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
1. ACTIVITY DESCRIPTION & EMPHASIS AREAS
The Catholic Relief Services (CRS) is a Consortium umbrella mechanism that will build capacity of and
provide technical assistance to smaller local indigenous organizations. These organizations will represent a
mix of CBOs, FBOs, and other organizations and will enable depth and breadth in reaching Kenyans in
community and clinical settings. It will also ensure sustainability as technical and organizational capacity of
these indigenous groups is expanded. The CRS will implement a comprehensive range of prevention
activities implemented throughout Kenya, with particular emphasis on emerging prevention needs such as a
focus on geographic areas identified as most in need based on recent prevalence data as well as an
emphasis on most-at-risk populations shown to be driving the epidemic. Vulnerable populations include
discordant couples; adult populations, particularly widows/widowers; and rural populations. CRS will reach
these populations with targeted interventions based on standardized comprehensive packages of services
designed for each of the target populations. MARPS-focused activities will specifically tackle gender issues
by addressing gender norms and attitudes that result in lack of access to services, gender-based violence
(GBV), etc. Additionally, specific AB messages will target adults (both men and women) to reduce multiple
concurrent partners. Strategic geographic areas identified as target areas based on highest prevalence in
Kenya include Nyanza, Nairobi, and Coast; while prevention activities will be implemented throughout
Kenya, the areas listed above will receive particular emphasis. CRS will also provide leadership in
Prevention with Positives (PwP) activities, which have been identified as a critically important prevention
intervention for Kenya. CRS will integrate PwP activities across program areas. It will strive to augment
meaningful involvement of people living with HIV/AIDS (MIPA) by, for example, promoting PLWHA as
advocates of and leaders in prevention. CRS will also support activities which target discordant couples
with standardized prevention interventions uniquely tailored to this specifically vulnerable group. CRS may
also continue work that CHF began in FY08 in which they play a role in catalyzing an ongoing national
process to develop and implement a PwP Toolkit (including training and implementation materials,
operational guidelines, and M&E tools to inform the roll-out of PwP interventions across clinical and
community settings). This role may include the active and supportive participation in the national PwP
TWG, as well as in the roll-out of national PwP training, implementation and monitoring process. CRS will
also target in- and out-of-school youth with comprehensive prevention messages; moreover, CRS will
accelerate prevention initiatives by specifically targeting vulnerable, hard-to-reach and high risk youth.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
In line the USG Sexual Transmission Prevention (STP) team's identified priorities; CRS will implement
comprehensive, highly active prevention activities in an evidence-based approach of targeting those
populations shown to be most at risk and drivers of the epidemic. Prevention activities targeting MARPS
such as discordant couples and widows will be rolled out throughout Kenya, with particular focus on
geographic areas of highest need, in both clinical and community settings. These activities will be
implemented through the initiatives of a range of indigenous sub-partners that CRS sub-grantee and will
result in 231 individuals trained to promote HIV/AIDS prevention through abstinence and/or being faithful
interventions and 50,000 people reached through community outreach that promotes HIV/AIDS prevention
through abstinence and/or being faithful messages. CRS's primary mandate is to build the technical and
organizational capacity of local Kenyan organizations. Therefore, CRS contributes significantly toward
PEPFAR's 5-Year Strategy of ensuring sustainability and striving toward increasing Kenyan leadership in
the fight against HIV/AIDS.
3. LINKS TO OTHER ACTIVITIES
These activities will link to other sub-partners supported through CRS in other program areas to ensure that
all partners are integrating prevention into programmed activities across each program area. Strong
linkages to counseling & testing will be established so that prevention interventions are based on knowledge
of status and that of one's partner. PwP messages will be infused across all clinical and community settings
where PLWHA are provided with treatment, care and support. Linkages with OVC programs will also be
established to ensure that this group of vulnerable children is provided with comprehensive prevention
messages.
4. POPULATIONS BEING TARGETED
Highly active prevention interventions will target vulnerable and most-at-risk populations, especially in
geographic areas of highest need. Targeted populations will include MARPS (including discordant couples,
widows, and fishermen), PLWHA, and in- and out-of-school youth. Community-level activities will reach
these groups with targeted prevention interventions. PLWHA will be reached through a range of clinical and
community PwP interventions; MIPA will be encouraged at all levels.
5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity will address human capacity development through training lay and community health workers to
provide prevention services in their communities.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19419
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19419 19419.08 HHS/Centers for Catholic Relief 12006 12006.08 Umbrella $567,750
Disease Control & Services
Prevention
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $50,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
Updated April 2009 Reprogramming. Decreased by $300,000. Funds moved to EGPAF/Umbrella (HBHC).
