Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5003
Country/Region: Kenya
Year: 2007
Main Partner: PricewaterhouseCoopers
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $5,140,000

Funding for Care: Orphans and Vulnerable Children (HKID): $1,500,000

1. LIST OF RELATED ACTIVITIES This activity relates to activities in APHIA II programs in the country (#9029, #9041, #9048, #9053, #9056, #9067, #9071, #9073).

2. ACTIVITY DESCRIPTION USAID will partner with PricewaterhouseCoopers to provide scholarships to students who have been orphaned by HIV/AIDS and who are in secondary and tertiary institutions. This activity will result in increased access to education; increased retention rates and improved quality of education for approximately 1,500 children orphaned by HIV/AIDS with special emphasis on girls.

These scholarships also include payment of school fees for the previous OVC who were being supported from FY 2005. By FY 2008 these will phase out, enough funds have been budgeted to cover up to FY 2008. The activity will administer scholarship and sponsorship nationally to need students, with a reach to the grassroots and a capacity to reach orphans from all the regions so that they can benefit from these scholarships. This activity will advocate for the children's rights to education and develop intervention strategies to increase access to education, retention of students, and participation of orphans in education activities. The Ministry of Education in collaboration with the Department of Children's Services, head of schools and institutions, and the local administration (Chiefs) will identify these orphaned children and nominate them as the recipients of the scholarships.

In each district there is an Area Advisory Council for OVC who will play a crucial role in the selection process. This will also initiate ownership and sustainability of the program once USAID support is phased out in FY 2008.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This program will give 1,500 orphans better access to education.

4. LINKS TO OTHER ACTIVITIES This activity will link to APHIA II programs in the country (#9029, #9041, #9048, #9053, #9056, #9067, #9071, #9073) which are specifically targeting orphans and vulnerable children.

5. POPULATIONS BEING TARGETED The target is orphans and other vulnerable children as well as community and religious leaders and volunteers. The activity also targets community-based and faith-based organizations.

6. KEY LEGISLATIVE ISSUES ADDRESSED This program will increase gender equity in HIV/AIDS programs by promoting the education of female students.

7. EMPHASIS AREAS The major emphasis is training with minor emphasis area being Linkages with Other Sectors and Initiatives.

Funding for Strategic Information (HVSI): $3,640,000

1. LIST OF RELATED ACTIVITIES This activity is related to Strategic Information activities of the University of North Carolina/MEASURE Evaluation (#7098), NASCOP (#7002), and Macro International (#6988) and to a Laboratory Infrastructure activity (#6940).

2. ACTIVITY DESCRIPTION This activity has several components: (1) In FY 2006, MEASURE supported NACC develop a structure that is meant to support the processes of community-based data collection and reporting right from the community to the national level. The structure still requires regular supportive field supervision and training in data collection and reporting systems at all levels, (community, district, provincial, national) in order to improve data quality; and to build the capacity of stakeholders in strategic information activities. This activity has two sub-components. In the first sub-component, USAID will partner with Price WaterhouseCoopers to provide support to NACC to recruit two local experts (M&E Coordinator and MIS Officer) ($145,000), whose key functions will be to contribute to the quantitative reporting under the annual Joint AIDS Program Review as stipulated in the NACC's strategic plan; 2) maintain the CRIS and COBPAR databases; 3) and maintain a monitoring system for COBPAR implementation. NACC with technical support from MEASURE Evaluation in FY 2006 has developed a Community Based Program Activity Reporting (COBPAR) for reporting community level data. In the second component ($215,000), USAID through Price Waterhouse Coopers will support National AIDS Control Council (NACC) to strengthen and improve the quality and frequency of supportive field supervision, and community-based reporting. It will strengthen capacities of up to 30 Constituency AIDS Control Committees (CACC) to follow-up activities for collection of COBPAR data records and coordinate community level strategic information focused meetings; train approximately 60 data point persons on community-based data collection, reporting and use to improve the quality of reports and inform planning and decision making. Timely development, printing and dissemination of quarterly and annual reports will also be improved. Infrastructure for data management systems is critical for quick processing, retrieval and use of strategic information for program improvement and decision-making. MIS Officer, will therefore be facilitated to set up data management systems through provision of a server, software licenses, and development of data management applications. This will improve timely data flow from all the district and provincial data collection points, and therefore enable NACC to achieve up to 60% reporting rate from CACCs-District-Provincial-National levels in a timely manner. NACC will develop an annual work plan, which upon approval by USG, will guide the implementation of this activity, monitoring of key results and reporting.

(2) AIDS Indicator Survey (AIS): The Kenya AIS has been scheduled for early 2007 and will be the second population-based, comprehensive survey on HIV/AIDS prevalence following the 2003 Kenya Demographic and Health Survey (KDHS) that included an HIV testing component. CBS will be sub-contracted to provide sampling, logistical support and overall coordination of the field work ($920,000) with MACRO International's technical assistance. CBS has started some planning activities for the AIS using COP 06 funds. The HIV testing component will be supported by the CDC/NASCOP Cooperative Agreement and the KEMRI Laboratories. In the process, 60 national staff will be trained in sampling methodology, data collation, analysis and reporting.

(3) Sample Vital Registration with Verbal Autopsy (SAVVY): The proportion of all deaths among 18-59 year-olds due to HIV/AIDS is one of the two outcome indicators of the impact of the EP on population health. The Central Bureau of Statistics (CBS) also needs the vital registration information to inform policy and planning. The SAVVY methodology will collect mortality data from five DSS sites across the country using a validated verbal autopsy tool to ascertain major causes of death, including from HIV/AIDS. Using COP 2906 funds, MEASURE organized a workshop that brought together all five Demographic Surveillance Systems (DSS) sites, and proposals were made to harmonize mortality data collection and reporting tools. The sites were also introduced to the SAVVY methodology. In COP 2007, the five sites will be funded to refine these tools and customize them to their existing DSS instruments. The DSS sites will collect, analyze and report mortality data with technical assistance provided through MEASURE and CDC. A total of 25 CBS, NASCOP and DSS staff from the sites will be trained on indicator estimation methodologies. This activity will also provide the necessary PEPFAR outcome/impact indicator on mortality. The

sub-recipients in this activity are the following DSS sites: Coast (Kilifi - $200,000), Nairobi (Nairobi Urban DSS - $100,000, Kibera - $50,000) and Nyanza (Kisumu - $75,000, Rusinga - $75,000).

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This activity builds on the FY 2006 activities that support the national M&E systems as well as contributing to the Emergency Plan's efforts to build local capacity in M&E. The activity will strengthen the capacity of thirty local organizations in strategic information in addition to supporting the training of 60 District Technical Committees and CACCS in M&E/HMIS, reporting and data use for program management. In addition, 180 SI and program managers will be trained in survey design/implementation, data analyses and presentation. A further 25 individuals will be trained on mortality estimates methodologies and SAVVY system.

4. LINKS TO OTHER ACTIVITIES This first component of the activity is related to the strategic information activity to be carried out by University of North Carolina/MEASURE Evaluation (#7098), where MEASURE Evaluation will be supporting NACC in rolling out COBPAR system for community level reporting. It is also related to the strategic information to be carried out by NASCOP (#7002), where NASCOP will rolling out Form 726, Form 727 and program specific client registers for data collection and reporting at health facilities. It is also related to SI TE/TBD (#9220), that will attempt to investigate the causes for low reporting rate by health facilities and recommend strategies for achieving 100% reporting level by health facilities. The second component is linked to the SI activities of (#6988, #7002, #6946). The AIS will fill information gaps that routine reporting data cannot provide. The third component is linked to SI activities carried out by University of North Carolina/Measure Evaluation (#7098).

5. POPULATIONS BEING TARGETED This activity targets host government workers, community based organizations and the general population.

6. EMPHASIS AREAS The major emphasis is AIS and other population surveys while the minors include Monitoring, Evaluation, or Reporting (or program level data collection), Information Technology (IT) and Communications Infrastructure and Other SI Activities.