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.
THIS IS AN ONGOING ACTIVITY. A MORE DETAILED NARRATIVE HAS BEEN ADDED INCLUDING
UPDATED REFERENCES TO TARGETS AND BUDGETS.
The only changes to the program since approval in the 2007 COP are:
• Reduction in categories of in-service training activity, to focus only on paediatric HIV training, and to re-
direct key focus on integration of HIV training into pre-service curriculum.
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
(HCP) in comprehensive paediatric HIV care and treatment. KMTC will also disseminate guidelines in
comprehensive paediatric HIV care and treatment during the trainings. In collaboration with the Ministry of
Health's National AIDS and STD Control Programme (NASCOP), KMTC will train an estimated total of 330
HCP in 11 of the 27 campuses in diverse parts of the republic, namely Kisii, Kakamega, Eldoret, Meru,
Kilifi, Garissa, Thika, Siaya, Eldoret, Karen and Kakamega. In-service trainings in other areas like ART,
counseling and testing and TB/HIV have been halted this year to enable KMTC concentrate on its core
function of integrating teachings on HIV services into the pre-service training curriculum. 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.
To achieve this pre-service integration the existing pre-service curricula will be reviewed and up-dated to
include HIV/AIDS learning. Similarly the various curricula on HIV/AIDS including PMTCT, Paediatric HIV,
ART, Counseling and testing and TB/HIV will be reviewed and up-dated, and incorporated into pre-service
training. Students log-book with the desired skills to be acquired will be developed and used by students in
their training, to ensure full development of skills by the time they graduate., 90 lecturers in the various
KMTC colleges will be oriented and trained how to use the integrated curriculum in pre-service training.
PEPFAR support will be utilized to refurbish pre-service and in-service training facilities and ICT
infrastructure in the 11 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 1,500 paediatric 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.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
The first and second components of this activity will strengthen the capacity of 11 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 paediatric 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.
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 comprehensive paediatric HIV 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 pre-service medical college students training at the Medical training college
and in-service health care providers.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses pre-service and in-service training on paediatric HIV and other aspects of HIV/AIDS,
taking note of national policies and guidelines.
7. EMPHASIS AREAS
Activity Narrative: This activity largely focuses on training, with minor emphasis on strengthening systems for HIV-related
healthcare provision through institutional capacity building.
