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
This PHE activity, "Impact of Cryotherapy versus Loop Electrosurgical Excision Procedure (LEEP) on
Recurrence of Cervical Intraepithelial Neoplasia and HIV-1 Cervical Shedding among HIV-positive Women"
was approved for inclusion in the COP. The PHE tracking ID associated with this activity is KE.09.0238.
This PHE is NEW in COP 09.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Estimated amount of funding that is planned for Public Health Evaluation $467,698
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.08:
This PHE activity, "Empiric therapy of helminth co-infection to reduce HIV-1 disease progression," was
approved for inclusion in the COP. The PHE tracking ID associated with this activity is KE.07.0039. A copy
of the progress report is included in the Supporting Documents section.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17845
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17845 17845.08 HHS/Centers for University of 7020 483.08 $160,000
Disease Control & Washington
Prevention
Estimated amount of funding that is planned for Public Health Evaluation $426,515
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.
COP 2008
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in TB/HIV, Pediatric ARV services, Pediatric Care and Support, Prevention,
and ARV Services.
2. ACTIVITY DESCRIPTION
The University of Washington (UW) will expand a long standing research collaboration with the University of
Nairobi to provide HIV care to 7,000 people with advanced HIV at 3 care sites, and support the training of
30 individuals in the provision of HIV-related palliative care services. UW will support treatment services at
Coptic Hospital, a faith-based facility in Nairobi that provides services to both the general population and
individuals identified through research programs at the University of Nairobi. In addition, UW will support
treatment services to two "daughter" clinics (clinics supported by the Coptic Church at facilities in Nyanza
Province and in the industrial area of Nairobi). Other important aspects of the UW/Coptic Hospital program
support behavior change and risk reduction for people with HIV/AIDS, with specific emphasis on patients
with less advanced HIV, in whom rates of discordant partnerships have been found to be high and also
Positive Prevention. Funds will be used to support salaries of health care providers in accordance with
Emergency Plan guidance, logistics (primarily pharmacy management), dissemination of informational
materials (about ARVs and adherence) to patients, and procurement of commodities such as laboratory
reagents. This partner will maintain data concerning the numbers of clients served and will report this
information both nationally and through the Emergency Plan.
UW has a long presence in Kenya and extensive experience in HIV prevention and treatment both in the
United States (U.S.) and internationally. The University has a long standing research collaboration with the
University of Nairobi and has provided extensive capacity building in immunology and epidemiology,
including supporting long-term training for University of Nairobi staff in the U.S. University of Nairobi staff
have also donated their time to support the establishment of HIV care services at Coptic Hospital.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to expansion of access to palliative care services for people with HIV,
strengthened human resource capacity to deliver care services, and an improved referral network for
provision of these services.
4. LINKS TO OTHER ACTIVITIES
These services will link closely to adult ARV treatment services provided at Coptic Hospital, Pediatric care
and support, Pediatric ARV services, TB/HIV services and also link directly to the Nairobi network center at
Kenyatta National Hospital and to other services provided through the expanding partnerships between
other US-based Universities and the University of Nairobi.
5. POPULATIONS BEING TARGETED
These programs target adults living with HIV/AIDS.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through community.
7. EMPHASIS AREAS
This activity includes minor emphases in commodity procurement, development of network/linkages/referral,
human resources, information, education, and communication, local organization capacity building, logistics,
strategic information, training, and quality assurance and supportive supervision.
Continuing Activity: 15036
15036 4231.08 HHS/Centers for University of 7020 483.08 $549,769
7099 4231.07 HHS/Centers for University of 4301 483.07 $200,000
4231 4231.06 HHS/Centers for University of 3253 483.06 $100,000
ACTIVITY UNCHANGED FROM COP 2008
This activity relates to activities in Palliative Care: HBHC, PDCS, TB/HIV, Counseling and Testing and
PMTCT.
University of Washington (UW) will expand a long-standing research collaboration with the University of
Nairobi to provide HIV care, including antiretroviral therapy to 8,600 adults with advanced HIV (3,000 new),
bringing the total ever treated to 10,320. UW will support treatment services at Coptic Hospital, a faith-
based facility in Nairobi that provides services to both the general population and to individuals identified
through research programs at the University of Nairobi. Funding will also support the training of 30
individuals. In addition, UW will support treatment services to two "daughter" clinics (clinics supported by the
Coptic Church at facilities in Nyanza Province and in the industrial area of Nairobi). Other important aspects
of the UW/Coptic Hospital program support behavior change and risk reduction for people with HIV/AIDS,
with specific emphasis on patients with less advanced HIV, in whom rates of discordant partnerships have
been found to be high. Funds will be used to support salaries of health care providers in accordance with
information both nationally and through the Emergency Plan. UW has an established presence in Kenya
and extensive experience in HIV prevention and treatment both in the United States and internationally. The
University has long-standing research collaboration with the University of Nairobi, and has provided
extensive capacity building in immunology and epidemiology, including supporting long-term training for
University of Nairobi staff in the United States. University of Nairobi staff has also donated their time to
support the establishment of care services at Coptic Hospital.
These activities will contribute to the results of expansion of ARV treatment for clinically qualified HIV-
positive patients, strengthen human resource capacity to deliver adult ARV treatment, tighten linkages
between prevention, care, and treatment activities, and strengthen referral networks for AIDS services.
This activity relates to testing and treatment activities at the Nairobi network center at Kenyatta National
Hospital currently supported by and University of Nairobi, and to other services provided through the
expanding treatment partnerships between other US-based universities such as University of Manitoba,
University of California at San Francisco, and the University of Nairobi.
These programs target adults living with HIV. Included among the populations served by these services will
be participants in US government funded research programs.
This activity includes minor emphases in commodity procurement, development of network/links/referral
systems, human resources, local organization capacity building, logistics, information, education, and
communication, and quality assurance and supportive supervision, targeted evaluation, and training.
Continuing Activity: 15039
15039 4232.08 HHS/Centers for University of 7020 483.08 $3,100,000
7100 4232.07 HHS/Centers for University of 4301 483.07 $2,883,938
4232 4232.06 HHS/Centers for University of 3253 483.06 $1,270,000
Table 3.3.09:
ACTIVITY UNCHANGED FROM COP 2008:
This activity relates to activities in TB/HIV (#8830), Adult Care and Support, ARV Services (#7100),
Pediatric ARV Services, and PMTCT.
University of Washington (UW) will expand long-standing research collaboration with the University of
Nairobi to provide HIV care to 1,000 children at 3 care sites, and support the training of 30 individuals in the
provision of HIV-related palliative care services. UW will support treatment services at Coptic Hospital, a
faith-based facility in Nairobi that provides services to both the general population and to individuals
identified through research programs at the University of Nairobi. In addition, UW will support treatment
services to two "daughter" clinics (clinics supported by the Coptic Church at facilities in Nyanza Province
and in the industrial area of Nairobi. Other important aspects of the UW/Coptic Hospital program support
behavior change and risk reduction for people with HIV/AIDS, with specific emphasis on patients with less
advanced HIV, in whom rates of discordant partnerships have been found to be high. Funds will be used to
support salaries of health care providers in accordance with Emergency Plan guidance, logistics (primarily
pharmacy management), dissemination of informational materials (about ARVs and adherence) to patients,
and procurement of commodities such as laboratory reagents. This partner will maintain data concerning
the numbers of clients served and will report this information both nationally and through the Emergency
Plan. UW has a long presence in Kenya and extensive experience in HIV prevention and treatment both in
the United States and internationally. The University has a long standing research collaboration with the
University of Nairobi, and has provided extensive capacity building in immunology and epidemiology,
including supporting long-term training for University of Nairobi staff in the United States. University of
Nairobi staff has also donated their time to support the establishment of HIV care services at Coptic
Hospital.
strengthened human resource capacity to deliver care services, and a strengthened referral network for
These services will link closely to ARV treatment services provided at Coptic Hospital (#7100), Palliate
Care: TB/HIV services (#8830) and also link directly to the Nairobi network center at Kenyatta National
Hospital and to other services provided through the expanding partnerships between other US-based
Universities and the University of Nairobi.
These programs target children living with HIV/AIDS including infants (0 - 5 years) and children (6 - 14
years).
Table 3.3.10:
This activity relates to activities in Palliative Care: TB/HIV (#8830) and Palliative Care: Basic Health Care
and Support (#7099)
Nairobi to provide HIV care, including antiretroviral therapy to 800 children with advanced HIV (500 new),
bringing the total ever treated to 960. UW will support treatment services at Coptic Hospital, a faith-based
facility in Nairobi that provides services to both the general population and to individuals identified through
research programs at the University of Nairobi. In addition, UW will support treatment services to two
"daughter" clinics (clinics supported by the Coptic Church at facilities in Nyanza Province and in the
industrial area of Nairobi. Funding will also support the training of 30 individuals. Other important aspects of
the UW/Coptic Hospital program support behavior change and risk reduction for people with HIV/AIDS, with
specific emphasis on patients with less advanced HIV, in whom rates of discordant partnerships have been
found to be high. Funds will be used to support salaries of health care providers in accordance with
University of Nairobi staff in the United States. University of Nairobi staff have also donated their time to
positive patients, strengthen human resource capacity to deliver pediatric ARV treatment, tighten linkages
These programs target children living with HIV. Included among the populations served by these services
will be participants in US government funded research programs.
Table 3.3.11:
1.LIST OF RELATED ACTIVITIES
This activity relates to activities in Adult Care and Support, Pediatric Care and Support, Adult and Pediatric
ARV Services, PMTCT, and ARV Services.
