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.
Years of mechanism: 2008 2009
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
+Increased emphasis on provision of comprehensive PMTCT services in the lower level facilities and
strategies to increase the uptake of HIV testing and counseling to male partners of women attending ANC
services.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key attributions in human capacity development through the training of health care
service providers on PMTCT and other HIV prevention and care topics in order to equip them with
knowledge and skills to provide quality PMTCT services. These service providers include Doctors, Nurses,
Counselors, Clinical Officers, Nutrition Officers, Social Workers and Health Record Clerks.
COP 2008
1. LIST OF RELATED ACTIVITIES
This activity will relate to the ARV services of University of Nairobi, Department of Pediatrics, AMREF,
EDARP, University of Manitoba, CHF, Columbia University in Central and Eastern Provinces and University
of Washington, and TB/HIV.
2. ACTIVITY DESCRIPTION
In FY 2007 Pathfinder International provided support for implementation of PMTCT services in a total of 12
districts across three Provinces of Nairobi, Eastern and Central. These districts include: Nairobi (8 districts),
Eastern (5 districts), and Central (1 district) provinces. The support provided includes provision of
comprehensive antenatal package for all pregnant women. PFI has facilitated the establishment of over 100
support groups of PLWHAs, formed around PMTCT sites by mothers who have benefited from the program
services. Referral linkages have been established to centers providing antiretroviral therapy for continuum
of care for the mother, male partner and, infant. PFI will implement integrated comprehensive PMTCT
service in accordance with the National Comprehensive PMTCT guidelines. Comprehensive integrated
PMTCT services include, but are not limited to counseling and testing of pregnant women and their partners
in antenatal clinics, delivery units and postnatal clinics using the opt-out approach, clinical staging of all HIV-
positive women using WHO guidelines and use of appropriate antiretroviral regimens. Early Infant
Diagnosis (EID) at six weeks via PCR on Dry Blood Spots (DBS) from all exposed infants and successful
referral of HIV-positive mothers, their male partners and infected infants to antiretroviral treatment centers.
In FY 2009, PFI targets counseling and testing to 157,240 (93%) of 169,407 pregnant women and provide
antiretroviral prophylaxis to 11,390 (93%) of 12,312 HIV-positive women. Of the 11,390 HIV-positive
women, 2278 will be put on HAART; 5695 on AZT+sdNVP and 3417 on sdNVP.The target for EID using
DBS at six weeks and cotrimoxazole prophylaxis to exposed infants is 11,390. The number of sites will
increase from 300 to over 320., Innovative approaches will be used to increase male partner participation
such as using peer approaches, males as partners(MAP), work place awareness creating as well as
targeting men in social settings. Pathfinder will train and update skills of 350 service providers in
comprehensive HIV management for HIV-positive pregnant mothers, their infants and their families.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will contribute to 12.2% of the overall 2009 Emergency Plan PMTCT targets for Kenya.
Community participation and male involvement will significantly contribute to PEPFAR goals for primary
prevention, access to care and treatment, and support of those affected and infected. Technical assistance
to the Ministry of health facilities will contribute to improvement of the quality of services. PFI will facilitate
capacity building of DHMTs for improved management of health services and set up of referral networks
and linkages for a continuum of care from facilities to Home-based care within the community and among
various programs within the district. This activity contribute to increased awareness, demand creation and
stigma reduction leading to increased utilization of services towards the goal of universal access to
prevention, care and treatment services.
4. LINKS TO OTHER ACTIVITES
Linkages to HIV care and treatment services will be strengthened, to ensure immediate appropriate care for
the woman and exposed infants, and family members as well and thus optimize utilization of
complementary services created through Emergency Plan funding. This activity will relate to the ARV
services of University of Nairobi, Department of Pediatrics, AMREF, EDARP, University of Manitoba, CHF,
Columbia University in Central and Eastern Provinces and University of Washington, and TB/HIV.
5. POPULATIONS BEING TARGETED
This activity targets children (under 5 years old), Adolescents of reproductive age (15-24 year), adults,
people living with HIV/AIDS, and pregnant women.
6. KEY LEGISLATIVE ISSUES ADDRESSED/EMPHASIS AREAS
This activity will address gender equity in HIV/AIDS programs through improved PMTCT service delivery at
ante-natal clinics and maternity units. Community health workers will conduct community mobilization
activities that will help increase service uptake as well as address issues of stigma and discrimination at
community level. Other emphasis areas include capacity building through supporting in-service training for
providers on comprehensive PMTCT programming that addresses all the four prongs, wrap around
programs for family planning, malaria and safe mother hood through the provision of comprehensive
PMTCT package that addresses all these elements. The comprehensive PMTCT package includes focused
antenatal care that addresses safe mother hood issues, malaria prevention through the provision of
insecticide treated bed nets for the pregnant woman and intermittent presumptive treatment for malaria, and
increased access to family planning with a focus on dual method for the HIV + mothers .
Equity will be promoted through identification of vulnerable groups and factors that make specific groups
particularly vulnerable. Gender-related vulnerabilities will be identified and analysed and described and
incorporated into all interventions. This includes MAP, gender-based violence and cultural barriers that are
related to gender norms.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14956
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14956 4143.08 HHS/Centers for Pathfinder 6986 292.08 $1,500,000
Disease Control & International
Prevention
7016 4143.07 HHS/Centers for Pathfinder 4271 292.07 $850,000
4143 4143.06 HHS/Centers for Pathfinder 3221 292.06 $800,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Health-related Wraparound Programs
* Family Planning
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $100,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
