Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 12055
Country/Region: Kenya
Year: 2010
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

Goals and Objectives

Kenya's public health infrastructure has long been a source of concern for service providers. The physical infrastructure of health facilities is dilapidated and many of the buildings at provincial, district and lower level were not purpose built and as a result service delivery is impaired. Currently many CCC's (Comprehensive Care Centers) in GOK are overcrowded as they cope to handle the increasing numbers on people on care and ART. The existing facilities were not designed for efficient patient flow and are in a poor state. In FY10 PEPFAR will support the renovations of CCC's at GOK facilities. It is also recognized that an investment in equipment and reagents particularly for laboratory must be balanced with investment in physical infrastructure to ensure service delivery.

The laboratory physical infrastructure will improved by renovating/building new district laboratories in accordance with national standards.

Comprehensive care centers and counseling and testing centers will be renovated to improve service delivery.

The mechanism will contribute towards national HIV prevention, care and treatment goals. The renovations plans will be developed jointly with the GOK and are aligned with national priorities set forth in the PF and KNASP III.

How IM Links to PF Goals

The PF strengthens coordination and collaboration between GoK, USG and other partners to set programmatic priorities; the TBD Renovations Project will work closely with GoK to ensure full coordination and ownership. Furthermore, the PF supports development and renovations of facilities that address the need to improve coverage of patients who require HIV testing, HIV care and treatment. To enhance coordination and fill existing gaps, the TBD Renovations Project will seek to increase infrastructural capacity for facilities providing HIV Care and treatment and HIV testing and counseling

Geographic coverage and Target population

This will be a national activity covering all eight provinces. The target populations are (i) HIV infected adults and children, pregnant women, adults and the general population; (ii) Health Facilities and health workers; and (iii) GoK Health Systems

Contributions to Health systems strengthening

The TBD Renovations Project will offer a comprehensive package of infrastructural improvements support to health facilities holistically addressing HIV prevention, care and treatment. The strategy will be to work with MOMS and MOPHS to develop standards for facilities at all tiers of the systems and provide assistance with their operational plan for infrastructure improvement. This will result in improved health facilities' infrastructural capacity to deliver HIV care and treatment services that will impact positively on the country's health system.

Cross-cutting programs and key issues

The TBD Renovations Project will link with other facility based services like PMTCT, FP and TB/HIV services.

Cost Efficiency

The TBD Renovations Project will support infrastructural improvements in facilities that will implement integrated programs that include HIV/AIDS, reproductive health, child survival and malaria activities. In doing so, efficiencies will be realized in investments in equipment, infrastructure and training as services are co-located and the same staff and facilities are utilized in service delivery. They will also work towards providing technical assistance on task shifting to increase health worker efficiencies. The TBD partner will provide technical assistance to the GOK programs at the provincial, district and service delivery levels to ensure ownership of the renovations program by the Government of Kenya. Furthermore, this will support strengthening systems, as they will be working through PHMTs and DHMTs, as well as enhancing partnership with host governments to strengthen country ownership and build capacity for a sustainable, long-term GoK response to the HIV pandemic.

Budget Allocation: Redacted

Funding for Treatment: Adult Treatment (HTXS): $0

In line with improvements in service delivery, USAID will support continued efforts to improve physical infrastructure. The strategy will be to work with MOMS and MOPHS to develop standards for facilities at all tiers of the systems and provide assistance with their operational plan for infrastructure improvement. USAID previously supported renovations through the APHIA regional service delivery partners but is changing the approach to a national level mechanism to ensure better linkage with work at the national level. Kenya's health care facilities are divided in to different levels (Level 1 to level 5) with the provincial hospital being the highest. The provincial hospitals provide care and ART to a significant number of patients and also act as referral sites, and centers of excellence. With the increase in the number of patients, the provincial and other level 5 facilities have been stretched to capacity. The purpose of this activity is to improve physical infrastructure at these provincial hospitals to accommodate more patients and also improve the quality of care.

Budget Allocation: Redacted

Funding for Health Systems Strengthening (OHSS): $0

In line with improvements in service delivery, USAID will support continued efforts to improve physical infrastructure. The strategy will be to work with MOMS and MOPHS to develop standards for facilities at all tiers of the systems and provide assistance with their operational plan for infrastructure improvement. USAID previously supported renovations through the APHIA regional service delivery partners but is changing the approach to a national level mechanism to ensure better linkage with work at the national level. Kenya's health care facilities are divided in to different levels (Level 1 to level 5) with the provincial hospital being the highest. The provincial hospitals provide care and ART to a significant number of patients and also act as referral sites, and centers of excellence. With the increase in the number of patients, the provincial and other level 5 facilities have been stretched to capacity. The purpose of this activity is to improve physical infrastructure at these provincial hospitals to accommodate more patients and also improve the quality of care.

Budget allocation: Redacted

Cross Cutting Budget Categories and Known Amounts Total: $0
Construction/Renovation $0