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:
+ New activity emphasis on prevention with positives among patients coming for care and treatment
services.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS:
Partner will procure nutritional supplementation for approximately 400 patients at $10,000.
COP 2008
+ The only change to the program since approval in the 2007 COP is that Columbia will use $500,000 to
procure formulary of seven essential OI drugs including CTX, multivitamins, anti-fungals, acyclovir, anti-
malarials and other HIV specific treatments/prophylaxis for 50,000 individuals to delay disease progression
and reduce morbidity and mortality. This will provide flexibility for contingencies for the national OI drug
procurement described under the Mission Competitive Procurement/TBD narrative.
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in TB/HIV, adult ARV services, Pediatric care and support, Pediatric ARV
services and PMTCT.
2. ACTIVITY DESCRIPTION
Columbia University's International Centre for AIDS Care and Treatment (CU-ICAP) will increase and
strengthen its support from 40 to 45 sites in Central Province in the provision of palliative care services in
Central Province. These activities will support palliative care services to 34,000 patients with HIV. CU-ICAP
will establish/enhance care and treatment networks centered at the provincial hospitals and larger district
hospitals in Central Province. CU-ICAP will continue to work closely with the Provincial AIDS and STI
Coordinating Officer (PASCO) for Central Province through activities such as supporting regular meetings of
care providers in the area. Funds will continue to be used to support additional staff salaries in accordance
with Emergency Plan guidance, renovations and equipment needed to provide treatment, disposable
supplies, drugs for prevention and treatment of opportunistic infections, laboratory reagents, and the costs
of supportive supervision and advanced training in HIV care and treatment for 60 health care workers.
CU-ICAP supports the development of high quality HIV care and treatment services in low-resource
settings. CU-ICAP programs currently support HIV/AIDS activities in 11 African countries. In Kenya, CU-
ICAP has established a foundation for HIV/AIDS program activities, including PMTCT-Plus and care and
treatment. With regionalized planning for care and treatment services, CU- ICAP-Kenya was designated the
primary United States Government (USG) care and treatment partner for Eastern South and Central
Province. CU-ICAP has established an efficient administrative and operations base in Nairobi and is
working closely with CDC-Kenya.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to the expansion of palliative care for clinically qualified HIV-positive patients,
strengthened human resource capacity to deliver HIV care, and a strengthened referral network for
provision of care services for people with HIV/AIDS.
4. LINKS TO OTHER ACTIVITIES
This activity links to adult treatment services, pediatric treatment services, pediatric care and support,
TB/HIV services, counseling and testing supported by Columbia University and coordination of ARV scale-
up activities supported through the National AIDS and STD Control Program (NASCOP). Care and support
services will also link to PMTCT services that are supported through Pathfinder International through the
linkage of care to HIV positive women identified through the PMTCT program.
5. POPULATIONS BEING TARGETED
These activities target adults living with HIV/AIDS. Public health care providers, including doctors, nurses,
pharmacists, and laboratory workers are targeted for increased HIV care and treatment knowledge and
skills.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through community
sensitization activities.
7. EMPHASIS AREAS
This activity includes minor emphasis in commodity procurement, community mobilization, human
resources, development of networks/linkages/referral systems, human resources, local organization
capacity development, quality assurance and supportive supervision, strategic information, and training.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14757
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14757 4922.08 HHS/Centers for Columbia 6940 3672.08 $1,250,000
Disease Control & University
Prevention Mailman School of
Public Health
6868 4922.07 HHS/Centers for Columbia 4220 3672.07 $2,250,000
4922 4922.06 HHS/Centers for Columbia 3672 3672.06 $100,000
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities $10,000
Economic Strengthening
Education
Water
Table 3.3.08:
+ The only change to this activity since approval in the 2008 COP is that partner will support training of 100
health workers on prevention with positives in collaboration with the National AIDS and STD control
Program (NASCOP).
This activity relates to activities in TB/HIV, ARV services, Palliative care, and PMTCT.
Columbia University's International Centre for AIDS Care and Treatment programs (CU-ICAP) will provide
support in 15 sites in Central Province in the implementation and expansion of antiretroviral treatment (ART)
programs. The collaborative activities will support treatment of 2,500 adults with HIV. These patients are in
addition to the 13,000 patients that will be supported through Track 1 funding. This will bring the total
number ever treated to 16,200 including those supported through track 1 funding CU-ICAP will establish/
enhance treatment networks centered at the provincial hospital and larger district hospitals in Central
Province. CU-ICAP will work closely with the Provincial AIDS and STI Coordinating Officer (PASCO) for
Central Province, for example supporting regular meetings of care providers in the area. Funds will be used
to support staff salaries in accordance with Emergency Plan guidance, renovations and equipment needed
to provide treatment, disposable supplies, drugs for prevention and treatment of opportunistic infections,
and laboratory reagents, and the costs of supportive supervision and advanced training for 200 health care
workers in HIV care and treatment. CU-ICAP supports the development of high quality HIV care and
treatment services in low-resource settings. CU-ICAP programs currently support HIV/AIDS activities in 11
African countries. In Kenya, CU- ICAP has established a foundation for HIV/AIDS program activities,
including PMTCT-Plus and care and treatment. With regionalized planning for care and treatment services,
CU-ICAP-Kenya was designated the primary United States Government (USG) care and treatment partner
for the Central Province. CU-ICAP has established an efficient administrative and operations base in
Nairobi and is working closely with CDC-Kenya. Significant changes from 2008 to 2009 include support for
the training of 100 health workers on prevention with positives in collaboration with NASCOP.
These activities will contribute to expansion of ARV treatment for clinically qualified HIV-positive patients,
strengthened human resource capacity to deliver ARV treatment, and a strengthened referral network for
provision of ART.
This activity links to adult care and support, pediatric care and support, pediatric treatment and TB/HIV
services, supported by Columbia University and coordination of ARV scale-up activities supported through
the National AIDS and STD Control Program (NASCOP). ARV services will also link to PMTCT services
supported through Pathfinder International, through provision of ART to HIV positive mothers identified
through the PMTCT program.
These activities target people (adults, children, infants) living with HIV/AIDS. Treatment services for children
with HIV are being established or expanded at all sites. Public health care providers, including doctors,
nurses, pharmacists, and laboratory workers are targeted for increased HIV care and treatment knowledge
and skills.
resources, development of networks/linkages/referral systems, local organization capacity development,
quality assurance and supportive supervision, strategic information, and training.
Continuing Activity: 14759
14759 4272.08 HHS/Centers for Columbia 6940 3672.08 $4,100,000
6867 4272.07 HHS/Centers for Columbia 4220 3672.07 $1,250,000
4272 4272.06 HHS/Centers for Columbia 3672 3672.06 $600,000
Table 3.3.09:
ACTIVITY UNCHANGED FROM COP 2008:
This activity relates to activities in TB/HIV (#8846), ARV services (#6866), ARV Services (#6867), and
PMTCT (#7016).
Columbia University's International Centre for AIDS Care and Treatment (CU-ICAP) will support pediatrics
care and support services at 45 sites in central province. These activities will support pediatric care
including psychosocial support to 3,800 children below 15 years. CU-ICAP will establish/enhance care and
treatment networks centered at the provincial hospital and larger district hospitals in Central Province CU-
ICAP will continue to work closely with the Provincial AIDS and STI Coordinating Officer (PASCO) for
Central Province on activities such as supporting regular meetings of care providers in the area. Funds will
continue to be used to support additional staff salaries in accordance with Emergency Plan guidance,
renovations and equipment needed to provide treatment, disposable supplies, drugs for prevention and
treatment of opportunistic infections, laboratory reagents, and the costs of supportive supervision and
advanced training in pediatric HIV care and treatment for 60 health care workers. In order to identify more
children, activities will focus on HIV testing through Early Infant Diagnosis (EID) and Provider initiated
Testing and counseling (PITC) using PCR or rapid tests for all children attending in and outpatient
departments, and children of HIV positive patients attending the care and treatment services. Children born
to HIV positive mothers in PMTCT will be tested through EID and linked to care. CU-ICAP supports the
development of high quality HIV care and treatment services in low-resource settings. CU-ICAP programs
currently support HIV/AIDS activities in 11 African countries. In Kenya, CU- ICAP has established a
foundation for HIV/AIDS program activities, including PMTCT-Plus and care and treatment. With
regionalized planning for care and treatment services, CU- ICAP-Kenya was designated the primary United
States Government (USG) care and treatment partner for the Central Province. CU-ICAP has established
an efficient administrative and operations base in Nairobi and is working closely with CDC-Kenya.
These activities will contribute to the expansion of care for clinically qualified HIV-positive children and
infants, strengthen human resource capacity to deliver HIV care, and improve the referral network for
provision of care services for children and infants with HIV/AIDS.
This activity links to ARV services (#6866, #6867)), adult care and support, Pediatric ARV services and
TB/HIV services (#8846), supported by Columbia University and coordination of ARV scale-up activities
supported through the National AIDS and STD Control Program (NASCOP). Palliative care services will
also link to PMTCT services (#7016) supported through Pathfinder International, through the linkage of care
to HIV positive women and infants identified through the PMTCT program.
These activities target people (adults, children, infants) living with HIV/AIDS. Services for children with HIV
are being established or expanded at all sites. Public health care providers, including doctors, nurses,
skills. The program will also continue to support treatment for HIV-infected students at JKUAT. These youth
are among an important focus population identified in Kenya's 5-year strategic plan for Emergency Plan
Implementation.
Table 3.3.10:
This activity relates to activities in TB/HIV (#8846), ARV services (#6866), Palliative care (#6868), Pediatric
care and support and PMTCT (#7016).
Columbia University's International Centre for AIDS Care and Treatment programs (CU-ICAP) will increase
its support from 24 t0 45 in Central Province in the implementation and expansion of pediatric
antiretroviral treatment programs. The collaborative activities will support treatment of 1500 children below
15 years with HIV (700 new patients), bringing the total ever treated to 1800. These children are in addition
to the 1300 patients that will be supported through Track 1 funding. CU-ICAP will also establish/enhance
pediatric treatment networks centered at the provincial hospital and larger district hospitals in Central
Central Province to support activities such as regular meetings of care providers in the area. Funds will be
used to support staff salaries in accordance with Emergency Plan guidance, renovations and equipment
needed to provide pediatric treatment, disposable supplies, drugs for prevention and treatment of
opportunistic infections, and laboratory reagents, and the costs of supportive supervision and advanced
training for 60 health care workers in pediatric HIV care and treatment. CU-ICAP supports the development
of high quality HIV care and treatment services in low-resource settings. CU-ICAP programs currently
support HIV/AIDS activities in 11 African countries. In Kenya, CU- ICAP has established a foundation for
HIV/AIDS program activities, including PMTCT-Plus and care and treatment. With regionalized planning for
care and treatment services, CU-ICAP-Kenya was designated the primary United States Government
(USG) care and treatment partner for the Central Province. CU-ICAP has established an efficient
administrative and operations base in Nairobi and is working closely with CDC-Kenya.
These activities will contribute to expansion of ARV treatment for clinically qualified HIV-positive children,
strengthened human resource capacity to deliver ARV treatment, and a improved referral network for the
This activity links to palliative care and TB/HIV services, supported by Columbia University and coordination
of ARV scale-up activities supported through the National AIDS and STD Control Program (NASCOP).
ARV services will also link to PMTCT services supported through Pathfinder International, through provision
of ART to HIV positive mothers identified through the PMTCT program.
and skills. The program will also continue to support treatment for HIV-infected students at JKUAT. These
youth are among an important focus population identified in Kenya's 5-year strategic plan for Emergency
Plan Implementation.
quality assurance and supportive supervision, strategic information, and training. This is an expansion of the
07 activities. Columbia University's International Centre for AIDS Care and Treatment programs (CU-ICAP)
will increase its support from eight to 12 sites in Central Province in the implementation and expansion of
antiretroviral treatment programs. The collaborative activities will support treatment of 5,600 people with HIV
(4,280 new patients), including 400 children, bringing the total ever treated to 6,120. These patients are in
addition to the 2,500 patients that will be supported through Track 1 funding. CU-ICAP will
establish/enhance treatment networks centered at the provincial hospital and larger district hospitals in
Central Province. CU-ICAP will extend a collaborative relationship with Jomo Kenyatta University of
Agriculture and Technology (JKUAT) to allow for creation of a regional university-based training and
technical support program. The collaboration offers an opportunity to develop quality assurance capacity on
all levels (laboratory, pharmacy, clinical expertise), provides a forum for strategic planning for effective care
and treatment programs, and informs targeted evaluation and strategic information needs. CU-ICAP will
work closely with the Provincial ART Officer for Central Province, for example supporting regular meetings
of care providers in the area. Funds will be used to support staff salaries in accordance with Emergency
Plan guidance, renovations and equipment needed to provide treatment, disposable supplies, drugs for
prevention and treatment of opportunistic infections, and laboratory reagents, and the costs of supportive
supervision and advanced training for 60 health care workers in HIV care and treatment. CU-ICAP supports
the development of high quality HIV care and treatment services in low-resource settings. CU-ICAP
programs currently support HIV/AIDS activities in 11 African countries. In Kenya, CU- ICAP has established
a foundation for HIV/AIDS program activities, including PMTCT-Plus and care and treatment. With
regionalized planning for care and treatment services, CU-ICAP-Kenya was designated the primary United
Table 3.3.11:
ACTIVITY UNCHANGED FROM COP 2008
This activity relates to activities in Palliative Care, ARV Services ,Pediatrics ARV services, Pediatric care
and support and PMTCT.
Columbia University's International Center for AIDS Treatment (CU-ICAP) will support TB/HIV services for
patients at 45 sites in Central Province. Intensified TB screening will be offered to 17,000 HIV patients and
HIV screening for 2,000 TB patients as part of the standard of care in all the facilities; approximately 1,000
co-infected patients are expected to be identified. Funds will support refresher training of laboratory staff
and improvement of basic laboratory microbiology capacity in order to meet the increased needs of TB
testing. Fifty health care workers will be trained to provide clinical prophylaxis and/or treatment for TB to HIV
-infected individuals. CU-ICAP will maintain data concerning the numbers of people served and will report
both nationally and through the Emergency Plan.
CU-ICAP supports the development of high quality HIV care and treatment services in low resource
ICAP has established a foundation for HIV/AIDS program activities, including PMTCT plus and care and
treatment. With regionalized planning for care and treatment services, CU-ICAP-Kenya was designated the
primary USG care and treatment partner for central province. CU-ICAP has established an efficient
These activities will contribute towards the provision of integrated HIV/TB care for co-infected patients 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 and strengthen capacity of health workers to
provide integrated HIV and TB services
The overall program activity links closely to Adult care and support , Adult ARV service , Pediatric care and
support, and Pediatric ARV services currently supported by Columbia University and PMTCT services
offered by Pathfinder International.
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 includes minor emphases in commodity procurement, community mobilization, development of
networks/linkages/referral systems, human resources, local organization capacity development, quality
assurance, quality improvement and supportive supervision, strategic information, and training.
Continuing Activity: 14758
14758 8846.08 HHS/Centers for Columbia 6940 3672.08 $450,000
8846 8846.07 HHS/Centers for Columbia 4220 3672.07 $220,000
Table 3.3.12:
1. ACTIVITY DESCRIPTION
The International Center for AIDS Care and Treatment Programs (ICAP) was established within the
Mailman School of Public Health at Columbia University in New York in 2004 to support HIV care and
treatment activities in resource-limited settings. In Kenya, with funding from the Centers for Disease Control
and Prevention (CDC), ICAP is working with the Kenyan National AIDS and STI Control Program
(NASCOP) to support HIV care and treatment in health facilities in the Central and Eastern Provinces of
Kenya. This support started in April 2006 in 4 facilities in Central Province and has now expanded to 40
health facilities in Central Province and 11 in Eastern South Province. In total, the facilities supported in
both regions include one provincial general hospital, twelve district hospitals, eight sub district hospitals,
twenty seven health centers, one university hospital and one mission hospital.
ICAP recognizes that HIV testing and counseling is the key entry point to care and treatment. Because of
this it is supporting provider-initiated HIV testing and counseling PITC) and family testing in the health
facilities. This is in support of the Kenya government's efforts to increase knowledge of HIV status among all
Kenyan citizens. In 2009 ICAP will facilitate the provision of PITC in all ICAP- supported facilities to ensure
that more people are aware of their HIV status, to promote early and timely diagnosis of HIV infection so as
to enhance prompt care and treatment and improve prevention efforts.
ICAP will strengthen provider-initiated HIV testing and counseling in Central Province through sensitization
of hospital management teams on the importance and relevance of PITC. It will also promote the use of
national guidelines and other operational tools to ensure that PITC is provided to all patients and clients
visiting health facilities. The program will also increase the number of health care providers trained on
provider-initiated HIV testing and counseling, resulting in 100 HCW trained and supported. ICAP will also
strengthen family testing and counseling for all the people enrolled in comprehensive care clinics. ICAP will
also expand pilot home-based HTC in the surrounding community of two ICAP-supported health facilities.
This will begin with the provision of HIV counseling and testing services to family members of patients
enrolled in the ART clinics. Later on, this will be expanded to cover a wider area. All these services will lead
to at least 30,000 individuals knowing their HIV status in 2009.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
This activity will increase the number of people in Kenya who know their HIV status, towards universal
access by 2010. Knowledge of HIV status will lead to enhanced access to prevention, care and treatment,
especially among people living with HIV/AIDS.
This activity will link to Columbia University's care and treatment services.
5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
There are no secondary budget attributions in this activity.
Continuing Activity: 19410
19410 19410.08 HHS/Centers for Columbia 6940 3672.08 $200,000
Gender
* Increasing gender equity in HIV/AIDS programs
Table 3.3.14:
