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:
+The P4H infrastructure will be extended to cover all health facilities in Nyanza and South Rift Valley
provinces as well as making an entry into two other provinces.
+Additional modules to cover logistics (drugs and commodities supply) will be included.
+A training partner will be competitively selected to work with P4H in full expansion of health worker
training.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
Sustainable staffing and local capacity building (both human and institutional) are critical to the success of
Phones for Health in Kenya. The Phones for Health team will recruit a full-time technical advisor to provide
long-term training and technical assistance to the local management unit, which will be located within the
Ministry of Health's Division of HMIS or NASCOP. This activity supports key cross-cutting attributions in
human capacity development through training of GOK personnel in use of mobile phone technology to
improve reporting and data use.
COP 2008
1. ACTIVITY DESCRIPTION
In FY2008, Kenya will strengthen national HIV/AIDS strategic information capacity through participation in
the Phones for Health public-private partnership. Phones for Health will leverage human, financial and
physical resources from its partners - including O/GAC, the GSM Association Development Fund,
Accenture Development Partners, Motorola, MTN and Voxiva - to establish a sustainable national
information system for HIV/AIDS and related diseases in Kenya. The Phones for Health model builds on
local telecommunications infrastructure and utilizes multiple user interfaces, allowing workers at health
facilities to record data locally and transmit it to regional and central-level program managers by phone,
PDA or computer. The system also provides multiple channels for communication and feedback between
levels of the health care system. The Phones for Health architecture consists of a series of core modules,
each of which supports a key care and treatment function, such as patient registration, communication
between facilities and central authorities, or program indicators reporting. Kenya is committed to advancing
national strategic information capacity and will devote substantial staff and resources to the oversight of
data collection, quality assurance and training in support of this activity. Specific activities that will be
undertaken by the Phones for Health partnership in Kenya in FY2008 include: Outreach and Needs
Assessment: A small Phones for Health team will meet with key stakeholders in Kenya, including Ministry
of Health (MOH) representatives, USG, WHO, World Bank, GTZ, DANIDA, Aga Khan Health Services and
other stakeholders to document Kenya's HIV/AIDS information needs and how Phones for Health will
address those needs. In collaboration with these stakeholders, the team will conduct a rapid assessment
including but not limited to: stakeholder analysis, health system mapping, resource capacity assessment
(i.e. both number of people and capacity to conduct activities), baseline information gathering, work flow
analysis, and review of existing HMIS. Accenture Development Partners and Voxiva will jointly lead this
activity, which will be funded centrally by O/GAC and GSMA. Planning and Requirements Gathering: The
Phones for Health team will work closely with MOH, USG and other donors to determine how the system
will be customized to support Kenya's health operations. This will involve defining custom modules, user
roles, governance and management structures, business practices and work flows. The roles and
contributions of participating Phones for Health consortium members will also be defined and documented,
and a phased implementation plan and budget (including ongoing communications and support) will be put
in place. Once these items are agreed upon, Voxiva will gather system requirements, such as language
options and user permission levels. The Ministry of Health/NASCOP will provide essential information like
national ARV drug regimens, facility profiles and locations, and HIV program indicators. System adaptation
and configuration: Voxiva and other consortium members will work with MOH and USG technical staff to
adapt the Phones for Health system to Kenya's administrative divisions, health reporting hierarchy,
management structure, HIV/AIDS services and program indicators. For example, user roles will be created
to control which types of data are accessible to different users of the system, such as national HIV/AIDS
program managers, district health officers, facility-based health workers, USG agencies and implementing
partners. Each user will then be assigned a user role that is linked to the appropriate facility ID/IDs and to a
unique user ID and password. Staffing, management and training: Sustainable staffing and local capacity
building (both human and institutional) are critical to the success of Phones for Health in Kenya. The
Phones for Health team will recruit a full-time technical advisor to provide long-term training and technical
assistance to the local management unit, which will be located within the Ministry of Health's Division of
HMIS or NASCOP. The local management unit will be responsible for system administration, ongoing
training of Phones for Health users, analysis and dissemination of Phones for Health program data, and
feedback to districts and facilities on data quality and performance. Accenture/GSMA will provide medium-
term technical assistance in the form of in-country consultants with specialized knowledge in HMIS,
planning and project management. Together, the technical advisor and Accenture/GSMA consultants will
support the local management unit in these functions for the first 18-24 months of deployment, with the goal
of transferring the knowledge and skills necessary for day-to-day management of the system to the
management unit in the second year of deployment. The Phones for Health team will adapt its role-based
training curriculum to the logistical and linguistic needs of Kenya. All users, irrespective of their role(s), will
receive training in modes of data entry and transmission, data retrieval and display options (including
customization of reports and data dashboards), feedback and alert mechanisms, and security features.
