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.
Goals and Objectives
The APHIA II Follow On is an integrated national activity covering all eight provinces of Kenya and will result in multiple awards. There will be a prime partner with multiple sub-partners to support increasing access to ART; providing care to people affected by HIV, including orphans and vulnerable children; and preventing new infections. The mechanism will seek to increase HIV testing and counseling through community involvement, PMTCT, TB clinical and other provider-initiated approaches. HIV positive mothers and infants will be given ARVs per national ART/PMTCT guidelines. The mechanism will contribute towards national OVC goals and seek to cover approximately 35% of the total OVC population at the provincial level, based on disease burden and OVC population. Comprehensive combination prevention strategies, consisting of evidence-based behavioral, bio-medical and structural interventions will be implemented. The TBD partner will support national guidelines development for IDU/NIDUs and implementation. Support will also be extended to GoK to implement VMMC in accordance with national recommendations. All of these activities will be developed jointly with the GOK and are aligned with national priorities set forth in the PF and KNASP III.
How IM Links to PF Goals
The PF strengthens coordination and collaboration between GoK, USG and other partners to set programmatic priorities; the APHIA II follow-on will work closely with GoK to ensure full coordination and ownership. Furthermore, the PF supports development and implementation of policies that address and mitigate societal norms or cultural practices that impede HIV programming To enhance coordination and fill existing gaps, the TBD partners will seek to increase HIV testing and counseling through community, PMTCT, TB clinical and other provider-initiated approaches; support proven behavioral interventions targeting sources of new infections and MARPs ;strengthen community support and mitigation programs to reach households with PLWHA and OVC with effective prevention, health maintenance and economic support services; enhance M&E capacity at community level and health facilities to collect and report routine data and continuously inform programming, operational and strategic planning.
Geographic coverage and Target population
This will be a national activity covering all eight provinces. The target populations are (i) Community level - OVC, youth (in and out of school), MARPs, pregnant women, adults and the general population; (ii) Health Facilities and health workers; and (iii) GoK Health Systems and Human Resources..
Contributions to Health systems Strengthening
The TBD partners will offer a comprehensive package of integrated support to health facilities and communities holistically addressing HIV prevention, care and treatment. Support to health commodity supply chain management and human resource capacity will impact positively on the country's health system. Collection and reporting of routine data will continually inform strategic planning.
Cross-cutting programs and key issues
TBD partners will support gender issues, including male involvement to address male norms to indirectly strengthen women's ability to access health services; focus on achieving gender equity in HIV/AIDS activities and services and increasing women's access to income and productive resources through IGA activities. The TBD partners will link FP with PMTCT services, interlink the blood program with malaria and obstetric programs and strengthen the hospital end of the transfusion service. Build the capacity of local partners to address gender-based vulnerabilities and risk factors for OVC, support stronger linkages to reproductive health/family planning services, PwP messaging and interventions for those HIV-positive. Support robust mechanisms for TB/HIV collaboration at all levels; and build sustainable clinical and laboratory structures to support HIV, TB and MDR-TB surveillance, diagnosis and treatment. Collaborate with and provide technical assistance to private companies to establish or enhance workplace programs.
Cost Efficiency
TBD partners will implement integrated programs that include HIV/AIDS, reproductive health, child survival and malaria activities. In doing so, efficiencies will be realized in investments in equipment, infrastructure and training as services are co-located and the same staff and facilities are utilized in service delivery. They will also work towards providing technical assistance on task shifting to increase health worker efficiencies. Additionally, they will collaborate with the National work groups exploring options of sustainable financing, such as health insurance schemes and promoting integration of the private sector in service delivery. The TBD partners will provide technical assistance to the GOK programs at the provincial, district and service delivery levels to ensure ownership of the programs by the Government of Kenya. Furthermore, they will support strengthening systems, including working with DHMTs and PHMTs, as well as enhancing partnership with host governments to strengthen country ownership and build capacity for a sustainable, long-term GoK response to the HIV pandemic.
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