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 2016 2017 2018
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 care
Technical support HIV program monitoring and evaluation
Technical support for forecasting, quantification, logistics management and quality assurance systems
Technical support in developing HIV service delivery frameworks to facilitate integration of HIV services with other related interventions Technical support in capacity building
Technical 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.
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.
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 development
Training and certification of service providers including supporting the development of appropriate curricula for high quality services
Support MoH in maintaining high quality HIV prevention services
Support MoH to improve efficiency and achieve appropriate targets in all HIV Prevention interventions
Support the packaging and roll-out of combination prevention interventions for greater effectiveness in HIV prevention
Support effective referrals and linkage of clients to prevention, care and treatment services and provide expertise to the development of integration guideline with other community services
Support the development of a comprehensive communication strategy to improve the demand of HIV Prevention services
Support 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.
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:
Supporting the establishment of a database for HTC service providers to ensure appropriate training updates and monitoring of quality of service
Support MoH in maintaining high quality of services
HVOP
This mechanism will support the recruitment of an HIV Prevention expert by WHO to be based at the Ministry of Health. The expert will have the following responsibilities:
Technical assistance to all HIV prevention technical working groups (TWG) in order to support policy formulation and guideline development
Training and certification of service providers including supporting the development of an appropriate curricula
Support MoH in developing standard and quality of HIV prevention services
Support the development of a comprehensive communication strategy so to improve the demand of HIV Prevention services
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.
