Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014

Details for Mechanism ID: 13502
Country/Region: Kenya
Year: 2013
Main Partner: University of California at San Francisco
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $1,600,000

1. Goals and objectives:

This program seeks to strengthen strategic information in the republic of Kenya.

Specific objectives are:

(1)

To provide technical assistance to GOK and their partners in planning, implementation, analysis, and dissemination of surveillance and survey activities

(2)

To build the surveillance and epidemiologic skills of GOK and their partners

2. Cost-efficiency strategy:

During year two of the award (Oct. 2010 Sep. 2011), UCSF provided TA to GOK and their partners in: 1) design, implementation, and dissemination of an assessment of prevention of mother to child transmission (PMTCT) program data for HIV surveillance; 2) implementation and analysis of a bio-behavioral survey of MARPs in Kenya; 4) continued support for data analysis of KAIS 2007 data and planning and preparation for KAIS II; 5) cost-effective analysis of PEPFAR prevention resources. This award supports the continuation of ongoing TA to GOK in these and other priority surveilance activities of the GOK. This award supports year three of the five year award for UCSF.

3. Transition to country partners:

Supporting and building the GOKs capacity in conducting surveys and surveillance activities will lead to full ownership of future national surveillance and survey activities.

4. Vehicle information: this activity does not include the purchase of vehicles.

This Activity supports GHI/LLC.

Funding for Strategic Information (HVSI): $1,600,000

As the national HIV program continues to scale up prevention, care and treatment programs, UCSF will provide technical assistance (TA) to the GOK and its partners to strengthen existing HIV surveillance systems. Key of these is TA in planning, implementation, analysis, and dissemination of the Kenya AIDS Indicator Survey (KAIS) II. KAIS II is a priority national survey designed to provide quality data on HIV prevalence, incidence, HIV-related risk behaviors, service uptake and delivery, and indicators for other diseases in the general population. Other objectives for UCSF are to support ongoing MARPs surveillance, assess the utility of programmatic data for HIV surveillance, and strengthen HIV case reporting in Kenya. Surveillance methods used for these activities are fairly generic and overlap with areas under the Global Health Initiative and US Ambassadors Health Task force initiative in Kenya, including collection of data from other priority diseases and support for integrated disease reporting.

During year 2 of this award (Oct.10Sep.11), UCSF provided TA to GOK and partners in: 1) design, implementation, and dissemination of an assessment of prevention of mother to child transmission (PMTCT) program data for HIV surveillance; 2) implementation and analysis of a bio-behavioral survey of MARPs in Nairobi; 4) continued support for analysis of KAIS 2007 data and planning for KAIS II; 5) a cost-effective analysis of PEPFAR prevention resources across interventions, target populations, and geographic areas.

Activities planned for COP 12 resources are to:

(i)

Provide TA to GOK in KAIS II data analysis and report dissemination.

(ii)

Provide TA to GOK in bio-behavioral surveillance of MARPs of national priority. In addition, UCSF in collaboration with the national MARPs technical working group and locally-based organizations working with MARPs, will help establishment of MARPs centers of excellence in select regions to facilitate future research and surveillance of MARPS using national protocols.

(iii)

Provide TA to GOK in strengthening HIV case-reporting, including guidance on the development of data collection tools, supporting a pilot for HIV case reporting, and providing recommendations for national roll-out.

(iv)

Provide TA to GOK in evaluating the use of PMTCT data for HIV surveillance, ensure that recommendations from the 2010 assessment are implemented in the 43 ANC sentinel surveillance sites and support implementation of repeat data quality assessments, as needed, in these and other dual ANC-PMTCT sites, including support to GOK in protocol development, implementation, data analysis and report writing.

(v)

Provide TA on cost-effectiveness evaluations of prevention, care, and treatment programs. This will include supporting GOK to build skills in conducting cost-effectiveness evaluations and integration of findings into resource allocation decisions.

(vi)

Build surveillance skills of GOK in all activities described above, USCF will integrate skills-building activities for GOK, identification of key gaps in capacity and development of strategies to address them.

Work plans with timed milestones will be used to monitor UCSF performance towards set objectives and numerical targets used where appropriate.

Cross Cutting Budget Categories and Known Amounts Total: $1,600,000
Human Resources for Health $400,000
Key Populations: Sex Workers $200,000
Key Populations: MSM and TG $1,000,000