1. ACTIVITY DESCRIPTION & EMPHASIS AREAS

The Ministry of Gender, Children and Social Development will be working with stakeholders to develop a

sustainable management information system for the national response to children in Kenya. In line with the

Emergency Plan's commitment to the Government of Kenya, through USAID, this activity will provide

support to the development of a comprehensive national M & E framework for children's services. SCI

Koimburi will collaborate closely with GoK, other USG agencies, other donors, including UNICEF to ensure

that, to the extent possible, this monitoring and reporting system meets the reporting requirements of all

participating agencies, through harmonized national indicators for children's services including OVC. This

approach will allow each agency to fund a portion of the system at the country level and provide

complementary technical assistance. Specifically and through USAID's existing funding mechanism with

SCI Koimburi, the EP will:

•Provide technical expertise through USG's participation in a multi-disciplinary OVC monitoring and

evaluation technical working group under the under the leadership of the Department of Children Services.

•Support the establishment of a comprehensive M & E framework and national database to be housed at

the national level and work with members of the aforementioned TWG to establish reporting protocols from

the field offices.

•Facilitate the development and harmonization of measurable indicators at national, provincial and district

level that will feed into the national M & E database so as to measure the national response to OVC in

Kenya

•Support the capacity building of relevant children officers' at all levels in the collection, storage, retrieval

and reporting and analysis of OVC indicators (alongside those that will have been developed to monitor the

well being of other types of children).

•Facilitate appropriate linkages with the National Aids Council to ensure coordinated reporting on

community-based HIV/AIDS related responses in Kenya. The major emphasis area is Health Management

Information Systems (HMIS) and minor areas include Monitoring, evaluation, or reporting (or program level

data collection) and Other SI Activities.

2. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This program will contribute evidence based planning and decision making for GoK and PEPFAR with a

focus on capacity building for the long term development of a national workforce.

3. LINKS TO OTHER ACTIVITIES

This activity will link to APHIA II programs, MACRO/APHIA II Evaluations, NASCOP, which do activities

relating to OVC.

4. POPULATIONS BEING TARGETED

N/A

5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

This activity will contribute $4,000 towards human capacity development through the training of children

officers in various levels in the management of the proposed information system for children.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $4,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13:

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ Prime partner SCI Koimburi Tucker & Company has been competitively selected to implement the activity

+ Support local costs for the trainings of MOH and partner M&E contact persons on advanced data

analyses, interpretation and presentation skills using 2007 KAIS and KDHS 2008 datasets

+ Support the dissemination of NACC's Research strategy at national and regional levels.

+ Support and or facilitate the development of a national Children's M&E framework for the Department of

Children, Ministry of Gender, Children and Social Services

SECONDARY CROSS CUTTING BUDGET ATTRIBUTIONS

This activity supports key cross-cutting attributions in human capacity development through training of GOK

and USG partner personnel in HMIS, M&E and Surveillance both at national and regional level.

COP 2008

The narrative is unchanged from COP 2007 except for:

+ the current administration and financial services contract with PricewaterhouseCoopers is being re-

competed and therefore the prime partner and funding mechanism remains USAID/TBD until the

competition and negotiation processes are concluded,

+ plan to support the implementation of the 2008 Kenya Demographic and Health Survey ($850,000).

Support to this activity appears in 2007 COP to ensure that planning for the 2008 KDHS can begin as early

as possible. The amount reflected takes into account that there will be no HIV testing module, as this will be

carried out during the 2007 AIS

+ plan to support 2009 Kenya Census planning processes ($400,000) and 5) continued support to USG and

MOH data point managers in the use of Geographical Information System technology in mapping service

needs and coverage by regions($150,000).

1. LIST OF RELATED ACTIVITIES

This activity is related to Strategic Information activities of the University of North Carolina/MEASURE

Evaluation (#7098), NASCOP (#7002), and Macro International (#6988) and to a Laboratory Infrastructure

activity (#6940).

2. ACTIVITY DESCRIPTION

This activity has several components: (1) In FY 2006, MEASURE supported NACC develop a structure that

is meant to support the processes of community-based data collection and reporting right from the

community to the national level. The structure still requires regular supportive field supervision and training

in data collection and reporting systems at all levels, (community, district, provincial, national) in order to

improve data quality; and to build the capacity of stakeholders in strategic information activities. This activity

has two sub-components. In the first sub-component, USAID will partner with Price WaterhouseCoopers to

provide support to NACC to recruit two local experts (M&E Coordinator and MIS Officer) ($145,000), whose

key functions will be to contribute to the quantitative reporting under the annual Joint AIDS Program Review

as stipulated in the NACC's strategic plan; 2) maintain the CRIS and COBPAR databases; 3) and maintain

a monitoring system for COBPAR implementation. NACC with technical support from MEASURE Evaluation

in FY 2006 has developed a Community Based Program Activity Reporting (COBPAR) for reporting

community level data. In the second component ($255,000), USAID through Price Waterhouse Coopers will

support National AIDS Control Council (NACC) to strengthen and improve the quality and frequency of

supportive field supervision, and community-based reporting. In overall it will strengthen capacities of up to

65 community level local organizations to follow-up activities for collection of COBPAR data records and

coordinate community level strategic information focused meetings; train approximately 70 data point

persons on community-based data collection, reporting and use to improve the quality of reports and inform

planning and decision making. Timely development, printing and dissemination of quarterly and annual

reports will also be improved. Infrastructure for data management systems is critical for quick processing,

retrieval and use of strategic information for program improvement and decision-making. MIS Officer, will

therefore be facilitated to set up data management systems through provision of a server, software licenses,

and development of data management applications. This will improve timely data flow from all the district

and provincial data collection points, and therefore enable NACC to achieve up to 60% reporting rate from

CACCs-District-Provincial-National levels in a timely manner. NACC will develop an annual work plan,

which upon approval by USG, will guide the implementation of this activity, monitoring of key results and

reporting. (2) AIDS Indicator Survey (AIS): The Kenya AIS has been scheduled for early 2007 and will be

the second population-based, comprehensive survey on HIV/AIDS prevalence following the 2003 Kenya

Demographic and Health Survey (KDHS) that included an HIV testing component. CBS will be sub-

contracted to provide sampling, logistical support and overall coordination of the field work with MACRO

International's technical assistance. CBS has started some planning activities for the AIS using COP 06

funds. The HIV testing component will be supported by the CDC/NASCOP Cooperative Agreement and the

KEMRI Laboratories. In the process, 70 national staff will be trained in sampling methodology, data

collation, analysis and reporting. (3) Sample Vital Registration with Verbal Autopsy (SAVVY): The proportion

of all deaths among 18-59 year-olds due to HIV/AIDS is one of the two outcome indicators of the impact of

the EP on population health. The Central Bureau of Statistics (CBS) also needs the vital registration

information to inform policy and planning. The SAVVY methodology will collect mortality data from five DSS

sites across the country using a validated verbal autopsy tool to ascertain major causes of death, including

from HIV/AIDS. Using COP 2906 funds, MEASURE organized a workshop that brought together all 5

Demographic Surveillance Systems (DSS) sites, and proposals were made to harmonize mortality data

collection and reporting tools. The sites were also introduced to the SAVVY methodology. In COP 2007, the

5 sites will be funded to refine these tools and customize them to their existing DSS instruments. The DSS

sites will collect, analyze and report mortality data with technical assistance provided through MEASURE

and CDC. A total of 25 CBS, NASCOP and DSS staff from the sites will be trained on indicator estimation

methodologies. This activity will also provide the necessary PEPFAR outcome/impact indicator on mortality.

The sub-recipients in this activity are the following 5 DSS sites: Coast (Kilifi - $260,000), Nairobi (Nairobi

Urban DSS - $130,000, Kibera - $65,000) and Nyanza (Kisumu - $97,500, Rusinga - $97,500). 3.

CONTRIBUTIONS TO OVERALL PROGRAM AREA This activity builds on the FY 2006 activities that

support the national M&E systems as well as contributing to the Emergency Plan's efforts to build local

capacity in M&E. The activity will strengthen the capacity 70 local organizations in strategic information in

Activity Narrative: addition to supporting the training of 40 District Technical Committees and CACCS in M&E/HMIS, reporting

and data use for program management. In addition, 100 SI and program managers will be trained in survey

design/implementation, data analyses and presentation. A further 25 individuals will be trained on mortality

estimates methodologies and SAVVY system.

3. LINKS TO OTHER ACTIVITIES

This first component of the activity is related to the strategic information activity to be carried out by

University of North Carolina/MEASURE Evaluation (#7098), where MEASURE Evaluation will be supporting

NACC in rolling out COBPAR system for community level reporting. It is also related to the strategic

information to be carried out by NASCOP (#7002), where NASCOP will rolling out Form 726, Form 727 and

program specific client registers for data collection and reporting at health facilities. It is also related to SI

TE/TBD (#9220), that will attempt to investigate the causes for low reporting rate by health facilities and

recommend strategies for achieving 100% reporting level by health facilities. The second component is

linked to the SI activities of (#6988, #7002, #6946). The AIS will fill information gaps that routine reporting

data cannot provide. The third component is linked to SI activities carried out by University of North

Carolina/Measure Evaluation (#7098).

4. POPULATIONS BEING TARGETED

This activity targets host government workers, community based organizations and the general population.

5. EMPHASIS AREAS

The major emphasis is AIS and other population surveys while the minors include Monitoring, Evaluation, or

Reporting (or program level data collection), Information Technology and Communications Infrastructure

and Other SI Activities.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14988

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14988 9012.08 U.S. Agency for To Be Determined 7456 7456.08 SI Activities

International

Development

9012 9012.07 U.S. Agency for SCI Koimburi 9491 9491.07 $860,000

International Tucker and

Development Company

Emphasis Areas

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 $680,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.17: