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.
Years of mechanism: 2010 2011 2012
Columbia University's International Centre for AIDS Care and Treatment (CU-ICAP) has been supporting HIV care and treatment and TB/HIV services in Nyando District of Nyanza Province since 2008, working in 20 health facilities. In FY 10, ICAP will continue to support these services, and expand to Bondo (which is transitioning in FY 09), and Siaya (will transition in FY 10) Districts. In addition, ICAP will support and expand prevention of mother to child activities and counseling and testing in the facilities where they are implementing care and treatment.
CU-ICAP will continue to work with the ministries of health at the provincial, district and health facility levels, to jointly plan, coordinate and implement HIV care and ART and TB/HIV services, in accordance with the Kenya National Strategic Plan III, the Kenya and United States Government Partnership Framework, and the district and provincial annual operation plans. Cross cutting budget attributions include Human Resources for Health and Renovation.
ICAP will work with the MOH to identify areas with staff shortages and support recruitment of additional staff through a MOH driven hiring mechanism which ensures MOH ownership and sustainability.
ICAP will prioritize and support renovation of health facilities to improve space for provision of HIV services. ICAP will continue to strengthened data collection and reporting at all levels to increase and improve reporting to NASCOP and PEPFAR. Use of an electronic medical records system will be strengthened and expanded.
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Nyanza province, which has a population of about 5.1 million people, carries the highest HIV burden in Kenya, with an estimated adult HIV prevalence of 14.9% (compared to the national 7.1%), and about 500,000 people are living with HIV.
CU-ICAP has been supporting HIV care and treatment and TB/HIV services in Nyando District of Nyanza Province since 2008. The Counseling and Testing (CT) program in Siaya and Bondo Districts are supported by KEMRI, while in Nyando District by KEMRI (Provider Initiated Testing and Counseling- PITC) and Liverpool (Voluntary Testing and Counseling- CT). In the past, different partners have been supporting different program areas in the same geographic region and health facilities. Collaboration across these partners has been a big challenge, compromising the efficiency and cost-effectiveness of HIV service implementation. In COP10, in an effort to address this challenge, CU-ICAP, who will be supporting HIV care and treatment, TB/HIV and PMTCT services in Siaya, Bondo and Nyando Districts, will also support CT in these same districts.
CU-ICAP will work with the Ministry of Health at the provincial, district and health facility levels, to jointly plan, coordinate and implement HIV CT services, in accordance with the Kenya National Strategic Plan III, the Kenya and United States Government Partnership Framework, and the district and provincial annual operation plans.
In FY 10 CU-ICAP will ensure provision of CT services to 60,000 people in the 3 districts. CT approaches will include both client and provider initiated, and will be provided in both health facilities and in the community.
CU-ICAP will support PITC by all health workers as part of routine minimum package of care for all patients, family members and relatives regardless of their presenting signs and symptoms. This shall be in line with the Kenya National AIDS Strategic Plan for HIV AIDS (KNASP III) that aims to attain universal access to HIV testing and counseling by 2013. Decentralization efforts to lower level facilities will continue to ensure coverage of all the health facilities in the 3 districts that CU-ICAP will work in. CU-ICAP will ensure that at least 30% of all out patient and 80% of all patients admitted in the medium to high level public facilities are provided HIV testing and counseling and received their results as per national guidelines. CU-ICAP will work closely with the ministry of health staff at provincial, district and health facility levels to ensure that a positive attitude and support is given towards routine HIV testing and counseling.
In FY10 CU-ICAP will prioritize the identification of exposed/infected children < 5 years of age, through systematic provision of EID for those < 18 months of age at the MCH, PITC in clinical settings, family-testing through clinical and community HTC strategies, and the systematic use of the combined mother-child card at MCH. All exposed children until 18 months of age will be linked to pediatric care services and ART if HIV-infected.
CU-ICAP will also support implementation of home based CT in the 3 districts, as part of a comprehensive community HIV/AIDS program. The home-based CT program will lead to many previously undiagnosed people knowing their status and being referred to care and treatment. It will also support community and client education about HIV/AIDS.
Special efforts will be made to promote couples VCT and to provide prevention services for discordant couples.
CU-ICAP will support training of 50 healthcare workers on CT, support staff salaries, continuous medical education, regional and district level coordination and program review meetings, quality assurance activities, printing of recording and reporting tools, supplies and other relevant logistics.
CU-ICAP will work towards ensuring high level of quality for CT services through support of regular supervision, mentorship, and external test validation and proficiency testing as per the Kenya national quality assurance strategy. CU-ICAP will also work to ensure effective referral and linkage to prevention, and care and treatment depending on the outcome of the HIV testing and counseling.