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.
+ Catholic Relief Services was identified as the new partner
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
Partner will support nutrition supplement for approximately 600 HIV+ patients at $15,000.
COP 2008
1. LIST OF RELATED ACTIVITIES
This activity relates to activities in ARV Services, Counseling and testing, TB/HIV (#), PMTCT, Pediatrics
treatment, Pediatrics care and support, and OVC.
2. ACTIVITY DESCRIPTION
Catholic relief Services/Umbrella (CRS Umbrella) will build the organizational and technical capacity of
Kenyan organizations and provide sub-grants to NGOs, FBOs, and CBOs, resulting in the provision of
palliative care services for 10,000 people in 5-10 facilities and programs. In addition they will also train 30
individuals to provide HIV-related palliative care services. The key activities of CRS Umbrella will be to
develop the organizational and technical capacity of local, preferably indigenous, organizations, and provide
supportive supervision. Funds granted through CRS Umbrella to sub-partners will be used to provide a
standard package of care and support services, including support for health care worker salaries in
accordance with Emergency Plan guidance, training, infrastructure improvement, community mobilization
activities, HIV counseling and testing, support for laboratory evaluation, prevention and treatment of
opportunistic infections, positive prevention activities, and expanded access to safe water, and malaria
prevention interventions. This activity will expand existing Kenyan programs and identify and add new sub-
partners. Capacity building activities will include both strengthening of administrative operations (such as
planning and accounting) and technical capacity (specific technical ability to implement clinical care
programs, logistics and commodity forecasting, and routine program monitoring and evaluation activities).
This activity will include support to sub-recipients for activities integral to the program.
These activities were previously supported through a cooperative agreement with Cooperative Housing
Foundation which will end in March 2009. Catholic Relief services/Umbrella has been awarded a five year
cooperative agreement from September 08.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to the expansion of palliative care services for people with HIV, strengthened
human resource capacity to deliver care for HIV, and an improved referral network for these services. This
partner has a key role in building the organizational and technical capacity of local organizations so that
these activities can be sustained over the long term.
4. LINKS TO OTHER ACTIVITIES
In addition to building the capacity of sub-grant recipients, an important aspect of the CRS Umbrella's
activities is to support development of referrals/linkages between the CRS Umbrella's supported
organizations and clients to other HIV prevention and treatment activities.
5. POPULATIONS BEING TARGETED
The primary target populations are people with HIV, including HIV-infected children. Some sub-partners
reach remote or vulnerable populations who are otherwise unable to access care services. The activity will
also target training and capacity building of public health care workers, mainly doctors, nurses, pharmacists,
and laboratory workers. The activity also targets to include community-based and faith-based organizations
and NGOs in the area.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through involvement of
PLWAs in service provision and community sensitization activities.
7. EMPHASIS AREAS
This activity includes emphasis in the areas of local organization capacity development, commodity
procurement, development of networks, logistics, human resources, and quality assurance and supportive
supervision.
Continuing Activity: 16418
16418 16418.08 HHS/Centers for Catholic Relief 12006 12006.08 Umbrella $195,000
Estimated amount of funding that is planned for Food and Nutrition: Commodities $15,000
Table 3.3.08:
Updated April 2009 Reprogramming. Decreased by $657,000. New Umbrella was awarded to Catholic
Relief Services and Elizabeth Glaser Pediatric AIDS Foundation (EGPAF). Funding has therefore been
split between the two partners. $657,000 moved from CRS Umbrella to EGPAF Umbrella.
EGPAF will continue to support treatment activities for Community of St. Egidio in Eastern Province
previously funded under CHF Umbrella. This funding will also be used to identify and fund indigenous
organizations in Nyanza Province and other districts as agreed by the country team.
ACTIVITY UNCHANGED FROM COP 2008
This activity relates to TBD/Umbrella activities in Counseling and Testing, TB/HIV, Adult Care and Support,
Pediatric Care and Support, Pediatric ARV Services, and PMTCT.
Catholic relief services (CRS) Umbrella will build organizational capacity and provide sub-grants to NGOs,
FBOs, and CBOs, resulting in the provision of antiretroviral treatment (ART) to 1,500 (new 1,200) resulting
in 1,800 ever on treatment to HIV-infected people in seven health care facilities, and the training of 50
health care providers in the provision of ART. The key activities of the primary partner will be to develop
capacity of local organizations and provide assistance with supervision duties as needed. Funds granted
through TBD to sub-partners will be used to provide a standard package of ART including support for health
care worker salaries in accordance with Emergency Plan guidance, training, infrastructure improvement
(e.g., renovation of clinic spaces), community mobilization activities, support for laboratory evaluation, and
adherence counseling and monitoring. Antiretroviral (ARV) drugs are supplied to the sites through the
distribution system of the Mission for Essential Drugs and Supplies (MEDS) and the Kenya Medical
Supplies Agency (KEMSA). This activity will expand existing programs and continue to place emphasis on
providing treatment for children.
