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:
+More emphasis on decentralization of HIV care and treatment as well as TB services through capacity
building and task shifting, male involvement through targeted couple counseling, greater involvement of
HIV+ mentor mothers and quality improvement through standards based management and recognition.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key attributions in human capacity development through the training of health care
service providers on PMTCT and other HIV prevention and care topics in order to equip them with
knowledge and skills to provide quality PMTCT services. These service providers include Doctors, Nurses,
Clinical Officers, Nutrition Officers and Health Record clerks. The activity will also support hiring of health
workers and other key staffs to fill critical gaps in service delivery.
COP 2008
The current agreement with Indiana University has come to an end and the prime partner may change once
the competition process is concluded. The funding mechanism will be Moi University School of Medicine
Network (MUSM)/TBD.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in USAID/AMTATH MUSM Network Palliative Care: TB/HIV, Palliative Care:
Basic Health Care and Support, USAID/AMTATH MUSM Network HIV/AIDS Treatment: ARV Services,
USAID/AMTATH MUSM Network OVC, and USAID/AMTATH MUSM Network Counseling and Testing.
2. ACTIVITY DESCRIPTION
The Moi University School of Medicine (MUSM) Network is a broad initiative by Moi University Faculty of
Health Sciences (MUFHS) and Moi Teaching and Referral Hospital (MTRH) in collaboration with Indiana
University School of Medicine (IUSM) and other academic centers. USAID/AMPATH MUSM Network is a
comprehensive program of HIV treatment, prevention, community mobilization, Counseling and Testing
(CT), Prevention of Mother-To-Child HIV transmission infection (PMTCT), PMTCT-Plus, nutritional support,
on the job training, and outreach activities. The Emergency Plan (EP) and private foundations fund this
project. Through this project, 56,420 (91%) of 61,834 pregnant women in the targeted sub-locations will
receive counseling and testing and 2469 (92%) of 2681 HIV infected women will receive ARV prophylaxis.
Of these 1235 will receive AZT/NVP, 493 will receive HAART and 741 will receive NVP only. 1235 of
exposed babies will receive EID for HIV. 90% of HIV-infected pregnant women will be enrolled in the
PMTCT+ program. More effort will be put towards monitoring and evaluation of the PMTCT program.
Additionally, at least 28,210 (50%) of spouses of HIV-infected pregnant women will be offered CT in an
effort to treat entire families. This is a key outcome of successful PMTCT. USAID/AMPATH MUSM Network,
MUFHS, and MTRH will use Emergency Plan funds to expand PMTCT services and teach the skills to
medical students. In 2009 this program will be continued and expanded to additional health facilities under
USAID/AMPATH MUSM Network within Rift Valley, Nyanza and Western Provinces to a total 130 health
facilities. These facilities will counsel and test 56,420 pregnant women and provide antiretroviral prophylaxis
for 2469 HIV-positive women. 175 health workers will be trained to provide PMTCT services.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
USAID/AMPATH MUSM Network in the Rift Valley region will contribute 4.3% of the PEPFAR target of
1,300,000 for PMTCT primary prevention and care. Planned activities will improve equity in access to HIV
prevention and care services in underserved rural communities. USAID/AMPATH MUSM Network will help
ensure there are adequate networks and linkages between their sites and other medical sites where AIDS
care and treatment are available for both adults and children. These activities will contribute to increased
access to CT services, particularly among underserved and high risk populations and result in increased
availability of diagnostic counseling and testing services in medical settings to identify the large numbers of
HIV infected patients who are potential candidates for ART.
4. LINKS TO OTHER ACTIVITIES
The PMTCT activities of the USAID/AMPATH MUSM Network in the Rift Valley region relate to
USAID/AMPATH MUSM Network Palliative Care: TB/HIV, Palliative Care: Basic Health Care and Support,
USAID/AMPATH MUSM Network HIV/AIDS Treatment: ARV Services, and USAID/AMPATH MUSM
Network Counseling and Testing. PMTCT services include counseling and testing which is largely
diagnostic, provision of ARV prophylaxis, and appropriate referrals for the management of opportunistic
infections and HIV/AIDS treatment.
5. POPULATIONS BEING TARGETED:
This activity targets the general population, adults of reproductive health age, pregnant women, family
planning clients, University students, infants, and HIV positive pregnant women and special populations
such as discordant couples. Behavior Change and Communication (BCC) activities will involve community
leaders and community based organizations to increase demand for services amongst community
members. Strategies to improve quality of services will target health care providers in public health facilities
including doctors, nurses, mid wives and other health care workers such as clinical officers and public
health officers. The program will also target traditional birth attendants.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity will increase gender equity in programming through PMTCT services targeted to pregnant
women and their spouses. USAID/AMPATH MUSM Network will continue providing nutritional support
through its HIV farm as well as microfinance and micro credit activities. Increased availability of PMTCT
services will help reduce stigma and discrimination at community and facility level.
7. EMPHASIS AREAS
This activity includes emphasis on human capacity development through training, supportive supervision
and task shifting. Minor emphasis will be placed on community mobilization, development of
networks/linkages systems such as the nutritional programs, and local MUFHS, and MTRH organizational
capacity development and quality assurance, quality improvement and supportive supervision.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14827
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14827 4233.08 U.S. Agency for Indiana University 6953 521.08 USAID- $970,000
International AMPATH
Development Partnership
6898 4233.07 U.S. Agency for Indiana University 4230 521.07 $3,050,000
International School of
Development Medicine
4233 4233.06 U.S. Agency for Indiana University 3254 521.06 $350,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
* Safe Motherhood
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $78,225
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
1.ACTIVITY DESCRIPTION & EMPHASIS AREAS
The Academic Model for Prevention and Treatment of HIV/AIDS (AMPATH) is a partnership between Moi
University's School of Medicine, Moi Teaching & Referral Hospital, Kenya's Ministry of Health and a
consortium of US Universities led by Indiana University. The program was established in November 2001
with the goal of creating a comprehensive model for HIV prevention, treatment and care across both rural
and urban settings in western Kenya. In March 2006, AMPATH established community mobilization
services aimed at enhancing HIV prevention by employing strategies that capture infected individuals early.
These strategies also empowered individuals to make informed decisions in regard to HIV prevention,
treatment and care. This was achieved through: training and awareness creation in HIV/AIDS targeting
community owned persons, health care workers and the youth; HIV/AIDS sensitization in schools;
workplace HIV/AIDS programs; Major HIV campaigns targeting entire community members; mobile
counseling and testing services targeting specific risk groups e.g. commercial sex workers, truck drivers,
inmates and members of uniformed forces, talk shows on local FM radio stations. AMPATH, in
collaboration with key stakeholders, will target interventions aimed at intensifying its efforts in HIV
prevention. AMPATH will reach 136,632 people with AB messages utilizing 949 trainers. Prevention
activities will focus on youth by conducting HIV/AIDS awareness campaigns and school outreach programs.
These will be intensified with the aim of reaching more youths by introducing youth friendly programs that
will entail regular school outreach visits targeting primary and secondary school children with AB messages;
Outreach programs targeting colleges and other training institutions with ABC messages; Condom
distribution in colleges and training institutions; integrating prevention messages in mobile CT services
targeting colleges and other training institutions; reach out of school youth through community based
activities such as sporting events, youth fun days and through other organized youth groups. The program
will also develop workplace programs that focus on HIV sensitization workshop to management and
employees; training for peer educators; regular mobile CT services to employees; facilitate the development
of HIV/AIDS workplace policies; the target will be to establish HIV/AIDS workplace programs by at least 2
companies/industries in each AMPATH site each year. Through OP activities, AMPATH will establish 261
condom outlets; and reach 290,706 people with OP messages by 864 trainers. AMPATH will establish CSW
programs in all its sites within the main Nairobi-Uganda highway. This include Eldoret, Turbo, Webuye,
Teso/Amukura and Busia, activities will include: moonlight CT which integrates prevention messages;
monthly educational meetings for CSW to cover condom use, safe sexual practices, importance of HIV
testing and other related topics; and training of CSW as peer educators. The program will target having one
(1) moonlight CT one (1) CSW meeting per site each quarter. Clients of CSWs will also be targeted.
AMPATH will identify discordant couples through a variety of HIV testing outlets, including home-based CT.
These couples will be enrolled into the care program but at the same time counseled on various HIV
preventive measures including condom use. Family planning services, through promotion of access to safe
family planning methods will also be done, utilizing non PEPFAR funds. AMPATH, in collaboration with the
National Prevention with Positives (PwP) working group, will establish PwP programs as outlined in the
National PwP Guidelines. While doing this, Regular meeting with infected persons will be conducted to
heighten the efforts of prevention among positives. During such meetings, condoms and IEC materials will
be distributed.
2.CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will contribute significantly to the overall 2009 Emergency Plan STP targets for Kenya.
Integrating prevention into all community outreach for treatment and care, MARP outreach, CT outlets and
PwP, will significantly contribute to PEPFAR goals for STP.
3. LINKS TO OTHER ACTIVITIES
This activity relates to activities in Counseling and Testing (#), TB/HIV (#), and PMTCT (#).
4. POPULATIONS BEING TARGETED
This activity targets both in- and out-of-school youth for abstinence and both adults and youth for being
faithful. Special emphasis will be placed on reaching PLWA with PwP, MAPRS, discordant couples and
involvement of community. Counterparts from NGOs, CBOs, FBOs and schools will be targeted for training
to implement prevention programs.
5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
N/A
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.02:
1. ACTIVITY DESCRIPTION & EMPHASIS AREAS
The Academic Model for Prevention And Treatment of HIV/AIDS (AMPATH) is a partnership between Moi
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity relates to activities in Counseling and Testing, TB/HIV, and PMTCT.
Table 3.3.03:
This PHE activity, "Models of Patient Outreach in East Africa: Their Clinical Impact and Cost-Effectiveness"
was approved for inclusion in the COP. The PHE tracking ID associated with this activity is KE.09.0240.
This PHE is NEW in COP 09.
Estimated amount of funding that is planned for Public Health Evaluation $471,698
Table 3.3.08:
ACTIVITY UNCHANGED FROM COP 2008
This activity supports key cross-cutting attributions in human capacity development through its training
program for health workers ($50,000).
This activity relates to activities in Counselling and Testing, Paediatric Care and Treatment, TB/HIV and
PMTCT.
In COP 2009 supported activities will include: strengthening of the regional referral canter (Moi Teaching
and Referral Hospital) to serve as a referral centre for HIV/AIDS care, including strengthening of laboratory
capacity and management of complicated medical cases, and establishment of quality and best practice
standards for HIV care. Patient referrals and linkages with other services such as TB, VCT and PMTCT
programs will be supported through this partner and other Emergency Plan partners. During this period,
more patients will be enrolled into care in the clinics. In order to ensure quality care for adult HIV patients at
facility level health workers will be sensitized on nutritional assessment, psychosocial HIV counselling, and
to strengthen prevention and treatment of opportunistic infections including malaria and diarrhoeal diseases,
the project will train health care workers on the management of opportunistic infections, and will distribute
free cotrimoxazole to eligible HIV infected adults. The project will also support the sites with Job Aids to
enhance correct protocol use in the management of OIs, and will support the sites with emergency stocks of
drugs for both prevention and treatment of opportunistic infections including Cotrimoxazole, fluconazole,
antibiotics, anti-diarrhoeal and anti-protozoa's. This will improve monitoring of patients on care and
treatment of Opportunistic Infections. AMPATH will also support and strengthen hospital capacity to offer
end of life care.
By September 30, 2010, this activity will have provided care and support to more than 88,000 HIV-infected
adult patients, thus contributing significantly to the USG targets for this program area. This activity will
support the expansion of palliative care services and the training of key individuals in the provision of HIV-
related palliative care services.
These activities support and link to the network centre at Moi Teaching and Referral Hospital, and link to
other services such as TB/HIV, PMTCT, CT and Paediatric Care and Treatment programs supported
primarily by this partner. There are well-established links with other services supported by this and other
partners for example, diagnostic testing for HIV among TB patients, orphan support programs and other
community services.
5. POPULATIONS BEING TARGETED
The main populations targeted by this activity are people living with HIV/ AIDS, HIV positive pregnant
women and their families. Other populations targeted are health workers who will benefit from training in
order to enhance service provision.
6. KEY LEGISLATIVE ISSUES
The main legislative issues addressed in this activity are access, stigma and discrimination and gender. The
program uses novel approaches to the support of treatment, and provides business skills training and
promotes micro-enterprise for HIV infected patients, especially women. These approaches are designed to
reduce stigma against persons living with AIDS and increase gender equity.
The major emphasis area in this activity is training of health workers, with two minor emphasis areas being
infrastructure improvement and community mobilization/ participation by use of PLWHA in care activities.
Continuing Activity: 14828
14828 5103.08 U.S. Agency for Indiana University 6953 521.08 USAID- $2,000,000
6901 5103.07 U.S. Agency for Indiana University 4230 521.07 $1,400,000
5103 5103.06 U.S. Agency for Indiana University 3254 521.06 $500,000
Estimated amount of funding that is planned for Human Capacity Development $50,000
program for health workers ($250,000).
This activity relates to activities in Counselling and Testing, Palliative Care: Basic Health Care and Support,
Paediatric Care and Treatment, TB/HIV and PMTCT.
The Academic Model for the Prevention and Treatment of HIV/AIDS (AMPATH) is a broad initiative by Moi
University School of Medicine, Moi Teaching and Referral Hospital, Indiana University School of Medicine
and other US academic medical centres. Moi University Faculty of Health Sciences (MUFHS) is one of two
schools of medicine, nursing and public health in Kenya. Indiana University School of Medicine (IUSM) has
collaborated with MUFHS since MUFHS' inception in 1990. AMPATH is one of the most successful HIV
treatment programs in Kenya. AMPATH is currently supporting a total of 18 HIV/AIDS care clinics and
screening programs, plus another 8 satellite facilities that are associated with these centers. In the 2009
COP period, supported activities will include strengthening of the regional referral center to serve as a
referral centre for HIV/AIDS care, including improving of laboratory capacity and management of
complicated medical cases such as those failing first line ART. AMPATH encompasses a balance of HIV
prevention and treatment within a framework of education, research, and clinical service to ensure its
relevance and sustainability in Kenya. In addition 150 health care workers will receive training.
AMPATH will provide antiretroviral treatment to more than 6,000 newly initiating adult patients, those who
will have ever been on ART will be 51,120, while 42,600 adult patients will be actively receiving ART. These
activities will contribute to the results of expansion of ARV treatment for clinically qualified HIV-positive
patients, strengthened human resource capacity to deliver ARV treatment, and a strengthened referral
network for provision of ART.
Indiana University/ AMPATH's program in Counselling and Testing, Palliative Care: Basic Health Care and
Support, Paediatric Care and Treatment TB/HIV, and PMTCT. There are well-established links with other
services supported by this and other partners for example; provider initiated counselling and testing for HIV
among TB patients as well as long-term ART follow-up for HIV infected mothers and their infants.
The main legislative issues addressed in this activity are stigma and discrimination and gender. These
issues are addressed through a program called the "Family Preservation Initiative" that provides business
skills training and promotes micro enterprises for HIV infected patients, especially women. 7. EMPHASIS
AREAS The major emphasis area in this activity is training of health workers, with two minor emphasis
areas in infrastructure improvement and community mobilization/ participation.
Continuing Activity: 14832
14832 4234.08 U.S. Agency for Indiana University 6953 521.08 USAID- $6,800,000
6899 4234.07 U.S. Agency for Indiana University 4230 521.07 $11,200,000
4234 4234.06 U.S. Agency for Indiana University 3254 521.06 $7,845,000
Estimated amount of funding that is planned for Human Capacity Development $250,000
Table 3.3.09:
This PHE activity, "Modified Directly Observed Combination Antiretroviral Therapy (M-DcART): A nurse-
based, home-centered strategy to reduce mortality and loss to follow-up in high-risk HIV-infected patients"
was approved for inclusion in the COP. The PHE tracking ID associated with this activity is KE.09.0241.
Estimated amount of funding that is planned for Public Health Evaluation $194,650
ACTIVITY UNCHANGED FROM COP 2008:
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS:
program for health workers ($30,000) and Food and Nutrition by providing nutritional assessments and
food/nutritional supplements directly to project beneficiaries and/or linking them to other programs as
appropriate ($30,000).
This activity relates to activities in Counselling and Testing (#8758), ARV Services (#6899, #7004),
Palliative Care: TB/HIV(#6900) and PMTCT (#6898).
In the COP 2009 period, supported activities will include: strengthening of the regional referral centre (Moi
Teaching and Referral Hospital) to serve as a referral center for HIV/AIDS care for children, including
improving of laboratory capacity and management of complicated medical cases, and establishment of
quality and best practice standards for pediatric HIV care. Patient referrals and linkages with other services
such as TB, PITC and PMTCT programs will be supported through this partner and other Emergency Plan
partners. During this period, a total of 11,000 children will be enrolled into care in the clinics. Support at
ongoing and satellite sites will include MOH supervision and progress review meetings as well as
strengthen quality assurance, especially with regard to integrating HIV services with PMTCT services,
paediatric psychosocial support and the AMPATH Medical Report System-AMRS. At satellite sites, service
providers will receive training in paediatric HIV care and treatment. Efforts will be made to strengthen and
scale up early infant diagnosis through training of service providers and support for transportation of dry
blood spot (DBS) samples for DNA Polymerase Chain Reaction (PCR) at the AMPATH central laboratory in
MTRH. Paediatric care at the CCCs will be expanded to link and network other entry points such as the out-
patient departments, in-patient departments, paediatric psychosocial services, PMTCT and the robust
community services such as the home-based care program, the cough monitor project and the Home
Counselling and Testing (HCT) Initiative which is currently ongoing at a number of sites. Efforts will be
made to decentralize services so that children get treatment where they are presenting for care. Laboratory
costs are often a hindrance to uptake of services and AMPATH will continue to facilitate laboratory
networks, support laboratory reagents and equipment that improve uptake of treatment services. It is
expected that 11,000 paediatric clients will be receiving HIV care and support at the end of this reporting
period at these sites. The project will continue to support clinical staff, continuous medical education,
mentorship, on site technical assistance, furniture and equipment at constituent health facilities. This activity
will cover 18 sites and train 120 health care workers.
By September 30, 2010, this activity will have provided care and support to more than 11,000 HIV-infected
paediatric patients, thus contributing significantly to the USG targets for this program area. This activity will
other services such as TB/HIV (#6900), PMTCT (#6898), CT (#8758) and Adult treatment Services (#6899)
programs supported primarily by this partner. There are well-established links with other services supported
by this and other partners for example, diagnostic testing for HIV among TB patients, orphan support
programs and other community services.
The main populations targeted by this activity are children living with HIV/AIDS and their families. Other
populations targeted are health workers who will benefit from training in order to enhance service provision.
The main legislative issues addressed in this activity are stigma and discrimination and access to care. The
program uses novel approaches to the support of patients. These approaches are designed to improve
social and economic security in addition to health.
Estimated amount of funding that is planned for Human Capacity Development $30,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $30,000
and Service Delivery
Table 3.3.10:
program for health workers ($50,000) and Food and Nutrition by providing nutritional assessments and
appropriate ($50,000).
This activity relates to activities in Counselling and Testing (#8758), Paediatric Care and Support, Adult care
and Treatment, TB/HIV (#6900), and PMTCT (#6898).
The Academic Model for the Prevention and Treatment of HIV/AIDS (AMPATH) is a broad initiative by the
Moi University School of Medicine, Moi Teaching and Referral Hospital, Indiana University School of
Medicine and other US academic medical centers. Moi University Faculty of Health Sciences (MUFHS) is
one of two schools of medicine, nursing and public health in Kenya. Indiana University School of Medicine
(IUSM) has collaborated with MUFHS since its inception in 1990. AMPATH is one of the most successful
HIV treatment programs in Kenya. By July 2006, AMPATH had opened a total of 18 HIV/AIDS care clinics
and screening programs. In the 2009 COP period, supported activities will include strengthening of the
regional referral center to serve as a referral center for HIV/AIDS care, including strengthening of laboratory
capacity and management of complicated medical cases such as those failing first line antiretroviral
treatment (ART). AMPATH encompasses a balance of HIV prevention and treatment within a framework of
education, research, and clinical service to ensure its relevance and sustainability in Kenya. Support at
ongoing and satellite sites will include Ministry of Health supervision and progress review meetings as well
as strengthen quality assurance, especially with regard to integrating HIV services with TB services,
psychosocial support and the AMPATH Medical Report System-AMRS. At satellite sites, service providers
will receive training in paediatric HIV care and treatment. Efforts will be made to strengthen and scale up
early infant diagnosis through training of service providers and support for transportation of dry blood spot
(DBS) samples for DNA Polymerase Chain Reaction (PCR) at the AMPATH central laboratory in MTRH.
Treatment at the CCCs will be expanded to link and network other entry points such as the out-patient
departments, in-patient departments, paediatric psychosocial services, PMTCT and the robust community
services such as the homecare program, the cough monitor project and the Home Counselling and Testing
(HCT) Initiative which is currently ongoing at a number of sites. Efforts will be made to decentralize services
so that patients get treatment where they are presenting for care. Laboratory costs are often a hindrance to
uptake of services and AMPATH will continue to facilitate laboratory networks, support laboratory reagents
and equipment that improve uptake of treatment services. It is expected that 1,500 paediatric clients will
newly initiated on ART, with 5,160 as cumulative ART paediatric clients and 4,300 paediatric clients will be
receiving at the end of this reporting period at these sites. The project will continue to support clinical staff,
continuous medical education, and mentorship, on site technical assistance, furniture and equipment at
constituent health facilities. This activity will cover 18 sites and train 120 health care workers.
AMPATH will provide antiretroviral treatment to 5,160 HIV infected children. These activities will contribute
to the results of expansion of ARV treatment for clinically qualified HIV-positive children, strengthened
human resource capacity to deliver paediatric HIVARV treatment, and a strengthened referral network for
provision of ART.
These activities support and link to the network center at Moi Teaching and Referral Hospital, and link to
Indiana University/ AMPATH's program in Counselling and Testing (#8758), Paediatric Care and Support
(#____), Adult care and Treatment (#___, #___) TB/HIV (#6900), and PMTCT (#6898). There are well-
established links with other services supported by this and other partners for example; diagnostic testing for
HIV among TB patients, long-term ART follow-up for HIV infected mothers and their infants.
The main populations targeted by this activity are children living with HIV/ AIDS, HIV positive pregnant
skills training and promotes micro enterprises for HIV infected patients, especially women.
The major emphasis area in this activity is training of health workers, with two minor emphasis areas in
infrastructure improvement and community mobilization/ participation.
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $50,000
Table 3.3.11:
This PHE activity, "Evaluation of a Comprehensive Strategy to Measure Pediatric Adherence to
Antiretroviral Therapy" was approved for inclusion in the COP. The PHE tracking ID associated with this
activity is KE.09.0236. This PHE is NEW in COP 09.
Estimated amount of funding that is planned for Public Health Evaluation $185,002
+ Indiana University has been selected as the prime partner to implement this activity under the USAID-
AMPATH partnership.
This activity supports key cross-cutting attributions in human capacity development through its mentorship
and training program that targets health workers ($150,000).
other services such as Counselling and Testing , Adult Care and Treatment, Paediatric Care and Treatment
and PMTCT supported primarily by this partner.
The overall objective of the USAID-AMPATH HIV/TB care project is to decrease the prevalence of TB in all
areas served and integrate care of co-infected patients into a comprehensive program that meets the
objectives of the Division of Leprosy, Tuberculosis and Lung Diseases (DLTLD) and NASCOP. To meet
these objectives, the activity will implement the following interventions;
a) Case Finding: Expand the very successful case finding model in Uasin Gishu District to all clinic
communities. The model deploys community-based cough monitors who are dually trained at sputum
collection and Provider Initiated Testing and Counselling (PITC) for HIV. In combination with improved
training of Ministry of Health laboratory personnel and patient follow up, this model has demonstrated very
cost-effective case finding and over 90% adherence through completion of TB treatment. In addition, PITC
is provided to all TB infected patients. All co-infected patients are referred to the nearest HIV/TB clinic for
care.
b) Care of the co-infected: project physicians and clinical officers will provide comprehensive HIV/TB
management in all clinics. All providers will undergo additional training on DLTLD guidelines and all national
registration and reporting procedures will be observed. DLTLD staff will be integrated into the clinic in an
effort to improve reporting and patient convenience. Providers with additional expertise in managing the co-
infected patient will be available to all clinics for consultation.
c) Contact tracing and outreach: In an effort to further reduce the prevalence of active TB surrounding
project service areas, an active program of contact tracing will be initiated. Home visits will be offered to all
co-infected patients and a dually trained DTC/cough monitor to perform home rapid testing for HIV and
sputa collection for AFB smear will do the visit. In addition, a cough monitor in the field will visit the index
patient every two weeks to check on adherence and provide health information. Where necessary, the
cough monitor will provide transport support for all HIV infected patients and their children to the nearest
TB/HIV clinic.
This activity will lead to the identification and care of 5,000 TB/HIV co-infected patients in the AMPATH
service areas by September 2010. These activities will contribute to the results of expansion of ARV
treatment for clinically qualified TB/HIV co-infected patients, as well as regular screening of HIV positive
patients for TB infection.
AMPATH TB/HIV care activity will provide clinical prophylaxis and treatment for TB to 2500 HIV patients,
HIV counselling and testing to 5000 TB patients and train 200 health workers in TB/HIV related activities in
18 health care facilities in Coast Province
other services such as Counselling and Testing, Adult Care and Treatment, Paediatric Care and Treatment
The main populations being targeted by this activity are TB/ HIV co-infected patients and health workers.
6. EMPHASIS AREAS The main emphasis areas are task shifting by use of community-based cough
monitors who are dually trained at sputum collection and diagnostic counselling and testing (DTC) for HIV.
A minor emphasis area is training for health workers.
Continuing Activity: 14829
14829 4235.08 U.S. Agency for Indiana University 6953 521.08 USAID- $1,200,000
6900 4235.07 U.S. Agency for Indiana University 4230 521.07 $1,350,000
4235 4235.06 U.S. Agency for Indiana University 3254 521.06 $300,000
Estimated amount of funding that is planned for Human Capacity Development $150,000
Table 3.3.12:
+Prime partner Indiana University has been competitively selected to implement the activity.
+EP will support the AMPATH's expansion of its existing OVC program from the five sites (Eldoret,
Mosoriot, Burnt Forest, Port Victoria and Turbo) to other AMPATH catchment areas within Rift Valley and
Nyanza province. Priority will be provided to areas with high volumes of OVC as will have been identified
through the Home-based Counseling and Testing (HCT) that is currently on-going at AMPATH.
+Activity will establish a safety net of services to OVC within the targeted catchment areas.
+Activity will create a computerized OVC data repository and will develop unique encounter forms tailored
for each staff encounter with OVC.
+Activity will create a virtual research laboratory for introduction of new models of care with special attention
to the most cost effective means of improving meaningful outcomes for OVC.
+ 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; EP will test 90% of OVC enrolled; targeting approximately 9,000 with testing and
counseling. Of those tested, approximately 720 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.
+ 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.
+ The Muangalizi component of the program 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.
+In 2009, the activity will focus on establishing appropriate linkages with PMI and ensure that OVC being
supported by EP are also able to benefit from mosquito nets procured by PMI.
This activity will support key cross cutting attributions of the budget amounting to $21,000 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 $35,000. A further $7,000 will be attributed
to provision of safe water guards for households looking after OVC.
1.LIST OF RELATED ACTIVITIES
The APHIA II Coast orphans and vulnerable children activities will relate to HIV/AIDS treatment services
(#8813), counseling and testing (#8781), Other Prevention (#8930), HBHC (#8934), TB/HIV care activities
(#9062), AB (#8950) and PMTCT (#8764).
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. These "accompagnateurs" will be trained
to be on watch 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.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA.
This activity therefore seeks to provide comprehensive support to 10,000 orphans and vulnerable children
and their households directly and through leveraged resources from other partners in the region and also
train 900 caregivers. This will contribute significantly to the overall 2009 emergency plan targets for Kenya.
This activity links to APHIA Rift Valley other activities in Abstinence and Be Faithful (#9070), Counseling
and Testing (#8776), Palliative Care: basic health care (#9065), PMTCT (#8733), TB/HIV (#9065), Other
Prevention (#9040), and ARV (#8797) that are intended to enhance service delivery and linkages between
the community and service delivery sites as well as strengthening the referral network for care.
Activity Narrative: This activity targets people affected by HIV/AIDS and specifically orphans and vulnerable children and also
caregivers of OVC. In addition this activity will target the community including community leaders and
religious leaders as well as community based and faith based organizations in the capacity development of
the community to serve the needs of the OVC.
6. KEY LEGISLATIVE ISSUES BEING ADDRESSED
This activity will address mainly issues in gender, particularly for the girl child, as they relate to issues of
child labor, increasing women and girls access to income and productive resources and addressing the
issues of inheritance rights and protection of property rights for children and women. Wrap- around issues
as they relate to food and education will also be addressed.
7. EMPHASIS AREAS.
The major emphasis area will be in community mobilization/participation with minor emphasis in the area of
local organization capacity development.
Continuing Activity: 14830
14830 12474.08 U.S. Agency for Indiana University 6953 521.08 USAID- $550,000
12474 12474.07 U.S. Agency for Indiana University 4230 521.07 $300,000
* Increasing women's access to income and productive resources
Estimated amount of funding that is planned for Economic Strengthening $21,000
Estimated amount of funding that is planned for Education $35,000
Estimated amount of funding that is planned for Water $7,000
Table 3.3.13:
+ Target population will be expanded to include testing for OVC
+ HBCT services will be provided in AMPATH Area in Rift Valley.
This activity is related to activities in PMTCT, Palliative Care: Basic Health Care, TB/HIV and ARV.
In 2009 this activity will provide counseling and testing services to 250,000 individuals through 18 outlets
and train 300 providers in PITC, VCT and HBCT. PITC programs will be expanded. For those clients that
will be diagnosed with HIV, appropriate referrals are planned for the management of opportunistic infections
and HIV/AIDS treatment using the existing AMPATH network of HIV care and treatment sites.
In 2009, this activity will provide counseling and testing services to 250,000 people through the broadened
entry points which include the clinical care settings through the provider initiated testing (PIT) and the
traditional VCT sites, both integrated and free standing. The MOH already has an approved HIV testing
serial testing protocol using whole blood and simple rapid tests. Previous efforts concentrated on diagnostic
testing mainly of patients who had clinical indications of AIDS. This time, all clients visiting health facilities
for different services will be given an opportunity to know their HIV status as a routine test in the package of
care. This will be strengthened further through routine counseling and testing of TB and STI patients. Also
previous efforts concentrated on integrating HIV testing in level III and IV health care facilities. This will be
scaled up to the lower level health facilities especially in Districts where CC-ART sites have been
decentralized.
These activities will contribute to increased access to CT services, particularly among underserved and high
risk populations and result in increased availability of diagnostic counseling and testing services in medical
settings to identify the large numbers of HIV infected patients who are potential candidates for ART.
The CT activities of the AMPATH in the Rift Valley region relate to AMPATH's Palliative Care activities, ARV
services, PMTCT and TB/HIV services.
This activity targets the general population, adults of reproductive health age, pregnant women, high risk
children family planning clients, University students, infants, and HIV positive pregnant women. Behavior
Change and Communication (BCC) activities will involve community leaders and community based
organizations to increase demand for services amongst community members. Strategies to improve quality
of services will target health care providers in public health and private facilities including lay counselors,
nurses, mid wives and other health care workers such as clinical officers and public health officers. This
activity will also target most at risk populations like commercial sex worker, discordant couples and street
youth.
It is envisaged that increased availability of Counseling and Testing services will help reduce stigma and
discrimination at community and facility level.
The major emphasis for this activity is in home-based counseling and testing, quality assurance and
supportive supervision. This activity supports the development and implementation quality assurance and
supportive supervision for CT counselors. Other minor emphasis areas in this activity will be in the support
of training of additional counselors especially targeting testing in community and clinical settings. The
activity will also work with the MOH in the program area to strengthen their capacity to implement programs.
Continuing Activity: 14831
14831 8758.08 U.S. Agency for Indiana University 6953 521.08 USAID- $700,000
8758 8758.07 U.S. Agency for Indiana University 4230 521.07 $200,000
Table 3.3.14:
1. ACTIVITY DESCRIPTION AND EMPHASIS AREAS
and other U.S. academic medical centres. Moi University Faculty of Health Sciences (MUFHS) is one of two
complicated medical cases such as those failing first line ART. Specifically, AMPATH will improve the HIV
diagnostic and monitoring capacity in the North Rift Valley and Western provinces. Specific interventions
targeted are rapid HIV testing, CD4 testing, HIV Elisa, lab tests for HIV associated opportunistic infections
and early infant HIV diagnostic capacity utilizing DNA PCR or other appropriate technologies within the
North Rift Valley, and Western provinces, AMPATH will work with the Ministry of Medical Services, Division
of Diagnostic and Curative Services and Ministry of Public Health, National AIDS and STD Control Program
(NASCOP) to improve laboratory practices at all public sector laboratories in the North Rift Valley and
Western provinces with particular emphasis on good laboratory practice, including standardization of
operating procedures, implementation of systems for continuous support supervision, systems for internal
and external quality assurance. This support should aim at achieving international accreditation for at least
six of these laboratories. The activity will initially start with HIV rapid tests, HIV Elisa, CD4 tests, laboratory
tests for opportunistic infections and expand as needed in subsequent years to other laboratory tests as
their capacity and funding will allow. All activities will be in conformance with the National Strategic plan for
Medical laboratory services of Kenya.
2. LINKS TO OTHER ACTIVITIES
3. POPULATIONS BEING TARGETED
4. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS:
program for health workers.
Program Budget Code: 17 - HVSI Strategic Information
Total Planned Funding for Program Budget Code: $18,690,000
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
Key Result 1: Strengthened national, regional, district and program-level reporting and information systems.
Key Result 2: Enhanced utilization of strategic information for program planning and decision-making.
Key Result 3: Expanded capacity building activities for the GoK and local partners at national and sub-national levels to ensure
sustainable systems and programs.
PROGRAM AREA ACHIEVEMENTS AND CHALLENGES
Key achievements in 2008 include completion of the Kenya AIDS Indicator Survey (KAIS) and release of a preliminary report; a
USG Data for Decision Making (D4DM) COP retreat facilitated by the SI Team; and successful implementation of Data Quality
Assessment (DQA) by more than ten partners across the country. Through the decentralized USG SI support for the national M&E
system, the GoK has achieved improved reporting rates from all provinces with the lowest recording 60% (previous reporting rates
were as low as 30%).
The implementation of community-based M&E systems at constituency levels in partnership with the National AIDS Control
Council (NACC) remains a challenge; however, it is anticipated that there will be better coordination and strategic engagement
with NACC as a result of Macro International/APHIA II Evaluation's in-country presence. Inadequate SI staffing has been a key
challenge considering the rapid expansion of the Kenya program. This is being addressed and a number of new positions have
been posted using 2008 funds, and additional positions will be supported through 2009 funds. 2009 activities are designed to
address these challenges as well as other priority areas identified by the SI Team.
STRATEGIC INFORMATION TEAM
The USG Kenya SI team consists of an Epidemiologist, a Health Management Information Systems (HMIS) specialist, and two
Monitoring and Evaluation specialists. The role of SI Liaison is shared between the CDC HMIS specialist and the USAID M&E
specialist. There are no new staffing requests in 2009 but a number of positions approved in the 2008 COP remain to be filled.
DOD will recruit a Data Analyst, USAID will add one M&E specialist and one HMIS specialist, and CDC plans to hire three M&E
officers, two HMIS specialists, and one surveillance officer. USG staff is assisted by two APHIA II Evaluation SI Resident
Advisors.
The role of the SI Team is to provide support to the USG team, its implementing partners, and the GoK at national and sub-
national levels. Supportive activities include: oversight of the USG database system - the Kenya Program Management System
(KePMS); oversight of indicators, reporting requirements, and partner performance reviews; preparation of reports for the Country
Coordination Office (CCO) for presentations to USG heads of missions, GoK, and other donors; and provision of technical
assistance in the implementation of activities funded under SI (M&E, HMIS/Informatics, and surveys/surveillance).
STRENGTHENED REPORTING AND INFORMATION SYSTEMS
Activities to strengthen and expand reporting and information systems include: establishment of referrals, linkages, and integration
of programs and systems; continued roll out of MOH standardized Form 711; implementation of the Community-Based Program
Reporting (COBPAR) system; piloting of an electronic patient monitoring system; expansion of Phones for Health (P4H) in 2-3
additional provinces; ongoing data quality assessments; support for joint technical and M&E supportive supervision; and support
for additional facility-level data management staff.
Macro International/APHIA II Evaluation project (bilateral follow-on to Measure Evaluation) will continue to support the USG team
in coordinating PEPFAR annual and semi-annual program results reporting for all partners. KePMS modules will be expanded to
include additional PEPFAR II Next Generation Indicators as well as country-specific service delivery/data quality and outcome
level indicators to better inform and improve program management. In this activity, the Macro International /APHIA II Evaluation
project will build capacity of Ministry of Health's Planning Department on the use of Geographic Information Systems (GIS),
including setting up of GIS infrastructures within the headquarters and conducting GIS Mapping of service delivery points in two
provinces.
The adoption of a decentralized approach to strengthening integrated and harmonized HIV M&E tools, which include patient
cards, registers, and integrated reporting tools (MOH Form 726 and 711) through National AIDS and STI Control Programme
(NASCOP) and APHIA II partners has already resulted in improved reporting rates by health facilities. This approach will be
continued in 2009 to ensure strengthened capacity at all data collection points and structures that support data flows to national
HMIS and PEPFAR reporting systems. WHO and USG, together with NASCOP, are developing a strategy for an all-inclusive
national electronic patient management system that will strengthen reporting and improve data use at facility, district, regional,
and national levels and result in improved patient management.
The EP will assist NACC in the national implementation of the Community-Based Program Reporting (COBPAR) system for non-
health facility data by strengthening NACC's M&E and coordination capacity. Such collaboration will enable NACC to better
engage stakeholders during implementation, generate quality data, and promote data use at all levels.
Program data quality assessments (DQAs) will remain a priority activity and all USG partners and MOH facilities will be supported
to develop plans on DQA implementation. A USG contractor, in conjunction with MOH and other key stakeholders, will conduct
one DQA exercise for PEPFAR/GoK supported facilities and community-based programs. In addition, NASCOP will work with
HIV-Qual and other stakeholders to develop indicators for monitoring the quality of care for HIV-positive individuals at selected
health facilities and provide quarterly feedback.
Support in equipping and networking of data centers managed and supported by the Kenyan Defense Headquarters in Nairobi will
be continued. The computer network will be expanded, linking labs, pharmacies and the Comprehensive Care Centers (CCC) at
all seven military clinics, resulting in improved patient management and reporting.
The Phones for Health (P4H) project will continue and the second phase of the project will be undertaken using 2009 funds.
During this period, health facilities in two additional provinces will be covered by the P4H infrastructure. MOH staff at district,
provincial, and national levels will be trained on data retrieval, analysis, and use. The coded master-facility register will be fully
developed and implemented.
ENHANCED UTILIZATION OF STRATEGIC INFORMATION
Enhanced utilization of strategic information for program planning and decision-making is a priority for the USG team. Health data
and information are valuable only if they are used to inform decisions. Interventions that increase demand for information and
facilitate its use at all levels enhance evidence-based decision-making and help make the health system more effective. Data use
and feedback loops will be supported at all levels and among different stakeholders, from facility-based program managers,
healthcare workers, and data management staff all the way up the data flow chart to national-level policy makers. Beyond
routinely collected program-level data, which will be an important source of information in planned program evaluations for
prevention, care, and treatment interventions, there are many rich data sources available for analysis in Kenya, and the USG is
supporting several additional data-generating activities in 2009.
To enhance data use for program planning and decision-making, program-level data, including quality of care data, will be
analyzed and disseminated to various users at all levels; basic program evaluations to document implementation and short-term
effectiveness of programs will be carried out; additional data analysis from the 2007 Kenya AIDS Indicator Survey (KAIS) and
preliminary analysis of the 2008 Kenya Demographic and Health Survey (DHS) will be conducted; a Service Provision
Assessment will be carried out; and HIV behavioral and sero-surveillance data from most-at-risk-populations (MARPs) and
PMTCT program-level data will be collected and analyzed.
The 2007 KAIS reported a national HIV prevalence of 7.8% among those ages 15-49. The final report will be distributed at the end
of 2008, and further analysis of the rich data set will continue in 2009.
Field work for the 2008 Kenya Demographic and Health Survey (KDHS) will be completed in early 2009. Although USG only
supports the non-HIV components of the KDHS, data analysis and report writing and national and provincial dissemination of key
findings will be undertaken using 2009 funds.
The second Kenya Service Provision Assessment (KSPA) will provide national and sub-national information on the availability and
quality of services on child health, family planning, maternal health, STIs, TB, and HIV. The KSPA will also better quantify the
extent of challenges related to record keeping and reporting, such as low reporting rates by health facilities, and in particular
record keeping for PMTCT programs. This must be addressed prior to advancing the use of program-level data for HIV
surveillance. Analysis of KSPA results will help guide development of strategies to achieve 100% reporting by health facilities, as
well as recommendations for the development of data management infrastructure and supportive field supervision of COBPAR
activities.
Sentinel surveillance among pregnant women has been conducted annually in Kenya since 1990. PMTCT data collected from
ANC clinics in other countries have shown similar HIV prevalence estimates as sentinel surveillance data. The USG SI and
PMTCT teams will pilot the use of PMTCT program-level data for determining national HIV prevalence among pregnant women.
Technical assistance will be sought from the Surveillance TWG at OGAC on the planning and implementation of this strategy,
including priority areas to strengthen alongside ANC sentinel surveillance.
In 2008, the EP supported an integrated behavioral and biological survey with most-at-risk-populations (MARPs), including men
who have sex with men (MSM), injection drug users (IDU), female sex workers (FSW), and truckers. 2009 support will extend
survey coverage to three additional towns and support further data analysis and dissemination.
The Sample Vital Registration with Verbal Autopsy (SAVVY) methodology work will be continued in five Demographic Surveillance
Sites (DSS) sites across the country to collect mortality data on major causes of death, including HIV-related mortality. This will
provide information on one of the two outcome indicators of PEPFAR's impact on health at the population level as well as vital
registration statistics that the Kenya National Bureau of Statistics (KNBS) needs to inform policy and planning.
EXPANDED CAPACITY BUILDING
Capacity building activities will target program managers, medical officers, and SI/M&E staff from the USG, its implementing
partners, and the GoK at site, district, provincial, and national levels. These will focus on several key areas, including
implementation of a new electronic medical records (EMR) system; long-term training for high-level HIV program managers;
training to improve geo-mapping skills; program evaluation workshops; data use skills in data analysis, report writing, making
presentations, and translating results into policy; and basic M&E training.
Targeted capacity building through ongoing training on M&E, sampling methodology, data analysis, and reporting will be
implemented. NASCOP will be supported to roll out provincial and district level cascaded trainings of health workers on revised
HMIS tools. The University of Nairobi and another local university (to be determined) will be supported in the development of MPH
-level Fellowship programs specializing in HIV Program Management, M&E, Informatics, and Health Economics.
The planned male circumcision and comprehensive care public health evaluation will provide an excellent opportunity for Kenyan
MOH staff to advance their program evaluation, data analysis, and report writing skills.
LINKAGES WITH THE HOST GOVERNMENT AND OTHER IMPLEMENTING PARTNERS
USG SI staff collaborate with M&E Managers/Advisors from NACC, NASCOP, UNAIDS, and the World Bank. USG's
collaboration with the GoK and other donor groups in the implementation of national M&E strategies will be continued. In support
of the "third one," the SI team will continue to work closely with GoK to prioritize and implement the activities listed in the National
M&E Framework and the Kenya National HIV/AIDS Strategic Plan (KNASP 2005-10). Discussions on the harmonization and
inclusion of PEPFAR II Next Generation Indicators in the GoK's National M&E Framework will start in late 2008 and continue as a
priority activity throughout 2009 and 2010. The revised national M&E framework will provide a roadmap for monitoring health and
community indicators for GoK and PEPFAR II targets beyond 2010.
The expanded SI team will work with the World Bank (supporting NACC); UK Department for International Development - DFID
(supporting NASCOP); UNAIDS on Country Responses Information System (CRIS); Swedish Development Agency on health
sector M&E at the district level; and UNICEF and the Children's Department on the M&E of OVC programs. Targeted support to
MOH in strengthening HMIS functions through provision of IT infrastructure, support to supportive supervision, and hiring of data
management clerks will be scaled up.
Table 3.3.17:
