
mainstream community activities with no access to information or other basic necessities. Compounding the
problem of vulnerability to HIV exposure is the challenge of communicating messages about HIV/AIDS. Low
literacy rates among disabled individuals and disadvantages in accessing radio and/or television messages
for the deaf and the blind present real challenges to prevention efforts. Eight organizations working
specifically with people with disabilities will reduce their risk of acquiring HIV/AIDS by promoting
accessibility to HIV/AIDS information and education, developing appropriate communication materials for
the various types of disabilities (formats such as Braille, large print, sign language); and promoting behavior
change among youth. 500 peer educators (disabled youth themselves) will be trained in HIV/AIDS issues.
The peer educators will be expected to assist others to build self-esteem by enabling them to understand
their rights to protect themselves from abuse or unsafe sex and other risky behaviors that could predispose
them to HIV/AIDS. A disabled person should have equal access to HIV testing and advice. This will be
made possible by training VCT counselors on the needs of persons with disabilities including the deaf. They
will develop awareness among family members and the community to the duty of protecting disabled people
from sexual exploitation and to ensure perpetrators face legal action. Support continues to the following sub
-recipients for activities integral to this program: United Disabled Persons of Kenya, Blind and Low Vision
Network, Dandora Deaf Self-Help Group, Kenya Disability Action Network, Kenya Society for the Mentally
Handicapped, Nairobi Family Support Services and the Disabled Group of Trans Nzoia. Substance abuse is
acknowledged as a major factor contributing to the spread of HIV. There are two main possible
associations. First, individuals using drugs and alcohol may lose inhibition, leading them to indulge in risky
sexual behavior that exposes them to HIV/AIDS infection. Second, injection drug users (IDUs) expose
themselves to HIV/AIDS through direct blood-to-blood transmission. Comprehensive HIV/AIDS-prevention
programs may help drug and alcohol users to stop using drugs and alcohol, change their behavior and
reduce their risks of acquiring or transmitting HIV/AIDS. In Kenya, there is a growing body of evidence that
supports the need to address issues related to drug and alcohol use and HIV prevention. Recent studies
have shown that there is increasing use of illicit drugs, including heroin, marijuana, and khat, and according
to research by the Kenya Medical Research Institute, alcohol now affects 70 percent of Kenyan families.
Despite this, access to substance abuse and HIV/AIDS-prevention services remains limited. Through the
Capable Partners Program Kenya (CAP Kenya) this activity will strengthen the organizational and technical
capacities of Kenyan organizations implementing programs that prevent the spread of HIV/AIDS among
drug and alcohol users. CAP Kenya will continue to provide grant funding and intensive technical assistance
to eight organizations who will be implementing programs that decrease specific behaviors associated with
drug and alcohol use. 200 members of these organizations will be trained. Organizations that focus on the
following types of interventions will be targeted: 1) Outpatient treatment services 2) Transitional services
between treatment and the community 3) Prevention/risk reduction services, and 4) Skill-based addictions
training for existing and new addictions counselors in both out-patient and in-patient addictions-treatment
facilities. Related partners include the following: Reachout Center Trust (Mombasa), Asumbi (Nairobi), The
Omari Program (Malindi and Lamu), Kenya Urban Apostolate Program (Kisumu), Tuungane (Impact
Research and Development Organisation) (Kisumu), The Redhill Center (Limuru), Family Health Options of
Kenya (Kisumu and Nakuru),SAPTA (Support for Addiction Prevention and Treatment for Africa) (Nairobi).
Thika and Kisumu. The focus of activities in 2009 will be to consolidate this expansion. The activity will
also support prevention activities carried out by I Choose Life (ICL). In 2008 CAP worked with ICL to
develop parameters and pilot Youth Empowerment Centers (YEC) in two tertiary institutions: Kenyatta
University and National Youth Service in Nairobi,. In 2009 CAP will support ICL to build on the activities in
the existing YECs and in two additional tertiary institutions; Eldoret Polytechnic and Egerton University to
reach significant numbers of the campus communities with prevention messages.
This activity will address some marginalized populations including the disabled and substance-abusers but
will also focus on youth, a primary target population identified in the country strategy.
Activity Narrative: 4. LINKS TO OTHER ACTIVITIES
This activity is linked to the AED/Capable Partners/ Handicap International, WEMA and I Choose Life
activities in HVOP, IDUP, and HVCT. These activities will strengthen those described in this narrative by
providing additional support in material design, outreach, VCT and IEC activities.
The project expects to target a variety of populations with different interventions, particularly disabled youth,
sexually abused young women and substance-abusers.
health and sexuality. Gender will also be addressed due to a rise in gender-based violence. Almost 90% of
The major area of emphasis is capacity building and training. The project will train 500 individuals to
promote prevention behaviors. Peer educators (disabled youth themselves) will be trained in HIV/AIDS
issues. VCT counselors will be trained on the needs of persons with disabilities and training a deaf person
in counseling to be able to provide VCT services to the deaf. A minor emphasis is on community
mobilization/participation and policy and guidelines through the development of awareness among family
members and the community that they have a duty to protect disabled people from sexual exploitation and
to ensure perpetrators face legal action.
Continuing Activity: 14715
14715 4940.08 U.S. Agency for Academy for 6920 441.08 Capable $1,820,000
8880 4940.07 U.S. Agency for Academy for 4198 441.07 Capable $150,000
4940 4940.06 U.S. Agency for Academy for 3247 441.06 Capable $100,000
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Table 3.3.03:
+ This activity was previously undertaken through other prevention programs
This activity relates to activities in Counseling and Testing, Orphans and Vulnerable Children, Abstinence
and Be Faithful Programs, Other Prevention.
In 2009, Capable Partners will complete the comprehensive mapping study that began in 2007 but has not
been completed due to funding interruption. In addition this activity will provide HIV outreach services
among DU/IDUs directly in the field. This activity will train 500 individuals and reach 4,000 DU/IDUs. There
is a great need to develop the capacity of health care professionals and service providers to be better
equipped in identifying DU/IDUs, provide addictions and HIV risk reduction interventions and referrals to
existing outreach services. Target groups to be trained would be prison staff, police and probation officers,
health care professionals and staff at HIV CCC centres.
Limited outreach services for DU/IDUs are provided in Nyanza province at the current time. In light of the
high HIV prevalence in Nyanza, it would be important to critically assess and identify DU/IDUs in that region
and provide the necessary outreach services. In addition to Nyanza province, it would be important to
provide outreach services to DU/IDUs in the more remote areas that are not reached currently.
AED will establish recovery and HIV risk reduction programs within existing CCC service units to provide
PwP services with DU/IDUs. This would also include intensive case management services to ensure each
DU/IDU is provided with a full array of services, such as ARV adherence, STI treatment or other health
needs, provided on site or via the intensive case management referrals. Current providers with DU/IDUs
tend to work independently, experiencing multiple challenges in collaboration among the many different
providers. Facilitating collaboration among providers is necessary and can occur through joint trainings,
problem solving sessions, policy development and intensive case management programming in order to
more effectively serve to this hard to reach population to reduce the spread of HIV.
This activity will contribute to the Kenya 5-Year Strategy that focuses on HIV prevention targeting high-risk
groups. Targets in this project will contribution to HIV infections averted.
The activity will link to HIV/AIDS treatment services, counseling and testing, TB/HIV care activities, AB, and
OP.
IDUs in the community and rehabilitation centers and their partners and clients. Prison staff, police and
probation officers, health care professionals and staff at HIV CCC centres.
This project will have a strong gender component. Activities will target both men and women IDUs in the
community.
Community mobilization/participation will be implemented to reach the IDUs in identified locations in the
community. Individuals will be referred for other HIV/AIDS related services, especially counseling and
testing services.
Program Budget Code: 07 - CIRC Biomedical Prevention: Male Circumcision
Total Planned Funding for Program Budget Code: $12,345,380
Total Planned Funding for Program Budget Code: $0
Table 3.3.07:
+ the activity description has been expanded to include more information on activities.
This activity relates to activities in AB and OP, counseling and testing, and adult care and treatment.
The CAP Kenya program will continue to make prevention activities a priority in 2009, broadening the scope
of activities to include supporting the expansion and uptake of voluntary medical male circumcision (VMMC)
as a component of integrated HIV prevention programs. In line with national guidance, the CAP Kenya
program will expand the capacity of grantees to integrate relevant and appropriate approaches to VMMC
through mobilization/education, service provision or linkages in a manner that is culturally sensitive, is
incorporated into multifaceted prevention packages, supports early detection and treatment of STI, and is
performed in safe and qualified settings. The CAP Kenya program will also build in monitoring and
evaluation structures to track activities across various partners to be able to track progress of program
implementation and disseminate findings on the integration of VMMC into a diverse set of community based
STP programming.