Phase One Deployment: Voxiva's experience implementing TRACnet in Rwanda has demonstrated that it
is possible to achieve nationwide deployment of the Phones for Health system in a relatively short period of
time, though it is anticipated that deployment will take longer in larger countries. In FY2008, Phones for
Health will be initially piloted in 2 provinces, with the expectation that national deployment will be achieved
by Year 2 or 3 of the project. Motorola will provide subsidized GPRS-enabled phones loaded with J2ME
software (donated by Voxiva) to support rapid implementation and expansion. Safaricom will provide
subsidized hosting, software maintenance and support services on an ongoing basis.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will strengthen the flow of patient/client data directly from health facilities to a central database
in a timely and secure manner. It will also ensure that feedback can be generated and sent to facilities to
enhance better decision making and improved program management. National, sub-national reports will be
Activity Narrative: available to program managers for better planning. Information on commodities and general supplies will be
available on time hence minimizing stock-outs.
3. LINKS TO OTHER ACTIVITIES
This activity relates to activities in HVTB, HTXS, HBHC, HVCT, HVSI and HLAB.
4. POPULATIONS BEING TARGETED
Although this activity will benefit the general population, 425 individuals drawn from 30 institutions will be
trained. These include health workers from district hospitals, sub-district hospitals, health centers and
dispensaries.
5. EMPHASIS AREAS
The major emphasis area is Strategic information (M&E, HMIS, reporting).
New/Continuing Activity: Continuing Activity
Continuing Activity: 16009
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16009 16009.08 HHS/Centers for To Be Determined 7286 7286.08 Phones for
Disease Control & Health
Prevention
Table 3.3.01:
+ During the COP 2009 funding period, the P4H infrastructure will be extended to cover all health facilities in
Nyanza and South Rift Valley provinces as well as making an entry into two other provinces. Additional
modules to cover logistics (drugs and commodities supply) will be included.
+ A training partner will be competitively selected to work with P4H in full expansion of health worker
undertaken by the Phones for Health partnership in Kenya in FY2008 include:
(i) Outreach and Needs Assessment: A small Phones-for-Health team will meet with key stakeholders in
Kenya, including Ministry of Health (MOH) representatives, USG, WHO, World Bank, GTZ, DANIDA, Aga
Khan Health Services and other stakeholders to document Kenya's HIV/AIDS information needs and how
Phones for Health will address those needs. In collaboration with these stakeholders, the team will conduct
a rapid assessment including but not limited to: stakeholder analysis, health system mapping, resource
capacity assessment (i.e. both number of people and capacity to conduct activities), baseline information
gathering, work flow analysis, and review of existing HMIS. Accenture Development Partners and Voxiva
will jointly lead this activity, which will be funded centrally by O/GAC and GSMA.
(ii) Planning and Requirements Gathering: The Phones for Health team will work closely with MOH, USG
and other donors to determine how the system will be customized to support Kenya's health operations.
This will involve defining custom modules, user roles, governance and management structures, business
practices and work flows. The roles and contributions of participating Phones for Health consortium
members will also be defined and documented, and a phased implementation plan and budget (including
ongoing communications and support) will be put in place. Once these items are agreed upon, Voxiva will
gather system requirements, such as language options and user permission levels. The Ministry of
Health/NASCOP will provide essential information like national ARV drug regimens, facility profiles and
locations, and HIV program indicators.
(iii) System adaptation and configuration: Voxiva and other consortium members will work with MOH and
USG technical staff to adapt the Phones for Health system to Kenya's administrative divisions, health
reporting hierarchy, management structure, HIV/AIDS services and program indicators. For example, user
roles will be created to control which types of data are accessible to different users of the system, such as
national HIV/AIDS program managers, district health officers, facility-based health workers, USG agencies
and implementing partners. Each user will then be assigned a user role that is linked to the appropriate
facility ID/IDs and to a unique user ID and password.
(iv) Staffing, management and training: Sustainable staffing and local capacity building (both human and
institutional) are critical to the success of Phones for Health in Kenya. The Phones for Health team will
recruit a full-time technical advisor to provide long-term training and technical assistance to the local
management unit, which will be located within the Ministry of Health's Division of HMIS or NASCOP. The
local management unit will be responsible for system administration, ongoing training of Phones for Health
users, analysis and dissemination of Phones for Health program data, and feedback to districts and facilities
on data quality and performance. Accenture/GSMA will provide medium-term technical assistance in the
form of in-country consultants with specialized knowledge in HMIS, planning and project management.
Together, the technical advisor and Accenture/GSMA consultants will support the local management unit in
these functions for the first 18-24 months of deployment, with the goal of transferring the knowledge and
skills necessary for day-to-day management of the system to the management unit in the second year of
deployment.
The Phones for Health team will adapt its role-based training curriculum to the logistical and linguistic needs
of Kenya. All users, irrespective of their role(s), will receive training in modes of data entry and transmission,
data retrieval and display options (including customization of reports and data dashboards), feedback and
alert mechanisms, and security features.
(v) Phase One Deployment: Voxiva's experience implementing TRACnet in Rwanda has demonstrated that
it is possible to achieve nationwide deployment of the Phones for Health system in a relatively short period
of time, though it is anticipated that deployment will take longer in larger countries. In FY2008, Phones for
subsidized hosting, software maintenance and support services on an ongoing basis. .
Activity Narrative: enhance better decision making and improved program management. National, sub-national reports will be
available to program managers for better planning. Information on commodities and general supplies will be
5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key cross-cutting attributions in human capacity development through training of GOK
personnel in use of mobile phone technology to improve reporting and data use.
6. EMPHASIS AREAS:
Continuing Activity: 17153
17153 17153.08 HHS/Centers for To Be Determined 7286 7286.08 Phones for
Table 3.3.09:
1. ACTIVITY DESCRIPTION:
(i) Outreach and Needs Assessment: a small Phone for Health team will meet with key stakeholders in
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA:
3. LINKS TO OTHER ACTIVITIES:
This activity relates to activities in ARV services, Care and support, HVCT, HVSI and HLAB.
4. POPULATIONS BEING TARGETED:
The major emphasis area is Strategic information (M&E, HMIS, reporting)
Continuing Activity: 16504
16504 16504.08 HHS/Centers for To Be Determined 7286 7286.08 Phones for
Table 3.3.12:
+ A training sub-partner will be competitively selected to work with P4H in full expansion of healthworker
training at health facility level. The Phones-for-Health will focus on the development and maintenance of the
platform and infrastructure, including telecoms
SECONDARY CROSS- CUTTING BUDGET ATTRIBUTIONS
This activity supports key cross-cutting attributions in human capacity development by training health
workers and data handling staff on data management, electronic reporting tools - including smartphones
and other handheld devices, analysis and monitoring and evaluation in support of HMIS activities in order to
improve patient care and reporting.
(i) Outreach and Needs Assessment: A small Phones for Health team will meet with key stakeholders in
Activity Narrative: by Year 2 or 3 of the project. Motorola will provide subsidized GPRS-enabled phones loaded with J2ME
This activity relates to activities in HVTB (###), HTXS (###), HBHC (####), HVCT (####), HVSI (####) and
HLAB (####).
5. EMPHASIS AREAS:
Continuing Activity: 16826
16826 16826.08 HHS/Centers for To Be Determined 7286 7286.08 Phones for
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.17:
+During the COP 2009 funding period, the P4H infrastructure will be extended to cover all health facilities in
+A training sub-partner will be competitively selected to work with P4H in full expansion of healthworker
platform and infrastructure, including telecoms.
Continuing Activity: 17315
17315 17315.08 HHS/Centers for To Be Determined 7286 7286.08 Phones for
Table 3.3.18:
