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 2012 2013 2014
The follow on to the EC-CAP project will be awarded in late 2010. This will be a cooperative agreement between the United States Agency for International Development and a TBD partner to expand the existing EC-CAP program to 3 more countries in the OECS.
EC-CAP is based on the premise that access to HIV services for most at risk populations can be achieved through evidence-based programming, community and civil society involvement, stronger engagement with national programmes and enhanced behaviour change interventions. The goal of the Project is to increase access to HIV and AIDS services for most at risk populations through evidenced-based programming. This is achieved through undertaking participative research to inform, promote and implement effective interventions and improve services for most at risk populations (MARP).
The strategies that guide programme implementation include: 1) A combination prevention approach; 2) Promoting and implementing evidence-based interventions informed by strategic (qualitative) information, including special studies and focused data collection; 3) Providing technical assistance and monitoring and evaluation support; 4) Providing small grants to Non Governmental Organisations, Community Based Organisations, Faith Based Organisations and local entities; 5) Implementing community based rapid testing and bi-directional referral systems; and 6) Promoting access to care and support (Palliative Care) through referrals.
Central to EC-CAP is a peer-led approach, utilising Community Animator outreach workers, drawn from the target populations, to carry out one-on-one interventions with those most-at-risk of exposure to HIV.
The follow on project will target MARPS in 7 countries: Antigua and Barbuda (ANB), Barbados, St Kitts and Nevis (SKN), and St. Vincent and the Grenadines (SVG), Dominica, Grenada, and St. Lucia. This project is directly linked to Goal 1 of the Partnership Framework, Contribute to the CRSF goal of reducing the number of new HIV infections in the Caribbean by 25% by 2013.
Based on the findings from the rapid assessment to determine the scope of HIV care, treatment and support services in Antigua, Barbados, St Kitts, and St Vincent, the TBD partner will determine the models of care and support services to PLHIV that will be replicated in the remaining three OECS countries.
The TBD partner will build capacity of civil society through grants to community-based organizations to increase the provision of palliative care to include holistic care and support for PLWHA, hospice care to terminally ill, and home-based care that includes nutritional and psychosocial support. Very moderate numbers of persons have been reached thus far, so the TBD partner will focus on increasing the CBOs capacity to implement the program.
While the rapid assessment above will clearly inform the program, the TBD partner will also scale up the care and support program by:
Review and update package of prevention for positives interventions.
Strengthen psychosocial support skills among Animators
Develop, adapt and pilot evidence-based interventions (POL/SISTA) in St. Kitts, informed by research findings.
Implement recommended interventions identified through PLA exercise
Continue to strengthen bi-directional referral networks between prevention, counseling and testing and care programs
Work closely with CARISMA, PSI and other social marketing organizations to support continuous access to condoms
Develop and promote the uptake of a model strategy for community based care and support
Promote and document lessons learned in operationalizing Buddy system as support mechanism for Persons Living with HIV/AIDS.
Assess role of traditional healers in responding to HIV and AIDS
The TBD partner will provide technical assistance and training to MoH staff to use rapid tests and to strengthen referrals between testing services, prevention services and community care and support services. This includes training health care providers to provide non discriminatory, non stigmatising confidential HIV CT Services to MARPS; training community members (and animators) to deliver HIV testing, and to promote CT to MARPS.
During FY 2010 the TBD partner will collaborate with the Ministry of Health in Antigua to expand the network of community-based testing sites. The TBD partner and CDC will continue to collaborate with the MOH and the NAP towards the decentralization of CT and the continued roll-out CBCT using the HIV rapid test at additional sites across Antigua. A case study of the introduction and roll-out of CBCT in Antigua is being documented as a model of best practice to be shared throughout the region. This model has demonstrated how key elements of a structured HIV prevention and peer-education strategy can come together as a strong collaborative endeavor between the national authorities and civil society. This type of approach will ultimately lend itself to a much more effective and sustainable approach for this small island state and will be replicated in Barbados and St. Kitts during 2010.
To ensure that laboratories are also delivering confidential and non-discriminatory testing services, the TBD partner will produce and disseminate guidelines and protocols on non-discriminatory testing. This will include providing technical support for the development of national algorithms in Antigua and Barbados and testing of these in the community sites.
In FY 2010, the TBD partner will evaluate the model for Community Based Counseling and Rapid Testing (CBRT) and adapt and implement CBRT in 3 additional countries.
Scale up of activities for the follow on award will include:
Joint programming Initiatives: In close collaboration with local entities, such as national Government line ministries, NAPs, NAC all regional coordinating AIDS agencies (CCNAPC, PANCAP, PHCO, CRN+, PSI, CCC, CDC, OECS) and stakeholders on each island, the TBD partner will build on existing partnerships with stakeholders and donors to facilitate effective programming, with appropriate technical expertise, and to improve alignment with national programming and policy geared towards addressing gaps in existing national responses. The TBD partner will also strengthen the relationship between animators and NPAs to facilitate improved collaboration, referrals, and sensitization on MARP issues. This includes integrating/mainstreaming the outreach workers into national and local entities. Sharing of high quality MARPs specific data and information: The TBD partner will support data collection and dissemination at the national level for integration into NAPs systems. Promoting an integrated peer-based model for prevention and service delivery for MARP: The move towards utilising an integrated Behaviour Change approach, rather than an information dissemination approach, has enabled Animators to better support individuals along a change continuum. As a result of this accurate identification of the stage the individual is at, Animators are better able to deliver appropriate support and interventions using IPC to provide multiple HIV risk reduction information and referrals. The TBD partner will continue this peer-based approach in the follow-on award. Disseminating best practices: The TBD partner will synthesize evaluation findings, lessons learned and make key recommendations for programming targeting hard-to-reach and hidden populations.
One of the key cross-cutting focal areas for the TBD partner will be advocacy and leadership interventions for MARPS to ensure effective representation and reduce stigma and discrimination. The TBD partner will continue sensitization and training of key decision makers on MARP issues, thus promoting the need to incorporate MARP representatives in decision making process.
