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:
+ Prime partner University of Nairobi has been competitively selected to implement the activity, with the
University of Washington as a sub-partner.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key cross-cutting attributions in human capacity development by providing fellowships
for high level training to senior Ministry of Health staff as well as other host government officials linked to
HIV programs. Public health professionals, informaticians and journalists will be among the groups to be
trained. This will enhance program management capacity at NASCOP and NACC and assure retention of
high level staff for long term sustainability of HIV programs.
COP 2008
1. ACTIVITY DESCRIPTION
In Kenya, there is an acute shortage of high-level personnel to manage HIV/AIDS programs and develop
evidence-based policy. In addition, among the small existing pool of HIV/AIDS program managers, there is
a need for long-term and short-term training in several areas of HIV program implementation, informatics,
monitoring and evaluation. These gaps limit the effectiveness of Kenyan governmental and non-
governmental HIV programs, including those of NASCOP and other Ministries involved in HIV/AIDS
activities. We propose to implement an HIV Fellowship Program focused on training high-level HIV program
managers. Jointly with the Fellowship program under OHPS, the program will provide long-term training for
12 Fellows who will be placed and working within host institutions, as well as short-term training for 200
Kenyan public health professionals, informaticians and journalists and 120 host institution staff. For the two
-year fellowship program, fellows will be selected through a competitive process and will generally have
masters degrees or be physicians or nurses prior to beginning the fellowship program. HIV-focused
programs would apply to serve as a host institution for a Fellow, and would include such government
institutions such as Provincial and District Medical Offices, the National AIDS and STD Control Program
(NASCOP), the National AIDS Control Council, the Ministry of Education and Kenyan non-governmental
HIV prevention, care, and treatment organizations. Fellows would be supervised by an academic advisor as
well as a mentor at the host institution where they would be working for two years. The Fellowship would
include periodic didactic courses, but also a long-term HIV/AIDS-related project at their host institution for
which the Fellow would have to submit a formal grant application. While all fellows will complete a core
curriculum on HIV/AIDS Program management and epidemiology, the Kenyan HIV/AIDS Fellows will
specialize in one of three main tracks: program management, health economics, and informatics/monitoring
and evaluation. These tracks address current gaps in human capacity within the professional public health
cadre in Kenya. The program would also include short courses on different aspects of HIV/AIDS program
management and epidemiology for 200 district and provincial-level health officials, policy makers, program
managers and journalists. As a part of their fellowship curriculum, fellows will also train staff at their host
institutions, totaling 120 persons per year. This program will be modeled after similar PEPFAR-supported
programs in Uganda, Zimbabwe and soon in Botswana. These programs have been highly successful in
creating a qualified pool of HIV/AIDS program managers and have helped to build long-term human
capacity that can support and sustain PEPFAR investments in country. This program will be implemented
by a Kenyan academic institution that will be selected through a competitive process (TBD) in collaboration
with CDC and GOK.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This program will contribute to three of the key goals of our OHPS and SI strategy. First, it will contribute to
strengthening health human resource capacity and will reinforce sustainability of HIV/AIDS programs.
Through this program, over 330 Kenyan professionals will be trained, including 200 Kenyan public health
professionals, informaticians and journalists and 120 host institution staff who will receive short-term training
and 24 Fellows who will be placed and working within host institutions during their two-year fellowship (12
will graduate every year). This training will help expand the very limited pool of HIV/AIDS program
managers currently available in Kenya and reduce reliance on expatriate staffing. Secondly, the program
will help to improve the leadership, management and capacity-building skills of local indigenous
organizations and their networks to enhance the sustainability of HIV/AIDS programs. All host institutions
will be Kenyan governmental and non-governmental organizations and a key component of the program will
be training of host institution staff. In addition, fellows will learn how to write a successful grant application.
Experience with similar programs in other PEPFAR countries demonstrates that the majority of fellows often
are able to use their grant writing skills to assist their host institutions to raise funds to sustain their salaries
after they complete their two year fellowship placement. In addition, Fellows are highly marketable after
completing the training and stay in country; for example, in Uganda, of the first 17 graduates, 15 continued
to work in HIV/AIDS activities in Uganda, 1 worked in HIV/AIDS for the USG in Guyana, and 1 worked with
HIV/AIDS in Tanzania. The program will be implemented by a Kenyan Institution in partnership with CDC.
Finally, the fellowship program will help to improve systems for HIV/AIDS policy development, planning and
budgeting and will help to bolster and institutionalize GOK policy and financing support for HIV/AIDS
programs. By expanding indigenous expertise in the areas of health economics, monitoring and evaluation,
and evidence-based approaches to health, GOK policy planning for HIV/AIDS programs can be based on
cost-effective interventions.
3. LINKS TO OTHER ACTIVITIES
This activity will leverage existing resources already in place in the Field Epidemiology and Laboratory
Training Program (FELTP) program, which is currently funded by CDC-Atlanta and USAID, to expand this
capacity building program to include different tracks in an HIV Fellowship Program: HIV public health
management and science; health economics; and HIV monitoring and evaluation. In addition, linkages will
be made to similar PEPFAR-funded programs in Uganda, Zimbabwe and Botswana to share materials and
programmatic lessons. Detailed planning for this activity will be done in conjunction with other on-going and
new PEPFAR-funded activities including the ongoing University of Nairobi/University of North
Carolina/MEASURE Evaluation Project curriculum development and training on M&E, as well as the USAID
Management Sciences for Health activity on leadership development.
4. POPULATIONS BEING TARGETED
Activity Narrative: [Maximum 1000 characters] This activity will provide training for adult men and women. Through their
fellowship projects and host institutions, this activity should impact and improve service delivery to many of
PEPFAR's target populations.
5. EMPHASIS AREAS / KEY LEGISLATIVE ISSUES ADDRESSED
Emphasis areas for this national activity include human capacity development, training, in-service training,
retention strategies, local organization capacity building and strategic information strengthening.
6.TARGETS
Number of organizations provided with SI related TA - 114
Number of individuals trained in SI - 120
New/Continuing Activity: Continuing Activity
Continuing Activity: 16842
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16842 16842.08 HHS/Centers for University of 7533 7533.08 HIV Fellowships $500,000
Disease Control & Nairobi
Prevention
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $500,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.17:
Updated April 2009 Reprogramming. Increased by $300,000. Partnership Framework: Addition of senior
fellows per track for the HIV Fellowship Program. It is more cost effective to have 5 fellows instead since
recurrent training cost remains the same (9 senior fellows) To specialize in HIV program management,
Health Economics, Informatics.
1. ACTIVITY DESCRIPTION AND EMPHASIS AREAS
The rapid expansion of HIV prevention, care and treatment services in Kenya has created a demand for
high level personnel to manage HIV/AIDS programs and develop evidence-based policy. In addition,
among the small existing pool of HIV/AIDS program managers, there is a need for long-term and short-term
training in several areas of HIV program planning, implementation, monitoring, and evaluation. In FY08,
PEPFAR supported the University of Nairobi in collaboration with the University of Washington to establish
an HIV fellowship training program to address these gaps. In addition to the 9 fellows recruited for long-term
training in HIV program management, health economics and Monitoring and Evaluation/Informatics in FY08,
University of Nairobi in collaboration with the University of Washington will competitively recruit an additional
12 new fellows in FY0 and provide short-term training for 300 public health professionals (3 short courses
for 25 persons for each of the four tracks). For the two-year fellowship program, fellows will be selected
through a competitive process and will generally have masters degrees or be physicians or nurses prior to
beginning the fellowship program. HIV-focused programs will apply to serve as a host institution for fellows.
In FY09, first year fellows will be placed in nine host institutions. Host institutions include government
HIV prevention, care, and treatment organizations. Fellows will be supervised by an academic advisor as
well as a mentor at the host institution. The Fellowship will include periodic didactic courses, but also a long
-term HIV/AIDS-related project at the host institution for which the fellow will have to submit a formal grant
application. All fellows will complete a core HIV/AIDS program management curriculum before they
specialize in one of three main tracks: HIV/AIDS program management, health economics, and monitoring
and evaluation/informatics. These tracks address current gaps in human capacity within the professional
public health cadre in Kenya. The University of Nairobi in collaboration with the University of Washington
will also offer short courses on different aspects of HIV/AIDS program management and epidemiology for
200 district and provincial-level health officials, policy makers, program managers and journalists. As a part
of their fellowship curriculum, first and second year fellows will also train staff at their host institutions,
totaling 210 persons per year (about 10 staff per fellow). This program will be modeled after similar
PEPFAR-supported programs in Uganda, Zimbabwe and soon in Botswana. These programs have been
highly successful in creating a qualified pool of HIV/AIDS program managers and have helped to build long-
term human capacity that can support and sustain PEPFAR investments in country.
Through this program, 21 fellows will receive high level long-term training in HIV/AIDS program
management, Health Economics and Monitoring and Evlauation/Informatics. 200 middle level Kenyan
professionals will be trained in the short courses. Through the placement of first and second year fellows
and short term training provided to about 210 host institution staff by fellows, an estimated 21 host
institutions will be supported to strengthen their HIV program management, informatics and M&E systems .
This project will expand the very limited pool of HIV/AIDS program managers currently available in Kenya
and reduce reliance on expatriate staffing. The program will strengthen HIV program leadership and
management in public and private organizations in Kenya and ultimately strengthen the national response
to HIV/AIDS. This program will also build the capacity of fellows to write successful grant applications.
Carolina/MEASURE Evaluation Project on curriculum development training on M&E, as well as the USAID
This activity will provide training for adult men and women. Through their fellowship projects and host
institutions, this activity should impact and improve service delivery to many of PEPFAR's target
populations.
5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
Activity Narrative: This activity primarily contributes to human capacity development through the provision of high level long-
term training of public health professionals in HIV program management and leadership. In FY09, 21 fellows
will be supported to undertake a 2-year training in one of four tracks; HIV program management and
leadership, Monitoring and Evaluation, Informatics and Health Economics. In FY 09, about $600, 000 will be
spent on long term training of fellows. Fellows admitted in this program will in addition to taking didactic
courses, undertake a funded project in host institutions working in public health. The project will be
conducted during the second year of study and will benefit the host institution and staff in the host
institution.
Continuing Activity: 16911
16911 16911.08 HHS/Centers for University of 7533 7533.08 HIV Fellowships $700,000
Estimated amount of funding that is planned for Human Capacity Development $600,000
Table 3.3.18:
