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: 2012 2013 2014 2015
Through this mechanism AFENET will:
Objective 1
Provide support for development of laboratory leadership through facilitation of exchange programs to strengthen international and regional laboratory networking and the sharing of information on best practices in laboratory management and practice.
Objective 2
Support quality systems management through training of regional laboratory assessors for African Society of Laboratory Medicine (ASLM) and facilitation of objective laboratory assessments on WHO step-wise accreditation by Africa Society for Laboratory Medicine assessors. This international assessment will enable benchmarking of quality systems with other laboratories in the region. This activity will advance professional laboratory medicine practice and networks in Africa needed to support preventive medicine, quality care of patients, and disease control through partnerships with governments and relevant organizations.
This activity will contribute to the number of accredited laboratories- 20.
Objective 3
Establish a platform for conducting short course trainings through virtual modalities such as webinars and e-learning modules that would serve to increase epidemiological and laboratory management capacity among mid level public health workers from national and county levels as well as provide systemic opportunities for continued education among FELTP-K graduates and other epidemiologists or scientists within public health and academic sectors in Kenya.
Coverage:
All AEFENET activities will be entrenched in MOH facilities and laboratories. Partnerships with local professional associations will be developed to facilitate long term sustainability of all initiatives
No vehicles will be procured in this activity.
This activity supports GHI/LLC.
The African Field Epidemiology Network (AFENET) will provide support for development of laboratory leadership through facilitation of exchange programs to strengthen international and regional laboratory networking and the sharing of information on best practices in laboratory management and practice. This activity will facilitate collaboration of South-South and North-South partnerships to mobilize resources for laboratory systems strengthening. The new crop of laboratory leaders will advocate for public health laboratory strengthening to increase access and the quality of laboratory services for all people in Kenya. Strong laboratory capacities in the region are essential for monitoring antimicrobial resistance, disease outbreaks and diagnosing highly infectious diseases such as: viral hemorrhagic fever, MDR/XDR TB. Strong laboratory leadership will enhance political commitment and ensure adequate and sustained funding for laboratories.
AFENET will support quality systems management through training of regional laboratory assessors for African Society of Laboratory Medicine (ASLM) and facilitation of objective laboratory assessments on WHO step-wise accreditation by Africa Society for Laboratory Medicine assessors. This international assessment will enable benchmarking of quality systems with other laboratories in the region. This activity will advance professional laboratory medicine practice and networks in Africa needed to support preventive medicine, quality care of patients, and disease control through partnerships with governments and relevant organizations. This activity will contribute to the number of accredited laboratories- 20.
Transition to country partners:
All AFENET activities will be entrenched in MOH facilities and laboratories. Partnerships with local professional associations will be developed to facilitate long term sustainability of all initiatives.
The African Field Epidemiology Network (AFENET) supports one of the key pillars of health system strengthening, Human Resources for Health. Like many countries, Kenya has a shortage of public health professionals graduating from training institutes.
AFENET supports African nations in building strong, effective, and sustainable capacity in field epidemiology, public health, laboratory management, surveillance, disease outbreak response, investigation and prevention, and improves public health systems through training and networking. AFENET will support public health issues including health leadership and management, HIV quality assurance, and Field Epidemiology and Laboratory Training Program (FELTPs) in collaboration with Jomo Kenyatta University of Agriculture and Technology (JKUAT). COP 12 funds will facilitate expansion of the programs reach to mid level public health workers and establish a formal process for continued education of the trained cadre. A virtual FELTP/JKUAT campus that will serve as a training center for strengthening epidemiology and laboratory management training in Kenya will be established. Support to the FELTP program will have broad health systems benefits across all programs not just to the HIV program as these public health professionals will work to address other public health priority problems in the decentralized health system.
The specific objective of this mechanism is to establish a platform for conducting short course trainings through virtual modalities such as webinars and e-learning modules that will serve to increase epidemiological and laboratory management capacity among mid level public health workers from national and county levels as well as provide systemic opportunities for continued education among FELTP-K graduates and other epidemiologists or scientists within public health and academic sectors in Kenya. The proposed curriculum will include topics such as grant writing, monitoring and evaluation, biosafety, laboratory quality management systems, project management, and epidemiology for laboratorians. The virtual campus will provide students and staff access to key journals in public health, including specialized HIV/AIDS journals. The virtual campus will also function as a learning resource for the larger East African community including other countries such as Tanzania, Uganda, Ethiopia, and South Sudan. Key technical positions at MOPHS, the Institute of Tropical Medicine and Infectious Diseases of JKUAT working to address the HIV epidemic in Kenya will be targeted with deliberate incorporation of training modules and short courses useful for control and prevention of HIV in the country. In addition this mechanism will provide field level support to FELTP graduates and trainees at site level to ensure they have the tools and the skills to operate effectively.Key deliverables:1. FELTP/JKUAT virtual campus established and operational 2.Twenty e-learning modules adapted to local circumstances and implemented 3.Twenty FELTP modules adapted into webinar format 4.500 public healthcare workers (two from each county) and scientists trained on epidemiology, laboratory management and management topics through short course training and e-learning modules
5.
FELTP practitioners supported to operate effectively at site level
The indicator used will be # of health care workers who graduated from a pre service training course. The program will be monitored by JKUAT.
AFENET will support the prevention of HIV medical transmission through strengthening occupational health and safety services in healthcare settings in Kenya. It will support interventions that protect the health workers from exposure to blood and body fluids, respiratory pathogens such as TB and other workplace hazards. It will work with department of Disease Control and Prevention in Ministry of Health (MOH) and Directorate of Occupational Safety and Health (DOSH) in the Ministry of Labor. It will support the development and implementation of post-exposure prophylaxis (PEP) and occupational safety policies and guidelines for health workers. It will advocate for universal access to occupational PEP services and necessary health worker immunization. It will also support integration of Injection Safety and Infection Prevention and Control (IPC) as well as bio-safety and safe medical waste management practices into HIV services and other existing health programs. This is in line with the Global Health Initiative core principle of health systems strengthening.
Integration with other activities
Occupational health and safety program is an integral part of any workplace intervention. This will be integrated into all HIV, TB and other health programs in the country. Enhancing occupational health and safety is one of the strategies to strengthen human resources for health (HRH) not only in capacity building but also for retention and sustainability.
Coverage and scope
This activity will have national coverage and will focus on health facilities. It will support the roll out of the PEP and occupational health policy for health workers. Medical surveillance systems will be set up in these facilities and sensitization and training of health workers across all cadres. Occupational health programs will be set up in 10 health facilities and 200 health workers will be trained.
Country ownership and Sustainability
AFENET will work to strengthen occupational health within MOH facilities across the country. Some of the health workers who will be trained will have the capacity to scale this up and support other institutions. This initiative will ensure a safe workplace and thus lead to better retention of health care workers leading to sustainability.