The University of Washington (UW) will expand a long-standing research collaboration with the University of
Nairobi in the support of TB/HIV services at 3 delivery sites within Kenya. UW will offer TB screening to
6,500 HIV-infected patients and HIV testing for 300 TB patients; approximately 150 will be diagnosed with
TB/HIV. UW will support treatment services at Coptic Hospital, a faith-based facility in Nairobi that provides
services to both the general population and to individuals identified through research programs at the
University of Nairobi. In addition, UW will support treatment services to two "daughter" clinics (clinics
supported by the Coptic Church at facilities in Nyanza Province and in the industrial area of Nairobi). Funds
will be used to support improved screening and diagnosis. Refresher training of laboratory staff will be
initiated and basic laboratory microbiology capacity improved in order to meet the increased needs of TB
testing. 30 health care workers will be trained to provide clinical prophylaxis and/or treatment for TB to HIV-
infected individuals.
These activities will contribute towards the provision of integrated TB/HIV care 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 Adult Care and Support, Pediatric Care and Support, Adult and
Pediatric ARV Services, PMTCT, and ARV Services currently supported by UW, and ART services
coordinated by and supported through the National AIDS and STD Control Program (NASCOP).
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 addresses legislative issues related to stigma and discrimination through community
sensitization activities.
This activity includes minor emphases in commodity procurement, human resources, development of
networks/linkages/referral systems, local organization capacity development, quality assurance, quality
improvement and supportive supervision, and training.
Continuing Activity: 15037
15037 8830.08 HHS/Centers for University of 7020 483.08 $80,000
8830 8830.07 HHS/Centers for University of 4301 483.07 $75,000
Table 3.3.12:
+ The activity will be enhanced to include post disclosure support to normalize the experience of HIV in the
family, with a focus on households looking after HIV positive children under the Muangalizi model.
+ The activity will also support the evaluation of the Muangalizi pilot in collaboration with the other 4 USG
supported and participating sites to facilitate lessons learnt and identification and documentation of the
effectiveness of different approaches to facilitate scale up.
This activity relates to activities in Adult care and support, Adult ARV services, PMTCT, pediatric care and
support, Pediatric ARV services.
This activity was begun with 2007 plus-up funds and is part of a five-site effort to strengthen the link
between clinical and household settings for HIV+ children. All sites meet regularly with a sixth entity,
AED/Capable Partners, for real-time sharing of lessons learned and review the effectiveness of different
approaches in preparation for scale-up. The Muangalizi model is being tested in response to concern
expressed by clinicians that assuring optimal care for HIV+ OVC was difficult in many instance because
they were accompanied to different clinic visits by different relatives or community members, necessitating
constant re-education of adults managing care of children. Central to the approach is recruitment of adult
patients who are successfully managing their own care to accompany pediatric patients to all clinic visits
when a consistent caregiver from the household is not available. A total of 32 "accompagnateurs" will be
trained to be on watch for 150 children for development of side effects or complications, remunerated for
their time, and expected to perform home visits to monitor medication consumption. They will also be
expected to develop an ongoing and supportive relationship with the OVC household, assess the social
environment and refer for needed services, and seek wherever possible to identify a household or
community contact who can be prepared to assume the long-term responsibility of being a treatment
advocate for the child. Sites were carefully selected to represent a cross section of Nairobi and coastal
urban slum (Eastern Deanery, Coptic, and Bomu), peri-urban (AMPATH/Eldoret, Bomu) and rural (Kericho
District Hospital) communities. Standard measures of household and clinician satisfaction with the value-
added by the accompagnateur, accompagnatuer satisfaction with the experience, and clinical progress of
OVC participating in the program will be tracked. Numbers of OVC served are captured under care and
treatment activities.
These activities will contribute to the results of expansion of ART for clinically qualified HIV-positive children,
and strengthen referral networks for AIDS services.
These activities link to non-ART services supported by University of Washington, referral to pediatric HIV
services provided at Coptic Hope Center and ART services coordinated by and supported through the
National AIDS and STD Control Program (NASCOP).
These activities target, children living with HIV/AIDS. A key focus of the family clinic is the provision of
services to children with HIV, and the identification of children with HIV as a way of reaching entire families
that are affected by HIV. Treatment services for diagnosis and treatment of very young children will be
established through a relationship with Kenya Medical Research Institute (KEMRI), whereby filter paper
samples are 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
HIV care and treatment knowledge and skills. Included among the populations served by these services will
be participants in U.S. government funded research programs.
This activity includes minor emphasis in community mobilization, development of networks/linkages/referral
systems, human resources, and training.
Continuing Activity: 15038
15038 12475.08 HHS/Centers for University of 7020 483.08 $150,000
12475 12475.07 HHS/Centers for University of 4301 483.07 $150,000
Table 3.3.13:
