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 2013 2014
This mechanism will support the training of Field Epidemiologist to strengthen the public health capacity within the Ministries of Health (MOH).
This implementing mechanism is in direct support of the USG Partnership Framework Goal 4: Health Systems Strengthening which includes human capacity development and overall health system sustainability as well as USG Caribbean Partnership Framework Goal for Laboratory System Goal 3, Objective 3.2: Improve laboratory services and systems, sub-objective 3.2.4: Human Capacity. The Centers for Disease Control and Prevention(CDCs Capacity Development Branch, Division of Global Public Health Capacity Development (DGPHCD) staff provide technical assistance and support to countries worldwide to implement strategies to improve their public health workforce, systems, and institutions. The FELTP is modeled after CDCs Epidemic Intelligence Service. It is a two-year full time postgraduate training program that includes close supervision and on the job competency based training. The structure of the program includes 25% didactic work and 75% field placement. The programs are tailored to each countrys national priorities, public health needs, and existing public health infrastructure to strengthen their public health surveillance and response systems for priority diseases. The key features of the FELTP are: (1) trainees are assigned to the Ministry of Health to provide epidemiologic service; (2) graduates of the program may receive a certificate or degree; (3) the program is tailored to the needs of the country and its priorities and is adaptable to changing public health needs; and (4) there is a plan for sustainability. The outcomes associated with a country or region having a FELTP include: robust surveillance systems; public health events detected, investigated and responded; human capacity developed in public health; and public health program decisions based on scientific data. The standard curriculum includes: epidemiologic methods, biostatistics, public health surveillance, laboratory and bio-safety, communication, computer technology, management and leadership, prevention effectiveness, teaching and mentoring, and epidemiology of priority infectious and non-infectious diseases and injuries. There will be modifications of the FELTP to meet the needs of the Caribbean Region. There are 12 countries that will take part in the FELTP, individual country commitments will be made to ensure success and sustainability of the program and capacity developed for the region. This mechanism will be monitored by the number of people trained
Funds for this activity were reduced by OGAC. This will be a short-term course in advanced epidemiology using principles from the Leadership in Strategic Information Course aimed at building the capacity of individuals working within the Ministries of Health in the region to gain advanced epidemiological skills. This course will be housed within a local university with the aim of developing academic capacity and sustainability of the skills training beyond the end of the funding cycle. The course is a response to needs articulated by countries from the in-country consultations. The advanced epidemiology course will continue to build capacity early of public health professionals at the country level and keeping their epidemiologic and data analysis skills up to date.
The U.S Centers for Disease Control and Prevention has been a key technical partner providing scientific and programmatic support for this program and thus this program will be managed by CDC. The success of the program depends in large part on the level of MOH commitment and ownership, and buy-in from the other stakeholders. The MOH should be involved in every step of the development and implementation process. The FETP development process is crucial to the overall success and sustainability of the program. The process varies from one country to the next depending on the unique circumstances in that country, but certain key elements are common. The process usually takes 1-2 years, and the order of the steps may vary.
During the development of this program there will be preliminary discussions with different stakeholders to determine the needs within the public health systems, obtain commitment from stakeholders to establish the program and identify financial support. For this program to succeed there must be buy-in from the MOH and other stakeholders. Stakeholders may include MOH participants at all levels, other government and non-governmental partners, potential donors and bodies of certification to ensure sustainability. Decisions regarding the ideal candidate, general topics to be included in the curriculum, potential sites for field placement, and the name of the degree awarded are made by this group of stakeholders.
CDC, MOH and other primary stakeholders also make site visits to MOH offices, public health laboratories and universities to assess the situation on the ground, evaluate system needs, gather information to best shape the program to fit the needs and determine if adequate supervision and structure are in place to support participants during fieldwork. This group also establishes baselines and develops the targets for the program. The resulting outcome is a plan that identifies, defines the needs, implementing partners, staff members, target participants for the FETP and potential field sites. The plan guides the development and implementation process of the FETP by defining the goals and objectives for the program.
The MOH, university and CDC will set the two-year FELTP curriculum together. There will be a standardized and integrated regional curriculum with flexibility to respond to the needs at the national level. Participants time will be spent providing service to the MOH in the field. They may be placed in areas other than their place of origin to provide a diversified experience that exposes them to different systems and public health situations. The structure of the field placements varies depending on the in-country situation. The FELTP will build an effective career track and surveillance network for epidemiologists using a strategy of training through service.