CAP Kenya will engage SAP grantees (KUAP/Raphaelites/Omari/Reachout) and partners working directly
in the provision of HTC services (Handicap International, BoH) to ensure that counselors, case-workers and
other providers are trained to support the integration of VMMC activities in the post test counseling of male
HIV-negative clients. All CAP Kenya grantees working in Nyanza (Rafiki wa Maendeleo/ RAPADO/
COLIDEF/ Impact-RDO/KUAP) and with culturally relevant communities in Western, Nairobi and Mombassa
will be trained on how to integrate VMMC mobilization as part of HTC and prevention campaigns, at
individual and community levels. Similarly, in communities where circumcision is already accepted and
widespread CAP-Kenya grantees will integrate VMMC messaging into existing STP activities to prevent the
misconception that VMMC exists as a stand-alone safe-guard HIV-prevention method. Activities will
include: training elders and caregivers on how to integrate appropriate MC messages in the cultural
education of young boys during MC rite-of-passage ceremonies and Post-test counseling for HIV-males in
HTC settings. At the facility level (St. Camillus Dala Kiye and BoH), CAP Kenya will expand access to safe
and qualified VMMC through carefully designed programs that combine education for voluntary candidates
of the procedure and guardians where relevant.
HWWK, Wema Centre among other Grantees will adopt the Youth-as-Caregivers model for HIV/AIDS care
and support that traditionally utilizes youth as community caregiver for OVC in the community by integrating
a mentor relationship between newly circumcised youth with a "big brother" who will provide an ongoing
relationship of HIV-prevention in relationship to their recent transition into adulthood.
Integration of Monitoring and Evaluation structures will also be facilitated at all levels of the CAP Kenya
program to provide ongoing learning on the impact integration of VMMC messages has on perceptions of
HIV prevention in relation to behavior and other practices for learning and best practices in packaging
comprehensive prevention messages for community-based interventions.
The CAP Kenya project will contribute to the Male Circumcision policy that envisages adoption of MC as
one of the HIV prevention strategies.
These will be linked to the Abstinence/be faithful, Condoms and Other prevention to promote health
behaviors and CT. HIV-infected persons identified through this program will be linked to Care and
Treatment activities.
This activity targets adolescents and adults living in rural and urban settings. It targets those who are HIV
negative, discordant couple services or in care and treatment settings. Training activities target public and
private based health care workers and other health workers, but with emphasis on public HCWs.
Community activities will target community based organizations, faith based organizations, community
leaders and religious leaders.
The activity will promote prevention by encouraging males to adopt healthy behavior.
This activity has a major emphasis on community sensitization.
Continuing Activity: 14720
14720 4216.08 U.S. Agency for Academy for 6920 441.08 Capable $800,000
6828 4216.07 U.S. Agency for Academy for 4198 441.07 Capable $700,000
4216 4216.06 U.S. Agency for Academy for 3247 441.06 Capable $200,000
Health-related Wraparound Programs
* Malaria (PMI)
ACTIVITY UNCHANGED FROM COP 2008
This relates to Capable Partners activities Other Prevention, OVC, AB and CT.
Capable Partners will continue to support two agencies in Basic Health Care and Support. First, Handicap
International will continue to support the Kitale AIDS Program, building on an effective existing program to
provide a basic package of treatment services, including diagnosis and management of opportunistic
infections. The program will continue to develop referral linkages to programs providing antiretroviral
treatment primarily at 4 rural AIDS clinics. Health workers in West Pokot will be trained in the management
of opportunistic infections, sensitization workshops will be held for health facility staff, home-based care
providers will be trained in adherence counseling and 60 volunteers providing HBC and ART adherence
support will be supervised. Handicap will also continue to reinforce the capacity for the management of
HIV/AIDS patients in 6 health centers. These activities will contribute to the provision of a basic package of
services to people with HIV/AIDS, strengthened integration of prevention and treatment services, and
strengthening of networks for HIV care services.
Second, Nazareth Hospital will increase community-based support services to the PLWHA already enlisted
for support through the ART program and their families. Family-based caregivers drawn from the clients
households will be trained and equipped with information on home-based care, end-of-life care and support,
and responding to the needs of the patients. More emphasis will be placed on supporting OVC and their
care-takers and 2007 Nazareth will develop a program for more comprehensive community based care for
these children. The nutrition support program for PLWHA will be scaled up from the existing 350 patients to
400. Nazareth will address the issue of ART adherence by working with Red-hill Centre and other
organizations in the locality to provide rehabilitation and support services for PLWHA who are alcohol
abusers.
3. CONTRIBUTIONS TO OVERALL PROGRAME AREAS
In 2009 Handicap International proposes to train: 200 health workers in the management of treatment for
HIV/AIDS, sensitization ART adherence procedures. Counseling will be provided to 2,500 individuals with
HIV. Nazareth will help a total of 200 PLWHA to form support groups and provide opportunities for its
patients on ART to reintegrate into the community. Nazareth Hospital will establish and equip 5 new
PLWHA support groups and continue supporting 5 existing support groups in the community for income
generating activities. 400 people with HIV/AIDS will receive basic community-based support. In 2006
Nazareth increased the number of people living with HIV/AIDS on ART from 350 to more than 700. In 2009
250 additional households with PLWHA will be targeted in the provision of skills for care, support and
psychosocial support of the PLWHA.
