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: 2013 2014
The goal of this Twinning Center project is to increase the number of qualified infectious disease doctors and improve the overall system of care for infectious diseases, including HIV, throughout the Caribbean region. The objectives are: 1) To build the institutional capacity of UWI to effectively manage an infectious diseases fellowship program; 2) to strengthen the competencies of UWI faculty in support of the infectious diseases fellowship program; and 3) to design and implement a quality regional infectious disease fellowship program hosted at UWI.
The Fellowship program will begin at the UWI/Mona campus in Jamaica in July 2013, but students will be accepted from throughout the Caribbean region. The target students will be medical school graduates with a desire to specialize in infectious diseases.
The Twinning Center strategy to become cost efficient over time is already in place. Because of the voluntary nature of twinning, both UWI and USC have contributed significant resources to the project, including the professional human resources donated on both sides of the partnership. AIHA will support the partnership by managing the coordination, financial management and official reporting to the donor. The result is a significant public-private partnership leveraging well over 100% to the amount invested by the donor.
UWI, as the prime implementer, highlights that from the beginning, the local institution is leading the implementation process and responsible for achieving the results. The partnership demonstrates the true values of twinning - the institution to institution pairing, the peer to peer mentoring, and the fact that the north/resource partner is there to guide the local partner, not to implement the program themselves.
After sub-Saharan Africa, the Caribbean has a higher HIV prevalence than any other area of the world, with 1 percent of the adult population infected. Heterosexual sex is the main route of transmission throughout the Caribbean. Women are particularly vulnerable to HIV infection; more than half of people living with HIV are women. Other vulnerable groups include men who have sex with men (MSM) who are often overlooked by prevention, treatment and care services. This is despite reports that HIV prevalence is as high as 32 percent among some groups of MSM.
National responses to the crisis are generally lacking, though often as a result of weak public infrastructures and human capacity, rather than a lack of political will. Additionally, monitoring and reporting of the epidemic is consistently poor, which makes it difficult to gain an understanding of the crisis and consequently holds back HIV prevention campaigns. One of the examples of the lack of human capacity is the number of infectious disease specialists trained in the Caribbean. Currently there are only 2 trained specialists, and both of these individuals were trained outside of the Caribbean.
In response to the lack of infrastructure and capacity to deal with infectious diseases, AIHA launched a twinning partnership to design, develop and implement a post graduate infectious disease fellowship program at the University of the West Indies (UWI). This new partnership linking UWI and the University of South Carolina (USC) will help address this need by focusing on the development of a Postgraduate Fellowship Program, where clinical specialists will be trained to provide critical treatment to people living with HIV or AIDS, as well as those afflicted with other communicable diseases that pose a public health concern. This partnership will strengthen the broader health system in Jamaica and also provide a model that can be readily replicated elsewhere in the Caribbean Region.
AIHA specializes in institution-to-institution partnerships that effectively leverage the knowledge, expertise and volunteerism of the US health sector in this case, the infectious disease specialists at the University of South Carolina to strengthen both the human resource and organizational capacity of their counterparts at UWI. Twinning partnerships are demand-driven by the recipient partners and have been highly successful at achieving sustainable, tangible, and developmentally significant results with high degrees of local ownership. In addition, the voluntary nature of twinning allows for significant in-kind contributions to the local institution, usually between 70 and 100% of the amount of donor funding.
