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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
+I Choose Life activities will be expanded to include University of Nairobi campuses in Parklands, Upper
Kabete, and United States International University (USIU).
The only changes to the program since approval in the 2007 COP are:
• Increase the total number of trained student peer educators to 800, providing life skills training for new
peer educators (PEs) and refresher training for continuing PEs;
• Continue to strengthen and expand small behavior change communication (BCC) groups where PEs will
introduce and reinforce ABC messages through ongoing, regular interaction with the students in the group
reaching at least 25,000 students with AB messages;
• Continue to disseminate the radio series developed in 2007 to reach an additional 50,000 individuals with
AB prevention messages;
• Collaborate with the School of Journalism at the University of Nairobi as well as campus theatre groups
and other student clubs and organizations to build their capacity to understand and incorporate ABC
prevention messages into their ongoing work on campuses;
• Synthesize and package lessons learned after nearly four years of implementing the intervention with ICL;
• Develop and implement a transition plan with ICL to promote sustainability, scale-up of the intervention
activities and graduation to a primary partner if possible.
1. LIST OF RELATED ACTIVITIES
As the target population is at risk for sexual activity and it may not be possible to practice abstinence and
faithfulness only, the activity is linked to Condoms and Other Prevention (#6887).
2. ACTIVITY DESCRIPTION
Since FY 2005, FHI/CRTU has collaborated with "I Choose Life" (ICL) to reach youth in special groups with
ABC messages in a balanced way. In FY 2009, ICL will continue to increase the total number of trained
student peer educators to 650 and reach 50,000 students with AB messages on University of Nairobi
campuses including the main campus, KNH campus, Chiromo, Kikuyu and Lower Kabete. Ongoing life skills
training and small behavior change communication (BCC) groups will continue to be further refined and
expanded to ensure additional students are equipped with personal values, attitudes and life skills to
prevent HIV infection and unintended pregnancy. FHI/CRTU and ICL will continue to strengthen life skills
training, particularly to address gender equity issues, and cover all campuses of University of Nairobi to
incorporate information about family planning in the ongoing peer education and BCC program. Radio will
continue to be used to reach students with vital health and ABC prevention messages that resonate with
university youth. The radio series developed in 2007 will continue to be disseminated to reach an additional
50,000 with ABC prevention messages. FHI/CRTU will also collaborate with the School of Journalism at the
University of Nairobi as well as campus theatre groups and other student clubs and organizations to build
their capacity to understand and incorporate ABC prevention messages into their ongoing work on
campuses. FHI/CRTU will conduct a project evaluation to evaluate the effectiveness and costs of the
intervention. Also, FHI/CRTU will synthesize and package lessons learned after nearly four years of
implementing the intervention with ICL. Findings from the evaluation and lessons learned will be
disseminated. Also, FHI/CRTU and ICL will begin developing and implementing a transition plan to promote
sustainability and scale-up of the intervention activities.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to prevention targets by targeting special youth groups, i.e. university
students. Behavior change among university students is expected to have a multiplier effect as university
students are viewed as "successful" role models by other youth. These activities are consistent with the
Kenya Five-Year Strategy targeting young people as full partners in defining and delivering programs and
4. LINKS TO OTHER ACTIVITIES
As the target population is at risk for sexual activity which may not be possible to abstain from, the activity is
linked to OP interventions as well. This activity is also related to Condoms and Other Prevention
implemented by FHI/CRTU (#6887).
5. POPULATIONS BEING TARGETED
This activity targets university students.
6. KEY LEGISLATIVE ISSUES ADDRESSED
Key legislative issues include gender by addressing male norms and behaviors for university students that
will result in reduced violence and coercion against others. Other issues addressed include stigma and
discrimination since it is key for effectiveness of peer educators who are volunteers.
7. EMPHASIS AREAS
The major emphasis area for this activity is project evaluation. Since FHI is also imparting skills to ICL to
carry out these peer education prevention activities, local organization capacity development is a minor
emphasis area. ICL uses a network of peer educators to disseminate prevention messages, making
development of network/linkages/referral systems minor emphasis areas. Gender issues, particularly
addressing male norms and behaviors as well as reducing violence and coercion, are also emphasized.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14790
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14790 5130.08 U.S. Agency for Family Health 6945 3575.08 Contraceptive $600,000
International International Research
Development Technology and
6889 5130.07 U.S. Agency for Family Health 4225 3575.07 Contraceptive $340,000
5130 5130.06 U.S. Agency for Family Health 3575 3575.06 Contraceptive $300,000
* Addressing male norms and behaviors
* Reducing violence and coercion
Health-related Wraparound Programs
* Family Planning
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
+ Condom messaging targeting both males and females (different direct targeting) will be developed and
distributed to 800 peer educators at Kenyatta University. 50,000 students will receive the specific
•In FY 2008 FHI/CRTU will continue to gather strategic information and identify; lessons learned to support
integration of the activity with other partners, in particular APHIA II Nairobi;
•Disseminate lessons learned, including providing technical assistance to APHIA II partners to apply those
findings within their activities; and
•Begin to develop and implement a transition plan with KU to promote sustainability and scale-up of
This activity is related to Condoms and Other Prevention Activities (#8874) and Abstinence and Be Faithful
Programs (#6889) and will lay the groundwork to hand over activities to APHIA II Nairobi in 2008.
Findings from the formative assessment (2005 COP) and lessons learned from the pilot intervention (2006
COP) have been rolled out in 2008 through additional communities in Nairobi to reach more housegirls with
HIV prevention messages. Therefore, FHI/CRTU proposes in FY 2009 to continue to gather strategic
information and identify lessons learned to support integration of the intervention with other partners. The
activity scaled-up the intervention beyond Bahati Church to two additional faith-based institutions in Nairobi.
100 trained peer educators will reach an additional 500 housegirls with HIV and unwanted pregnancy
prevention messages. The 2008 mass media campaign will continue with existing radio stations which will
air HIV and unintended pregnancy prevention messages to reach 50,000 housegirls as well as the
communities in which they work to create awareness of their vulnerability. CRTU will work with Kenyatta
University (KU)'s Linguistics department to develop communications materials to be channeled through the
local radio stations. In order to enhance the quality of the materials, CRTU will continue their sub-contract
with a communications agency (possibly University of Nairobi's School of Journalism) to help design the
messages. FHI will continue to provide technical assistance to five local faith-based organizations (FBOs) to
design interventions to reach housegirls with prevention messages. Kenyatta University will be a sub-
recipient ($135,000) to carry out these activities.
These activities will contribute to the 2008 prevention targets by targeting special youth groups, i.e.
housegirls. Reaching these hard-to-reach out-of-school youths is consistent with the Kenya Five-Year
Strategy targeting young people as full partners in defining and delivering programs and messages.
This activity also relates to OP activities (#8874) and AB activities (#6889).
This activity targets out-of-school youth (girls) and women working as housegirls/women, as well as
religious leaders and volunteers working in faith-based organizations.
Key legislative issues focus on gender, specifically on increasing gender equity in HIV/AIDS programs while
also addressing male norms and behaviors.
The major emphasis is on information, education and communication with minor emphases on training,
community mobilization, and local organization capacity development.
Continuing Activity: 14791
14791 4965.08 U.S. Agency for Family Health 6945 3575.08 Contraceptive $200,000
6887 4965.07 U.S. Agency for Family Health 4225 3575.07 Contraceptive $300,000
4965 4965.06 U.S. Agency for Family Health 3575 3575.06 Contraceptive $300,000
* Increasing gender equity in HIV/AIDS programs
+ Build the capacity of 12 additional field-based HIV/AIDS program staff in APHIA II regions in targeted
evaluation and SI generation activities using the approach developed under COP06 for building targeted
evaluation skills of staff working with other HIV/AIDS organizations apart from NASCOP.
+ Conduct training on data use using the data-for-decision-making strategy developed in COP06. Sixteen
trainers and 320 service providers in APHIAII regions will be trained in data-for-decision-making at the
provincial and district levels through cascade trainings.
+ Undertake an assessment to evaluate the availability and utility of computers for data capture, analysis
and reporting in selected districts and equip and train district personnel on computer utilization for the same
purpose. The number and distribution of districts will depend on the felt
SECONDARY CROSS CUTTING BUDGET ATTRIBUTIONS
This activity supports key cross-cutting attributions in human capacity development through training of GOK
and USG partner personnel in HMIS, M&E and Surveillance both at national and regional level.
1. LIST OF RELATED ACTIVITIES This activity is related to all other Strategic Information activities in COP
2. ACTIVITY DESCRIPTION FHI/CTRU in collaboration with the National AIDS and STI Control Program
(NASCOP) and Kenyatta University (KU) received COP 2005 funds to train 4 Masters students in targeted
evaluation and generation of strategic information (SI). In order to have widespread impact of HIV/AIDS
programming in the country, COP 2006 funds were committed to support training of an additional 4 Masters
and 2 PhD students in targeted evaluation; FHI will continue to work closely with NASCOP, KU and a
representative of the SI ITT to select and train these additional students. Also, using information generated
in COP 2005, a dissemination strategy will be developed and implemented to facilitate utilization of the
students' findings in relevant PEPFAR program areas, namely HTXD, HVCT and MTCT. In COP 2007,
FHI/CRTU, NASCOP and KU propose to undertake the following activities: Continue the collaborative
selection and support approach used in COP 2006 to identify and train 6 additional Kenyatta University
students in targeted evaluation and SI generation in order to increase the human resource base for
HIV/AIDS targeted evaluation in Kenya. Prior to selection of the 6 students, a meeting will be held with
NASCOP to identify priority strategic information and targeted evaluation areas that the students can
potentially address through their theses. The students will then develop projects that: 1) are relevant to
identified capacity gaps at NASCOP as well as other local HIV/AIDS service delivery
organizations/institutions; and 2) will generate SI to feed into PEPFAR program areas and activities. Once
students have identified the PEPFAR program area they plan to address, Interagency Technical Team (ITT)
representatives for these areas will be integrally involved in the students' work through quarterly meetings in
order to provide guidance for students' projects and regularly review their progress. In addition, 12
additional field-based HIV/AIDS program staff will be trained in targeted evaluation and SI generation
activities using the approach that will be developed under COP 2006 for building targeted evaluation skills
of staff working with other HIV/AIDS organization apart from NASCOP. The activity will also ensure
dissemination and utilization of students COP 2006 targeted evaluation findings. The dissemination strategy
to be used in COP 2007 will be developed by FHI and its partners under COP 2006 to ensure dissemination
and utilization of the SI generated by this ongoing activity within the MOH and other key organizations
involved in HIV/AIDS programming. Finally, FHI will conduct training on data use using the data-for-decision
making strategy developed in COP 2006. In this process, 16 trainers and 320 service providers will be
trained in data-for-decision making at the provincial and district levels through cascade trainings. In COP
2006, capacity building activities with NASCOP and its partners will involve identification of gaps in
utilization of data for decision making and planning. This gap analysis and development of appropriate
strategies to address the identified gaps conducted during COP 2006 will be carried out by one or two of the
students in collaboration with FHI and its partners. FHI/CRTU will sub-contract ($250,000) Kenyatta
University as their main sub-partner to accomplish these activities.
Currently, there is limited local capacity to conduct targeted evaluations relevant to HIV/AIDS. An in cases
where some capacity exist such as in national Universities, this capacity is disconnected to the mainstream
HIV/AIDS activities being conducted by NASCOP and with support of the USG. This activity therefore builds
on the FY 2006 activity that supported Kenyatta University and NASCOP to improve the national M&E
systems as well as contributing to the Emergency Plan's training outputs.
4. LINKS TO OTHER ACTIVITIES This activity is related to the Strategic Information activity to be carried
out by CPC-MEASURE (#6988) that provides technical assistance and capacity building at the National
HIV/AIDS Control Council (NACC).
The population targeted are University students and program managers at NASCOP.
6. EMPHASIS AREAS
The major emphasis area addressed is capacity building; minor is M&E systems.
Continuing Activity: 17886
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17886 17886.08 U.S. Agency for Family Health 6945 3575.08 Contraceptive $150,000
International International Research
Development Technology and
* Child Survival Activities
* Malaria (PMI)
* Safe Motherhood
Estimated amount of funding that is planned for Human Capacity Development $0