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: 2012 2013 2014
Goal and Objectives:Marie Stopes International Cambodia (MSIC) aims to increase the use of voluntary family planning services in targeted areas. The objectives of the Support to International Family Planning Organizations project are to: 1) pilot comprehensive, replicable, family planning service delivery mechanisms; 2) provide national vision and leadership for family planning and HIV integration and coordination in close partnership with the National Centre for HIV/AIDS, Dermatology and Sexually Transmitted Diseases, the National Maternal and Child Health Centre, and other relevant organizations working with people living with HIV and most-at-risk populations; 3) increase demand for comprehensive health services through strengthening demand-side health-financing mechanisms; 4) improve health-financing structures and the cost-effectiveness of family planning service delivery; and 5) enhance MSICs management, leadership, and technical capacity.
Geographic coverage and target populations:The project will implement activities in 20 health facilities in two Cambodian provinces (Kandal and Takeo) targeting most-at-risk populations and people living with HIV.
Cost-efficiency:MSIC will reduce costs by piloting and sharing cost-effective models, such as voucher schemes for improved voluntary family planning services, and facilitating integration of quality family planning services into HIV service delivery sites. MSIC has strong relationships with all local government and civil society partners. The provision of technical support to current public sector health workers will promote sustainability within the Cambodian health system.
Monitoring and evaluation:MSIC will collect and use program data to inform and shape ongoing project design and implementation.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHVOP Men who have sex with men (MSM) 678401 Provide clinical services and outreach services and education activities for men who have sex with men in Phnom Penh, Kandal and Siem Reap provinces.
Target populations:Target populations include people living with HIV and their sexual partners. The project will reach 3,778 individuals in Kandal and 2,636 individuals in Takeo provinces.
Interventions:MSIC will support activities that increase access to family planning for HIV-infected and affected individuals at HIV care and treatment facilities, at health centers, and through community-based outreach. The Ministry of Health and the U.S. government are committed to universal access to fertility choices and voluntary family planning.
In FY 2012, MSIC will: 1) promote informed choice among family planning clients; 2) promote dual method use by promoting condoms plus other family planning choices; and 3) strengthen referrals and reduce financial barriers to family planning through vouchers and the subsidy of user-fees. The project will support clinical facilities by building capacity of providers to: 1) provide comprehensive, non-judgmental, and non-stigmatizing fertility and family planning counseling; 2) provide voluntary family planning services; 3) help facilities meet minimum family planning service standards; 4) strengthen the referral networks among HIV care and treatment, prevention of mother-to-child transmission of HIV, and maternal and child health facilities; and 5) strengthen family planning quality-of-care through clinical audits and customer satisfaction surveys. The project will update, as needed, existing training tools and communication materials, and will disseminate research findings and provide evidence-based strategic guidance to the national program for policy reform and improved family planning and HIV integration.
Target populations:Target populations include women of reproductive age who are engaged in high-risk sexual behavior and people living with HIV and their sexual partners.
Interventions:MSIC will develop and pilot innovations for family planning and HIV service integration in health facilities reaching most-at-risk populations and people living with HIV/AIDS. Approaches will aim to reduce costs while improving access to broader range support activities that increase access to family planning for HIV-infected and affected individuals at HIV care and treatment facilities, health centers, and through community-based outreach.
Current barriers to family planning access among most-at-risk populations include: 1) weak government policies on fertility and family planning choices for persons living with HIV; 2) negative attitudes of providers to serving persons living with HIV and members of most-at-risk populations; 3) limited incentives for facilities to offer family planning, 4) clients inability to pay for services; 5) limited capacity of health facilities to provide family planning services; 6) limited access to family planning commodities in key facilities; and 7) facility information systems that do not collect data routinely on the provision and quality of family planning services.
In FY 2012, MSIC will: 1) strengthen Ministry of Health policies on voluntary, informed, non-judgmental, non-stigmatizing, and non-coercive fertility and family planning choices for people living with HIV and most-at-risk populations; 2) train providers on fertility and family planning choices; 3) strengthen referral networks among HIV care and treatment and maternal and child health sites to improve access to family planning services; 4) address financial barriers to access through vouchers and the subsidy of user-fees; 5) strengthen provider supervision by linking facilities serving most-at-risk populations and persons living with HIV/AIDS with maternal child health supervision systems; and 6) strengthen the quality of care through implementation of clinical audits and client satisfaction surveys.
Target populations:Target populations include women of reproductive age who are engaged in high-risk sexual behavior, specifically entertainment workers. The project will reach 1,100 at-risk individuals in Kandal and 558 in Takeo provinces.
Interventions:MSIC will support activities that increase access to family planning for most-at-risk populations in health facilities and sexually transmitted infection treatment centers, and through community-based outreach. The Ministry of Health and the U.S. government are committed to universal access to fertility choices and voluntary family planning. About 30 percent of female entertainment workers report having had an abortion in the previous year, indicating high rates of unplanned pregnancy, low rates of consistent condom use, and high unmet family planning needs.
In FY 2012, MSIC will: 1) promote informed choice among family planning clients; 2) promote dual method use by promoting condoms plus other family planning choices; and 3) strengthen referrals and reduce financial barriers to family planning through vouchers and the subsidy of user-fees. The project will support clinical facilities by building capacity of providers to: 1) provide comprehensive, non-judgmental, and non-stigmatizing fertility and family planning counseling; 2) provide voluntary family planning services; 3) help facilities meet minimum family planning service standards; 4) strengthen the referral networks among sexually transmitted infections, HIV, and maternal and child health facilities; and 5) strengthen family planning quality-of-care through clinical audits and customer satisfaction surveys. The project will update, as needed, existing training tools and communication materials, and will disseminate research findings and provide evidence-based strategic guidance to the national program for policy reform and improved family planning and HIV integration.
