NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

The Kenya Medical Research Institute (KEMRI) is the Kenyan Government’s health research agency. KEMRI’s goal is to conduct HIV implementation science and innovative surveillance through the platform of delivering high-quality HIV care and treatment and prevention services, and field surveys. Activities are focused in the high prevalence counties of western Kenya, particularly Kisumu county’s regional referral hospital (“JOOTRH”) and the KEMRI/CDC Health and Demographic Surveillance System (HDSS) in Siaya County. In Nairobi county, KEMRI supports Tabitha clinic in Kibera and HIV testing and counselling in the Mathare slums. While most programs attend those seeking HIV services at these public locations, specific projects also target fisherfolks, people who inject drugs and those affected by gender-based violence.

KEMRI supports innovative development of data systems to improve patient care, program functioning and provide “lessons learned” about what works in HIV care. KEMRI service delivery covers adult and pediatric HIV care and treatment, Prevention of Mother to Child Transmission (PMTCT), TB/HIV, and Provider Initiated Testing and Counseling (PITC) at JOOTRH. KEMRI has also supported regional clinical activities such as viral load testing, Early Infant Diagnosis, Kaposi Sarcoma treatment and support for a community model of multi-drug resistant TB treatment. The project aligns with Kenya National Strategic Plan strategies and closely with health facility leadership and county authorities to further the adoption of evaluation findings into policy. Strategies to reduce cost include business management system reviews, expenditure analysis and engagement of county governments to prioritize/allocate funds.

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.