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:
Partner will support nutritional supplementation for approximately 400 HIV+ at $10,000.
COP 2008
+ This TBD was awarded to Columbia University only a few days prior to COP submission.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in ARV Services, Pediatric care and support, Pediatric ARV services,
TB/HIV, and PMTCT.
2. ACTIVITY DESCRIPTION
Columbia University's Centre for AIDS Care and Treatment Program (CU-ICAP) will continue a
collaborative relationship with Machakos District Hospital and 33 health facilities in other neighboring
districts to enhance and expand the HIV care programs in the southern region of the Eastern Province of
Kenya. Through this funding, CU-ICAP will support HIV care and support to approximately 23,000 people in
34 sites. This region is characterized by moderately high rates of HIV (approximately 4%); high rates of
other infectious diseases including malaria, hepatitis, and schistosomiasis; and high rates of food insecurity.
Machakos District Hospital is a high-volume district hospital that serves as the referral center for this area.
Sites in this area previously received modest support through the Kenya Medical Research Institute. CU-
ICAP was awarded a contract in October 2007 and has since expanded the number of sites that provide
HIV care from 11 to 33. As of April 2008 these sites have provided services for over 9,000 HIV+ persons.
CU-ICAP will support staff salaries, and provide training, laboratory evaluation, adherence counseling, and
monitoring. The activity will also support the training of 120 individuals in the provision of HIV-related
palliative care services.
The package of services provided to patients will include cotrimoxazole prophylaxis, treatment of
opportunistic infections, management of malnutrition, improved access to safe drinking water, and
interventions to reduce the risk of malaria. CU-ICAP will work closely with, and support the activities of the
Provincial AIDS and STI Coordinating Officer (PASCO) for the region (e.g., supporting regular meetings of
area providers).CU-ICAP will also support establishment/ strengthening of other regional activities, including
developing a system for quality control at Machakos District Hospital and the development of a regional
system for the transfer of blood samples/results to optimize the utilization of CD4 cell count machines. CU-
ICAP will also assist with development of a quality improvement program for the region and will assist the
National AIDS and STD Control Program (NASCOP) with implementation of a similar system at the national
level.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to the expansion of access to quality palliative care services for people with
HIV, strengthened human resource capacity to deliver HIV care services, and an improved referral network
for the provision of these services.
4. LINKS TO OTHER ACTIVITIES
These activities link closely to adult treatment, pediatric care and support, pediatrics treatment services and
TB/HIV services supported by this same partner, to PMTCT activities being implemented by AMREF, and
pediatrics demonstration project and training activities being implemented by Mildmay International.
5. POPULATIONS BEING TARGETED
These activities target people living with HIV/AIDS (i.e. adult men and women). Public health care providers,
including doctors, nurses, pharmacists, and laboratory workers are targeted for increased HIV care and
treatment knowledge and skills.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through community
sensitization activities.
7. EMPHASIS AREAS
This activity includes minor emphasis in commodity procurement, community mobilization, development of
networks/linkages/referral systems, human resources, local organization capacity development, logistics,
quality assurance and supportive supervision, strategic information and training.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14689
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14689 5271.08 HHS/Centers for Columbia 6908 4925.08 Eastern $332,000
Disease Control & University Province
Prevention Mailman School of
Public Health
7043 5271.07 HHS/Centers for To Be Determined 4925 4925.07 Eastern RFA
Disease Control &
Prevention
5271 5271.06 HHS/Centers for To Be Determined 3459 3459.06
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 $10,000
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, Pediatric care and
support, Pediatric ARV services, TB/HIV and PMTCT.
collaborative relationship with Machakos District Hospital and health facilities in other neighboring districts
to enhance and expand the antiretroviral treatment (ART) program in the southern region of the Eastern
Province of Kenya, providing treatment to 7,000 people with HIV (including 3,600 new patients), bringing the
total ever treated to 8,400 in 35 sites. Two hundred health care providers will receive ART training. This
region is characterized by moderately high rates of HIV (approximately 4%); high rates of other infectious
diseases including malaria, hepatitis, and schistosomiasis; and high rates of food insecurity. Machakos
District Hospital is a high-volume district hospital that serves as the referral center for this area. Sites in this
area previously received modest support through the Kenya Medical Research Institute and have
established good care and ART programs. CU-ICAP was awarded a contract in October 2007 and supports
staff salaries, training, laboratory evaluation, adherence counseling, and monitoring. Antiretroviral (ARV)
drugs will be supplied to the sites through the distribution system of the Mission for Essential Drugs and
Supplies (MEDS) and the Kenya Medical Supplies Agency (KEMSA).