These activities will contribute to the 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 partner has a key role in building capacity of local organizations so that
This activity relates to TBD/Umbrella activities in pediatric care and support, pediatric, treatment, OVC,
Counseling and Testing, TB/HIV, and PMTCT.
The primary target populations for these activities are people with HIV, including HIV-infected children.
This activity includes major emphasis in the area of local organization capacity development, and minor
emphases in commodity procurement, human resources, logistics, development of linkages and quality
assurance and supportive supervision through sub-grants.
Continuing Activity: 17132
17132 17132.08 HHS/Centers for Catholic Relief 12006 12006.08 Umbrella $389,455
Table 3.3.09:
Updated April 2009 Reprogramming. Decreased by $40,000. Funds moved to EGPAF/Umbrella (PDCS).
ACTIVITY UNCHANGED FROM COP 2008:
This activity relates to activities in ARV Services, Counseling and Testing, TB/HIV and PMTCT, Adult Care
and Support, Pediatric Treatment, and Orphans and Vulnerable Children.
Catholic Relief Services/Umbrella (CRS Umbrella) will build the organizational and technical capacity of
Kenyan organizations and provide sub-grants to NGOs, FBOs, and CBOs, resulting in the provision of care
and support services for 800 children in 5-10 facilities and programs, in addition to providing training for 30
individuals to provide HIV-related palliative care services. The key activities of the CRS Umbrella will be to
develop the organizational and technical capacity of local, preferably indigenous, organizations and provide
standard package of palliative care services, including support for health care worker salaries in accordance
with Emergency Plan guidance, training, infrastructure improvement, community mobilization activities, HIV
counseling and testing, support for laboratory evaluation, prevention and treatment of opportunistic
infections, positive prevention activities, and expanded access to safe water, and malaria prevention
interventions. This activity will expand existing Kenyan programs and identify and add new sub-partners.
Capacity building activities will include both strengthening of administrative operations (such as planning
and accounting) and technical capacity (specific technical ability to implement clinical care programs,
logistics and commodity forecasting, and routine program monitoring and evaluation activities). This activity
will include support to sub-recipients for activities integral to the program.
human resource capacity to deliver care for HIV, and a strengthened referral network for these services.
This partner has a key role in building the organizational and technical capacity of local organizations so
that these activities can be sustained over the long term.
In addition to building the capacity of sub-grant recipients, an important aspect of the CRS Umbrella
activities is to support development of referrals/linkages between the CRS Umbrella's-supported
Table 3.3.10:
Updated April 2009 Reprogramming. Decreased by $50,000. Funds moved to EGPAF/Umbrella (PDTX).
This activity relates to activities in ARV Services, Counseling and Testing, TB/HIV and PMTCT, Pediatric
care and support, and Orphans and Vulnerable Children.
CRS Umbrella will build organizational capacity and provide sub-grants to NGOs, FBOs, and CBOs,
resulting in the provision of antiretroviral treatment (ART) to 500 children (300 new) and the training of 75
health care providers on pediatric ART. The key activities of the primary partner will be to develop capacity
of local organizations and provide support for supervisory duties. Funds granted through CRS Umbrella to
sub-partners will be used to provide a standard package of ART, including support for health care worker
salaries in accordance with Emergency Plan guidance, training, infrastructure improvement (e.g., renovation
of clinic spaces), community mobilization activities, support for laboratory evaluation, and adherence
counseling and monitoring. Antiretroviral (ARV) drugs are supplied to the sites through the distribution
system of the Mission for Essential Drugs and Supplies (MEDS) and the Kenya Medical Supplies Agency
(KEMSA). This activity will expand existing programs and continue to place emphasis on providing
treatment for children.
This activity relates to TBD/Umbrella activities in adult care and support, adult, treatment, OVC, Counseling
and Testing, TB/HIV, and PMTCT.
This activity addresses legislative issues related to stigma and discrimination through involvement of PLWA
in service provision and community sensitization activities.
emphases in commodity procurement, human resources, and logistics, development of linkages and quality
Table 3.3.11:
Updated April 2009 Reprogramming. Decreased by $250,000. Funds moved to EGPAF/Umbrella (HVTB).
This activity relates to activities in TB/HIV, Pediatric treatment, Adult care and support, Pediatrics care and
support, CT, and Orphans and Vulnerable Children.
