Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4302
Country/Region: Kenya
Year: 2007
Main Partner: U.S. Agency for International Development
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $4,426,600

Funding for Management and Operations (HVMS): $4,228,200

USAID and its partners work with Kenyan organizations to prevent HIV transmission and provide care, treatment, and support to individuals, families, and communities affected by the epidemic. USAID is the largest bilateral donor in HIV/AIDS. With its population and child health funds USAID also supports public and private sector reproductive health activities, and health sector financing, systems. USAID supports the majority of its HIV/AIDS programs through US- and Kenyan-based organizations, which manage and implement in-country activities. Activities are funded through grants, PIOs, cooperative agreements and contracts awarded by USAID/Washington, or directly by the Mission. These activities are carried out at field level through direct collaboration with the Ministry of Health and other Kenyan governmental authorities. Many implementing agencies have worked in Kenya for several years and have offices in Nairobi and in selected provinces. This investment by USAID has enabled it to quickly implement Emergency Plan activities.

USAID/Kenya's HIV/AIDS funding has grown dramatically in the past decade, from $3 million in FY 1996 to $116 million in FY 2006. This increase has made it possible to expand HIV/AIDS programs to a scale where they can have a truly national impact. It has also presented a significant management, staffing, and coordination challenge.

Management and staffing activities carried out by USAID/Kenya staff include: 1. Procuring and funding over $200 million worth of goods and services in FY 2007 through over sixty bilateral and centrally procured mechanisms. 2. Serving as activity managers and cognizant technical officers to ensure good technical and financial management of implementing agencies and programs. 3. Coordinating USAID strategy, planning, and project activities with the GOK to ensure alignment with the National Health Sector Strategic Plan II, district plans, and the national Annual Operating Plans. 4. Liaising at the technical and policy level with other USG agencies, providing effective coordination with the Centers for Disease Control (CDC), US Army Medical Research Unit, Peace Corps, and Kenya's USG Interagency Coordinator and his office. 5. Representing USAID in donor meetings to ensure coordination with other donors, including the Global Fund coordinating committees. 6. Advising USAID's implementing partners on the indicators and data collection and assure the development of evaluation plans and utilization of evaluation findings. 7. Preparing overall strategic and operational plans and results reporting for OGAC, including Country Operational Plans and Progress Reports. 8. Providing in-country oversight to fifteen Track 1 AB and OVC partners.

USAID/Kenya is approaching its ideal mix of staff to handle current funding levels. When the positions approved in the 2006 COP are filled adequate procurement and financial management staff will be in place. Another OE-funded USDH Health Officer has been requested for 2007, as has FSN staff in logistics and HIV/AIDS program management. Future increases in funding will require a proportional increase in staffing.

USAID's management and staffing activity is related to all program areas and activities carried out by partners that it funds, to the rest of the USG Team in Kenya, and to Management and Staffing activity #9590.

Activities in this area will directly contribute to the effective implementation of all of the PEPFAR activities carried out by USAID and indirectly, through their coordination roles, to the results of the entire USG program in Kenya.

Plus up: USAID/Kenya depends upon the support of many services within the Agency to ensure PEPFAR funds are managed effectively and reported in a clear transparent manner. Due to the rapid increase in PEPFAR funds that Kenya, and by extension, USAID are receiving, we require two additional FSN staff in the Regional Office of Acquisition and Assistance and one addtional FSN in the Controllers Office. We also require funds to support a regional contracts officer who, until now, was supported by GHAI funds from Washington. Funds will also be programmed for the following critical change to the staff complement in the PEPFAR Coordination Office responsible for coordinating the $367 million dollar Kenya program. The current local hire PSC deputy country coordinator will be converted to an offshore hire mechanism (likely either an IAPP/CASU or GH Fellow) at an additional cost of approximately $175,000.

Funding for Management and Operations (HVMS): $198,400

"Cost of Doing Business" Assessment The cost of doing business associated with the staff positions described in the USAID managment and staffing entry includes ICASS, travel, program development and learning, audits, and evaluations.

Table 3.3.15: