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.
This cooperative agreement was awarded in FY2009 from FOA PS09-990. The activity was written into COP 2009 as a TBD "PS-09-990" (mechanism ID: 12232.09, mechanism system ID: 12232). This mechanism is now being submitted in COP 2010 as a continuing implementing mechanism with request for a new mechanism system ID.
Surveillance:
UCSF will provide technical assistance to the GoK and implementing partners on a variety of HIV surveillance activities.
Developing a protocol that will measure the readiness of Kenya to move from relying ANC sentinel surveillance to estimate prevalence to using PMTCT data.
Surveillance of MARPs including MARPs protocol review, finalizing MARPs protocol and MARPs technical assistance and capacity building.
Manuscript preparation support for the Kenya AIDS Indicator Survey 2007
Surveillance needs assessment for surveillance capacity building with MoH and other implementing partners
Developing a plan for building surveillance capacity and assisting NASCOP to build up a surveillance team.
Developing a surveillance matrix and a strategic surveillance plan for Kenya, including incidence surveillance, STI surveillance, mortality surveillance, case reporting and clinical outcomes surveillance, pediatric surveillance
Developing an epidemiologic profile for Kenya that is constantly being updated
Preparations for next Kenya AIDS Indicator Survey
Informatics:
UCSF will work with the MoH and NASCOP to support the ongoing informatics activities which include:
Developing standards for Electronic Medical Records (EMR) systems in Kenya and establishing a framework for systems interoperability.
Integration of key national electronic sub-systems which include a Laboratory Information Management System (LIMS), Electronic Medical Records (EMR) and Pharmacy systems. This will be demonstrated in at least two geographical locations (district or province) at different levels of health facilities. Internationally recognized standards such as HL7, LOINC, and ICD 10 coding should be included in the framework.
Building local capacity to support and use EMR/HMIS applications. This will entail the training of staff at local health facilities, regional level and at the national level. This activity will also include the ongoing capacity training workshops in selected technical in informatics topics as a way of ensuring sustainability.
Supporting the Division of HMIS to fully develop a data warehouse at the MOH. Support will be directed to all HIV programs and will include training MOH.
Supporting informatics activities in Nyanza province, including integration of Demographic Surveillance System (DSS) and health facilities.
UCSF will support an expanded surveillance portfolio as well as informatics activities. Informatics support was not funded in the previous fiscal period. The activities to be supported through this implementing mechanism are listed below:
UCSF will work with the MoH and NASCOP to support the ongoing informatics activities which were previously supported by University of Washington/ITECH. These include:
Supporting informatics activities in Nyanza province, including integration of Demographic Surveillance System (DSS) and health facilities
The Kenya AIDS Indicator Survey showed that HIV is still a major problem in Kenya and there is wide geographical variation in prevalence. STIs that are known to be associated with the risk of HIV acquisition and transmission are also common. This calls for strong HIV and STI surveillance systems to monitor these diseases. UCSF will help the GoK to strengthen its surveillance and routine monitoring systems through these expanded activities.
