Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13346
Country/Region: Kenya
Year: 2012
Main Partner: World Health Organization
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: HHS/CDC
Total Funding: $758,621

Goal: To support the Ministry of Public Health and Sanitation (MoPHS) to scale up of HIV prevention, care & treatment services, and health systems strengthening for a more effective, comprehensive & sustainable HIV/AIDS response. Objectives: Technical support in setting of standards and development of strategies for accelerated scale-up of HIV prevention interventions and increased access to HIV treatment and careTechnical support HIV program monitoring and evaluationTechnical support for forecasting, quantification, logistics management and quality assurance systemsTechnical support in developing HIV service delivery frameworks to facilitate integration of HIV services with other related interventions Technical support in capacity buildingTechnical support in advocacy and resource mobilization of HIV prevention, treatment & care services Cost-efficiency strategy: WHO will provide technical support on GHI country objectives, maximizing on sustainable health impact, increasing health outcomes through strengthened health systems, targeted national capacity building, and harmonizing health systems for the delivery of HIV interventions. This will improve program efficiencies; facilitate national ownership; leverage partnerships; and increase sustainable impact of the HIV program.Through WHOs good technical competence and long-term presence in Kenya, support is sustainable.Transition to country partners:Through this mechanism, WHO a special United Nations agency mandated to support country led country programs will be supported. This activity supports GHI/LLC. Vehicle information:This partner has not used PEPFAR funds for vehicle purchase in the past and is not requesting funds for vehicle purchase in FY12.

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

WHO Country, Regional and HQ team in Geneva work closely with CDC and PEPFAR in supporting implementation of HIV prevention and HIV/AIDs management strategies. HLAB will support a WHO Medical laboratory advisor position in Kenya. WHO commands significant influence at Ministry of Health and will be a strategic partner for CDC in advocating for adoption and implementation of key laboratory systems strengthening related policies in Kenya. Laboratory remains one of the weakest and least funded health departments within the Ministry of Health. The human resource scheme of service for laboratorians peaks significantly earlier than for nurses ,pharmacists and doctors thus locking these professionals out of top leadership positions. Consequently, laboratory personnel are not represented in many decision making committees both at national and regional level. The laboratory advisor will play a key role in advocating for repositioning of the medical laboratory department. The advisor will support ratification of key policies including those to support laboratory networking, laboratory accreditation, standardization of laboratory equipment and infrastructure and harmonization of pre and in service medical laboratory training across training institutions and programs. This will achieve major efficiencies both for PEPFAR and the government of Kenya.

Additionally, the advisor will give key support in designing and institutionalizing HIV surveillance programs including sentinel surveillance, HIV drug resistance, AIDS indicator survey and Demographic/Behavioural Health survey. The overall goal of the WHO/CDC supported surveillance initiatives is to provide global, regional, and country level guidance to prevent new HIV infections, and minimize the emergence and transmission of HIV drug resistance (HIVDR), thus prolonging and maximizing the effectiveness of available first- and second-line regimens and the quality of life of people living with HIV.

Since PEPFAR 1, USG has supported the WHO concept of one semi-autonomous national blood transfusion service with blood collection from voluntary non-remunerated blood donors. The laboratory advisor will advocate for implementation of NBTS semi-autonomy in Kenya including direct funding from government of Kenya.

The staff to be hired will have a clinical laboratory and epidemiology background with an understanding of HIV. Field experience in implementation of public health projects will be highly desirable. WHO will involve CDC in the selection process.

The success of this position will be measured by the CDC Kenya office through monitoring of laboratory policies implemented.

Please see the partners overview narrative for information on the strategy to transition to local partners.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $113,621

This mechanism will support the recruitement of an HIV expert by WHO to be based at the Ministry of Health. The HIV expert will support the Ministry of Health in the following areas:

Technical assistance to all HIV prevention technical working groups (TWG) to support policy formulation and guideline developmentTraining and certification of service providers including supporting the development of appropriate curricula for high quality servicesSupport MoH in maintaining high quality HIV prevention servicesSupport MoH to improve efficiency and achieve appropriate targets in all HIV Prevention interventionsSupport the packaging and roll-out of combination prevention interventions for greater effectiveness in HIV preventionSupport effective referrals and linkage of clients to prevention, care and treatment services and provide expertise to the development of integration guideline with other community servicesSupport the development of a comprehensive communication strategy to improve the demand of HIV Prevention servicesSupport the devolution of HIV prevention services to the county level

HIV Prevention services will be monitored through the various TWG minutes and KePMS reports, while evaluation will be conducted through periodic surveys including Kenya AIDS Indicator Survey, Kenya Service Provision Assessment and Kenya Demographic and Health Survey.

Funding for Testing: HIV Testing and Counseling (HVCT): $95,000

This mechanism will support WHO to recruit a dedicated position to provide technical assistance to the Kenya Ministries of Health (MoH) in HIV prevention programs including HIV testing and counseling (HTC). Specific responsibilities include supporting:Technical assistance to all HIV prevention technical working groups (TWG) to support policy formulation and guideline developmentTraining and certification of service providers including supporting the development of appropriate curricula for high quality servicesSupporting the establishment of a database for HTC service providers to ensure appropriate training updates and monitoring of quality of serviceSupport MoH in maintaining high quality of servicesSupport MoH to improve efficiency and achieve appropriate targets in all HIV Prevention interventionsSupport the packaging and roll-out of combination prevention interventions for greater effectiveness in HIV preventionSupport effective referrals and linkage of clients to prevention, care and treatment services and provide expertise to the development of integration guideline with other community servicesSupport the development of a comprehensive communication strategy to improve the demand of HIV Prevention servicesSupport the devolution of HIV prevention services to the county level

HIV Prevention services will be monitored through the various TWG minutes and KePMS reports, while evaluation will be conducted through periodic surveys including Kenya AIDS Indicator Survey, Kenya Service Provision Assessment and Kenya Demographic and Health Survey.

Funding for Treatment: Adult Treatment (HTXS): $350,000

World Health Organization (WHO) support in Kenya for the HIV care and treatment program primarily focuses on development of program strategic documents including program plans/strategies, treatment guidelines/protocols, service delivery frameworks, program and patient monitoring tools/system, commodities management, HIV drug resistance prevention, and pharmacovigilance protocols among others. WHO has also been key in strengthening local partnerships, resource mobilization from GFATM, provision of catalytic funding for implementation of developed tools/strategies, capacity building of managers and health workers, global/regional monitoring of HIV care and treatment as well as advocacy and brokerage for the adoption of simplified cost-effective approaches, equitable scale-up of care and treatment services, task shifting, and greater involvement of PLHIV. WHO has recognized the need to strengthen its capacity in order to improve its technical support in Kenya, commensurate with the continued growth of the HIV program in Kenya. In FY12 and FY13, WHO will expand its technical capacity in Kenya in order to effectively support the National AIDS and STI control program (NASCOP) to provide effective leadership and facilitate lower levels to better implement the expanding package of HIV care and treatment services in a more decentralized and integrated manner. WHO will increase technical capacity of its HIV team from the current one to at least three staff members. Two of the staff members will focus on HIV care and treatment (one on full time basis and the other up to 60% of time). The full-time staff member will be based in NASCOP and will focus on building national capacity on patient and treatment monitoring, HIVDR monitoring, and pharmacovigilance. The other staff member will provide overall support on all technical and strategic issues on HIV care and treatment. WHO will support operationalization of two HIVDR longitudinal monitoring sites in Nairobi in addition to the two sites being supported in Nyanza. WHO will also continue to build capacity for NASCOP to offer specialized treatment, including management of patients with ARV treatment failure and complicated drug adverse reactions. WHO supported the first Early Warning Indicator (EWI) survey conducted in Nairobi and will support the nation-wide representative EWI survey to be conducted per stakeholder recommendation. WHO will also support HIVDR threshold survey (TS) using remnant EID samples, using a new TS protocol developed by the HIV DR technical working group. Support will be offered to NASCOP for the adult longitudinal survey in 2012 to assess HIV care and ART provision, building on a similar survey done in 2007.

Cross Cutting Budget Categories and Known Amounts Total: $758,621
Human Resources for Health $758,621
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Increasing women's legal rights and protection
Child Survival Activities
Military Populations
Mobile Populations
Tuberculosis
Workplace Programs