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.
Goals and Objectives
The goal of the M2M is to improve the quality of PMTCT service delivery in Kenya's health care facilities through the widespread integration of M2M model of peer-based psychosocial education and support for pregnant women, new mothers and caregivers living with HIV/AIDS in Kenya. Ultimately this will contribute towards minimizing vertical transmission, increase access to heath care for HIV positive mothers and empower and enable mothers to live positively further contributing to a reduction in OVCs.
The M2M uses a Prevention with Positives (PwP) approach to achieve each of these goals by training and employing HIV-positive mothers to provide high quality support and education to their peers in the health care setting. This is in line with the Partnership Framework on expanding clinic based PwP interventions.
As former PMTCT clients themselves, M2M's Mentor Mothers will link women to various services in both the antenatal and post-natal period; promote skilled and hospital deliveries; improve the continuum of care that so often breaks down across PMTCT service delivery.
The program will also increase uptake of infant testing by educating and encouraging women to bring their babies back after delivery for HIV tests and CTX prophylaxis.
Infant feeding is one of the most critical interfaces between HIV and child survival and remains one of the major barriers in preventing pediatric transmission. The ability of mothers to successfully achieve a desired feeding practice is significantly influenced by the support provided through formal health services and other community-based groups. M2M will work towards linking the facility based groups with community based support groups and in so doing strengthen adherence to infant feeding options at these levels. The role of men in PMTCT cannot be underestimated. Through the mother mentors M2M will use innovative strategies to promote male involvement in PMTCT care as well as facilitate regular support groups for couples.
How does this link to Partnership Framework Goals
The partnership framework seeks to achieve 100 percent coverage of PMTCT in all health facilities, including the use of more efficacious regimens, HAART for those eligible. Mentor mothers will support the PF goals by encouraging women to attend ANC clinic, promote hospital delivery, increase uptake and adherence of PMTCT interventions and create linkages to care and treatment. In addition to this the program will also contribute to the expansion of clinic based PwP interventions. Since it will also target spouses it will also contribute to the continued efforts to make ANC / PMTCT an entry point for family-centered care
Geographic coverage and target populations
During this COP, mother to mother will achieve national coverage will target pregnant women, primarily HIV-positive pregnant women who receive M2M educational and psychosocial support (includes those employed by the program), their spouses; The HIV-exposed infants who are born to the women who receive M2M services are also beneficiaries of the M2M program activities.
Cross-cutting programs and key issues:
In support of PMTCT services, M2M will provide linkages to other critical components of HIV care and prevention efforts. The program will work directly with Counseling and Testing (VCT) programs by encouraging women to learn their HIV status during pregnancy provide women with information about interventions and assist HIV-positive women to access linkages and referral systems to bridge PMTCT and other health services such as family planning and other sexual and reproductive health services.
IM strategy to become more cost-efficient over time (e.g. coordinated service delivery, PPP, lower marginal costs, etc)
This will be a national activity and as such standard operating procedures including training, referral systems will be utilized. One of the outcomes of this activity is to support the government to come up with cost effective models which will be region and facility level specific. Increase of PwP activities will reduce stigma and improve health seeking behaviors. Patients are more likely to enroll into care and treatment and reduce morbidity and mortality rates. The strategy will become more cost efficient with time.
Budget allocation: $ 700,000
The goal of the m2m is to improve the quality of PMTCT service delivery in Kenya's health care facilities through the widespread integration of m2m model of peer-based psychosocial education and support for pregnant women, new mothers and caregivers living with HIV/AIDS in Kenya. Ultimately this will contribute towards minimizing vertical transmission, increase access to heath care for HIV positive mothers and empower and enable mothers to live positively further contributing to a reduction in OVCs.
The TBD partner will undertake the activities using a two prong approach - a direct and an indirect form of implementation.
In direct implementation, the TBD partner will set up program sites that will serve as "centers of excellence"; these will provide a reference for technical assistance activities against which implementing partners could benchmark efforts to replicate and scale-up mothers2mothers' model of care. In addition to this they will conduct a Training of Trainers course for the National program.
In indirect implementation the partner will provide technical assistance. At the national level they will form a partnership with the National AIDS and STI Coordinating Program (NASCOP) and the national PMTCT Technical Working Group to conceptualize a strategic plan for national scale-up. They will work with these teams to adapt and adopt of the m2m curriculum and other program tools to the national context through a consultative process They will also continue to refine and adapt the m2m program model and begin to respond to the challenge to support rapid national scaleup of integrated and cost effective services to ~4000 PMTCT facilities.
At the level of implementing partner organizations, they will create partnerships with partner organizations to implement the m2m model of care throughout the country through accreditation or other similar approaches. A Quality Assurance/Quality Improvement system will be set up to facilitate this process.
They will design a roll out strategy that will include building the skills of management teams and partners to conduct supportive supervision.
The partner is expected to lay down a clear devolution strategy to an in-country implementing partner and NASCOP for sustainability
Contributes towards the number of women receiving C&T, ARV prophylaxis and infant testing.
Budget allocation: $700,000
