The U.S. President’s Emergency Plan for AIDS Relief 2011 Country Operational Plan Briefing to Development Partners in Health in Kenya December 3, 2011.

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The U.S. President’s Emergency Plan for AIDS Relief 2011 Country Operational Plan Briefing to Development Partners in Health in Kenya December 3, 2011

Key Collaborators Host Government  National AIDS Control Council  Kenya Department of Defense  Ministry of Public Health & Sanitation  Kenya Uniformed Services  Ministry of Medical Services  National Youth Service  Ministry of Education  Kenya National Bureau of  Ministry of Planning Statistics  Department of Children’s Services  National Coordinating Agency for Planning and Development Development and Multilateral Partners  UNAIDS  World Bank  WHO  Global Fund  UNICEF  Clinton Foundation  Gates Foundation  UNHCR  Universities  Development Partners for Health-Kenya

COP 2011 Process On-going consultations with GOK and donor technical counterparts Data for Decision Making USG strategic planning sessions Ensured alignment with national data sources and policies Ensured alignment with GHI Strategy

PEPFAR Supported ART sites ProvinceHIV Prevalence (%) Nairobi9.2 Central3.9 Coast8.3 Eastern4.6 Nyanza15.0 R. Valley6.7 Western5.9 N. Eastern1.0 NATIONAL7.4

Kenya’s Annual PEPFAR Budget Levels Over Time

Summary Budget by Program Area and to Government of Kenya Note: dollars expressed in millions % Change Prevention$151.99$ % Care and Support$113.19$ % Treatment$218.81$ % Strategic Information & Systems Strengthening $33.87$ % Management & Staffing$30.24$ % GRAND TOTAL$548.11$ % % Total Funds to GOK-direct$21.6$ %

Kenyans Receiving HIV Counseling and Testing

Pregnant women Receiving HIV Counseling and Testing

Women Receiving PMTCT Prophylaxis

VMMC Scale-up Progress

Kenyans Receiving HIV Treatment

Kenyans Receiving HIV Palliative Care

Orphans and Vulnerable Children Supported

PEPFAR Kenya Successes in 2010 Partnership Framework Implementation Plan Substantial success in voluntary medical male circumcision Increased HIV testing and counseling Increased OVC Support Continued success of adult and pediatric HIV treatment Kenya leading performer in the AIDS response in Africa

Key Issues and Challenges for 2011 Flat-line Funding (with increasing treatment demand) Global Fund Understanding opportunities for success under the new Constitution Reuniting the Ministry of Health

Remaining Programmatic Challenges Governance Feasible Sustainability Increasing Program and Cost Efficiency

New Directions Amb Goosby’s strategic vision for in-country ownership and sustainability Global Health Initiative Partnership Framework Implementation Plan Increased Emphasis on Prevention