Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016 2017

Details for Mechanism ID: 13399
Country/Region: Kenya
Year: 2011
Main Partner: University of Maryland
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $3,740,000

Cross cutting budget attributions include Human Resources for Health Renovations and Food and Nutrition Commodities. Human resource support will include hiring of additional staff (clinical officers, nurses, and laboratory and pharmaceutical technologists). PACT will renovate buildings to create essential additional work spaces for clinical services. Food and nutrition supplements will support care of deserving HIV positive patients and malnourished or vulnerable children

Funding for Care: Adult Care and Support (HBHC): $250,000


Funding for Treatment: Adult Treatment (HTXS): $1,400,000

University of Maryland will expand a collaborative relationship with Kenya Ministries of health through the National AIDS and STI Control Program (NASCOP) at national, provincial and district level in Nairobi region, to enhance and expand the antiretroviral treatment program in Nyanza region in Kenya, providing treatment to 2,000 people with HIV (including 100 new, bringing the total ever treated to 2,200 in over 70 sites. 50 health care providers will receive ART training. University of Maryland will support, staff salaries, training, laboratory evaluation, adherence counseling, and monitoring. ARVs

will be supplied to the sites through the distribution system of the recently awarded

Kenya Pharma project and the Kenya Medical Supplies Agency (KEMSA).

The partners will work closely with and support the activities of the Provincial AIDS and

STI Coordinator for the assigned region. These activities will include support for regular meetings of providers from sites in each region. University of Maryland will also support

establishment/strengthening of other regional activities, including developing a system

for quality control, a regional system for transfer of blood samples/results to optimize the utilization of the CD4 cell count machines, and a regional quality improvement program.

Funding for Testing: HIV Testing and Counseling (HVCT): $190,000


Funding for Care: Pediatric Care and Support (PDCS): $50,000


Funding for Treatment: Pediatric Treatment (PDTX): $100,000


Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $300,000


Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $1,200,000

This TBD represents a follow-on for Prevention of Mother to child Transmission

(MTCT)) currently provided by the following partners whose awards are expiring on

March 31, 2010: AMREF (295.09), CARE International (368.09), EDARP (282.09), IMC

(662.09), IRC (305.09) NARESA (296.09), NYU (286.09), Pathfinder International,

UCSF (292.09), University of Nairobi (217.09 and 303.09), The existing services will

Transition to University of Maryland in specified city council health facilities in Nairobi Province, University of Maryland

will expand a collaborative relationship with Kenya

Ministries of health through the National AIDS and STI Control Program(NASCOP) at

national , provincial and district level in Nyanza, to

enhance and expand Prevention of Mother to child Transmission , providing HIV testing ad counseling to 32,300

pregnant mothers. All HIV positive pregnant women shall have immunological and HIV

clinical staging to identify appropriate ARV prophylaxis regimen as per the national

guidelines. The partners will target to provide a complete course of ARV prophylaxis to

3,230 HIV positive pregnant mothers as per the Ministry of Health


All HIV exposed infants will be given ARV prophylaxis in line with the National PMTCT

guidelines. The program will target all HIV exposed infants by PCR at 6 weeks immunization time point. The program will strengthen comprehensive PMTCT including couple

counseling and will target to reach at least 6, 460 male partners with HIV counseling and testing services .

To improve the quality of life for HIV infected women, the

program will wrap around other programs namely Safe motherhood and Family

planning as well as TB screening and linkage to treatment. In strengthening the linkage

between PMTCT and Pediatric HIV care services, the program shall support early infant

HIV infection diagnosis by use of Polymerase Chain Reaction (PCR) for all HIV exposed

infants and link all eligible infants to the pediatric ART program. The program shall

strengthen the post natal HIV care clinic and shall support all the facilities in all the

regions to initiate this strategy. The program shall also work and strengthen linkage

with Child Survival activities to ensure that all infants and especially the HIV exposed

and infected access immunization, growth monitoring, safe water and Infant and

Young Child feeding services and support which will contribute to improved infant and

child health outcomes. The mentor mothers' initiative is another national effort aimed

at improving Infant and Young Child Feeding especially for the HIV exposed or infected

child. The program will support the roll out of this strategy in at in all assigned

regions. Improved access to laboratory services for HIV+ women and their exposed

infants is an important step in ensuring accurate assessment for HIV care and

treatment. The program will work with the other PEPFAR funded partners, Ministry of

Health and other implementing partners in establishing and maintaining a functional

laboratory network in the geographical area of focus. Intra-partum and immediate post

partum counseling and testing shall also be strengthened with a target of reaching

100% of all women attending delivery services at the maternity units within the

program area. Currently over 50% pregnant women admitted in the labor and delivery

units do not know their HIV status. The program will also promote couple counseling ally

and through the Emergency Plan.

and testing to identify discordant and concordant couples to improve primary

prevention and facilitate linkage to HIV care and treatment program for the eligible, in

addition to strengthening Prevention with Positives strategy. The program will support

the training of 100 service providers on PMTCT, Rationale use of ARVs, and Data

collection and reporting in all facilities

Funding for Care: TB/HIV (HVTB): $250,000


Subpartners Total: $0
University of Nairobi: NA
Cross Cutting Budget Categories and Known Amounts Total: $253,467
Construction/Renovation $10,000
Human Resources for Health $243,467