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.
1. LIST OF RELATED ACTIVITIES This activity relates to other support for Kenya Medical Training College [#6971] in the Systems Strengthening / Policy program area.
2. ACTIVITY DESCRIPTION This is a continuation of activities begun in FY 2006 to enhance the capacity of the health sector and of HIV/AIDS management in particular, via health systems management strengthening, with an emphasis on district and provincial hospitals.
In Kenya, operational and management inefficiency and poor quality of service provision for HIV/AIDS management in hospitals has been attributed to, among others, weak health systems and a lack of effective capacity in planning, budgeting, and management. This results in difficulties in linking needs with available resources; forecasting revenue and expenditures; planning within a defined resource allocation; poor investment portfolio in health; lack of confidence in public facilities; and cost-ineffective interventions. Substantial Ministry of Health (MOH) funds are often reverted to the Treasury at the end of the fiscal year due to MOH capacity constraints. The shift in the focus of health sector management, which leads to the move from an input to an output orientation, a stress on quality client-based service and the increasing role of performance-based management systems, gives rise to a new concept of "accountable professionalism" within the health sector.
With PEPFAR support, training will continue through three institutions - Kenya Medical Training College (KMTC), Galilee College and Unites States International University (USIU) - to design, deliver and evaluate a technical course for at least 80 selected MOH staff in health systems management, financial and management planning, budgeting and priority setting.
This activity aims to develop strengthened health management teams across 69 provincial and district hospitals in Kenya. The training course is intended to reach 3 managers per facility, or 210 managers. With FY 2006 funds, this activity trained three groups of 20 students each resulting in 60 trained health managers. In FY 2007, this activity will train a minimum additional 80 health managers.
The course curriculum was created in close consultation with experts and authorities of the Ministry of Health and the civil society, including the private sector. The course is an intensive program that is designed to impart knowledge and skills in health sector management with an emphasis on HIV/AIDS management in hospital settings. The course includes examination of best practice cases, presentations by faculty members and resource persons, and discussions with outstanding health sector managers. Skills will be developed through action learning, case analysis, guided practice and interactive learning experiences. The program includes a two-week intensive course on the management of the Health Sector to be held at USIU/KMTC. The second part of the program includes a two-week seminar about Health Sector Reform and Renewal held at the Galilee College Study Centre, with study visits to public and private health care organizations with an emphasis on HIV/AIDS systems management, and meetings with officials and managers. At the end of the program, participants develop a final project in Health Strategic Planning.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This activity is aligned with Kenya's 5 Year Strategy and directly contributes to improved health systems management training and leadership management within the country.
4. LINKS TO OTHER ACTIVITIES This activity relates to other support for KMTC under the Systems Strengthening program area (#6971).
5. POPULATIONS BEING TARGETED This activities target host country government workers and health care providers. The targeted staff of Ministry of Health will include the following: Hospital Management Team, comprised of the Chair of the Hospital Management Team, Nursing Officer in Charge, Health Administrative Officer, Pharmacist, Medical Records Officer, Supplies Officer, Laboratory Technologist, Medical Officer of Health, Medical Superintendent, Health Information/Record Officer and Health Board Members, District PHN, District Public Health
Officers, Hospital Planners, Communications and Public Relation Specialists.
6. EMPHASIS AREAS The major emphasis area for this activity is training with a minor emphasis on local organisation capacity development.
