NU2GGH002337
Cooperative Agreement
Overview
Grant Description
'Ngima' for Sure - Supporting High Quality HIV Management, Human Resources, and Healthcare Services in Siaya County.
The Ngima for Sure project is being implemented in Boro Division, Alego Usonga in Siaya County under a cooperative agreement between the USG and Siaya County Government through PEPFAR funds. The purpose of the project is to enhance the Siaya County Government's ability to manage and deliver high-quality HIV clinical and prevention services, as well as to arouse greater ownership of the county's HIV response.
Through the five years of implementation, the project has established financial and HRH systems to strengthen Siaya County's ability in the management of grants under HIV support. High-impact interventions such as partner notification services and targeted integrated testing have enabled the program to identify people living with HIV (PLIHIV). Patient escort and enrollment tracker have been implemented to improve linkage to care, and a differentiated service delivery model on treatment, retention in care, and remote login to improve viral load testing and result access.
In this new award application, the Department of Health Services (DHS) in Siaya will continue to provide leadership and technical support through the Principal Investigator (PI) and oversight committee. The project will be implemented in three wards and expanded in the first 18 months to all facilities in Alego Usonga. The project is expected to cover all facilities in Siaya within the 5-year project period.
The project will implement the following strategies:
1) Implement comprehensive PMTCT interventions for HIV-infected PBFW and HEI.
2) Identify and link to treatment PLHIV through efficient, targeted innovative strategies.
3) Provide quality, client-centered optimal ART, and prevention & treatment of co-morbidities including TB.
4) Optimize HIV and TB laboratory diagnostics and networks, and sustain quality systems and biosafety standards.
5) Strengthen program and surveillance data collection and reporting, and HIS.
6) Strengthen county systems for health and financial management and HRH to ensure transition to sustainable high-quality HIV service delivery aimed at supporting the implementation, expansion, sustainability, and ownership of comprehensive HIV and TB prevention and treatment programs in Siaya County in the Republic of Kenya under the President's Emergency Plan for AIDS Relief (PEPFAR).
The project outcomes are aligned to national policies and PEPFAR COP21 strategies. The long-term outcomes are identified as:
1) Virtual elimination of MTCT of HIV.
2) Reduced HIV and TB-related morbidity and mortality across all populations.
3) Sustained capacity to deliver high-quality HIV services.
4) Increased investment and accountability of Siaya County Government in HIV/TB program.
In the first year, the project will cost US$ 2,000,000. The project will periodically undertake expenditure analysis to help monitor program cost and cost-effectiveness.
The Ngima for Sure project is being implemented in Boro Division, Alego Usonga in Siaya County under a cooperative agreement between the USG and Siaya County Government through PEPFAR funds. The purpose of the project is to enhance the Siaya County Government's ability to manage and deliver high-quality HIV clinical and prevention services, as well as to arouse greater ownership of the county's HIV response.
Through the five years of implementation, the project has established financial and HRH systems to strengthen Siaya County's ability in the management of grants under HIV support. High-impact interventions such as partner notification services and targeted integrated testing have enabled the program to identify people living with HIV (PLIHIV). Patient escort and enrollment tracker have been implemented to improve linkage to care, and a differentiated service delivery model on treatment, retention in care, and remote login to improve viral load testing and result access.
In this new award application, the Department of Health Services (DHS) in Siaya will continue to provide leadership and technical support through the Principal Investigator (PI) and oversight committee. The project will be implemented in three wards and expanded in the first 18 months to all facilities in Alego Usonga. The project is expected to cover all facilities in Siaya within the 5-year project period.
The project will implement the following strategies:
1) Implement comprehensive PMTCT interventions for HIV-infected PBFW and HEI.
2) Identify and link to treatment PLHIV through efficient, targeted innovative strategies.
3) Provide quality, client-centered optimal ART, and prevention & treatment of co-morbidities including TB.
4) Optimize HIV and TB laboratory diagnostics and networks, and sustain quality systems and biosafety standards.
5) Strengthen program and surveillance data collection and reporting, and HIS.
6) Strengthen county systems for health and financial management and HRH to ensure transition to sustainable high-quality HIV service delivery aimed at supporting the implementation, expansion, sustainability, and ownership of comprehensive HIV and TB prevention and treatment programs in Siaya County in the Republic of Kenya under the President's Emergency Plan for AIDS Relief (PEPFAR).
The project outcomes are aligned to national policies and PEPFAR COP21 strategies. The long-term outcomes are identified as:
1) Virtual elimination of MTCT of HIV.
2) Reduced HIV and TB-related morbidity and mortality across all populations.
3) Sustained capacity to deliver high-quality HIV services.
4) Increased investment and accountability of Siaya County Government in HIV/TB program.
In the first year, the project will cost US$ 2,000,000. The project will periodically undertake expenditure analysis to help monitor program cost and cost-effectiveness.
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Kenya
Geographic Scope
Foreign
Analysis Notes
COVID-19 $20,000 (0%) percent of this Cooperative Agreement was funded by COVID-19 emergency acts including the American Rescue Plan Act of 2021.
Amendment Since initial award the total obligations have increased 1078% from $613,467 to $7,229,446.
Amendment Since initial award the total obligations have increased 1078% from $613,467 to $7,229,446.
Siaya County Health Management Team was awarded
Enhancing HIV Management in Siaya County
Cooperative Agreement NU2GGH002337
worth $7,229,446
from Center for Global Health in September 2021 with work to be completed primarily in Kenya.
The grant
has a duration of 5 years and
was awarded through assistance program 93.067 Global AIDS.
The Cooperative Agreement was awarded through grant opportunity Supporting the Implementation, Expansion, Sustainability, and Ownership of Comprehensive HIV and TB Prevention and Treatment Programs in Siaya County in the Republic of Kenya under the President's Emergency Plan for AIDS Relief (PEPFAR).
Status
(Ongoing)
Last Modified 9/24/25
Period of Performance
9/30/21
Start Date
9/29/26
End Date
Funding Split
$7.2M
Federal Obligation
$0.0
Non-Federal Obligation
$7.2M
Total Obligated
Activity Timeline
Transaction History
Modifications to NU2GGH002337
Additional Detail
Award ID FAIN
NU2GGH002337
SAI Number
NU2GGH002337-3734908855
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
County Government
Awarding Office
75CDC1 CDC Office of Financial Resources
Funding Office
75CW00 CDC CENTER FOR GLOBAL HEALTH
Awardee UEI
GB2XK6Q7UY13
Awardee CAGE
SAPE5
Performance District
Not Applicable
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage |
|---|---|---|---|---|
| Global Health Programs, State (019-1031) | International development and humanitarian assistance | Grants, subsidies, and contributions (41.0) | $2,869,939 | 99% |
Modified: 9/24/25