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 AND EMPHASIS AREAS
In FY08, Kenya Medical Research Institute (KEMRI) and the Centers for Disease Control and Prevention
(CDC) embarked on a home based counseling and testing (HBCT) evaluation in Kibera as a joint program
between CDC's Global AIDS Program (GAP) and the International Emerging Infections Program's (IEIP)
Population Morbidity Study. The HBCT project in Kibera focused on two villages, Gatwikira and Soweto,
and targeted 20,000 individuals who were enrolled in the IEIP program in the area. The prevalence rate of
HIV in the HBCT project in Kibera averages around 17% and the project is able to counsel and test
approximately 65% of those individuals who had never tested before. The program has been highly
welcomed by residents of Kibera with an acceptance rate of approximately 90% from those who were
offered the HTC services in their homes. These indicators from the HBCT project in Kibera demonstrate a
larger need for a service delivery approach that can be rolled out to the rest of the villages in Kibera beyond
the IEIP study area.
Kibera is the largest slum in Africa with an estimated population of 600,000 people living in an area of
5Km2. The high rate of those individuals in Kibera who have never received an HIV test despite the
existence of VCT sites in the area gives support to the HBCT approach in this overcrowded slum.
In FY09, the HBCT TBD partner will build on the success of the KEMRI HBCT project by counseling and
testing 130,000 people in the first year of the program. The program will accomplish this goal by training an
additional 40 counselors in HBCT as well as train 20 medical health personnel in the Carolina for Kibera
Tabitha clinic in Provider Initiated Testing and Counseling (PITC). Carolina for Kibera has been a partner of
the IEIP program since the beginning of the morbidity study and has also started care and treatment
services for the two villages of Kibera as well as a new clinic that will be a major referral point for those who
test HIV positive.
TBD will work closely with other international and local NGOs in Kibera to ensure that those that have
agreed to the HBCT services access care and support.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
Kenya has adapted the UNAIDS goal of universal access and have set a goal of having 80% of the adult
population counseled and tested for HIV by 2010. This activity will make considerable contributions to this
goal by counseling and testing 140,000 people in Kibera. TBD will work closely with the Ministry of Health
in Kenya and specifically the National AIDS and STI Control Program to ensure that best practices that are
being used in Kibera's HBCT project can be duplicated and rolled out to similar informal overcrowded
settlements in Nairobi as well as other urban areas of Kenya. This program's activity is consistent with
PEPFAR's 5-year strategy to rapidly scale-up the access of HTC services and have more Kenyans learn
their HIV status to further strengthen efforts in prevention, care and treatment.
3. LINKS TO OTHER ACTIVITIES
This activity will directly be linked to care and treatment programs in Kibera, specifically with the IEIP care
and treatment site as well as with AMREF. This activity will also be linked to prevention activities,
specifically for those living with HIV. TBD will also link this activity with further community support services
for those to be infected or affected by HIV.
4. POPULATIONS BEING TARGETED
TBD through the HBCT project in Kibera will target their HTC intervention to all adult men and women
above the age of 15 as well as children that are suspected to have been exposed to HIV through a
confirmed HIV infected mother or a mother who is deceased and the cause is unknown. According to the
Kenya AIDS Indicator Survey (KAIS) Nairobi Province has a HIV prevalence of 9% and urban areas in
Kenya have a prevalence of 9 percent. This activity will also target couples in Kibera to ensure that couples
access HTC together as well as ensure there is gender equality in accessing HTC services. HBCT will also
ensure that older adults in Kenya above the age of 55 are also targeted for the services of HTC.
5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
There are no secondary cross-cutting budget attributions for this activity.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.14:
