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.
Result: increased access to and availability of VCT services; integrate VCT in selected FBO/CBO/NGO
services; increased demand and utilization of HCT services through community mobilization and social
marketing activities
Input: In several communities in the northeast of Botswana (Selebi-Phikwe and Bobirwa), over 70% of
pregnant women aged 25-29 are infected with HIV. Yet most people in these communities are not utilizing
counseling and testing from VCT centers or routine testing from public health facilities. In light of this major
concern, HHS/CDC/BOTUSA is planning a large intervention that will eventually test large numbers of
people (~20,000) in these communities for HIV in their own homes, and provide counseling and referral to
HIV treatment centers. To understand how these plans can be implemented most effectively, and to test
them in an actual community setting, a public health agency will be selected to run a pilot program. The
selection will be by competitive bidding. In running the pilot program, the agency will collaborate closely
with BOTUSA and its partners.
Activities/Outputs: The selected grantee will be responsible for development of training materials,
promotional information, counseling and testing protocols and procurement of HIV test kits for home-based
testing and counseling. Counseling and testing protocols will be field tested by testing 1000 individuals in
their homes. Volunteers and PLWHAs will be involved in sensitizing the communities about the service and
liaising with community leaders to prepare schedules for home-based testing. HIV prevalence will likely be
very high in this community. Therefore, the grantee will ensure that referral directories, forms and
procedures are in place to facilitate referral to treatment, care and support. Follow up and transportation of
people referred will be provided to ensure they actually receive services. The grantee will document lessons
learned from the pilot and begin preparations for taking the intervention to scale.
Outcome: The pilot HCT intervention will provide lessons that will inform possible large-scale rollout of
home-based testing in these hard-hit areas of Botswana. For Batswana who receive counseling and testing
thorugh the pilot, referrals will be made to treatment, care and support facilities for those who learn they are
infected. Those who learn they have negative HIV-status will receive prevention counseling and be helped
to develop risk reduction plans focusing on reduction of sexual partners.
July 13, 2005: Project delayed (protocol development and clearance). We will only be able to do the pilot
phase during this fiscal year.
