Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7531
Country/Region: Kenya
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $0

Funding for Care: TB/HIV (HVTB): $0

ACTIVITY UNCHANGED FROM COP 2008

1. LIST OF RELATED ACTIVITIES

This relates to the activities of the TB/HIV program. In FY 08, seed funding was provided to out-source

TB/HIV staff training responsibility from qualified vendors. Purchase Order(s) to implement this activity have

been raised for FY 08. Staff training is an on-going activity and will require continued support in FY09.

2. ACTIVITY DESCRIPTION

Training staff to deliver collaborative TB/HIV services is an activity of high priority as Kenya expands

coverage and improves the quality of these services nationwide. USG, through technical input of CDC

Kenya and CDC Atlanta, previously supported the development, production and evaluation of a national

TB/HIV training curriculum which is currently widely used to train frontline laboratory and clinical staff.

Training is an on-going activity targeting new staff as well as older staffs that need refresher training as new

knowledge arise and standards of care improve. Presently, training activities take valuable time away from

the core responsibilities (technical oversight and coordination) of technical staff of the TB and the HIV

programs as well as those of USG agencies. To address this, Emergency Funds will be used to contract out

training responsibilities to appropriate organizations whose primary mandate is training. In FY 08, 240

individuals were trained to provide clinical prophylaxis and/or treatment for TB to HIV-infected individuals

and this number is projected to rise to 1,000 in FY 09. Demand for TB/HIV training activities is set to rise for

several reasons. For instance, patients in TB settings are "high yield" for identification and referral for HIV

prevention, care and treatment; there will be greater collaboration between TB and all HIV programs with

expansion of intensified TB screening for PLWHA and initiation of clinic and community-based HIV

prevention (PwP) services in TB and other HIV care settings. There will be intensified training to improve TB

laboratory practices as part of the national response to emerging threat of MDR-TB. In FY 09, the current

TB/HIV training curriculum will be upgraded to reflect recent advances and accommodate new initiatives

such as PwP.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This activity will strengthen the flow of TB/HIV 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 available to program managers for better planning. Information on commodities and general

supplies will be available on time hence minimizing stock-outs.

4. LINKS TO OTHER ACTIVITIES

This activity relates to activities in HVTB , Adult Care and Treatment, Pediatric Care and Treatment, HVCT,

HVSI and HLAB.

5. POPULATIONS BEING TARGETED

General population

6. EMPHASIS AREAS

The major emphasis area is Strategic information (M&E, HMIS, reporting)

New/Continuing Activity: Continuing Activity

Continuing Activity: 16506

Continued Associated Activity Information

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

System ID System ID

16506 16506.08 HHS/Centers for To Be Determined 7531 7531.08 TB Training

Disease Control &

Prevention

Table 3.3.12: