Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12064
Country/Region: Kenya
Year: 2010
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

The overall goal is to improve the physical infrastructure of the health facilities in Kenya to support service delivery. The main objective is to improve physical infrastructure in line with national building standards for the national blood transfusion service, laboratory service, care and treatment services, counseling and testing and TB services in Kenya. This mechanism is intended to build on earlier support to physical infrastructure improvements.

Kenya's public health infrastructure has long been a source of concern for service providers. The Physical infrastructure is dilapidated and many of the buildings at district and lower level were not purpose built and as a result service delivery is impaired. It is also recognized that an investment in equipment and reagents particularly for laboratory must be balanced with investment in physical infrastructure to ensure service delivery.

To improve equity and access to safe blood from NBTS in FY-10, TBD will provide contracting services to construct/renovate new blood satellite centers. Such centers will have the capacity to store blood and distribute it to surrounding regions to ensure universal access of safe blood in all transfusing health facilities.

The laboratory physical infrastructure will improved by renovating/building new district laboratories in accordance with national standards.

Comprehensive care centers and counseling and testing centers will be renovated or built to improve service delivery.

TB MDR isolation wards will be renovated and lab facilities in 2 provinces will be renovated to bio safety levels for TB culture.

Funding for Treatment: Adult Treatment (HTXS): $0

The overall goal is to improve the physical infrastructure of the health facilities in Kenya to support service delivery. This mechanism is intended to build on earlier support to physical infrastructure improvements but we are waiting on OGAC guidance on an implemeting mechanism for the activity. Procurement and contracting services will be provided by TBD (TBD) for Architectural and Engineering and building contract services. National Approved Standard designs will be used.

Kenya's public health infrastructure has long been a source of concern for service providers. The physical infrastructure is dilapidated and many of the buildings were not purpose-built and as a result service delivery is impaired. It is also recognized that an investment in equipment and reagents particularly for laboratory must be balanced with investment in physical infrastructure to ensure service delivery.

The laboratory physical infrastructure will improved by renovating/building 2-3 new district laboratories in accordance with national standards.

Currently many CCC's (Comprehensive Care Centers) in GOK are overcrowded as they try to cope to handle the increasing numbers on people on ART. The existing facilities were not designed for efficient patient flow and are in a poor state. In FY10 PEPFAR will support the construction /major renovation of CCC's at 3 GOK Level 5 facilities.

Procurement and contracting services will be provided by TBD for Architectural and Engineering and building contract services. National Approved Standard designs will be used. Local architects and local builders will be used to implement the project in accordance with Government of Kenya building standards.

Funding for Health Systems Strengthening (OHSS): $0

The overall goal of this project is to improve the physical infrastructure of the health facilities in Kenya to support effective HIV/AIDS service delivery. This TBD mechanism is intended to support A/E services to develop building plans, conduct site surveys, and ensure building designs are built in accordance to Government of Kenya building standards. Kenya's public health infrastructure has long been a source of concern for service providers. The physical infrastructure is outdated and many of the buildings were not designed for the current level of service delivery.

Currently many CCC's (Comprehensive Care Centers) in GOK are overcrowded as they cope to handle the increasing numbers on people on ART. The existing facilities were not designed for efficient patient flow. These funds will influence additional FY10 PEPFAR support in other budget codes which support the construction /major renovation of CCC's and Laboratories.

Funding for Biomedical Prevention: Blood Safety (HMBL): $0

Kenya's public health infrastructure has long been a source of concern for service providers. The physical infrastructure is dilapidated and many of the buildings are not purpose-built and as a result service delivery is impaired. The physical infrastructure for the NBTS is poor and unable to accommodate good service delivery.

The overall goal is to improve the physical infrastructure of the health facilities in Kenya to support service delivery. This mechanism is intended to build on earlier support to physical infrastructure improvements.

To improve equity and access to safe blood in FY-10, TBD for Architectural and Engineering Services will provide contracting services to construct/renovate new blood satellite centers. Such centers will have the capacity to store blood and distribute it to surrounding regions to ensure universal access of safe blood in all transfusing health facilities. It is planned in FY 10 to construct 2 new regional blood transfusion centers.

Procurement and contracting services will be provided by TBD for architectural and engineering and building. National Standards approved designs will be used and the project will be aligned to Ministry of Medical Services national plan.

Local architects and builders contracted by TBD will be used to implement the project in accordance with Government of Kenya building standards.

Funding for Laboratory Infrastructure (HLAB): $0

Kenya's public health infrastructure has long been a source of concern for service providers. The physical infrastructure is dilapidated and many of the buildings at district and lower levels were not purpose-built and as a result service delivery is impaired. It is also recognized that an investment in equipment and reagents particularly for laboratory must be balanced with investment in physical infrastructure to ensure service delivery.

Procurement and contracting services will be provided by the TBD.

The overall goal is to improve the physical infrastructure of the health facilities in Kenya to support service delivery. The main objective is to improve physical infrastructure in accordance with national building standards for the laboratory services. This mechanism is intended to build on earlier support to physical infrastructure improvements.

In FY 10 PEPFAR will through this mechanism construct or renovate 15 new GOK district laboratories in accordance with national building standards for laboratories and the national health infrastructure plan. Implementation of the national infrastructure plans is coordinated by Ministry of Medical Services and Ministry of Public Health and Sanitation for their respective plans, and regulated by Ministry of Works. Local architects and builders will be used to implement the project in accordance with Government of Kenya building standards.

Local architects and builders contracted by TBD will be used to implement the project in accordance with Government of Kenya building standards.

Funding for Care: TB/HIV (HVTB): $0

Tuberculosis (TB) is the leading cause of death of PLWH and HIV is the greatest driving factor for TB in Kenya.

About 45% of TB patients are HIV co-infected. USG is supporting improved capacity of the national TB laboratory systems critical to adequate response to the threat of MDR-TB and successful implementation of collaborative HVTB activities. USG will support construction of a new central TB reference laboratory using funds secured in FY09 and in FY10, USG will assist Kenya expand DST services for TB re-treatments from 60% to 90%. USG will upgrade bio-safety and support expansion of TB culture and DST capacity in two provincial laboratories. New diagnostic methods (eg line probe assays) for rapid identification of MDR-TB in line with WHO algorithm will be introduced in these upgraded labs.

Kenya's public health infrastructure facilities were not designed or built to handle the MDR threat.

At the same provincial sites that will have laboratories upgraded to do TB culture MDR-TB treatment isolation units will renovated/constructed.

The overall goal is to improve the physical infrastructure of the health facilities in Kenya to support service delivery. This mechanism is intended to build on earlier support to physical infrastructure improvements. Procurement and contracting services will be provided by the TBD for Architectural and Engineering Services and building contract services. National Approved Standard designs will be used. Local architects and builders contracted by TBD will be used to implement the project in accordance with Government of Kenya building standards.