Catholic Relief Services (CRS) Umbrella will build organizational capacity and provide sub-grants to NGOs,
FBOs, and CBOs. Intensified TB screening for 4,500 HIV patients and HIV screening for 3000 TB
suspects/patients will be offered as a standard of care in all the facilities; approximately 1, 500 TB patients
will be identified as being infected with both TB and HIV. CRS Umbrella will also support a public-private
partnership (PPP) between Kenya's Division of Leprosy and TB and Lung Disease Program (DLTLD) and
the Kenya Association for Prevention of TB and Lung Disease (KAPTLD) for collaborative TB/HIV activities.
In FY 2009, CRS Umbrella through the local indigenous organizations will expand collaborative TB/HIV
activities, including HIV testing of TB suspects (reaching >95% of all TB cases) and monitoring and
treatment of HIV in TB clinics (reaching 100% of TB patients with cotrimoxazole and 50% of those eligible
with ART).
KAPTLD is an affiliate of the International Union against TB and Lung Disease (IUATLD), a group of chest
physicians in private practice in Nairobi and major urban centers in Kenya. More than 75% of Kenya doctors
and half of the national health facilities reside in the private sector, and this PPP seeks to promote good
clinical practice in TB/HIV services provided by those physicians. The partnership was established last year
with support from the Emergency Plan, and since the signing of an MOU with DTLTD in 2006, KAPTLD has
begun TB/HIV activities in Nairobi, Mombasa, Nakuru, Eldoret, Kisumu and other urban sites in Kenya.
KAPTLD will use FY 2009 funds to support administrative operations in Nairobi, provide support supervision
to private practitioners, establish a TB/HIV resource center, and train staff - nurses, clinical officers and
doctors - in order to strengthen capacity in the private sector. The funds will also support the printing and
distribution of monitoring and evaluation tools. KAPTLD will invest FY 2009 funds into the following key
TB/HIV activities: testing TB patients/suspects for HIV, screening HIV-infected persons for TB, providing co-
infected patients with additional care (cotrimoxazole, ART), providing risk reduction counseling and psycho-
social support, training health workers to deliver TB/HIV services, supporting infrastructure, and supporting
procurement of commodities (such as HIV test kits and drugs). Private diagnostic TB and HIV laboratories
will be supported, through collaboration with CDC's Laboratory Program, the National Public Health
Laboratory Services (NPHLS) and the NLTP to ensure that national standards are achieved and
maintained. In addition, KAPTLD, in collaboration with the DTLTD, will strengthen reporting and patient
tracking systems to ensure that standard TB and HIV care outcomes are accurately reported and factored
into the national database.
These activities will result in strengthened delivery of integrated HIV and TB services in the private sector,
including strengthened patient tracking systems between the pubic and private practitioners, improved
diagnostics and treatment of TB among HIV-positive patients and of HIV in TB patients, strengthened
capacity of private health workers to provide integrated HIV and TB services and strengthened systems
capacity for program monitoring and evaluation and management of commodities.
These activities will be linked to Adult care and support, Pediatric care and support, Adult and pediatric
treatment services and ARV treatment, in both the private and public settings. These activities will be
coordinated by the DLTLD and NASCOP and will result in strengthened delivery of integrated HIV and TB
services, including strengthened referral systems, improved diagnosis and treatment of TB among HIV-
positive patients and of HIV in TB patients, strengthened capacity of health workers in private practice to
provide integrated HIV and TB services.
5. POPULATIONS BEING TARGETTED
These activities target TB suspects (adults and children) from whom 15% of all notified TB patients will be
derived. The TB suspects will be seen at private outlets in the major urban settings in Kenya. The other
populations targeted are HIV+ persons identified from VCT, PMTCT, STI, and ARV clinics and PLWHA
organizations - deliberate action will be taken to intensify TB screening and TB case finding among PLWHA.
Diagnostic HIV testing for all TB patients will be on an "opt out" principle. Guidelines on HIV testing based
on consent, confidentiality and counseling will be observed as standard practice. Increased availability of
CT in clinical settings and increased access to HIV-related care for TB patients will help reduce stigma and
discrimination.
Emphasis areas include commodity procurement, development of network/linkages/referral systems, IEC,
infrastructure, local organization capacity development, and training. The funds will be used to expand
existing COP 08 activities for this partner. Specifically, they'll be allocated to 2 partners already providing
palliative care to HIV patients to support intensified and integrated HIV/TB services, particularly intensified
case finding for TB and HIV testing among TB.
Continuing Activity: 16511
16511 16511.08 HHS/Centers for Catholic Relief 12006 12006.08 Umbrella $142,545
Table 3.3.12:
