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: 2007 2008 2009
The Ministry of Family and Social Affairs' National OVC Program (PNOEV) receives Emergency Plan (EP) funding to support its mission of coordinating, monitoring, and evaluating all OVC activities in Cote d'Ivoire. Within the national OVC policy mandate to support OVC in their families and community, the PNOEV oversees development and scale-up of a decentralized, integrated model of HIV service delivery in which community-based OVC services are integrated with social, educational, legal, nutritional, and health services, including HIV prevention, palliative care, and ARV treatment services. The plus-up funds will be used to renovate and rehabilitate social centers in the underserved North and West that were closed due to the conflict. The social centers are the heart of continuum-of-care services for OVC. The PNOEV will extend OVC decentralized coordination platforms to five additional zones in the North and West to expand and improve the quality of OVC services in resource-limited settings.
With the technical support of FHI and other EP partners, the PNOEV continues to strengthen the national response to HIV/AIDS by building the capacity of PNOEV staff and improving coordination and M&E of OVC activities. In FY06, the PNOEV coordinated support for 19,282 OVC, supervised the activities of 60 NGO/CBO/FBOs, conducted 513 home visits, and trained 20 focal points in M&E.
The program worked to strengthen the strategic framework for OVC policy and interventions. An evaluation of the capacity of the coordinating think tank CEROS-EV, conducted with the support of FHI, led to the establishment of a technical working group (GTT/OEV) and a national commission for OVC, a consultative body. Based on its review of the 2004-2006 national action plan, a new national framework for 2007-2010 was developed and validated. This framework includes the following priority activities: . A consolidated OVC plan, developed in 2006 in collaboration with all partners that intervene in OVC activities. . The development of a 2007-2010 OVC National Strategic Plan . The development of a national M&E plan for the 2007-2010 National Strategic Plan . Training modules on OVC care and their integration in the training curricula of the main nursing schools (INFAS) . Sensitization tools on children rights related to the HIV/AIDS pandemic
As part of its decentralized, integrated HIV intervention model built around district social centers with coordination platforms, the PNOEV worked to integrate OVC services in a continuum of care that includes palliative care and referrals to HIV/AIDS clinical services. Based on the results of a 2006 evaluation of the social-center pilot at San Pedro (IRIS-SP), the program strengthened the decentralization of OVC services at six pilot sites through the mobilization of OVC care platforms and the development of OVC activities within the overall mission of social centers. In addition, the PN-OEV conducted a cost evaluation of pilot IRIS-SP activities to inform cost-effective scale-up.
The program strengthened coordination among partners by providing support to the Ministry of Education (MEN) for a situation analysis of OVC at various intervention sites, including schools. In collaboration with partners such as UNICEF, WFP, HIV/AIDS Alliance, and CARE International, the PNOEV participated in the evaluation of OVC care in areas controlled by the Forces Nouvelles (around Man, Bouaké, and Korhogo).
In FY07, the PNOEV with technical assistance from FHI will continue to improve its coordination and M&E activities, working mainly in the emphasis area of development of network/linkages/referral systems. Based on the results of the pilot model of IRIS-SP, particular emphasis will be placed on the geographic decentralization of OVC interventions built around social centers. The program will coordinate the training of at least 600 caregivers in OVC care.
Specifically, the PNOEV will implement the following activities:
. Increase the number of social-service professionals involved in OVC care and support by integrating OVC-related issues into INFAS training curricula. This strategy will strengthen the capacities of 400 nursing students per year in OVC-specific service delivery. In collaboration with the INFAS, FHI, the World Bank, UNICEF, and ILO, the PNOEV will develop, through the district social centers, a continuous training program focusing on HIV/AIDS and OVC at the national and sub-regional levels. In collaboration with its
technical EP partners, the PNOEV will coordinate the training of 200 OVC caregivers to improve the quality and standards of OVC care.
. Collaborate with technical partners working in the North and West (CARE International, PSI, HIV/AIDS Alliance Côte d'Ivoire, and EGPAF) to conduct an OVC situation analysis, which will be used to inform the development of appropriate interventions and strategies.
. Establish procedures and mechanisms to provide a comprehensive system of care for families and communities that support OVC. For greater impact, procedures and mechanisms will be developed to strengthen the collaborative platform system within the integrated-care approach at the community level with the participation of NGO, CBO, and other EP partners.
. Continue to advocate for a legal environment favorable to children and HIV-affected families by ensuring basic legal protection through laws and regulations designed to support women and children, especially OVC, and the establishment of legal departments within social centers. These steps will be taken in collaboration with local legal institutions and with the support of UNICEF, UNAIDS, and the EP.
. Continue to integrate psychosocial support of OVC and the palliative-care approach, including services, into the OVC national medical-care policy.
. Collaborate with JSI/Measure and the MLS (DPPSE) to strengthen the central national M&E system and to evaluate activities of implementing partners through mechanisms that offer feedback and prevent duplication.
. Evaluate all partner activities in preparation for the development of the 2007-2010 OVC national action plan. The PNOEV will also disseminate the results of the IRIS-SP evaluation to consolidate the new vision for social centers and the plan for replication of the model. To ensure sustainability and appropriate scale-up of the IRIS-SP model, the PNOEV will attempt to mobilize involvement by the World Bank, Global Fund, UNDP, UNICEF, and ILO in the process. With its various partners, the PNOEV will set up a consensus-building committee to select sites for replication of the IRIS-SP model.
Regarding OVC activities in San Pedro and the replication sites for the IRIS-SP model, the PNOEV will: . Select replication sites for the IRIS-SP model, with FHI support, in two distrcits in the region that have OVC care and support platforms. Replication will include the establishment of a continuum of care and an operational referral network that will facilitate holistic care for people infected or affected by HIV/AIDS (and specifically OVC), including social services and palliative care.
. Contribute to identifying and selecting two additional sites for the integration of the palliative-care component in OVC services in San Pedro. FHI and other partners will provide technical support.
. Contribute to making the social centers in San Pedro and in replication sites practical training centers for INFAS students at the end of their training cycle who would like to develop dissertations in OVC care. This practical training will aim to strengthen caregiver capacities in OVC care. The PNOEV will also set up a supervision system to optimize the results of the students' dissertations.
. Improve referral networks by strengthening the role of the social centers in referral and counter-referral.
. Contribute to documentation of the IRIS-SP model in San Pedro and in the newly selected departments.
