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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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.
09.P.OP18: CDC HPR - Truvada Study
HIV pre-exposure prophylaxis (PrEP) is commonly defined as the oral use of antiretroviral agents (ART) to
prevent HIV transmission. In part based on the success of ART for prevention of HIV mother-to-child
transmission and after post-occupational HIV exposure, PrEP is still considered to be one of the more
promising HIV prevention tools being explored with seven current or planned clinical trials worldwide
evaluating this approach. If effective this approach may be able to prevent up to 3 million people in sub-
Saharan Africa from getting HIV over the next 10 years.
The Centers for Disease Control and Prevention are currently conducting a phase 3 safety and
effectiveness trial of the two drug combination of tenofovir and emtricitabine (TDF/FTC) among
heterosexual men and women in two cities in Botswana. Given the potential benefit of this approach, the
Government of Botswana is very eager to initiate discussions regarding possible implementation. Any
discussions regarding implementation, however, will require substantial input over several meetings from
the multitude of stakeholders both locally and well as internationally, e.g., WHO, UNAIDS. We request
funding support to assist with these programmatic discussions. With this funding we will be able to arrange
for meeting venues, printing services, and other meeting services. Since at least two studies will be
conducting interim efficacy analyses in 2009, policy makers will need to decide soon whether PrEP is worth
New/Continuing Activity: New Activity
09.C.TB08: HHS/CDC/BOTUSA TB Section Support
ACTIVITY UNCHANGED FROM FY2008
This activity will provide care, preventive therapy and appropriate service referrals for 2,000 adult PLWHA
as part of an ongoing HHS/CDC/BOTUSA project. These individuals will be seen on at least a monthly
basis and they will receive regular checkups by registered nurses. Each will be provided 6 months of IPT;
eligible patients will be linked to services providing ARV treatment and CPT. Patients will be regularly
screened for adverse effects of medications and symptoms of opportunistic infections. Referrals to HIV
support groups, alcohol dependence counseling, psychiatric support, and PMTCT services will be made as
appropriate. Health education will be provided to all patients about living with HIV-infection, and about HIV
services available to them.
Referrals for ARV treatment and CPT will be provided to approximately 1,000 PLWHA. Quality care
through at least monthly check ups will be provided to reduce morbidity and mortality. Data from these
services will also be used to inform the ongoing National Comprehensive HIV Program.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17347
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17347 10170.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $140,000
Disease Control & Disease Control
Prevention and Prevention
10170 10170.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $350,000
09.X.MS93: HHS/CDC Management and Support
This is a continuing activity from FY2008 and is supported with both GAP and GHCS (State) funds.
Funds requested between GHCS (State) and GAP accounts will support staff salaries/allowances and
related office support, including travel, communications, equipment, and miscellaneous procurement, etc.
Including all program area technical staff, PEPFAR supports 55 FTE positions. No new positions are being
requested for FY2009. Most of the operations staff is shared across three CDC Divisions working in
Botswana. An additional 22 individuals representing almost 7.0 full time equivalents provide some portion of
their time to support PEPFAR activities and are funded by either the Divisions of HIV/AIDS Prevention or
Tuberculosis Elimination. The following positions are currently supported with Management and Staffing
Country Director, USDH
Associate Director-Management and Operations, USDH
Associate Director, GAP, USDH
GAP Senior Administrator, USDH
Associate Director for Science, USDH
Communications Officer, contractor
Building and Design Coordinator, contractor
Program Specialist, contractor
Financial Chief, LES
Secretary, LES (3)
Receptionist, LES (2)
Administrative Assistant, LES (3)
Drivers, LES (3)