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 activities in MTCT (#7006), HVCT (#7009), HTXS (#7004), HVTB (#7001) and HVSI (#7002).
2. ACTIVITY DESCRIPTION Effective in-service training of health care providers in HIV/AIDS management is an important component of the Kenya PEPFAR program. Increased PEPFAR support for HIV/AIDS prevention, care and treatment programs in Kenya has increased the need to equip health care providers with knowledge, skills and competencies required to care for and manage HIV/AIDS patients. This activity has several components that will build the capacity of health care providers to provide quality HIV/AIDS services.
The first component will involve the utilization of the Kenya Medical Training College (KMTC) infrastructure to decentralize and provide high quality and cost-effective in-service HIV/AIDS training to health care providers. The KMTC plays a significant role in the pre-service training of clinical officers, nurses, laboratory staff, pharmacists, and other health professionals. Over 90% of health care providers in Kenya receive their training through the KMTC. In collaboration with the Ministry of Health's National AIDS and STD Control Programme (NASCOP), KMTC will train an estimated 4,000 health care providers in counseling and testing, TB/HIV, care and treatment and prevention of mother to child transmission of HIV (PMTCT). To achieve this, 100 lecturers in 10 colleges will be oriented and trained to provide in-service HIV/AIDS training to health care providers. PEPFAR support will be utilized to refurbish in-service training facilities and ICT infrastructure in the 10 colleges. The enhanced training infrastructure will facilitate coordination of decentralized in-service training and provide faculty, students and health care providers access to current HIV/AIDS information.
The second component will strengthen the HIV/AIDS component in KMTC's pre-service curricula through the integration of HIV/AIDS management in existing courses and the development of a pre-service comprehensive HIV/AIDS management course. In FY07, PEPFAR will support the training of 50 KMTC lecturers to deliver the comprehensive course to an estimated 2,000 first year students undertaking courses in nursing, clinical medicine and laboratory in all the 26 colleges. Strengthening the HIV/AIDS component in KMTC's pre-service curricula is a sustainable approach that will reduce the current high demand for in-service training of health care providers in the management of HIV/AIDS.
The third component will strengthen the dissemination of HIV/AIDS strategic information to health care providers and medical students to enhance their capacity to provide HIV/AIDS services according to national guidelines. The 2005 Kenya Health Worker Survey (KHWS) revealed major gaps in the dissemination of national HIV/AIDS guidelines to health care providers. To address this, NASCOP will utilize KMTC's pre-service and in-service HIV/AIDS training as a platform for the dissemination of HIV/AIDS policies, guidelines and other publications to medical students and health care providers throughout the country. In collaboration with NASCOP and PEPFAR, KMTC will distribute an estimated 10,000-15,000 HIV/AIDS policy documents, guidelines and related publications to health care providers and medical students. The enhanced ICT infrastructure and dissemination role of the KMTC will further strengthen the resource centers in the colleges to provide current HIV/AIDS information to faculty and health care providers.
The fourth component will utilize the KMTC infrastructure and training role to reduce stigma and discrimination of People living with HIV/AIDS (PLWHA). The 2005 KHWS demonstrated the existence of stigma and discrimination against PLWHA in the health care setting. In collaboration with NASCOP and CDC, KMTC will integrate stigma reduction training for health care providers in all of its in-service training activities. PEPFAR support will facilitate the design of HIV stigma reduction in-service training materials and training of 100 facilitators to deliver the training. In FY 2007, an estimated 5,000 health care providers will be reached with HIV stigma reduction messages.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA The first and second components of this activity will strengthen the capacity of 20 colleges of the KMTC to provide high quality and cost-effective HIV/AIDS in-service and pre-service training for health care providers and medical students, respectively. This activity will
support the provision of quality prevention, care and treatment services in Kenyan health facilities. The third component of this activity will ensure fast and efficient dissemination of HIV/AIDS guidelines, policies and other relevant publications to health care providers and medical students and enhance awareness and adherence to national standards in the provision of HIV/AIDS services. The fourth component will reduce stigma and discrimination of HIV infected patients in health care settings and lead to improved HIV/AIDS services for PLWHA.
4. LINKS TO OTHER ACTIVITIES This activity will enhance the capacity of health care providers to provide MTCT (#7006), HVCT (#7009), HTXS (#7004) and HVTB (7001) services. This will be achieved through the provision of in-service and pre-service training in prevention, care and treatment. This activity will also strengthen the strategic information (NASCOP) activity through the utilization of the KMTC training infrastructure to disseminate HIV/AIDS policies, guidelines and other publications to health care providers and medical students.
5. POPULATIONS BEING TARGETED This activity primarily targets public health care providers and medical college students.
6. KEY LEGISLATIVE ISSUES ADDRESSED This activity addresses stigma and discrimination of people living with HIV/AIDS in the health care setting.
7. EMPHASIS AREAS This activity largely focuses on training, with minor emphasis on strengthening systems for HIV-related healthcare provision through institutional capacity building.