CU-ICAP will work closely with and support the activities of the Provincial AIDS and STI coordinating Officer
(PASCO) for the region. These activities will include support for regular meetings of providers from sites in
the area. CU-ICAP will also support establishment/strengthening of other regional activities, including
developing a system for quality control at Machakos District Hospital, a regional system for transfer of blood
samples/results to optimize the utilization of the CD4 cell count machines, and a regional quality
improvement program.
3. CONTRIBUTION TO OVERALL PROGRAM AREA
These activities will contribute to expansion of ARV treatment for clinically qualified HIV-positive patients,
strengthened human resource capacity to deliver ARV treatment, and an improved referral network for
provision of ARV treatment.
This activity relates to adult care and support, pediatric care and support, pediatric treatment and TB/HIV
services supported by CU-ICAP at these same sites, PMTCT activities being implemented by AMREF, ART
services coordinated by and supported through the National AIDS and STD Control Program, and pediatric
and training activities being implemented by Mildmay International.
These activities target people living with HIV/AIDS. Public health care providers, including doctors, nurses,
pharmacists, and laboratory workers are targeted for increased HIV care and treatment knowledge and
skills.
This activity includes minor emphases in commodity procurement, community mobilization, development of
Continuing Activity: 14691
14691 5274.08 HHS/Centers for Columbia 6908 4925.08 Eastern $1,000,000
8983 5274.07 HHS/Centers for To Be Determined 4925 4925.07 Eastern RFA
5274 5274.06 HHS/Centers for To Be Determined 3459 3459.06
Table 3.3.09:
ACTIVITY UNCHANGED FROM COP 2008:
This activity relates to activities in ARV Services (#8983), TB/HIV (#8761), and PMTCT (#6837).
Columbia University's International Centre for AIDS Care and Treatment (CU-ICAP) will expand a
collaborative relationship with Machakos District Hospital and 34 health facilities in other neighboring
districts to enhance and expand the pediatric HIV care program in the southern region of the Eastern
Province of Kenya, providing pediatric HIV care 2,500 children. This region is characterized by moderately
high rates of HIV (approximately 4%); high rates of other infectious diseases including malaria, hepatitis,
and schistosomiasis; and high rates of food insecurity. Machakos District Hospital is a high-volume district
hospital that serves as the referral center for this area. Sites in this area previously received modest support
through the Kenya Medical Research Institute. CU-ICAP was awarded a contract in October 2007and have
established quality care programs that are providing pediatric HIV care for approximately 1,000 children as
of April 2008. CU-ICAP will support staff salaries, training, laboratory evaluation, adherence counseling,
and monitoring. This activity will also support the training of 60 individuals in the provision of pediatric HIV-
related care services. The package of services provided to children will include cotrimoxazole prophylaxis,
treatment of opportunistic infections, management of malnutrition, improved access to safe drinking water,
and interventions to reduce the risk of malaria. Emphasis will be placed on identifying more HIV infected
children through Early Infant Diagnosis and rapid testing through provider initiated testing (PITC) in and
outpatient settings and to children of HIV positive patients receiving care and treatment services. CU-ICAP
will work closely with, and support the activities of, the Provincial AIDS and STI coordinating Officer
(PASCO) for the region (e.g., supporting regular meetings of area providers). CU-ICAP will also support
establishment/strengthening of other regional activities, including developing a system for quality control at
Machakos District Hospital and the development of a regional system for transfer of blood samples/results
to optimize the utilization of CD4 cell count machines. In addition, CU-ICAP will assist with development of a
quality improvement program for the region as well as assisting the National AIDS and STD Control
Program (NASCOP) with implementation of a similar national level system.
These activities will contribute to the expansion of access to quality pediatric HIV care services, strengthen
human resource capacity to deliver pediatric HIV care services, and improve the referral network for the
provision of these services.
These activities link closely to ARV services (#8983), pediatric ARV services, adult care and support and
TB/HIV services (#8761) supported by this same partner, to PMTCT activities being implemented AMREF
(#6837), and training activities being implemented by Mildmay International.
These activities target people living with HIV/AIDS, including HIV positive infants (0 - 5 years), children (6 -
14 years), and adult men and women. Public health care providers, including doctors, nurses, pharmacists,
and laboratory workers are targeted for increased HIV care and treatment knowledge and skills.
Table 3.3.10:
This activity relates to activities in Palliative Care: Basic Health Care and Support (#7043), TB/HIV (#8761),
pediatric care and support and PMTCT (#6837).
Columbia University's International Centre for AIDS Care and Treatment programs (CU-ICAP) will expand a
to enhance and expand the pediatric antiretroviral treatment program in the southern region of the Eastern
Province of Kenya, providing treatment to 800 children below 15 years with HIV (including 300new
patients), bringing the total ever treated to 960 in 33 sites. Sixty 60 health care providers will receive ART
training. This region is characterized by moderately high rates of HIV (approximately 4%); high rates of
Sites in this area previously received modest support through the Kenya Medical Research Institute and
have established good pediatric care and antiretroviral treatment (ART) programs. Funds will support staff
salaries, training, laboratory evaluation, adherence counseling, and monitoring. ARVs will be supplied to the
sites through the distribution system of the Mission for Essential Drugs and Supplies (MEDS) and the Kenya
Medical Supplies Agency (KEMSA). CU-ICAP will work closely with and support the activities of the
Provincial AIDS and STI Coordinating Officer (PASCO) for the region. These activities will include support
for regular meetings of providers from sites in the area. CU-ICAP will also support
Machakos District Hospital, a regional system for transfer of blood samples/results to optimize the utilization
of the CD4 cell count machines, and a regional quality improvement program.
These activities will contribute to expansion of ARV treatment for clinically qualified HIV-positive children,
strengthened human resource capacity to deliver ARV treatment, and an improved referral network for the
provision of pediatric ARV treatment.
This activity relates to adult care and support, Adult ARV services, pediatric care and support and TB/HIV
services supported by TBD at these same sites, PMTCT activities being implemented by AMREF, ART
services coordinated by and supported through the National AIDS and STD Control Program (#7004), and
training activities being implemented by Mildmay International (#6991).
These activities target people (adults, children, infants) living with HIV/AIDS. 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,
Table 3.3.11:
This activity relates to activities in Palliative Care: Basic Health Care and Support , ARV Services , Pediatric
ARV services, Pediatric care and support, and Counseling and Testing.
Columbia University's International Centre for AIDS Care and Treatment (CU-ICAP) will support TB/HIV
services for patients in 33 sites in the southern region of Eastern province of Kenya. TB screening will be
offered to 11,500 HIV patients and HIV screening for 1,500 TB patients as a standard of care at the
facilities; approximately 750 patients will be diagnosed as co-infected with 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 of TB testing. Fifty health care workers will be trained to provide clinical
prophylaxis and/or treatment for TB to HIV-infected individuals. CU-ICAP will maintain data concerning the
numbers of people served and will report both nationally and through the Emergency Plan.
These activities will contribute towards the provision of integrated HIV/TB for co-infected patients 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, Adult antiretroviral (ARV) services,
Pediatric care and support, Pediatric ARV services currently supported by this partner, and Counseling and
Testing activities supported by JHPIEGO.
pharmacists, laboratory workers will receive training in the diagnosis and management of TB using
government guidelines
This activity includes minor emphases in commodity procurement, human resources, local organization
capacity development, quality assurance, quality improvement and supportive supervision, and training.
Continuing Activity: 14690
14690 8761.08 HHS/Centers for Columbia 6908 4925.08 Eastern $300,000
8761 8761.07 HHS/Centers for To Be Determined 4925 4925.07 Eastern RFA
Table 3.3.12:
