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.
APHIA II follow on will be a national activity covering all the eight provinces of Kenya targeting the HIV infected children, youth and adult population. This activity will build on the progress of APHIA II in all the provinces of Kenya. The TBD partner on will continue to strengthen the ability of the ART facilities to provide quality HIV services. The activities will include infrastructure, training clinicians and other providers, clinical monitoring, related laboratory services, community-adherence activities and management of opportunistic infections.
The TBD partner will build the capacity of health workers through training and introduction of innovative methods of service delivery. The training activities will include in-service trainings, mentorships and preceptor program. During the training, best practices and lessons learnt will be shared across the various provinces of Kenya. The TBD partner will support clinical staff continuing medical education, mentorship, onsite technical assistance to strengthen the provision of HIV services. The TBD partner will also support training in commodity management to ensure proper use and reporting of the commodities. Due to the high staff turnover and changing disease patterns the TBD partner will regularly evaluate training needs and subsequently organize for the necessary training.
The TBD partner will support the ministries of health's supportive supervision and progress review meetings as well as strengthen quality assurance. The partner will support the introduction and institutionalization of continuous quality improvement (CQI) teams at the facility level. The CQI teams will champion the continuous quality improvement will the small test of change concept. The partner will enhance quality of care through improved case management and introduction/strengthening of Electronic Medical Records (EMR). The EMR will improve patient tracking and will also be a major resource for the CQI teams. The EMR will improve the facility reports in terms of accuracy, completeness and timeliness. The partner will also encourage data use at the facility level in order to improve the service delivery. Most of the service improvement can be addressed at the facility if the management and staff learn to use the data they collect. The laboratory networks will be strengthened and networked to provide the required HIV monitoring tests like CD4 tests, hematology and liver function test. This will ensure that patients are evaluated for eligibility of starting ART or regimen switch. The partner will support viral load testing for suspected treatment failure cases through the network. Referral mechanism will be strengthened to ensure proper handling of suspected treatment failure cases. The partner will strengthen the case management of second line patients to minimize failure in this category as the third regimen is expensive and not readily available.
The TBD partner will enhance the facility capacity in treatment preparation for patients before starting ART. Adequate treatment preparation is necessary for good adherence to treatment by patients. The TBD partner will also enhance the capacity and create systems to strengthen facility-community linkages by sharing and implementing best practices across the program. The partner will support community activities carried out by the facilities. Patient follow up in the community will be a crucial activity to enhance adherence. The program will provide support in adherence training to ensure that the facilities have adequate capacity to provide the adherence services. The TBD partner will also support communities to improve referral and linkage to the health facilities. The TBD partner will follow up to ensure that loss to follow up is kept to a minimum and adherence rates are above the recommended levels. Because of the cultural diversity among the various communities in Kenya, tailor made behavior change communication programs will be established to address stigma reduction; encourage utilization of treatment services; treatment compliance as part of psychosocial support; and prevention of HIV among HIV positive individuals. Because the issue of stigma and discrimination is still high even amongst health workers in Kenya, this activity whilst conducting clinical training will also train health workers on stigma and discrimination reduction using a curriculum specifically produced for this purpose.
The TBD partner will carry out activities to support the strengthening and expansion of ART services in all the provinces of Kenya. The TBD partner will support both public and private sector facilities to strengthen their capacity in providing comprehensive HIV services. The partner will support and strengthen Public Private Partnership initiatives. Through this initiative the capacity of faith based and private service providers to provide HIV treatment services will be strengthened. This will involve offering ART technical assistance, provision of laboratory, pharmaceutical and other commodities. The TBD partner will support the integration of HIV services with Reproductive Health/Family Planning (RH/FP) and TB services. Prevention services will be emphasized and treatment at the comprehensive care clinics will be expanded to link to other entry points such as outpatient departments, inpatients, PMTCT, VCT centers and community services. The partner will support decentralization of services so that patients can get treatment closer to where they live to improve access. The TBD partner will support the introduction and strengthening of Gender based violence services at the facility.
This activity supports the Partnership Framework by focusing on strengthening community support and mitigation programs and expanding to reach 80% of households with PLWHA with effective prevention, health maintenance including treatment adherence and disease monitoring and social support services.
Support to HTXS will be one component of a package of integrated support at health facilities and communities, holistically addressing HIV prevention, treatment and care
Budget Allocation $17,800,000. This activity will result in multiple awards.
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