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 2011
C-Change's goal is to improve the effectiveness and sustainability of social and behavior change communication applied to programs, activities, and tools. C-Change works with global, regional, and local partners to incorporate knowledge about the social determinants and underlying causes of individual behaviors and takes into account research and lessons learned from implementing and evaluating activities. Employing innovative and tested methods, C-Change works to meet the continuing challenges posed by evolving health issues that require a behavior change communication approach. C-Change also works to strengthen the capacity of local organizations to plan, implement, and manage programs, thus ensuring sustained local knowledge and skills.
C-Change will support the Partnership Framework's Strategic Objective 1 to build human, technical, and institutional capacity in Jamaica as well as in the Bahamas to effectively develop, implement, and sustain comprehensive HIV prevention strategies. The mechanism will provide technical assistance to scale-up behavior change interventions targeting PEHRB, especially MSM and CSW in Jamaica and the Bahamas. C-Change will work with local NGOs and the MOH from both countries to strengthen existing resources, tools, and interventions.
The program will adapt PEPFAR materials and messages from other PEPFAR countries for use in the Caribbean to achieve cost-effectiveness. By providing training to local NGO staff and volunteers, the program will work closely with communities to ensure sustainability and linkages with other services. The program will begin with a baseline assessment and will collect data throughout the life of the program in order to monitor progress and measure results.
The C-Change program will develop and adapt materials to be used in HIV prevention and care programs targeting MSM and CSW. In addition to building the capacity of local partners and beneficiaries, the program will also pilot two new activities to reach both MSM and CSW. The pilot programs will utilize peer education and a referral system to link individuals to confidential HIV and RH services, including access to STI screening and treatment, family planning, HIV testing, and condoms. Currently, Jamaica and the Bahamas do not have a minimum package of services for specific at-risk populations. This program would work at the community and federal levels to help establish and rollout a minimum package. Other aspects of the intervention include the sensitization and involvement of bar and hotel owners as well as health care providers. The program will review all existing IEC materials and curricula that have been developed in Jamaica and the Bahamas in order to adapt and design new peer education manuals for the pilots. The target population for the pilot programs will be young women and men ages 13-29 engaged in commercial sex work as well as men who have sex with men. The other target population in this activity will be selected local NGOs who are currently engaged in HIV prevention work targeting individuals engaged in high-risk behaviors. The geographical area and population coverage will be determined after the initial baseline assessment is conducted. Once the materials have been adapted and developed in close partnership with the MOH and local partners, the program will partner with two local partners for the pilot phase of the program. Initially, the program will aim to reach 50 CSW and 50 MSM in the initial pilot with FY08 funding. Subsequent funding from FY09 and FY2010 will be used to make program corrections and scale-up the interventions in order to reach an estimated 500 CSW and 500 MSM in FY2011 with combination prevention strategies. The estimated population size of MSM in Jamaica is a little over 300,000 and for CSW it is around 50,000. The envisioned minimum package of services would include peer education, risk reduction counseling, condoms, and referrals and payment for initial STI and RH services. The pilots will track referral slips with the local health care centers/private clinics to see how many beneficiaries receive services and what the results are in terms of STI screening and HIV testing. All individuals will receive STI treatment if needed and anyone testing HIV+ will be linked with additional care and support services. The program will promote quality assurance by providing skills training to the peer educators, health providers, and NGO staff. Supportive supervision will be integrated into both pilots.
