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 UNCHANGED FROM COP 2008
1. ACTIVITY DESCRIPTION
This activity relates to notification of test results including HIV, hepatitis B (HBV), hepatitis C (HCV) and
syphilis to blood donors. Each year over 120,000 volunteer blood donors are tested for transfusion
transmissible infections by the National Blood Transfusion Services (NBTS). On average, 2-4% of donors
are reactive for HIV, 5% for hepatitis B, 1-2% for hepatitis C and 1% for syphilis. Currently blood donors are
asked to visit the regional blood transfusion centers if they wish to know their test results. The system is not
streamlined and it is estimated that less than 5% of donors ever get to know their test results. Under this
activity the NBTS will give results to each blood donor. A blood donor registry/data base will be established,
IEC material for donor education, pre-donation and post-donation counseling will be developed. Counselors
(15) will be trained to deliver results for HIV, HBV, HCV and syphilis as well as to support donors deferred
for various reasons including high blood pressure and anemia. Donor recruiters (30) will be trained to
deliver messages and skills for HIV prevention and positive living to promote continued sero-negative
status. A consultant has recently completed an evaluation to assess donors' preferences for receiving test
results and government of Kenya requirements for donor notification. Based on the findings, several models
of donor notification will be piloted including delivery of results to out reach blood donation sites by teams of
trained counselors from the NBTS, mail /mobile phone text message (sms) notification with an invitation to
visit the blood bank and referral to nearby testing and counseling centers. A referral system will be
developed to ensure that HIV positive persons are referred for appropriate clinical attention. Persons
identified as negative for all the infections will be entered into a database of regular donors and recalled for
repeat donation at intervals of three to four months. Worldwide, it is recognized that the safest blood donors
are regular repeat donors. This database will also facilitate detection of HIV incidence amongst blood
donors. Regular donors will contribute towards the establishment of a sustainable supply of safe blood for
the NBTS thus reducing the risk of HIV transmission through blood transfusions.
This activity will remove from the donor pool apparently healthy donors who have HIV, HBV, HCV or syphilis
infections. Knowledge of HIV serostatus may avert spread of the infection to unsuspecting sexual partners
and lead to timely life saving care and treatment for the infected persons. Specific elements of this activity
include training of staff in blood donor counseling so that each of the six regional blood transfusion centers
has at least two counselors, development of counseling and M & E tools and facilitation of an environment
that ensures privacy and confidentiality during counseling. Linkages between counseling and ART/care
outlets will be strengthened to improve utilization of care opportunities created through the President's
Emergency Fund.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
Blood donor notification in the blood safety program will contribute to the overall Emergency Plan
Counseling and Testing targets for Kenya, and to the HIV Prevention - AB (abstinence and be faithful)
targets. Up to 80,000 blood donors will receive their test results for HIV and other transfusion transmissible
infections. Organized notification services will improve equity in access to HIV prevention and care services
in remote areas and for populations previously unable to access the regional blood banks for their results.
This activity contributes to Kenya's 5-Year Strategy that encourages Kenyans to learn their status both for
primary prevention and as a strategy for early diagnosis of HIV infection.
3. LINKS TO OTHER ACTIVITIES
This activity is linked to the Blood Safety program for prevention of HIV through blood transfusions and to
the general HIV prevention program through the delivery of messages for healthy living, testing and referral
to care. Kenya targets 140,000 blood donors in 2008 whose blood will be tested for HIV, hepatitis and
syphilis. Blood donors will be informed of their test results and counseled to live in a manner that maintains
their negative status. HIV positive donors will be referred to HIV care and treatment programs. This activity
will address the requirement in the recently published HIV/AIDS bill that all persons tested for HIV get to
know their test results.
4. POPULATIONS BEING TARGETED
This activity targets blood donors aged 16 - 65 years. Majority of blood donors are youth in high schools
and colleges. Other donors are out-of-school youth and adults in work places.
5. EMPHASIS AREAS
This activity includes major emphasis on human resources capacity development and a minor emphasis on
training as detailed in the activity description above.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16267
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16267 16267.08 HHS/Centers for To Be Determined 7433 7433.08 Donor
Disease Control & Notification
Prevention
Emphasis Areas
Health-related Wraparound Programs
* Malaria (PMI)
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $100,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.04:
