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
Goals/objectives
The National Blood Transfusion service (NBTS) will contribute to prevention of HIV transmission through provision of safe blood in Kenya. This will be accomplished through collection, testing, processing and distribution of blood to transfusing health facilities and support for appropriate use. This is in keeping with the Partnership Framework and the Kenya National AIDS Strategic Plan (KNASP-III) goal of eliminating HIV transmission in healthcare settings. This will also contribute to Global Health Initiative (GHI) goals of reducing maternal, infant and malaria-related mortality. Strengthening of NBTS contributes to health systems strengthening which is a GHI core principle.
Cost-efficiency
NBTS will align itself to the new Kenyan constitution by positioning itself as a national body but serving all counties in the country. It will develop a sustainable health financing system that will tap into national resources, multilateral partners and public-private-partnerships. It will ensure cost-efficiency through improved financial management system, efficient automated blood testing and processing and use of blood components and pediatric packs. NBTS will leverage HIV prevention programs to develop a pool of safe regular donors and will use modern technology such as SMS to communicate with them. The M&E system will be strengthened using an information management system and use of data to enhance program efficiency.
Transition to country
This is a Kenyan partner with country ownership and leadership.
Vehicle information
This partner procured 14 double-cabin pick-up vehicles in FY09 for blood collection and distribution of processed blood to health facilities. This partner will not procure any more vehicles in FY2012.
This activity supports GHI/LLC.
Objectives and approaches
The Kenya National Blood Transfusion Service (NBTS) will contribute to the prevention of HIV transmission by providing safe and sufficient blood in Kenya. It will work with the relevant MOH structures and in-country partners to update Blood Safety policies to be in line with the new Kenya constitution and current international Blood Safety trends and as guided by WHO. It will work within the NBTS policy and the blood donor mobilization strategy and in line with approaches that will be guided by the National Blood Donor Services sub-committee of the NBTS TWG to ensure blood is mobilized from safe regular donors while advocating for formation of blood donor clubs. It will adopt newer approaches of donor recruitment and retention including use of SMS, internet, tele-recruitment and use of regional blood donation buses. It will create a culture of regular blood donation among those found to be safe and free of transfusion transmissible infections (TTI). It will ensure quality in blood testing laboratories for TTIs and compatibility testing by adopting standard operating procedures and enrollment in external quality assurance schemes. It will further enroll in the WHO-AFRO stepwise accreditation process for its key laboratories to achieve international certification. It will promote component processing while up scaling appropriate utilization in transfusing facilities through training and mentorship programs. The M&E program will be strengthened so as to ensure data analysis and usage for decision making while strengthening software for information management system. NBTS will ensure infrastructure development that will support collection, equitable access and distribution of blood up to the rural areas while supporting innovative cold chain systems that can serve the Northern and arid parts of Kenya.
Integration with other activities
HIV prevention messaging will be integrated in the blood donor mobilization activities. Those seeking only to know their HIV status will be referred to the HCT program; conversely those people found to be HIV negative in the HTC program and are eligible to donate will be informed of blood donation activities and encouraged to become regular blood donors. HIV positive blood donors will be referred for care and treatment. They will be encouraged to disclose and engage in partner referral or Prevention-with-the-positives interventions.
Coverage and scope
The activities will cover all potential blood donors from 16 to 65 years in line with NBTS policy guidelines. NBTS will ensure mobilization from all blood donor market segments with primary target being safer donors (avoiding populations perceived to be most-at-risk). The geographical coverage will be national with coverage of all counties. NBTS will collect 200,000 units of blood; process 70% of these to components; train 180 staff; ensure 50% of the donors are regular and 80% are notified of their TTI results; ensure HIV prevalence among donors is at most 1% and supply 450 facilities with blood.
Country ownership and Sustainability
NBTS is a local MOH organization led by Kenyans. Training will initially target trainers (TOT) to create a pool for future scale up. Secondly, it will promote formation of blood donor clubs including Pledge 25 that will continue without external support. Lastly once the culture of regular blood donation is inculcated people will continue to donate voluntarily.
