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. ACTIVITY DESCRIPTION
In response to the Kenya National AIDS Strategic Plan Priority 1, prevention of new infections including
targeted focus on Kenyan youth, AIDSRelief will address adolescent reproductive health through promoting
education for the boys and girls through Medical Male Circumcision Plus Model (MMC+). This model
provides access to medical male circumcision plus adolescent reproductive health and HIV education
focused on Kenyan youth and will be implemented within traditionally non-circumcising communities in
Nyanza province. MMC+ aims to delay the onset of sexual debut, while promoting abstinence and/or
practice of safe sex. Adolescent boys and girls between the ages of 10-14 and 15-24 will be targeted with
structured week-long behavior change education classes focusing on adolescent reproductive health and
HIV education. Out of the 1,200 boys, an estimated 900 boys will opt for circumcision during this week-long
course. Parents will be also be targeted with voluntary counseling and testing services. The overall goal is
the prevention of new infections through targeted behavior change communication focused on promoting
abstinence and delayed sex debut among the youth. AIDSRelief supports scale-up of quality care and
treatment services at 21 faith-based local partner treatment facilities (LPTFs), with 40 decentralized
locations, across five provinces of Kenya. The AIDSRelief Consortium led by Catholic Relief Services (CRS)
in partnership with Catholic Medical Mission Board (CMMB), the Institute of Human Virology of the
University of Maryland (IHV) and Constella Futures brings to the AIDSRelief team years of experience in
delivering ART to local faith-based partner treatment facilities, in collaboration with Kenya Episcopal
Conference (KEC), Christian Health Association of Kenya (CHAK) and the Ministry of Health through the
National AIDS and STI Control Program. By March 1, 2008 AIDSRelief will support 25,000 patients on ARV
treatment and 35,000 on care; at least 10% of these are children.
2. CONTRIBUTION TO OVERALL PROGRAM AREA
The overall goal is the prevention of new infections through targeted behavior change communication
focused on promoting abstinence and delayed sex debut among the youth. The key objective is to provide
access to medical male circumcision plus (MMC+) adolescent reproductive health education. Key activities
proposed are: 12,000 individuals will be reached through community mobilization; 6 AIDSRelief LPTFs
providing MMC +in Nyanza Province; Curriculum developed in collaboration with NASCOP; 1,560 youth
participating in MMC+ - 1,200 boys and 360 girls (100-300/LPTF); 900 boys circumcised; 2,400
parents/guardians provided with education on HIV prevention and VCT; 2 community leaders engaged in
MMC + activities at each site; 60 individuals will be trained in providing appropriate messaging; and 6 - 8
clinical officers and/or nurses trained in proper circumcision procedures.
3. LINKS TO OTHER ACTIVITIES
This activity links to comprehensive HIV care and treatment services, facility-based and mobile VCT, and
community-based prevention activities provided by government and mission facilities in Nyanza Province.
Linkages to other CRS program areas include: PMTCT, Condoms and Other Prevention, Palliative Care
(Basic Health Care and Support), Palliative Care (TB/HIV), HIV/AIDS Treatment (ARV Services), ARV
drugs, and Counseling and Testing.
4. POPULATIONS BEING TARGETED
AIDSRelief seeks to roll out Medical Male Circumcision Plus (MMC+) for Nyanza Province at Maseno
Mission Hospital, Kendu Adventist Hospital, St Camillus, St Joseph-Nyabondo, St Joseph-Migori, and
Tabaka Mission Hospital given that the province has the highest prevalence of HIV/AIDS in Kenya. The
general population, including adult men and women of reproductive age are targeted with AB messages.
Children and youth, and particularly adolescent boys are targeted with appropriate messages and services.
These activities will target parents to help ensure that a supportive adult environment is promoted for a
comprehensive youth prevention approach.
5. EMPHASIS AREAS / KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses abstinence and being faithful and other prevention strategies through reproductive
health education during male circumcision sessions. The activity will address gender, specifically targeting
male norms and behaviors and increasing gender equity in HIV/AIDS programs. Additionally, the program
will address human capacity development through training and task shifting, and will contribute to local
organization capacity building.
course. Parents will be also be targeted with voluntary counseling and testing services. This initiative will
contribute to the reduction of new HIV infections by circumcising 900 boys, as well as through targeted
behavior change communication focused on promoting abstinence and delayed sex debut among the youth.
The key objective is to provide access to medical male circumcision plus (MMC+) adolescent reproductive
health education. AIDSRelief supports scale-up of quality care and treatment services at 21 faith-based
local partner treatment facilities (LPTFs), with 40 decentralized locations, across five provinces of Kenya.
The AIDSRelief Consortium led by Catholic Relief Services (CRS) in partnership with Catholic Medical
Mission Board (CMMB), the Institute of Human Virology of the University of Maryland (IHV) and Constella
Futures brings to the AIDSRelief team years of experience in delivering ART to local faith-based partner
treatment facilities, in collaboration with Kenya Episcopal Conference (KEC), Christian Health Association of
Kenya (CHAK) and the Ministry of Health through the National AIDS and STI Control Program. By March 1,
2008 AIDSRelief will support 25,000 patients on ARV treatment and 35,000 on care; at least 10% of these
are children.
This initiative will contribute to the reduction of new HIV infections by circumcising 900 boys, as well as
through targeted behavior change communication focused on promoting abstinence and delayed sex debut
among the youth. The key objective is to provide access to medical male circumcision plus (MMC+)
adolescent reproductive health education. Key activities proposed are: 6 AIDSRelief LPTFs providing
MMC+ in Nyanza Province; Curriculum developed in collaboration with NASCOP; 1,560 youth participating
in MMC+ (1,200 boys and 360 girls [100-300/LPTF]); 900 boys circumcised; 2,400 parents/guardians
provided with education on HIV prevention and VCT; 2 community leaders engaged in MMC + activities at
each site; 68 individuals will be trained to provide messaging and services, including 6 to 8 clinical officers
and/or nurses trained in proper circumcision procedures.
Linkages to other CRS program areas include: PMTCT, Abstinence/Be Faithful, Palliative Care (Basic
Health Care and Support), Palliative Care (TB/HIV), HIV/AIDS Treatment (ARV Services), ARV drugs, and
Counseling and Testing.
THIS IS AN ONGOING ACTIVITY. THE NARRATIVE IS UNCHANGED EXCEPT FOR UPDATED
REFERENCES TO TARGETS AND BUDGETS.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in ART Services and TB/HIV.
2. ACTIVITY DESCRIPTION
Catholic Relief Services (CRS) supported sites are implementing a variety of community-based activities to
support the understanding of, enrollment in, and adherence to care and treatment programs. The
consortium has provided extensive support for monitoring and evaluation, allowing timely reporting to both
PEPFAR and the Kenya National Program. The implementing consortium includes Catholic Relief Services,
Catholic Medical Mission Board, Futures Group, The Institute of Human Virology at the University of
Maryland, and the Interfaith Medical Alliance. The consortium has established agreements with a number of
mission facilities in Kenya, and has supported rapid scale-up of treatment at these facilities. By March 2007,
approximately 20,276 patients were receiving palliative care services. In FY 2008 the CRS Consortium will
expand services currently supported both by Track 1 funds and in country funds to support palliative care
for 40,000 patients (including more than 4000 children) at 23 service delivery sites throughout Kenya. There
will be 90 individuals trained to provide HIV palliative care. CRS supports mission hospitals in several
geographic areas with a standard package that includes funds for staff salaries, training of staff, laboratory
evaluation, adherence counseling and monitoring, drugs for prevention and treatment of opportunistic
infection, and end of life care.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to expansion of palliative care services for clinically qualified HIV-positive
patients, strengthen human resource capacity to deliver HIV care, and a strengthen referral network for
provision of these services.
4. LINKS TO OTHER ACTIVITIES
These activities link to ARV treatment (#6853, #6854) and TB/HIV services (#8843)supported by CRS, to a
variety of services provided by mission facilities in Kenya (including testing and counseling services and
prevention of mother to child transmission services), and in many cases to facilities in the Ministry of Health
system. For example, in Kisumu, St. Monica's Hospital is being integrated into the network center at the
KEMRI-supported Nyanza Provincial Hospital.
5. POPULATIONS BEING TARGETED
These activities target people living with HIV/AIDS. Care services for children with HIV are being
established or expanded at all sites. The ability to diagnose and provide care for very young children is
being established through a relationship with Kenya Medical Research Institute (KEMRI); filter paper
samples are transported to the KEMRI lab for infant testing (currently with PCR).
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses stigma and discrimination through community sensitization activities.
7. EMPHASIS AREAS
This activity includes minor emphasis in commodity procurement, community mobilization, development of
networks/linkages/referral systems, human resources, quality assurance and supportive supervision,
strategic information, and training.
This activity relates to activities in Palliative Care: Basic Health Care and Support (#6855) and ARV
Services (#6853, #6854).
AIDS Relief (a consortium of Catholic Relief Services, Catholic Medical Mission Board, Futures Group,
Interchurch Medical Assistance, and the Institute of Human Virology at the University of Maryland) will
support HIV/TB services for HIV patients at 24 service delivery sites throughout Kenya. AIDSRelief will offer
TB screening to 20,000 HIV patients and HIV testing for 10,200 TB patients; approximately 5,000 will be
diagnosed with HIV/TB. Refresher training of laboratory staff will be initiated and basic laboratory
microbiology capacity improved in order to meet the increased needs of TB testing. 25 Health care workers
will be trained to provide clinical prophylaxis and/or treatment for TB to HIV-infected individuals.
These activities will contribute towards the provision of integrated HIV/TB care by reducing TB morbidity
and mortality in HIV-infected individuals and also reducing HIV related morbidity and mortality in TB patients
co-infected with HIV. These activities will strengthen referral systems, improve diagnostics and treatment of
TB among HIV-positive patients, strengthen capacity of health workers to provide integrated HIV and TB
services.
The overall program activity links closely to Palliative care and ARV services currently supported by
AIDSRelief, ART services supported by this partner through in-country funding, and ART services
coordinated by and supported through the National AIDS and STD Control Program (NASCOP).
These activities target people living with HIV/AIDS. Public health care providers, including doctors, nurses,
pharmacists, laboratory workers will receive training in the diagnosis and management of TB using
government guidelines.
This activity addresses legislative issues related to stigma and discrimination through community
sensitization activities.
networks/linkages/referral systems, human resources, local organization capacity development, quality
assurance, quality improvement and supportive supervision, strategic information and training.
Partner to provide additional ARV drugs in anticipation of emergency shortages.
N/A (exempt)
