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: 2011 2012 2013 2014 2015
Goals/objectives:
PATH will contribute to the prevention of HIV transmission through sharps and other medical waste. This will contribute to the Kenya National AIDS Strategic Plan (KNASP-III) goal of eliminating HIV transmission in healthcare settings in the next two years. It will promote safe and environmental friendly medical waste disposal practices and integration of injection safety, infection prevention and control practices into all health programs. It will build the capacity of health workers on waste management and work safety while promoting PEP uptake. It will support MOH to leverage resources from multilateral partners. It will strengthen health systems in line with the Global Health Initiative principles.
Cost-efficiency strategy
To improve cost efficiency PATH will support pooled waste management systems. It will promote waste segregation to ensure only infectious waste is treated while general waste is recycled. This will minimize the use of incinerators and other equipment thus lower running costs. It will support installation and purchase of non-incinerator waste management technologies that are more cost-efficient. It will also implement an M&E plan that will generate data for better programming.
Transition to country partners
PATH will train and build capacity of local health workers through a TOT approach. Expatriates coming will twin with local staff to get specialized skills. Special training for newer technologies will be given to biomedical engineers for future servicing.
Vehicle information
PATH was handed over 2 vehicles from a previous project in FY10; however one of the vehicles has been having mechanical breakdowns. A vehicle will be procured in FY12 for supportive site visits.
This activity supports GHI/LLC.
Goals and Objectives
PATH will contribute to the prevention of medical transmission of HIV (and other blood borne pathogens) through sharps and other medical waste. It will support training, behavior change communication and information, educational and communication (IEC) materials aimed at improving injection safety; phlebotomy, lancet and other high risk procedures for health workers. It will also strengthen post-exposure prophylaxis (PEP) services for health workers encountering accidental exposure to blood borne pathogens. It will promote safe medical waste management (MWM) practices by supporting implementation of necessary policies and guidelines; training of health workers; ensuring commodities security; decreasing the use of unnecessary injections and supporting installation and maintenance of environmentally friendly equipment.
Coverage and scope of activities
PATH will implement its activities nationally and will ensure that all counties are covered. It will target all health workers and policy makers who influence treatment guidelines and procurement as well as communities as recipients of health services and those at risk of injury. It will support installation of 15 MWM systems, train 50 biomedical engineers and reach 20 counties with policies and guidelines.
Integration into program
Importance will be put on integrating Bio-safety, MWM, universal precautions and infection prevention and control (IPC) measures into existing HIV programs like care & treatment, prevention, counseling & testing and other health programs such as family planning, immunizations and other clinical services. It will support these programs to have a plan and budget to address medical waste and infection control.
Country ownership and sustainability
PATH will facilitate training of health workers through a training of trainer (TOT) model to create a pool of trainers and leaders in MWM and IPC. It will facilitate training of biomedical engineers who will ensure efficient and sustainable operation of cost-effective MWM systems. Additionally it will strengthen the national MOH coordination structures such as the national IPC secretariat and the national MWM TWG to make them fully operational and be able to sustain national oversight for the future.
Partnerships and collaboration
PATH will support the MOH to leverage resources for waste management from key multilateral partners including the WHO and World Bank. It will also explore viable public private partnerships (PPP) that support safe MWM.
Quality improvement and M&E
Quality assurance and improvements will be a key component of this program. PATH will ensure this by rolling out a strong monitoring and evaluation system with indicators for tracking along the lifespan of the project. It will also support a sharps injury surveillance system that will be used to improve programming.
Commodity security
PATH will support commodity procurement and logistics systems in MOH. It will support implementation of the commodity forecasting tool to ensure facility needs are met. It will advocate for single-use syringes and needles as well as safety engineered blood drawing equipment. It will advise on bundling of commodities that ensure protection and safe disposal of the medical MWM commodities to be included in the MOH procurement list in sufficient quantities by Kenya Medical Supplies Agency (KEMSA).
