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.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
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
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
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 2011
Narrative Overview
Charles Drew University of Medicine and Science in Los Angeles, California (CDU) has been partnering with the Angolan Armed Forces (FAA) on a prevention program since 2001, and has been expanding its relationships with various organizations within Angola such as, the INLS, Agostinho Neto University (UAN) and the IPMP Instituto de Medicina Preventiva ever since.
Over the past eight years, the DoD through CDU, in partnership with the Angolan Armed Forces (FAA), has made great advances in implementing HIV prevention intervention programs; conducting focus groups and surveys to assess local knowledge and perceptions about HIV/AIDS and STIs; setting up VCT clinics; and training Angolan medical personnel in VCT counseling, HIV-related lab work, and HIV epidemiology throughout the five military regions (North, South, Center, East and West).
USG ongoing HIV prevention programs have already reached more than 40,000 military personnel through HIV prevention workshops and radio programs, as well as the distribution of condoms, brochures, HIV prevention manuals, and HIV prevention comic books and posters designed to instruct and motivate behavioral change. Through their activities, CDU aims to further increase the testing and counseling capability of the FAA by helping to refurbish and equip a total of six VCT sites in Lubango, Cabinda, Huambo, Uige and the Army and Air Force Clinics in Luanda. Using FY2009 funds, a mobile VCT will be provided in Luanda and 1 VCT centers will be set up in Cunene in the first year of PFIP. Currently the FAA has set 1 VCT center in Cunene with Global Funds. CDU also trained the requisite counselors in the national standards for counseling and testing to provide the human resources necessary for the establishment of additional VCT centers.
CDU will continue on-going data collection efforts (through surveys and focus groups) to evaluate the effectiveness of these programs. The CDU team will use innovative methods to collect this data, including utilizing Palm Pilots (hand held electronic devices) to conduct surveys both in Luanda and in rural areas. Additionally, the research team has conducted focus groups to address the prevention needs of the spouses of military personnel.
CDU collected data about HIV prevalence and risk behaviors among Angolan military personnel in four locations throughout the country in 2003, gaining much-needed information to guide prevention efforts. The results of the 2003 BSS showed that the infection rate in the Angolan Military was approximately 3.6%. The results also showed higher infection rates in the capital and cities along the Angolan border and very low rates in the center of the country where people have remained fairly isolated.
CDU will conduct another BSS with HIV testing among the military using FY2009 funds in calendar year 2010. CDU will continue to analyze the HIV prevalence data to learn where prevention programs are most needed.
Through their activities, CDU aims to further increase the testing and counseling capability of the FAA and will continue efforts by implementation and expansion of VCT services. Scale-up of VCT coverage in the military will be accomplished by expanding the number of VCT clinics by three for a total of nine. Currently there are six operational VCT centers in Luanda, Cabinda, Lubango, Huambo and Uige. Using FY2010 funds a mobile VCT and two fixed VCT centers will be established in Kuando Kubango and Benguela.
The FAA conducts mandatory HIV testing for new recruits and before deployment for peace keeping missions overseas. The FAA is concerned that many of their HIV-positive personnel come for medical assistance too late to receive the care needed to prolong and improve life. Because care and treatment are centrally located and the military population is mobile, tracking patients and ensuring follow-up (e.g. ARV adherence) are difficult.
With COP FY2010 funding CDU will design and implement psychosocial programs to address the psycho-emotional needs of those identified as sero-positive and to improve the rates of adherence for those already in treatment. These psychosocial programs will include prevention education designed specifically to target already HIV-infected persons to help keep their loved ones, family members and sexual partners safe. CDU's prevention efforts with the Angolan Armed Forces are ongoing, and USG aims to reach more military personnel by expanding our programs.
CDU will implement prevention activities in training physicians in ARV techniques and other health professionals in prevention for positives in the Angolan Armed Forces. 10 in-service military personnel will be trained in hospital management/administration and peer education techniques related to HIV prevention, transmission, and testing. Technical assistance will be provided to the military in data management, laboratory and clinical mentoring. Policy reform will be addressed with emphasis on the rights of HIV positive service men to fight stigma and discrimination. Advocacy is increasingly becoming an important activity of DoD through CDU in an attempt to motivate the FAA to create sustainable prevention activities and programs. USG will also assess the potential for clinical mentoring between the US Navy Medical Center in San Diego and the FAA Health Division.
CDU will continue to train HIV activists in AB for the Angolan Armed Forces. Military personnel will be trained by expert CDU Master Trainers in peer education techniques related to HIV prevention, transmission, and testing. CDU will continue engagement with top level officials of the Angolan military to maintain a sense of urgency in the promotion of behavioral change and awareness of the threats posed by HIV, both to military forces and to the society in general. CDU has created prevention messages and materials that directly target military commanders, enlisting their support to help facilitate positive prevention messages among their soldiers. Advocacy is increasingly an important activity of CDU to motivate the FAA to create sustainable prevention activities and programs.
The BSS conducted in 2003 revealed that the availability of condoms, however, is varied from region to region. While condoms are easy to access in larger cities, there are virtually none available in smaller towns and villages. Even where condoms are obtainable, many of the men do not carry them or have them available at the time of their sexual encounters. According to focus group participants, they are afraid they will lose their opportunity for sex if they go off to find a condom.
Based on available information, making condoms available and motivating military personnel to carry and use condoms regularly are key components in the battle against HIV/AIDS infection. Currently, the FAA receives its condoms from the INLS or procures them through their own budget. Taking into account that the GTATM Round 9 proposal was rejected for Angola, it is very likely that the FAA National budget and resources will decrease substantially in coming years. In FY2010, the DoD intends to use the USAID central contraceptive mechanism to procure condoms for the FAA. Such distribution of condoms will more effectively link to peer education activities and condom use in every military region.
CDU will work with the FAA to design educational materials and deliver health messages to armed forces. CDU provides training for lower level officers in the production of HIV prevention radio scripts, story development, and message production thus creating an independent team that can develop mass media messages from start to finish and is technically equipped to air these messages on the military radio hour through the National Radio Station (RNA). CDU's prevention efforts in the Angolan Armed Forces are ongoing, with the aim to reach more military personnel by continuing and expanding program activities.
