Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016 2017

Details for Mechanism ID: 12555
Country/Region: Kenya
Year: 2011
Main Partner: University of Nairobi
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $3,907,000

University of Nairobi/Clinical Services-Center of Excellence represents a follow-on for HIV clinical services (MTCT, HBHC, HTXS, PDCS, PDTX, HVTB, ) currently provided by the following partners whose awards are expiring on March 31, 2010: AMREF (295.09), CARE International (368.09), EDARP (282.09), IMC (662.09), IRC (305.09) NARESA (296.09), NYU (286.09), Pathfinder International, UCSF (292.09), University of Manitoba (287.09), University of Nairobi (217.09 and 303.09), University of Washington (483.09). The existing services will transition to several TBD partners (PS09-991, PS09-962 and PS10-1004). The current activities under the listed partners are located in Central, Nairobi, Eastern and Nyanza regions. We anticipate making ~9 awards to follow on these activities. This TBD will cover Comprehensive Prevention care and treatment activities including PMTC, Provider Initiated Counseling and Testing, Basic care, Antiretroviral treatment and Prevention of HIV in clinical settings.

These activities will contribute to the expansion of access to quality comprehensive care and treatment services for people with HIV and pregnant mothers, strengthened human resource capacity to deliver comprehensive, prevention and treatment services, and a strengthened referral network for the provision of these services.

Activities will cover Nairobi, Eastern, Central and Nyanza regions in Kenya. These activities target pregnant mothers and people living with HIV/AIDS, including HIV positive infants (0 - 5 years), children (6 - 14 years), adult men and women and pregnant women. Public health care providers, including doctors, nurses, pharmacists, and laboratory workers are targeted for increased comprehensive prevention, care and treatment knowledge and skills

The To be Determined (TBD) partners will expand a collaborative relationship with National AIDS and STD control Program at national, provincial and district level . TBD will also support establishment/strengthening of other regional activities, including developing a system for quality control at supported facilities and the development of a regional system for transfer of blood samples/results to optimize the utilization of CD4 cell count machines. TBD partners will also assist with development of a quality improvement program for the region and will assist the National AIDS and STD Control Program (NASCOP) with implementation of a similar system nationally.

Due to the expansion of HIV clinical care services and the shortage of health workers, funds will be used to hire additional health workers who will be placed at the facilities providing HIV services. Funds will also be used for training of these health workers in comprehensive prevention care and treatment.

TBD partners will support integration of prevention care and treatment services at facility level. TBD partners will implement in coordination with other USG partners and Ministry of health at provincial and district level.

Cross cutting budget attributions include Human Resources for Health, Renovations and Food and Nutrition Commodities. Contribution to human resource development will be include hiring of additional staff ,(mainly clinical officers, nurses, laboratory and pharmaceutical technologists) to support service delivery at KNH salary level scale. Food and nutrition support will mainly target deserving HIV positive patients, and malnourished or vulnerable children.

Funding for Care: Adult Care and Support (HBHC): $380,000

None

Funding for Treatment: Adult Treatment (HTXS): $2,050,000

UON Center of Excellence will expand a collaborative relationship with Kenya Ministries of health through the National AIDS and STI Control Program (NASCOP) at national, provincial and district level in Nyanza region, to enhance and expand the antiretroviral treatment program in Nyanza region in Kenya, providing treatment to 6,200 people with HIV (including 1,000 new, bringing the total ever treated to 7,440 in over 4 sites. 200 health care providers will receive ART training. UON Center of Excellence will support, staff salaries, training, laboratory evaluation, adherence counseling, and monitoring. ARVs

will be supplied to the sites through the distribution system of the recently awarded

Kenya Pharma project and the Kenya Medical Supplies Agency (KEMSA).

The partners will work closely with and support the activities of the Provincial AIDS and

STI Coordinator for the assigned region. These activities will include support for regular meetings of providers from sites in each region. UON Center of Excellence will also support establishment/strengthening of other regional activities, including developing a system for quality control, a regional system for transfer of blood samples/results to optimize the utilization of the CD4 cell count machines, and a regional quality improvement program.

Funding for Testing: HIV Testing and Counseling (HVCT): $227,000

None

Funding for Care: Pediatric Care and Support (PDCS): $70,000

None

Funding for Treatment: Pediatric Treatment (PDTX): $230,000

None

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $600,000

None

Funding for Laboratory Infrastructure (HLAB): $200,000

None

Funding for Care: TB/HIV (HVTB): $150,000

University of Nairobi Center of Excellence (UON-COE) will support TB/HIV services by screening ~4,150 HIV patients, identify and treat ~4,15 TB patients including children at 4 sites in the Nairobi region in Kenya.

UON-COE will support a package of services at the facility and community including TB screening of HIV patients and HIV testing for TB patients, clinical monitoring, related laboratory services, treatment and prevention of Tuberculosis, infection control. UON-COE will support refresher training of laboratory staff and improvement of basic laboratory microbiology capacity in order to meet the increased needs of TB testing. 200 health care workers will be trained to provide clinical prophylaxis and/or treatment for TB to HIV-infected adults and children. Coptic will refer TB/HIV patients for clinical care appropriately while ensuring that activities are implemented according to the national guidelines. UON-COE will collaborate with the Division of Leprosy Tuberculosis, and Lung Diseases (DLTLD) and other partners to achieve the national and PEPFAR goals.

UON-COE will monitor and evaluate the TB/HIV activities following the national guidelines and M& E framework.

Subpartners Total: $0
Kenyatta National Hospital: NA
University of Maryland: NA
Cross Cutting Budget Categories and Known Amounts Total: $250,000
Food and Nutrition: Commodities $50,000
Human Resources for Health $200,000