NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

Mkomani Clinic Society (MCS) supports the implementation and expansion of high quality HIV Prevention, Care and Treatment Activities at the facility and community level at the Bomu Clinic and 8 affiliated sites in three counties: Mombasa, Kilifi and Kwale, with an estimated population of 3.45 million people and HIV prevalence of 7%. The program goal and objectives are linked to Kenya’s Partnership Framework (PF) and Global Health Initiative (GHI) strategies and are directly aligned to PF pillars 1-3: prevention, care and mitigation, treatment, and systems strengthening. To increase efficiencies, MCS partners with corporate organizations to provide capital investment, which reduces MCS’ capital expenditure. MCS also runs other clinical departments that generate income and provide a point of entry to the HIV program. MCS will increase service integration such as TB/HIV and FP to streamline services and decrease client waiting time. In FY14, MCS will also provide income generating activity (IGA) training to support group members to promote self-sufficiency. In FY14, MCS will audit outreach partners, conducting feasibility studies and building capacity of outreach staff by including them in clinical trainings as a form of preparation to hand over the sites to the county governments and community based organizations (CBO) affiliated with outreach sites. This strategy aims to ensure a smooth transition over time to the county government and CBOs. MCS will continue ensuring all sites utilize Ministry of Health (MOH) guidelines and reporting tools, including expanding into a MOH aligned paperless health information system and electronic medical record system. MCS will also support facilities to implement Kenya’s HIV Quality Strategy and use data for program improvement.

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.