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:
+The only change to this activity since approval in the 2008 COP is that cooperative agreement with
Mildmay will end in 2009 and will be competed.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key cross-cutting attributions in human capacity development through its training
program for health workers ($1,000,000).
COP 2008
1. ACTIVITY DESCRIPTION
The Project goal is to strengthen the capacity of 50% of the Medical Training Colleges (MTCs) in Kenya to
provide quality pre-service and in-service training on HIV and AIDS palliative care and HBC in order to
support service development that is in line with NASCOP, NACC, Ministry of Health (MOH) and APHIA II
partner strategies.
Under the USAID funded Care, Treatment and Support/HBHC, Mildmay International has worked in the
past 20 months in partnership with the Ministry of Health and Kenya MTCs in developing the capacity of
MOH staff in HIV and AIDS palliative care and management. This has been undertaken through Mildmay
providing technical support to the Kenya MTCs to deliver the trainings, which include short courses, diploma
and degree programs on Home Based and Palliative Care and Management for PLHA. Training targets
have been met and are on schedule. The different training curriculums have also been updated to
incorporate the key interventions of the community strategy. All the training curricula have been developed
and reviewed with and are approved by the Academic Board of the Kenya Medical Training College.
Mildmay's approach to programming recognizes the demand for services and interventions. Several
requests have been received from MOH, PMO's offices and different APHIA's to extend the training
programme to other Medical Training Colleges and Provinces in the country.
In FY COP 2009, 500 Ministry of Health staff to be trained on short courses on Home Based and Palliative
Care. The trainings have a modular approach and combine theory with practical exercises and action plans.
The training takes six weeks in total in the following order: 1 week of class room based training, 1 week of
work based assignment, 1 week of clinical placement, 2 weeks of work based assignments and 1 final week
of class room based training.
Selection of candidates by MOH, with the involvement of APHIA, is done on strict criteria agreed upon with
Ministry of Health and KMTC. Participants are followed up after the training to ensure that action plans
developed after qualifying out of the trainings are being implemented. In every province it has been agreed
that most of the participants be drawn from level 3 and level 2 of service provision in order to strengthen the
community strategy. Based on the requests received the project envisages to work with six Medical Training
Colleges in six provinces: Nyanza, Western, Rift Valley, Nairobi, Central and Eastern Provinces.
Since June 2008, Mildmay's training team has trained up to this date 178 participants in Integrated
Management of Adult Illnesses (IMAI), drawn from several provinces in Kenya. After the training the team
supports the qualified candidates with Continuous Medical Education (CME) and mentorship. All the
trainings of Mildmay include peer review, participants/facilitators evaluation and regular evaluation by
outside lecturers to ensure continuous quality of trainings provided. The trainers maintain their clinical skills
trough clinical placements.
The training team consists of a MD, RCO's, nurses and a counselor who are all very skilled training staff.
The demand for IMAI training, received via Ministry of Health, is high. In the recent past WHO has
recommended competency-Based task shifting concept with a focus on IMAI as a public health approach in
the context of rapid scale up of HIV prevention, Care and Treatment in resource-constrained setting.
In FY COP 2009 500 MOH staff to be trained on IMAI, which is a one week training. After the training the
participants are followed up with Continuous Medical Education and supported through mentorship by the
training team. Selection of candidates is done by Ministry of Health based upon prior agreed criteria.
2. CONTRIBUTIONS TO OVERALL PROGRAME AREAS
This activity will contribute to the FY 2009 targets by training 1,000 government health workers in MTCs in
courses to enhance their ability to provide quality HIV/AIDS services that are responsive to clients' needs.
3. LINKS TO OTHER ACTIVITIES
This activity is linked to HBHC APHIA II partner activities as follows: HBHC, HBHC, HBHC and HBHC.
4. POPULATIONS BEING TARGETED
This activity targets public health care workers including doctors, nurses and other health workers by
providing training to enhance their ability to provide quality HIV/AIDS services that are responsive to clients'
needs.
5. KEY LEGISLATIVE ISSUES ADDRESSED
This activity will address Stigma and Discrimination associated with people infected and affected by HIV.
6. EMPHASIS AREAS
There are three minor areas of emphasis. First, there will be a Development of Network/ Linkages/ Referral
Systems by training and following up students in their places of work and ensuring they are linked to share
and exchange experiences. Second, Local Organization Capacity Development will occur by developing the
capacity of staff. Third, Quality Assurance, Quality Improvement and Supportive Supervision will occur
during the field component of the coursework and continued support will be provided following graduation.
Finally, training is the major emphasis of this activity.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14927
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14927 4131.08 U.S. Agency for Mildmay 6978 3676.08 $1,000,000
International International
Development
6992 4131.07 U.S. Agency for Mildmay 4262 3676.07 $700,000
4131 4131.06 U.S. Agency for Mildmay 3676 3676.06 $900,000
Emphasis Areas
Health-related Wraparound Programs
* Family Planning
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.08:
