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 HBHC: Basic Care Package TBD (#8849), HBHC (#8936), HBHC (#8928) and HBHC (#8931).
2. ACTIVITY DESCRIPTION Over 2 million Kenyans are thought to be living with HIV/AIDS. The HIV/AIDS epidemic has increased the number and percentage of people seeking health services and increased the cost of health care. This is demonstrated by the overwhelming demand for health care services with bed occupancy rates for patients with HIV/AIDS ranging from 50-75%. The KNSP 2005-2010 has identified the need for comprehensive Home Based Care (HBC) and Palliative care as key strategies required to respond to this need.
Over the past three years Mildmay has provided technical assistance to enable MTC Kisumu to develop tailor made courses on HBC. The courses include short courses for divisional level services providers, for District Health Management Teams (DHMTs) and a diploma validated by MTC Nairobi to train District Home Based Care co-ordinators. Mildmay has also provided MTC Kisumu with technical assistance to develop a Business Unit. The Business Unit is now running courses on HBC relatively independently and is starting to market these courses to the Ministry of Health and other agencies such as World Vision. In FY 2007 Mildmay plans to support further institutional strengthening by working with MTCs in Kakamega, Thika and Nairobi to enable them to also offer these types of courses. Over the three year program Mildmay will focus on further institutional capacity development for MTCs across the country. There are 22 MTCs in Kenya and they provide training for 80% of health professionals in the country. The first stage of the program will focus on four MTCs with the aim of reaching half of the MTCs in Kenya by the end of the program.
Institutional Capacity Building In order to ensure that MTCs can provide sustainable quality training, places will be offered on the Mildmay Degree course (validated by Manchester University) to MTC tutors and their counter parts in the PHMTs. The Mildmay Degree was developed in Kenya and has been specifically designed to strengthen institutional capacity within the health and medical education systems in relation to HIV/AIDS care training and service development. A total of 86 participants from Kenya have completed the first part of this program (level two) graduating with a diploma in HIV/AIDS care. Of these, 20 were from MTCs. Mildmay is now able to offer the next stage of this program (level three) which enables participants to graduate with a degree. The level three training prepares participants for leadership roles in relation to education and service development on HIV/AIDS care.
The course is run jointly with Mildmay Uganda, with half of the modules held in Kenya and half in Uganda. This provides a unique learning environment so that participants can learn from experiences in both countries. Places will be offered to Tutors from MTC Kisumu, Nairobi, Thika, and Kakamega and senior Ministry of Health staff from these provinces. In addition, 12 places will be offered on the first part of the program, level two. This is also an 18 month part time course. Places will be offered to staff from MTCs in Thika, Kakamega, Nairobi and Senior Ministry of Health staff from Western, Nairobi and Central provinces.
MTC Diploma MTC Kisumu will complete the pilot of the locally validated diploma in February 2007. This course has been adapted by MTC Kisumu from the Mildmay Degree and aims to prepare senior managers to develop effective HBC and HIV/AIDS care services at district level. In March 2007 MTC Kisumu and MTC Nairobi will offer this course to a total of 50 participants, 25 per site. Priority for places on this program will be given to Ministry of Health staff that are collaborating with APHIA II partners in Western, Nairobi and Central provinces. It is anticipated that this will be the required course for qualification as a District HBC Coordinator. MTC Kakamega and Thika will be provided with technical assistance in year one to prepare them to run this course in year two.
Short Courses on HBC and Palliative Care APHIA II partners that are developing HBC services and involved in providing the Basic Care package will be requested to select, in collaboration with the PHMTs and DHMTs, Ministry of Health staff for training on short courses and the local diploma offered by the
MTCs. It is envisaged that the health care professionals graduating from MTC courses will take up posts as District and Divisional HBC Coordinators. They will then be expected to train CHWs using NASCOP curricula so that carers in turn can be trained. Mildmay will provide technical assistance to enable the MTCs to integrate issues related to Palliative Care and the Basic Care package into these curricula. In year one 175 participants will be trained on MTC short courses. MTC Kisumu has the capacity to train additional participants if APHIA II partners directly support places on courses.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This activity will contribute to the FY 2007 targets by training 325 government health workers in Medical Training Colleges (MTCs) in courses ranging from short to degree-level to enhance their ability to provide quality HIV/AIDS services that are responsive to clients' needs.
4. LINKS TO OTHER ACTIVITIES This activity is linked to HBHC APHIA II partner activities as follows: HBHC (#8849), HBHC (#8936), HBHC (#8928) and HBHC (#8931).
5. POPULATIONS BEING TARGETED This activity targets public health care workers including doctors, nurses and other health workers by providing training to enhance their ability to provide quality HIV/AIDS services that are responsive to clients' needs.
6. KEY LEGISLATIVE ISSUES ADDRESSED The legislative issues being addressed are reduction of stigma and discrimination.
7. EMPHASIS AREAS There are three minor areas of emphasis. First, there will be a Development of Network/ Linkages/ Referral Systems by training and following up students in their places of work and ensuring they are linked to share and exchange experiences. Second, Local Organization Capacity Development will occur by developing the capacity of staff. Third, Quality Assurance, Quality Improvement and Supportive Supervision will occur during the field component of the coursework and continued support will be provided following graduation. Finally, training is the major emphasis of this activity.
