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:
CRWRC is proposing a new sub-partner and site: Mount Kenya Christian Community Services (MKCCS) to
cover Central Province, Murang'a South district in Maragua Ridge location.
COP 2008
1. LIST OF RELATED ACTIVITIES
CRWRC's activities in the program area of PMTCT are closely related to a great degree with CRWRC's
activities in the Counseling and Testing program area, since the health facilities providing PMTCT services
will also be providing counseling and testing services.
2. ACTIVITY DESCRIPTION
In partnership with three faith-based organizations in Kenya, namely; Western Region Christian Community
Services, an agency of the Anglican Church of Kenya, will implement the program in all eight districts of the
Western Province. KAMATAKIMO, which is also an agency of the Anglican Church, will target the districts
of Kitui and Mwingi in Eastern Province. Mt. Kenya Christian Community Services (MKCCS) will focus in
Central Province and in Murang'a South district and Maragua ridge location Christian Reformed World
Relief Committee (CRWRC) will equip 11 health facilities to provide a minimum package of PMTCT
services. These health facilities will be selected based on a review of existing health facility assessment
data and with the intention of filling service gaps.
This program has the following components; firstly, the 11 service outlets will be refurbished and/or
equipped in ways that may include repair of roofing; reconnecting water; fixing gutters for rain water
collection; and acquisition of examination room tables, chairs, charts, scales, HIV/AIDS reference manuals,
posters, and other similar supplies. Refurbishing and equipping the facilities, along with retraining health
personnel are needed to assist many local health facilities to be able to provide the minimum package of
PMTCT services, including counseling and testing for pregnant women, ARV prophylaxis to prevent MTCT
and treatment for eligible pregnant women, infant HIV diagnosis, counseling and support for safe infant
feeding practice, and family planning counseling or referral.
Secondly, certified trainers from the Ministry of Health and the Kenya Institute of Professional Counselors
will provide on-the-job training to 80 community-based health workers at the identified health facilities.
Training will be provided to them in their own districts and sub-locations using the National Guidelines for
CT training in Kenya. The counseling portion of the training will be done through an intensive five-day
training workshop. After the training, the health workers will receive ongoing supervision from district-level
Ministry of Health (MOH) officers.
This activity will target pregnant women and newborns residing in the poor, rural communities located near
the newly refurbished and equipped health facilities and encourage them to access the comprehensive
antenatal services, which will include counseling and testing for HIV and other PMTCT services. The
activity will also seek to educate men on the topic of PMTCT and encourage their participation at their
partners' prenatal check-ups. Men will be targeted through existing community groups such as local men's
groups in the barazas or through church groups like the Kenya Anglican Men's Association. The review of
existing KAP data and barrier analysis will inform the process of designing the behavior change activities
and messages related to PMTCT.
Thirdly, at least 350 pregnant women will be provided with counseling and testing services and will receive
their test results from health facilities operated directly by CRWRC's local partners. Of these, it is expected
that 75 will be provided with a complete course of antiretroviral prophylaxis - which may include the
following regiments; Nevirapine, Lamivudine, Azidothymidine or Zidovudine (GOK approved) - these are
provided to health centers certified by the Ministry of Health. Another 400 will be referred to other health
facilities that offer the minimum package of PMTCT services. Community health workers will be trained to
make these referrals. These 80 community health workers will target women with the least knowledge of
PMTCT and their male partners at antenatal check-ups and during bi-weekly house-to-house visits.
3. CONTRIBUTIONS TO OVERALL PROGRAM
This activity will contribute toward the 5-year target of preventing 7 million new infections by preventing the
transmission of the virus from mother to child. By assisting 11 health facilities to upgrade their PMTCT
facilities and by providing critical training for 80 community health workers in the delivery of PMTCT
services, CRWRC and its partners will build local capacity in the area of referral and tracking of PMTCT
recipients for long-term prevention programs. Knowledge about mother to child transmission of HIV is very
low among rural and disadvantaged people in Kenya. Using behavior change communication to encourage
pregnant women and their sexual partners to be tested will create demand for the services in an area where
so far only a small percentage of pregnant women are using PMTCT services.
4. LINKS TO OTHER ACTIVITIES
A major priority will be for CRWRC and its partners to collaborate with other pre-existing HIV/AIDS service
providers in all three working areas so that the CRWRC NPI program can be linked to services offered by
these organizations. CRWRC and its partners have already begun this networking process by initiating
communication with PATH, Family Health International, and JHPIEGO, which are the three agencies
implementing APHIA II in the same provinces that CRWRC and its partners are targeting under the NPI
program. CRWRC and its partners will develop a system for tracking and following-up on referrals for
PMTCT.
5. POPULATIONS BEING TARGETED
In partnership with three faith-based organizations in Kenya, CRWRC will scale up PMTCT services in all
eight districts of the Western Province, the districts of Kitui and Mwingi in Eastern Province, and the district
of Uasin Gishu in Rift Valley Province.
Pregnant women aged 15-49 and their husbands or partners (males 15 and over) will be targeted by
community-based health workers during antenatal check-ups and bi-weekly house-to-house visits.
Activity Narrative: Pregnant women will be encouraged to seek counseling and testing for HIV within comprehensive antenatal
services. Husbands or partners will also receive counseling to allow their wife or partner to be tested for
HIV and will be sensitized on the need for the wife or partner to deliver her baby in a health facility.
Pregnant women who are HIV+ will be treated with a full course of ARV prophylaxis - with reference to GOK
guidelines or referred to another health facility where treatment can be obtained.
6. KEY LEGISLATIVE ISSUES ADDRESSED
Key legislative issues are included in the emphasis areas described in section 7 below.
7. EMPHASIS AREAS
CRWRC and its partners will address gender in the PMTCT program area by addressing male norms and
behaviors regarding HIV counseling and testing and not preventing their female partners from accessing
other needed antenatal health services. CRWRC and its partners will also focus on human capacity
development through a five-day in-service training of clinic-based health workers in counseling and testing
for pregnant women. CRWRC and its partners will also work with health facility workers and community
health volunteers to develop a health worker and volunteer retention strategy that aims at enabling health
worker develop an action plan to recognize the roles played by volunteers in the program and enables
health workers to develop activities towards volunteer recognition. Other emphasis areas to be addressed
by this program area include CRWRC's on-going local organization capacity building of the three partner
organizations and coordination of the health management information system for tracking referrals of HIV+
pregnant women for ARV prophylaxis. This program area is funded through the New Partner Initiative.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17536
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17536 17536.08 U.S. Agency for Christian 7792 7792.08 New Partners $0
International Reformed World Initiative
Development Relief Committee
Table 3.3.01:
ACTIVITY UNCHANGED FROM COP 2008
In partnership with three faith-based organizations in Kenya, Christian Reformed World Relief Committee
(CRWRC) will implement activities focused on promoting abstinence and being faithful. The three partners
namely; Western Region Christian Community Services, an agency of the Anglican Church of Kenya, will
implement the program in all eight districts of the Western Province. KAMATAKIMO, which is also an
agency of the Anglican Church, will target the districts of Kitui and Mwingi in Eastern Province. MKCCS will
focus on Central Province and Murang'a South district and Maragua ridge location. During FY09, CRWRC
and its partners will reach 70,205 individuals through community outreach that promotes HIV/AIDS
prevention through abstinence and/or being faithful and train 1,420 individuals to promote HIV/AIDS
prevention through abstinence and/or being faithful.
The 70,205 individuals shall be reached through outreach meetings directly organized by the 1,420
individuals within the following population groups: Firstly, out of the 1,420 individuals trained using the
Choose life manual, 1,120 church and community leaders will use congregation and community based
meetings to reach at least 70,205 individuals through barazas, church and community group meetings such
as the "men who care groups" through which 5,000 men and boys will be reached in 125 groups (as
described below) Through these meeting, church and community leaders will also address women's legal
rights namely where they can access reproductive health services in their communities. Secondly; the three
hundred peer educators trained by the TOTs - 3 NPI program coordinators and at least 3 field officers- will
form peer groups by identifying other youth in their own networks. Three hundred peer educators will be
recruited and trained in FY09. A total of 10,000 youth will be participating in 230 youth to youth groups and
an additional 5,000 through youth to family and "writing on the walls" across all three partner working areas.
CRWRC will use the Choose Life and Creating Positive Relationships training manuals in peer education
and support groups for youth. Using stories, illustrations, and discussion questions, these manuals guide
youth's understanding of sexuality and HIV/AIDS covering topics such as decision-making, peer pressure,
family life, body changes, STIs and HIV/AIDS, and AIDS in the home. Motivators like the abstinence pledge
card and "Writing on the Walls" activities will be used to encourage abstinence and fidelity.
Youth-to-Family (Y2F) groups will equip in-school youth to share information about HIV prevention and
treatment services with their families. Youth who have a strong understanding of the HIV/AIDS epidemic
and of gender will be identified through pre- and post-testing in the peer education groups. A total of 5,000
youth will be participating in 230 groups across all three working areas.
"Men Who Care" (MWC) groups will recruit men as positive role models for youth and will promote
accountability among older men to model abstinence, if unmarried, and fidelity, if married. A total of 5,000
boys and men will participate in 125 groups. The MWC groups will be set up under the supervision of the
trained church and community leaders in collaboration with program staff. The men will be recruited through
barazas and existing church groups such as the Kenya Anglican Men Association.
"Writing on the Walls" is an activity that will be used to engage young people in reflection on HIV, risk,
prevention, and abstinence options through theatre, wall painting, and essay writing. A total of 2,000 youth
will participate in 95 groups across all three working areas. This activity will be integrated in some places
with the Y2Y peer education and support groups. Church and community leaders will form accountability
partnerships with adolescents who make abstinence pledges through Writing on the Walls and pledge cards
during awareness campaigns.
In FY09, CRWRC and its partners will reach 70,205 people (includes those in Y2Y, MWC, Y2F) through
awareness campaigns at churches, schools, youth groups, women's groups and community forums.
Campaigns will be organized and led by the 1,120 trained church and community leaders. Some of the
events will be separate for youth, men and women, while others will be gender mixed. Awareness
campaigns will address barriers to AB behaviors through dramas, youth competition days, youth and parent
forums, lectures, and public events. Opportunities for testing and counseling will be available at these
events.
This activity will contribute toward the 5-year target of preventing 7 million new infections by reducing the
sexual transmission of the virus in Kenya. CRWRC and its FBO partners will use behavior change
communication to promote abstinence (including "secondary abstinence") among unmarried youth and
faithfulness among married and sexually active adult couples. Some of the elements of the 5-year strategy
that are incorporated into the design of the CRWRC include reinforcing the role of parents (through Y2F);
challenging norms for male behavior (through MWC); and using behavior change strategies to promote
abstinence among youth (through Y2Y peer education and support groups and Writing on the Walls).
Because CRWRC's partners are agencies of the Anglican Church of Kenya and the Reformed Church of
East Africa, partner staff will contribute greatly to the promotion of healthy norms and behaviors as they
train local religious and other traditional leaders how to incorporate behavior change messages into their
sermons and public remarks.
The AB interventions will draw upon lessons from existing ABY programs that CRWRC and its partners
have been implementing under the leadership of World Relief and Family Health International. CRWRC
has been using the Choose Life manual developed by World Relief as part of this other ongoing ABY
program. The manual for youth aged 10-24 years has been effectively used for both in- and out-of-school
youth in World Relief sites.
CRWRC is scaling up HIV prevention services in all eight districts of the Western Province, the districts of
Activity Narrative: Kitui and Mwingi in Eastern Province, and the district of Uasin Gishu in Rift Valley Province. Under the AB
program area, youth ages 10-24 years (men and women) are targeted, but there will be a concentration on
girls 15-19 who are out-of-school, widowed and divorced women, and married men.
Mobile populations who have been shown to exhibit higher prevalence of HIV than men who never sleep
away from home will also be targeted with faithfulness messages. An emphasis however will be on the
general population with a focus on addressing issues on concurrent partners and cross generational and
transactional sex. The messages will be delivered through "men who care groups" and other community
forums that the trained church and community leaders will address.
The populations targeted for participation in AB activities will be recruited by the 1,120 church and
community leaders who participate in TOT to learn how to mobilize groups. Men will be reached through
barazas and existing men's groups at churches. Potential peer educators will be identified by the church
and community leaders also. And other youth who will participate will be recruited by the peer educators.
CRWRC and its partners will focus on abstinence and being faithful by addressing cross-cutting social
justice issues, like cross generational sex, by addressing male norms and behavior issues. CRWRC and its
partners will also focus on increasing women's legal rights to empower women - married, divorced, and
widowed - to have access to reproductive health services in their communities. This will be done by
equipping church, community and NGO leaders with information regarding HIV/AIDS in order to address
these systemic issues as they arise in their communities. CRWRC and its partners will also focus on
human capacity development through in-service training of community volunteers including 300 peer
educators, 1,120 church leaders, community leaders and NGO leaders in the areas of HIV transmission and
prevention. CRWRC and its partners will also work with the community volunteers to develop a volunteer
retention strategy. Other emphasis areas to be addressed by this program area include CRWRC's on-going
local organization capacity building of the three partner organizations and coordination of the health
management information system for tracking beneficiaries reached by the AB activities. This program is
funded through the New Partner Initiative.
Continuing Activity: 17539
17539 17539.08 U.S. Agency for Christian 7792 7792.08 New Partners $0
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing women's legal rights
* Reducing violence and coercion
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS:
This activity supports key cross-cutting attributions in human capacity development through its training
program for health workers
This activity is related to other activities in the HBHC program area.
1. ACTIVITY DESCRIPTION
In partnership with three faith-based organizations in Kenya, such as Western Region Christian Community
Services (agency of the Anglican Church of Kenya), the program will be implemented in all eight districts of
the Western Province. KAMATAKIMO, which is also an agency of the Anglican Church, will target the
districts of Kitui and Mwingi in Eastern Province. MKCCS will focus its interventions in Central province with
a focus in Murang'a South district in Maragua ridge location. Christian Reformed World Relief Committee
(CRWRC) will improve the well-being of people living with HIV/AIDS and their families. A key strategy is to
link with local community-based health care programs and the district-level Ministry of Health to facilitate
access to home-based care for PLWA in order to ensure improvement of the quality of these services over
time. During the 2009 and 2010 financial year, CRWRC and its partners will provide 720 individuals with
HIV-related palliative care and train 530 individuals to provide HIV-related home-based palliative care.
CRWRC and its partners will mobilize and train 530 individuals from the community and church groups to
provide home-based care to PLWA using the Training Home-Based Caregivers to Care for People Living
with HIV/AIDS at Home curriculum (developed by the National AIDS Control Council). CRWRC has already
received a list of certified HBC trainers at district level from NASCOP. Caregivers will be trained by the
NASCOP trained HBC givers.
Trained community mentors/volunteers (those trained above) will visit households weekly to problem-solve
issues of health, nutrition, and psychosocial care with caregivers; make referrals as needed to clinical care
and other support services; provide family-friendly information on disease transmission, prevention,
treatment, and locally available services; channel health and livelihood-supportive resources to families; and
to develop PLWA caregiver support groups which can provide both spiritual and psychosocial support.
In addition to these services, CRWRC and its partners will raise awareness about health care services
available to PLWA through community forums, churches, community centers, and other gatherings.
CRWRC and its partners will also initiate and expand social activities within the community, schools, and
churches (drama groups, choir, and poetry) that contain messages that reduce stigmatization of OVC and
PLWA. At least 740 church and community leaders will be equipped as TOTs on stigma reduction using
existing HIV/AIDS stigma reduction manuals and encouraged to include HIV/AIDS messages in their
sermons and public addresses. They, in turn, will train another 14,460 individuals in the community to
address HIV-related stigma and discrimination. CRWRC partners will also link adult and children to care
and treatment to existing programs e.g. Moi referral Hospital (AMPATH) program and APHIA II sites.
2. CONTRIBUTIONS TO OVERALL PROGRAME AREAS
This activity will contribute toward the 5-year target of providing care to 10 million people infected or
affected by HIV/AIDS. CRWRC and its partners will provide palliative care to 720 individuals infected with
HIV. The emphasis will be on building local capacity for long-term sustainability of palliative care by
establishing community-based groups and training 530 volunteers to provide these services. CRWRC's
program builds on and expands the networks of informal caregivers by providing them with training and
support they require to be more effective.
3. LINKS TO OTHER ACTIVITIES
Home-based care (HBC) in Kenya is community-based, with most of the care provided by community
volunteers operating under the supervision of NGOs and CBOs. In addition to good nutrition, quality HBC
includes clinical care, nursing care, counseling and psycho spiritual care, and social support. CRWRC and
its partners will use the national curriculum to train their volunteers to provide the multifaceted HBC
services. This will be done in close collaboration with NASCOP and other PEPFAR agencies like PATH
under APHIA II. In addition, CRWRC and its partners will link PLWA where available, to one mobile clinic
per district through the Ministry of Health (MOH).
4. POPULATIONS BEING TARGETED
CRWRC and its partners will scale up care services for PLWA in all eight districts of the Western Province,
the districts of Kitui and Mwingi in Eastern Province, and the district of Uasin Gishu in Rift Valley Province.
The program is targeting men and women living with HIV/AIDS aged 15-49. An inventory form has been
developed to enroll new PLWA into the program and assess their care needs. The community level
committees and volunteers will identify the needy households and provide the needed care and support
based on the needs as highlighted during the inventory process.
5. KEY LEGISLATIVE ISSUES ADDRESSED
This activity will address Stigma and Discrimination associated with people infected and affected by HIV, as
well as increasing gender equity in programming through the delivery of key messages, Linkages will be
created with systems/groups offering support in health, psychosocial aspects, food, microfinance, and
reproductive health. Also to provide access to increased resources in order to address the wide spectrum of
problems that is faced by households when dealing with a debilitating disease in an adult family member.
6. EMPHASIS AREAS
The program will address human capacity development through in-service training of health care workers,
Activity Narrative: community and religious leaders and caregivers to provide palliative care to individuals affected by
HIV/AIDS. Lessons on volunteer retention will also be drawn from the ongoing OVC and other development
programs. Other emphasis areas to be addressed by this program area include CRWRC's on-going local
organization capacity building of the three partner organizations and coordination of the health management
information system for tracking PLWA reached with HBC.
Continuing Activity: 17558
17558 17558.08 U.S. Agency for Christian 7792 7792.08 New Partners $0
Health-related Wraparound Programs
* Family Planning
* Safe Motherhood
Table 3.3.08:
CRWRC's activities in this program area are closely linked with its other activities under the Palliative Care
program area. Based on year one and two evidence, in most cases the OVCs identified to receive care will
be residing in households where there is also a person living with AIDS who is receiving palliative care.
OVC who are HIV positive will be referred to pediatric care and treatment and other related program
interventions e.g. counseling and testing.
of Kitui and Mwingi in Eastern Province. MKCCS will cover Central Province with a focus on Murang'a
South district and Maragua ridge location. Christian Reformed World Relief Committee (CRWRC) will
continue to engage with church and community leaders to raise their awareness about the needs of OVCs
in their communities and will provide training and assistance to them as they establish community
committees and recruit volunteers to respond to those needs. CRWRC and its partners will provide care to
6,100 OVCs and train at least 1,200 caregivers to care for OVCs.
Under this program, community committees will expand services to additional OVCs. These committees
enable caregivers to form caregiver groups and ensure that they are getting the needed support from
community members and religious bodies
Caregivers will be trained using the Our Children manual developed by World Relief, which is effective for
inspiring and mobilizing churches and communities and teaching the essential principles of orphan care and
support by portraying experiences and lessons learned by church members and community volunteers
involved in OVC care and support. The program will support OVCs by linking them to health facilities,
providing them with home-based care, and empowering them with advocacy, education about prevention,
linkages to legal services, and providing access to nutritious food and skills in agriculture (bio intensive
farming) and animal husbandry. The program will also mobilize church and community groups to provide
food contributions to OVC. Partners will mobilize OVC committees to source for relief food from
government and other agencies in their areas. An inventory of OVCs in each community will be created
during the first two quarters of the year and home visit schedules will be developed for staff and volunteers
to visit OVC homes. Following the training, caregiver support groups will be initiated.
affected by HIV/AIDS. OVC care activities have been designed to enhance community ownership and build
local capacity for long-term sustainability of OVC care services. OVCs are supported within family and
community structures as opposed to institutional care. There is an emphasis on strengthening the capacity
of families to cope with their problems and on increasing the support offered to these households by other
members of the community or church congregation.
CRWRC and its partners are committed to work alongside the OVC National Steering Committee and the
Government of Kenya to bring comprehensive support to OVCs to scale by working closely with the
children's department in all the three partner locations as is the case with the World Concern OVC program.
Partners will continue to be encouraged to participate in monthly Children's Department meetings where
applicable and collaborate with the said departments in the marking of The Day of the African Child, World
AIDS Day and any other important events as advised by the Department.
CRWRC and its partners will scale up OVC care services in all eight districts of the Western Province, the
districts of Kitui and Mwingi in Eastern Province, and the district of Uasin Gishu in Rift Valley Province. And
thus CRWRC and its partners will reach 6,100 new OVC, up from 1,200 from the same partner sites in
previous years under the OVC program. The program is targeting OVCs aged 0 to 17 years (boys and
girls), including child headed households. An inventory of OVCs will be created by the community
committees and the caregivers will provide the needed care and support based on the needs as highlighted
during the inventory process.
The program will also focus on increasing women's access to income and productive resources through
some of the activities targeted at female youth. To ensure sustainability beyond the life of the project for
OVCs in child headed families, the program will coordinate with wraparound programs in economic
strengthening to channel funding to support vocational training and income generating activities for the 10-
17 year old children. The program will also train OVC and caregivers regarding children's rights so that
needy OVC can seek legal support to reposes property and assets. CRWRC and its partners will also focus
on human capacity development through in-service training of caregivers. Lessons on volunteer retention
will be drawn from the ongoing OVC and other development programs. Other emphasis areas to be
addressed by this program area include CRWRC's on-going local organization capacity building of the three
partner organizations and coordination of the health management information system for tracking services
provided to OVCs. This program is funded through the New Partners Initiative.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.13:
CRWRC's activities in the program area of counseling and testing are closely related and overlap to a great
degree with CRWRC's activities in the PMTCT program area. The husbands and partners of pregnant
women who receive PMTCT services will be strongly encouraged to also be tested in order to know their
HIV status.
2. ACTIVITY DESCRIPTION.
(CRWRC) will equip 24 health facilities during FY 2008 to provide HIV counseling and testing services in 11
districts of Kenya. These health facilities will be selected based on a review of existing health facility
assessment data and with the intention of filling service gaps.
The selected health facilities will be refurbished and/or equipped in ways that may include purchasing of test
kits; repair of roofing; reconnecting water; fixing gutters for rain water collection; and acquisition of
examination room tables, chairs, charts, scales, HIV/AIDS reference manuals, posters, and other similar
supplies.
At least 26 health workers from these health facilities will be trained together at a central location by certified
Ministry of Health (MOH) trainers using Kenya's National Guidelines for CT training. After the training, the
health workers will receive ongoing supervision from district-level MOH officers.
An additional 410 religious and community-based volunteers will be trained to provide HIV counseling in the
communities. This training will be provided through a five-day intensive course offered by the Kenya
Institute of Professional Counselors. The role of volunteers will be to encourage people to be tested, to link
them to services, and to provide counseling follow-up to them after they have received their results. A
barrier analysis will be used to tailor the behavior change activities and messages to the men and women
most in need of being tested.
At least 4,500 individuals will receive counseling and testing from health facilities operated directly by
CRWRC's local partners. Another 2,250 individuals will be referred to other health facilities for counseling
and testing.
CRWRC's activities in this program area will contribute toward the Emergency Plan 5-year objectives of
preventing 7 million new infections and providing care to 10 million who are infected with or affected by
HIV/AIDS. By being tested for HIV and receiving follow-up counseling, individuals who are HIV-positive will
be encouraged to adopt behaviors that will help them to prevent infecting others. They will also be linked to
treatment (if needed). Once an individual is identified as being HIV-positive, it will be possible to enroll that
person in a program to receive palliative care and to enroll children in their household in an OVC support
program. By filling service gaps through mobile VCT clinics and refurbishing and equipping existing health
facilities, CRWRC and its partners will improve access to HIV testing services to people living in remote
rural areas that are underserved.
The program intends to establish linkages with the existing health facilities to facilitate provision of VCT as
well as provide new VCT services to those without access to health facilities through mobile clinics.
Additional referral linkages will be established with other HIV/AIDS services providers in the target area,
including facilities where ARV treatment can be accessed.
In partnership with three faith-based organizations in Kenya, CRWRC will scale up voluntary counseling and
testing services in all eight districts of the Western Province, Kitui and Mwingi districts in Eastern Province,
and Uasin Gishu district in Rift Valley Province.
Improved and expanded VCT services will be made available to all categories of the community
encompassing the male and female youth aged 15-24; women of reproductive age (aged 15-45); sexually
active adult couples (ages 25 and over); orphans and vulnerable children (ages 0-17); and families and
communities affected by HIV/AIDS. The religious and community-based volunteers who have been trained
to provide HIV counseling services will be instrumental in identifying people who do not know their HIV
status and encouraging them to be tested.
CRWRC and its partners will address gender in the VCT program area by focusing on male norms and
behaviors regarding HIV counseling and testing. CRWRC and its partners will also focus on human
capacity development through in-service training of clinic-based health workers in counseling and testing for
men and women. CRWRC and its partners will also work with health facility workers and community health
volunteers to develop a health worker and volunteer retention strategy. Other emphasis areas to be
partner organizations and coordination of the local partners' health management information system for
tracking referrals of HIV+ men and women for ARV treatment. This program is funded by the New Partner
Initiative.
Continuing Activity: 17553
17553 17553.08 U.S. Agency for Christian 7792 7792.08 New Partners $0
Table 3.3.14:
