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.
1. ACTIVITY DESCRIPTION & EMPHASIS AREAS
This project supports scale up of comprehensive PMTCT service delivery through both static health facilities
and mobile outreach services. Local partner CCS-MKE is already an experienced PMTCT service provider
in the Central districts, through the PMTCT and CCC services at Mt. Kenya Hospital in Kerugoya, and
through the Dispensary at Wanguru Integrated Development Station in Mwea. In COP 09, the PMTCT
services of CCS-MKE will be expanded by deploying 4 professional service providers at Mituguu, Mayori
and Macumo Clinics. An assessment will be conducted to determine if a CD4 count machine needs to be
purchased under the program. Twenty professional PMTCT counselors will be trained and deployed within
NIDP, TRDP, CCS-MKE and EAK projects in this FY'09 period within 12 districts. The trainings will be
provided by NASCOP and are seen as an integral element in national scale up of CT and PMTCT service
delivery capacity.
The PMTCT service model in this project recognizes the key role of local church congregations in mobilizing
community members to utilize PMTCT services, and supporting families with HIV positive mothers to
adhere to PMTCT recommendations at birth and during the post-natal period. The project provides support
for training a total of 74 leaders in local congregations as PMTCT mobilizers, and leaders in formation of
social support groups around families with HIV positive mothers. Four facilities will be established and four
(EAK clinics) renovated to offer PMTCT services. It is envisaged that the new outreach services will grow
into permanent static services. Partners will work with congregational leaders and key members of the
church and community (including cultural leaders, traditional birth attendants, and other traditional health
practitioners), educating and mentoring them to play proactive supportive roles. Men and women in the
church will be mobilized and facilitated to form small groups that discuss issues of vulnerability, prevention
and care in their community. This initiative will seek to encourage the involvement of at least 20% of
another family member in the PMTCT services.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute toward USG targets set for COP 09. By supporting 44 service outlets to
provide the minimum package of PMTCT services according to national and international standards and by
providing critical training for 21 community health workers in the delivery of PMTCT services, Tearfund and
its partners will build local capacity in the area of referral and tracking of PMTCT recipients for long-term
prevention programs.
3. LINKS TO OTHER ACTIVITIES
This activity will be linked to Tearfund's AB and CT activities.
4. POPULATIONS BEING TARGETED
In partnership with six faith-based organizations in Kenya, Tearfund will scale up CT and PMTCT services
in a number of districts of Northern and Central Kenya, including Narok, Transmara, Thika, Machakos and
Kirinyaga. 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. Couple counseling and testing will be supported and the need for hospital deliveries will be
emphasized. Pregnant women who are HIV+ will be provided with a full course of ARV prophylaxis or
referred to another health facility where treatment can be obtained. Babies born to HIV+ women will be
provided with a complete course of ARV prophylaxis according to the National guidelines.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.01:
This project supports behavior change through activities that build self-esteem, enhance personal HIV risk
perception, delay sexual debut, and promote abstinence from pre-marital sex, and sexual faithfulness in the
context of long-term relationships. This program will focus on young people most at risk of HIV infection in
the 10-29 age range, especially young women aged 15-24, young men aged 20-29, and out of school
youth. The program will include BCC with the primary focus on building institutional support for sustained
interventions, through orientation and information sharing with 1,166 key leaders from 272 schools, 250
churches and other community settings; training of 2,742 trainers, 4,360 peer educators and 8,592 small
group discussion leaders to reach 143,982 young people. The program also plans to procure and adapt
skills building information materials for the different target audiences.
The project will implement life skills education in schools and will emphasize understanding and valuing
personal identity, building safe and productive relationships with other people, and making healthy choices
for personal development. Interventions using this approach will be led in this partnership by Lifeskills
Promoters (LISP) in the initial 88 schools in Kiambu and are based on the UNICEF model for Life skills
education as described in the 2000 Publication: Skills-Based Health Education to Prevent HIV/AIDS.
A participatory peer-based dialogue in churches and community settings will use the Stepping Stones
model which has been applied in 6 Evangelical church congregations covered by the EAK program, and
adapted for the pastoralist communities in the districts of Narok and Transmara, covered by NIDP and
TRDP respectively and the Choose Life Model (pioneered by World Relief in Rwanda, successfully
implemented in many church settings in Kenya, and used in this project in the CCS-MKE program in parts
of Central, Eastern and North-Eastern Provinces.
The work of SJCC will employ the Family Dialogue model, in the 12 initial Parishes of project
implementation within the Anglican diocese of Nairobi. This model was developed by DOSS-ACK and
implemented in 4 Dioceses under the USAID-supported IMPACT Program, implemented by Family Health
International and the Coffee Bar ministry locally developed in the youth mobilization programs of SJCC in
the low income communities of Pumwani in Nairobi, and successfully used over the last three years to
reach over 200 young people.
BCC discussion groups targeting young people will focus on accessing follow-up services, including in-
depth problem-solving counseling, HIV counseling and testing, STI and reproductive health care. Available
services in each intervention setting will be mapped and collaboration negotiated with the respective service
providers, to ensure success of the planned referrals. Establishment and running of the BCC discussion
groups will be integrated and coordinated with the HIV counseling and testing services. The LISP program
includes telephone-based counseling, available to students participating in the school-based life skills
program.
In line the USG Sexual Transmission Prevention (STP) team's identified priorities; Tearfund will implement
comprehensive, highly active prevention activities in an evidence-based approach of targeting those
populations shown to be most at risk. Prevention activities targeting adults and youth will be rolled out
throughout Kenya, with particular focus on geographic areas of highest need, in community settings. These
activities will be implemented through the initiatives of a range of indigenous sub-partners and will result in
12,293 individuals trained to promote HIV/AIDS prevention through abstinence and/or being faithful
interventions and 163,652 people reached through community outreach that promotes HIV/AIDS prevention
through abstinence and/or being faithful messages.
These activities will link to other sub-partners supported through Tearfund to ensure that all partners are
integrating prevention into programmed activities across each program area. Strong linkages to counseling
& testing and PMTCT will be established so that prevention interventions.
Highly active prevention interventions will target vulnerable and most-at-risk populations, especially in
geographic areas of highest need. Targeted populations will include young people most at risk of HIV
infection in the 10-29 age range, especially young women aged 15-24, young men aged 20-29, and out of
school youth. Community-level activities will reach these groups with targeted prevention interventions.
Table 3.3.02:
Tearfund recognizes HIV counseling and testing as an important component in promoting safer behavior
and reducing the risk HIV transmission. This project aims to increase the availability and uptake of
counseling and testing (CT) services, particularly targeting hard-to-reach populations. Thirty three sites
(static and mobile) will operate CT services in remote pastoral communities in Narok, Transmara and
Kirinyaga districts, and in high density urban communities within less affluent neighborhoods of Nairobi.
Other target districts are Thika, Machakos, Nakuru, Mtwapa, and Nyamira, all aiming to reach 34,880
people with CT services and results returned. Within CPAK, 5 of the implementing partners will be involved
with CT activities. CT promotion will be integrated into the health, marriage support and youth development
ministries of church congregations and community training within the BCC activities. The CT services will
be offered by NASCOP certified and registered CT providers attached to static church based health facilities
and MOH health facilities. All of the static CT services will be managed within government ministry of health
registered church health facilities, also all the mobile CT services, except those run by TRDP, will be run by
the staff from the church health facilities. TRDP will facilitate the ministry of health staff with transport to
reach people in the remote areas with CT services.
The CT facilities will be linked to other complementary services such as post-test support clubs to adopt and
sustain protective behavior.
Partners involved in CT promotion will invest in the training and deployment of 57 health workers
(nurse/counselors, laboratory personnel). The health workers, who will be from the church based health
institutions, will be trained by MOH trainers using the MOH CT curriculum. On completion of their training,
they will be certified and registered by MOH to provide CT services. As part of the strategy to increase the
uptake of CT, community volunteers will also be trained to promote CT in the churches and community.
The program will work with religious leaders and other community leaders to ensure community support and
protection of confidentiality with regard to HIV status.
This activity will contribute to the COP 2009 targets of number of individuals counseled and tested and
trained. Tearfund will contribute to the overall program area with 33 service outlets that provide counseling
and testing, 34,880 individuals will receive counseling and testing and 57 individuals will be trained to
provide VCT
This activity is linked to Tearfund's activities in MTCT and HVAB.
CT services in remote pastoral communities in Narok, Transmara and Kirinyaga districts, and in high
density urban communities within less affluent neighborhoods of Nairobi. Other target districts are Thika,
Machakos, Nakuru, Mtwapa, and Nyamira.
Table 3.3.14:
