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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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: 2010
The Kenya Department of Defense HIV program is a national wide program based on collaboration between the Kenya Ministry of Defense and the Walter Reed Project. Over the last four years, the program has significantly expanded HIV services to the over 100, 000 people who include the KDOD personnel, their dependants, KDOD civilian employees and communities living in the neighborhood of the barracks. The Program encompasses the entire continuum of HIV prevention, care and treatment services including: Prevention of Mother to Child Transmission (PMTCT), HIV Testing & Counseling (HTC), TB/HIV, OVC, ART, Laboratory Infrastructure (HLAB) and Strategic Information.
Key 2010 program emphasis include HTC expansion in all the treatment sites including PITC, couple and family testing at the facility level. Other encouraged approaches will include barrack based HCT, mobile services in the military hot spots and other hard to reach areas throughout the country. This will contribute towards the partnership framework goal to support implementation of the Kenya HIV response that seeks to strengthen the capacity to increase HCT such that 80% of Kenyan adults know their status.
The program will consistently integrate prevention across all program areas through a combination of prevention interventions including behavioral, biomedical and structural.
In order to build on sustainability of the program, integration of care and ART plans into the annual Military performance contracts will be continued. The program will support and strengthen the capacity of the KDOD HIV structures from the Unit HIV committees at the lowest military establishment to the Armed Forces AIDS Committee at the highest level. High level command sensitization will be maintained in order to promote ownership of the program. Collaboration with other USG partners, GoK, NGOs, CBO and FBOs will be enhanced. The program will continue to be closely monitored in line with PEPFAR and the Ministry of health guidelines.
In FY 2005, Kenya Department of Defense (KDOD) initiated the development of a basic data system for documentation of individual patients and will continue to phase in a data collection, recording, monitoring, reporting, dissemination system to all other treatment and prevention sites.
Support in provision of the necessary data automation computerized systems and other communication equipment required for electronic entry of patient-specific encounter data, computerization and enhancing email and internet system for information sharing and submission of reports in real time.
The HIV prevalence among the armed forces, a potential high-risk group, is unknown. The Kenya departments of defense will Conduct HIV biological and behavioral study among the military personnel; to determine the extent of HIV transmission, describe social-demographic and behavioral determinants; monitor trends of infection for improved planning and service delivery. The rationale is to help in identifying who is infected and who is at risk of infection. Surveillance data will help identify which behaviors put them at risk and interventions that can prevent the further spread of HIV.
Support for supervisory and mentorship Monitoring and evaluation visits, supervisory and Data Quality Assessments. Review and Roll out of data collection, recording and reporting tools for implementation and operationalisation of next generation indicators will be supported. A quality improvement program will be developed and implemented.
Roll out plan for a patient level EMR system to treatment and care sites and maintaining of installed system will be done.
Capacity building of data handling personnel in data management, analysis, dissemination and use to improve programming, service delivery for better client management.
KDOD has received support from the Emergency Plan to implement a comprehensive HIV/AIDS program since FY 2004. In response to the Kenya National AIDS Strategic Plan Priority 1, prevention of new infections including targeted focus on Voluntary Medical Male Circumcision. In 2010 KDOD will introduce and support male circumcision activities within its comprehensive HIV prevention program as an additional HIV intervention. Evidence has shown medical circumcision accords men 60% protection from acquiring HIV infection from infected female partners. The activity will focus on minimizing the risks for the uncircumcised military personnel as well as support the development and maintenance of healthy relationships that will significantly reduce the risks related to the acquisition of HIV.
The government of Kenya rolled out male circumcision program in 2008 targeting uncircumcised male who are at risk of acquiring HIV if not circumcised. KDOD will align the male circumcision intervention according to GOK policy and guidelines. The program targets to provide a comprehensive male circumcision package to 500 uncircumcised males in the KDOD community. The VMMC services will be concentrated within 4 military medical establishments distributed in the 4 military regions (Nairobi, Mt. Kenya, Rift valley and Coast). Core activities will include training of 16 (one MC team per military region) personnel on VMMC in line with national guidelines, policy dissemination, awareness message development, quality assurance, equipment and commodities procurement, HIV counseling and testing provided on site, pre and post operative sexual risk reduction counseling, active exclusion of symptomatic STIs treatment when indicated, provision and promotion of correct and consistent use of condoms, circumcision surgery in accordance with national guidelines. The program will leverage on the well established MAP program to disseminate correct information on VMMC. In addition Commanding Officers barazas, Padre Hour will be used to send VMMC messages to the soldiers.