This activity will link with Indiana University's program with Kitale District hospital in PMCT.
The populations being targeted include caregivers (of PLWHA and OVC), Orphans and Vulnerable Children
and People living with HIV/AIDS. People Living with Disabilities are also a primary target
The key legislative issue addressed will be stigma and discrimination through the mainstreaming of
disability into HIV/AIDS policy in the country. At the moment little is being done to provide access for this
category of people to services on HIV/AIDS, reproductive health and sexuality. Gender will also be
addressed due to a rise in gender-based violence of which almost 90% are sexual in nature. Service
providers will be on the look-out for victims of such violence and appropriate services will be offered to them
promptly to avoid complications that may arise. In all the activities of the project, equity will also be a key
focus. Female youth, women in general and PWDs will be provided with more access to services and
attention will also be given to them in order to bridge the gap between them and the other members of the
society on matters related to the project objectives. The aim of this will be to provide these ‘more at risk'
segments of the population with adequate information for prevention purpose and also care and support as
access may have been compromised because of their condition. A final legislative area is a Wrap Around
for Microfinance/Micro-credit due to the establishment and equipping of 10 PLWHA support groups in the
community for income generating activities
The major area of emphasis is training and development of networks, linkages and referrals to the link ART
facilities with community and development initiatives. Minor emphasis is in Linkages with Other Sectors and
Initiatives (through prevention-based activities like VCT, Behavior Change Communication and community
education), Community Mobilization/Participation and Policy and Guidelines (through the mainstreaming of
disability into HIV/AIDS policy papers in the country).
Continuing Activity: 14717
14717 4214.08 U.S. Agency for Academy for 6920 441.08 Capable $450,000
6827 4214.07 U.S. Agency for Academy for 4198 441.07 Capable $300,000
4214 4214.06 U.S. Agency for Academy for 3247 441.06 Capable $225,000
* Increasing women's access to income and productive resources
* Family Planning
* Safe Motherhood
Program Budget Code: 09 - HTXS Treatment: Adult Treatment
Total Planned Funding for Program Budget Code: $92,906,710
Table 3.3.09:
+ Prime partner Academy for Educational Development has been competitively selected to implement the
activity.
+The activity will place an emphasis on the HIV counseling and testing of children with a focus on provider-
initiated home and community-based testing as an entry for care and support services to children. Using the
opt-out approach; the activity will test 90% of OVC enrolled; targeting approximately 36,000 with testing and
counseling. Of those tested, approximately 2,880 will be identified as HIV-exposed or infected and enrolled
into facility-based HIV care and treatment services to receive cotrimoxazole (CTX), evaluation for ART
eligibility and other basic HIV care services.
+ In 2009, the activity will support the referral of particularly vulnerable OVC to the Nutrition and HIV/AIDS
Program and ensure that an increased number of OVC requiring food and nutritional services will be
reached with food supplements procured through the NHP.
+ In 2009, the activity will support the development of OVC standards for Kenya and in supporting quality
improvement approaches for monitoring and improving the quality of OVC programs at the provincial level.
Particular emphasis will be placed on improving services based on quality assessments carried out in 2008.
+ In FY09, the activity will also focus on integrating prevention activities. The activity will link with prevention
programs to support male circumcision and counseling and testing for OVC as well as prevention with
positives for adolescents.
+In 2009, the activity will also focus on establishing appropriate linkages with PMI and ensure that OVC
being supported are also able to benefit from mosquito nets procured by PMI.
+In FY09, this includes field support for Hope Worldwide's Track 1 activity (see separate narrative below).
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity will support key cross cutting attributions of the budget amounting to $129,000 towards
Economic Strengthening through the support of income generating activities to support increased
household food security. The activity will also attribute a portion of its budget to supporting educational
activities targeting OVC enrolled in the program in the amount of $215,000. A further $43,000 will be
attributed to provision of safe water guards for households looking after OVC.
This relates to Capable Partners activities in Other Prevention (#6830), Palliative Care (#6827), AB (#6832)
and CT (#6829).
AED/Capable Partners is funded to convene the participating sites of the Muangalizi initiative (University of
Washington, Eastern Deanery AIDS Relief Program, New York University, TBD/Moi University School of
Medicine, and KEMRI/South Rift Valley) on a quarterly basis and to develop and monitor standard
indicators. As Capable Partners also serves as an umbrella organization funding nearly 50 grassroots
organizations (many of them OVC programs), they will help the sites develop referral links to needed
community support services. Finally, they will secure contracted legal/ethical, child psychology/psychiatry
and other consulting services to be made available to all sites during the course of the one-year
development phase of the initiative. USAID placed support to organizations under an umbrella grant
mechanism, the Capable Partners Program (CAP) implemented by the Academy for Educational
Development (AED). The Capable Partners Program is designed to strengthen the organizational capacity
and sustainability of NGOs, NGO networks, intermediate support organizations (ISOs) and coalitions. In
Kenya, the Capable Partners Program strengthens the organizational and technical capacity of
organizations working at the community level with HIV/AIDS-affected orphans and vulnerable children,
organizations working more broadly to address HIV/AIDS in Kenya and NGOs in other sectors that plan to
introduce an HIV/AIDS component into their work. The program manages grant funds to organizations that
have been selected through competitive processes. AED's experience in grants management has shown
that a grant program is most effective when technical and institutional capacity building are incorporated in
the grant-making process. With FY 2008 PEPFAR funds, the Capable Partners Program supported over 40
partners delivering services to OVC. In FY 2009 the Capable Partners Program will continue to support the
same number of partners. Having worked with many of these organizations for a number of years, the focus
in FY 2008 will be to scale up their activities to reach more OVC with quality services. It is anticipated that
most organizations will have developed the capacity to manage larger grants. All activities are planned
within the scope of the national program guidelines on OVC with a focus on the programming principles and
strategies in the priority areas of intervention. In particular, the government's OVC guidelines will be
followed, as well as all other pertinent guidelines issued by the Ministry of Home Affairs and the National
AIDS Control Council. This activity includes support to the following sub-recipients for activities integral to
the program: - -Beacon of Hope, Church World Services, Makindu Children's Centre, Neighbors in Action,
Ripples International, St. Camillus Dala Kiye Children Welfare Home, Tropical Institute of Community Health
and Development, CREADIS, RAPADO, SFIC, Child Welfare Society of Kenya, Twana Twitu, Wema
Center, KENWA, Ace Africa, Community Asset Building and Development Action (CABDA), COLIDEF,
HEART, Helpage International, Homeless Children International, Hope Worldwide Kenya, HVFI, Rafiki ya
Maendeleo Trust, St Mary's Medical Centre, Kapsoya, Tesia Isanga Organization, Youth Action for rural
development, Women and youth against AIDS and poverty (WAYAAP) as well as ten new grants
Activities that will be implemented under the Capable Partners Program will continue to support the National
Plan of Action for Orphans and Vulnerable Children. In FY 2008 CAP will work with each partner to expand
their coverage and reach at least 25% more OVC. CAP will assist all partners in the design and delivery of
quality programs consistent with national policies and initiatives for orphans and vulnerable children.
Through its partners, CAP will reach 40,000 OVC with care and support, and will train 3,600 providers and
caretakers of OVC.
CAP has developed an excellent working relationship with the Department of Children's Services in the
Office of the Vice President and Ministry of Home Affairs. This will enable CAP to create linkages between
Activity Narrative: sub-recipients and children's officers in the districts in which projects are being implemented. At the
community level, organizations will be assisted to create and sustain linkages with other appropriate USG-
funded programs. These are programs that have interventions aimed at: strengthening community
mechanisms to cope with the impact of HIV/AIDS, prolonging the lives of and providing care and support to
PLWHAs, and linking with other programs providing and promoting Palliative Care: Basic Health Care and
Support (#6827), Abstinence and Be Faithful (#6832), Counseling and Testing (#6829) and Other
Prevention (#6830). This activity is linked to APHIA II's HBHC activity (#5285) for home based care
services, CT activity (#4190) for counseling and testing and ARV Services (#5367) for treatment.
This activity primarily targets orphans and vulnerable children, adolescents, particularly girls, as well as
young adults, caregivers and community-based and Faith-based organizations as well as NGOs.
6. EMPHASIS AREAS
The major emphasis is Local Organization Capacity Development and the minor emphases are training,
and development of network/linkages/referral systems.
Field Support for the Hope WorldWide Track 1 OVC activity
ACTIVITY DESCRIPTION
HOPE Worldwide Kenya (HWWK) will continue to scale up its work in Mukuru Slums and other underserved
areas where it has strong partnerships with local community stakeholders and entry points into OVC care
and support. In 2007 work was extended to Mathari, near Huruma, and Maringo. The work in Mathari is in
collaboration with the Rotary Club of Nairobi. Work in Maringo was born out of collaboration with the Area
Advisory Council whereby the need for work in this area was identified. Related to work being done with
youth in Makindu, youth have been trained in Psychosocial Support and development of Kids Clubs. In
2007 the OVC work linked with the USAID funded ABY programs in Huruma, Dandora, Muchatha, Gachie,
and Makadara to focus on development of Kids Clubs in the schools that have ABY programs. HWWK will
continue to upscale the work being done in the Mukuru Slums where it has strong partnerships with local
community stakeholders and entry points into OVC care and support. In 2007 work progressed within the 3
villages of Kwa Ruben, Kwa Njenga and Lunga Lunga and is provided direct support to 651 OVC through
Kids Clubs and Support Groups. Indirect support was given to over 500 children through trainings in PSS
and Kids Clubs in Mukuru, Mathari, and Makadara. In 2007 HWWK continued to facilitate direct support to
OVC through capacity building of local CBOs, NGOs, FBOs, Community Leaders, and Schools, and Rotary
partnerships, with a target of direct support to 1,000 OVC. Community stakeholders will be incorporated into
the process of establishing these support mechanisms to increase effectiveness through community
ownership and participation. HWWK will work closely with the Department of Children's Services through
Provincial and District Children's Officers and Area Advisory Councils. This will facilitate a mechanism for
identification of the most needy OVC and caretakers for training and support. Close collaboration will be
maintained with local VCT and PMTCT centers, as well as with community health clinics, schools and
FBOs, and other relevant care and social services. Rotary Clubs, and HWWK staff and volunteers will be
actively engaged in providing community support, including identification of resources and staff to sustain
activities. Partners will help establish links with vocational training sites to support older OVC with skills
training, mentoring, and apprenticeships. HWWK will work closely with the Department of Children's
Services (DCS) to provide training in PSS and Kids Clubs to caretakers, teachers, and others where the
DOCS is providing support through the Cash Transfers for support of OVC. Currently HWWK is working
with 191 caregivers in Mukuru Slums who care for 651 children. Through 2009 the goal is to continue
strengthening this group and increasing their capacity to train, educate, and build the capacity of
themselves and other caretakers in their communities. Focus is on maintaining quality of service provision
to the caretakers, children, and ultimately to the communities. In 2007 400 staff, caretakers, and
organizational members were trained in caring for OVC. HWWK staff and volunteers have experience in
community mobilization approaches and will continue to facilitate skills-building workshops in communities
on Capacity-Building Strategies. Key national, local and community representatives will be invited to
participate in the workshops so as to gather their insight on appropriate approaches to program
implementation. This will help consolidate buy-in, collaboration, establish communication channels and
promote OVC and youth participation. Experienced local HWWK trainers will use participatory and outcome-
based training methodologies. Topics will include those such as global and country specific overview of
statistics and projections of the HIV/AIDS epidemic and its impact on children and families; ‘Best Practice'
strategies for developing and strengthening effective community-based OVC responses; transferring of
technical skills needed to carry out the methodological framework for developing competent communities;
and identify other partner training needs around OVC issues. In 2007 HWWK provided 2 sub-grants to
NGOs who have a focus on child care with the primary goal of strengthening community and household
responses. HWWK will provide technical assistance to sub recipients on organizational capacity
development and programmatic issues. Regular mentoring and feedback sessions will be held to review
program progress, effectiveness, and level of potential sustainability. The 2009 goal is to reach 8,000
children. This will be done through services provided through the Kids Clubs, trained caregivers and
providers, community partner organizations, and OVC served through sub grants. A big focus will be on
integration and coordination between community-based agencies, and combined coordinated efforts with
community leaders and stakeholders, and the government of Kenya, donors, and civil society.
Continuing Activity: 14718
14718 4947.08 U.S. Agency for Academy for 6920 441.08 Capable $4,300,000
6831 4947.07 U.S. Agency for Academy for 4198 441.07 Capable $4,200,000
4947 4947.06 U.S. Agency for Academy for 3247 441.06 Capable $3,200,000
* Child Survival Activities
* TB
Estimated amount of funding that is planned for Economic Strengthening $129,000
Estimated amount of funding that is planned for Education $215,000
Estimated amount of funding that is planned for Water $43,000
Table 3.3.13:
+ geographic coverage has been revised and expanded to include regions where the Capable Partners
program is implementing OVC programs
+ the target population has been revised and expanded to include OVCs. The numbers of people counseled
and tested will include OVCs and disabled populations.
This activity relates to AED Capable Partners activities in OP, and AB and OVC.
Handicap International began operations in Kenya in 1992 and currently has 4 location offices: Nairobi
(Country office), Garissa, Kitale and Kakuma. The organization has developed two integrated HIV/AIDS
projects. In Kitale, Trans Nzoia district, the project includes prevention in the communities, churches and
schools, Voluntary Counseling and Testing (VCT), reinforcement of the care network through government
and faith-based partners, and support of people living with the virus and their families using home based
care, support groups and micro-credit. The Capable Partners Program is currently funding the youth-friendly
VCT and Reproductive Health center called Chanuka, which means ‘get smart'. Chanuka serves as a model
VCT for reaching youth at risk and initiating behavior change. In 2009 the program will continue to use
behavior change communication as a key strategy to sensitize the youth on the dangers of HIV/AIDS and
promote positive behavior in the context of HIV. The project aims to increase the level of intervention by
targeting both the youth in-school and the youth out-of-school.
Mobilization exercises will target the churches, schools, and tertiary institutions and youth groups and train
additional youth groups in each of the administrative divisions in Kitale district, Trans zoia, West Pokot and
Kapenguria Districts. The project will continue encouraging the youth and other community members to go
for HIV testing at the existing VCT sites in the district. In order to reach communities and in particular, the
youth, in the remote areas of the district who are unable to access fixed VCT centers Handicap International
will continue to provide a mobile VCT service in all the districts of operations. A full mobile team comprising
of trained VCT counselors will be deployed for this purpose. To ensure quality, counselors will continue
attending monthly supervision meetings organized by the District AIDS and STI Coordination Office
(DASCO) and according to the requirements of NASCOP. Staff members will continue to attend external
Quality Assurance workshops in Nairobi as facilitated by Liverpool VCT and Care.
The Chanuka Youth Centre will continue providing quality VCT service to youths with special emphasis on
the female youths. It is expected that at least 300 youth will visit the center and 220 will receive counseling
and testing monthly. Through another AED CAP Kenya project Chanuka will make services accessible to
youth with disability by bringing in specialists to provide appropriate counselors for different disabled
groups. Post Test Clubs and Peer Educators Clubs will be established in West Pokot. Chanuka will continue
to produce and disseminate youth focused IEC materials for the out-of-school population and an interactive
magazine for the school-based populations. The activity will reach 20,000 individuals for counseling and
testing (10,000 Chanuka, 10,000 mobile VCT), will train 25 individuals in CT, and will fund CT services in 10
static site and mobile sites.
This activity will contribute to the FY2009 targets of number of individuals counseled and tested and trained.
Handicap International will contribute to the overall program area with six service outlets that provide
counseling and testing, 20,000 individuals will receive counseling and testing and 25 individuals will be
trained to provide VCT
This activity is linked to: AED Capable Partners AB activities; AED Capable Partners OP activity; and AED
Capable Partners OVC activity. This activity will also be linked to treatment, care and support services in the
regions of operations.
The main target population is special populations including 1) persons with different types of disabilities
(deaf, blind, mentally and the physically disabled) and 2) out of school youth. In the general population
parents and guardians will also be involved especially for the mentally challenged to support in providing
information and helping them access HIV services. Training will include public health workers in sign
language for VCT. Groups and organizations includes CBOs and NGOs
The project will address issues of stigma and discrimination, as it has been the major factor hindering
access to HIV services for youth with disabilities. It will work to promote the rights of the disabled people for
equal access to HIV related prevention and AIDs related intervention measures. The activity will also work
to promote Government policies to be inclusive of needs of PWDs. Gender equity is also key in this project
as within the disability fraternity issues of women with disabilities have not been well articulated and would
therefore be put into consideration in all activities. The Chanuka Youth Center will continue to provide
quality VCT service to youth with emphasis on the female youth.
The primary area of emphasis will be on Information, Education and Communication in the development of
behavior change communication and peer education within and out of schools. A minor area of emphasis is
on training. Peer educators (disabled youth themselves) will be trained in HIV/AIDS issues as well as
leaders of post test clubs to promote positive living. VCT counselors will be trained on the needs youth with
disabilities.
Continuing Activity: 14719
14719 4847.08 U.S. Agency for Academy for 6920 441.08 Capable $500,000
6829 4847.07 U.S. Agency for Academy for 4198 441.07 Capable $200,000
4847 4847.06 U.S. Agency for Academy for 3247 441.06 Capable $200,000
Table 3.3.14:
+In 2009, the program with Ace Communications will expand to include male circumcision and combination
prevention. Ace communications will link with APHIA Nyanza to ensure that services are available to
compliment the communication strategies.
This activity is linked to Capable Partners' work in the areas of Abstinence and Be Faithful (#6832), Other
Prevention (#6830), and Counseling and Testing (#6829). This activity also relates to other private public
partnerships in HVAB (#7052), HBHC (#8755), and HTXS (#8765).
In FY 2008, the Capable Partners Program (CAP) implemented by the Academy for Educational
Development will continue its work with sub-partner ACE Communications to expand the Discordant
Couples Communication Project to include communication on male circumcision and combination
prevention in two districts of Kenya; support a new activity in public private partnerships with the Kenya
HIV/AIDS Private Sector Business Council. Through its grant making program, CAP will also develop the
technical capacities of 40 organizations to deliver better HIV/AIDS services. ACE Communications: In 1997,
research in Kisumu showed that nearly 40% of couples were in a sexual relationship in which one partner
was HIV positive while the other remained negative. Subsequent research revealed a trend of discordant
couples among 10-20% of couples. This project by ACE Communications is designed to highlight significant
aspects of this phenomenon: a) Survival of one spouse translates into better prospects for the family unit,
especially where children are involved, since one spouse survives to take care of the children; b) The
possibility of discordance spells hope for many couples and is an incentive to seek VCT services; c) Even
where one partner (or both partners) is HIV positive, earlier diagnosis results in lower morbidity and reduced
mortality due to HIV/AIDS; d) When couples are encouraged to seek VCT services and receive counseling
singly or jointly, it results in better coping and tolerance and helps to address stigma; and e) The existence
of the discordant couples phenomenon has captured the attention of target communities in positive ways,
especially because the phenomenon offers a message of hope. It is an empowering message as audiences
seek to exploit a window of opportunity: testing positive for HIV is not a death sentence, and early diagnosis
results in better management of the condition, including accessing ART. The important elements of the
project are incorporated into a campaign using a mix of media including radio, docu-drama video,
calendars, billboards, pamphlets, community social events, and educational seminars for community
leaders. FY 2005 and 2006 funds enabled ACE to continue to intensify the campaign in Bondo district and
to develop sustained linkages with VCT and couples counseling services. Communication programs
through the local Luo language, however, have a reach beyond Bondo district and will benefit 8 other
districts of Nyanza and that of diaspora communities in Nairobi and Nakuru. In 2009, the program will
expand to include male circumcision and combination prevention. Ace communications will link with APHIA
Nyanza to ensure that services are available to compliment the communication strategies.
Kenya HIV/AIDS Private Sector Business Council: In Kenya, many large corporations have already
developed and adopted HIV/AIDS workplace programs and policies. However, the same cannot be said of
small and medium enterprises (SMEs) partly due to limited resources and partly because they do not have
the technical and institutional capacity to do so. SMEs broadly include all enterprises engaged primarily in
income generating activities with less than 200 employees, and account for approximately 18% of Kenya's
Gross Domestic Product employing an estimated 5.1 million people. They are also considered to be the
seedbed for entrepreneurship development and technology transfer in Kenya. Through CAP, the Kenya
HIV/AIDS Private Sector Business Council will assist SMEs to close this gap through: 1) provision of
technical assistance for HIV/AIDS-related workplace programs and policy development; 2) training targeted
individuals as workplace HIV focal points for HIV-related policy development and training peer educators
and counselors to be agents of change in prevention, stigma and discrimination reduction; 3) training
employees of targeted companies and equipping them with information and prevention messages to
promote behavior change and adoption of VCT as an entry point to care and treatment, and equipping them
with the skills for community mobilization for prevention; and 4) production and distribution of relevant
training and institutional capacity building materials in HIV-related prevention, care and treatment. The
target companies will be those in key sectors of the economy that have direct bearing in poverty eradication,
gender empowerment, rural based and across a broad range of economic activities. In particular, the flower
farms surrounding Lake Naivasha, as well as other horticultural industries, will be targeted. Enterprises with
both casual workers and full time employees, and those involved in agricultural related activities and
employing more female workers, will also receive support. AIDS stigma reduction: In anticipation of the new
HIV/AIDS Bill, CAP will identify organization(s) to conduct activities to raise awareness among the general
public and with stakeholders about the provisions of the new legislation, and will work with NGO networks
and other civil society groups to ensure the implementation of the Bill.
Capable Partners' activities contribute to this program area focus on equipping critical groups with the tools
to improve the policy environment. It also supports system strengthening through promoting self-knowledge
of one's HIV status, offering affected and infected individuals an opportunity to utilize and improve upon
existing systems for testing and counseling. Their activities also address a critical gap in HIV/AIDS
awareness and stigma and discrimination reduction among Kenya's casual labor population.
partnerships in HVAB (#7052), HBHC (#8755), and HTXS (#8765), by reaching the private sector needs for
a systematic approach to HIV/AIDS awareness training and stigma reduction.
The activity targets policy makers, people living with HIV/AIDS, non-governmental organizations, and
community organizations. Target populations also include the business community/private sector and
Activity Narrative: professional associations.
The key legislative issues addressed through this activity are stigma and discrimination and gender equity
through AIDS programming.
The major emphasis area for this activity is community mobilization/participation with a minor emphasis on
policy and guidelines, training, and information, education and communication.
Table 3.3.18:
