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.
While HIV prevalence rates in the Central American militaries are unknown, most of the military population falls within the vulnerable or at risk population for STIs and HIV. With FY09 PF funds, DoD PEPFAR will identify TBD partners to support partner militaries in El Salvador, Guatemala and Nicaragua in the implementation of HIV prevention activities with military members and their families.
TBD partners will provide technical assistance to support military capacity to administer and manage HIV program activities in Sexual Prevention and Testing and Counseling. Emphasis will be placed on expansion and enhancement of existing military-specific HIV prevention programs using a combination based prevention approach targeting recruits, enlisted, officer groups and their dependents, and addressing issues related to specific known and suspected stressors that influence HIV risk behaviors, such as substance abuse, mobility and prolonged deployments, as well as address issues related to gender norms, stigma and discrimination. Military members will be provided the necessary skills to change behaviors, engage in safe sex practices, decrease other risk behaviors and know one's status. By targeting military personnel, activities will support the Partnership Framework prevention goal of increasing healthy behaviors among MARPS and their clients to reduce HIV transmission. The support of prevention programs leveraging the existing military institutional structures will lay the foundation for sustainable programs in militaries in the region.
TBD partners will also support the Health Systems Strengthening, Strategic Information, and Policy Environment efforts for the partner militaries in El Salvador, Guatemala, Nicaragua and Belize. Health Systems Strengthening efforts will improve the capabilities and quality of HIV diagnostic and laboratory services and systems by strengthening the capacity of military laboratories in the diagnosis of STIs, TB and malaria, in addition to ensuring quality provision of HIV rapid diagnostics in the lab, clinical and non-clinical settings. Activities will expand and improve in-service training for military health care providers in multidisciplinary fields, including the diagnosis and management of STIs, OIs, TB, and mental health disorders, as well as training in the provision of antiretroviral therapy, the assessment and management of pain and other symptoms impacting HIV co-infected individuals.
In order to support the Partnership Framework objective of strengthening the capacity of partner countries to strategically generate, collect, interpret, disseminate, and use quality strategic information, HIV and other STI bio-behavioral surveys will be carried out in the Defense Forces of El Salvador, Guatemala and Nicaragua in order to improve evidence-based programming and the understanding of the HIV risk factors in these populations. Results from the HIV bio-behavioral survey in the Belize Defense Force (BDF) will be analyzed with specific risk factors incorporated into the design of a specific prevention program for the BDF. Military officials will be trained in HIV surveillance, data collection and analysis, and data use to improve the quality and cost-effectiveness of HIV prevention, treatment, care and support services in militaries. Technical assistance to partner militaries in El Salvador, Guatemala, Nicaragua, and Belize will strengthen monitoring and evaluation and data collection systems for health to ensure effective utilization of data for programming and policy formulation.
Partnership Framework activities will support the development and implementation of military HIV policies and strategic plans addressing issues related to HIV testing (recruit and periodic), retention and promotion of identified HIV-positive individuals. Technical assistance for systems and institutional strengthening will encourage addressing issues related to access and availability of prevention, care, treatment and support programs. These efforts will support the Partnership Framework objectives in Policy Environment and Health Systems Strengthening by improving the capacity of Caribbean militaries to effectively lead, manage and sustain the delivery of quality HIV prevention, care, treatment and support services for militaries.
Cost efficiency and quality will be improved by increasing capacity of military healthcare workers to conduct trainings internally, leverage partnerships with local organizations, and share best practices across militaries in the region.
Program monitoring and evaluation will be carried out according to national standards, utilizing mechanisms provided or recommended by the Ministries of Health, National AIDS Programs, and the regional Central America PF plan.
None
This activity will strengthen the capacity of partner militaries in El Salvador, Guatemala and Nicaragua to plan, manage, and implement HIV programs. This activity will also support policy efforts in Belize. Activities will build on previous DHP FY09 funded Health Systems Strengthening efforts in Nicaragua and Belize through Charles Drew University to strengthen their leadership and capacity to manage HIV programs, improve the policy environment to reduce stigma and discrimination, and ensure access to HIV care and treatment services among military members.
With PF FY 10 funds, referral networks and service integration will be strengthened for HIV/STI/TB care and treatment. Strategies for improving partnerships with other governmental organizations, NGO, and private entities working on HIV and health will be emphasized. Program activities will seek to secure military leadership endorsement and support of interventions addressing gender norms, substance abuse, confidentiality, among others. Financial management mechanisms will be improved and training will be provided for military leadership in financial management for HIV programs. The development of mechanisms for leveraging resources and creating greater resource efficiencies will be encouraged.
Opportunities to strengthen in-service training will be expanded and improved for military health care providers in multidisciplinary fields, including STIs, ART management, psychosocial counseling, and substance abuse will be pursued. TA will be provided to improve treatment adherence, psychosocial support services and diagnosis and treatment of mental health problems for the HIV + personnel and civilians receiving treatment and care at military health sites. Service guidelines will be developed or disseminated and quality assurance mechanisms will be established. Military personnel will also be trained on HIV surveillance and strategic information.
FY 2010 funds will support the provision of quality HIV treatment and care for HIV positive military personnel in El Salvador, Guatemala and Nicaragua. Basic care provided by military health services to HIV-positive personnel includes clinical staging and baseline CD4 counts for all patients, CD4 cell count monitoring, prevention, diagnosis and treatment of opportunistic infections (OIs), psychosocial counseling, and referrals for people living with HIV/AIDS (PLWHA) to community-based basic care and support services based on their individual needs. Technical assistance will also be provided to the military to strengthen linkages to community-based HIV care services and support groups. In order to support the Health System Strengthening objective of the Partnership Framework, this activity will build the capacity of the health workforce by training military health providers at the facility level in the diagnosis and treatment of STIs, OIs, and mental health disorders. Training will also include prevention with positives activities to improve health care providers' abilities to effectively counsel military members on healthy living, reduction of risk behaviors, partner notification, and adherence to ART. Efforts will be made to address stigma and discrimination by promoting accepting attitudes toward people living with HIV/AIDS.
TBD partners will also support the militaries of El Salvador, Guatemala, Nicaragua and Belize with Adult HIV treatment training. This activity will support the Health System Strengthening objective of the Partnership Framework through the training of military health care providers and clinicians in clinical services, such as antiretroviral therapy, prevention and treatment of opportunistic infections (OIs), assessment and management of pain and other symptoms, and nutritional support. Training may also include prevention with positives activities to improve health care providers' ability to effectively counsel military members on healthy living, reduction of risk behaviors, partner notification, and adherence to ART. Efforts will be made to address stigma and discrimination by promoting accepting attitudes toward people living with HIV/AIDS.
Opportunities for military to military exchange training programs and professional exchanges to share program best practices and foster regional collaborations will be explored. TA will be provided for the development of strategies to encourage staff retention, performance and promotion for healthcare staff providing HIV/AIDS related services. If necessary, activities will support the retention of healthcare personnel and uptake of clients by improving the workplace environment through minor refurbishment of work sites, including counseling and testing centers, labs and clinic settings.
With PF FY10 funds, this activity will support the training of lab personnel and necessary support for equipment and commodities to develop and strengthen laboratory systems and facilities in to support STI, TB, OI, and HIV diagnostics and improve the capacity of the militaries of El Salvador, Guatemala and Nicaragua to provide clinical care to HIV-positive military members. Support will be provided for laboratory specimen collection and transport, including procurement of infection control materials.
FY10 PF funds will support training and support for HRH strategies and improved supply chains for the delivery of quality HIV related services. Laboratory personnel will be trained in laboratory SOP development, logistics management, QA/QC activities, utilization of laboratory equipment and data management. This activity will link with CT, TB, and care and treatment services by providing ancillary support for rapid HIV testing and diagnostics for STIs, OIs and TB. Military laboratories will be strengthened to provide referral systems to civilian sector labs where resources limit diagnostic and treatment service provision within the military health system. Funds may support minor refurbishment and infrastructure support for outlying bases supporting the military in order to facilitate service delivery.
With PF FY10 funds, this activity will support coordination between TB and HIV programs in El Salvador, Guatemala and Nicaragua. Technical assistance will support the Health System Strengthening objective of the Partnership Framework by building the capacity of the health workforce in TB services. Military medical personnel will receive training on TB case identification, diagnosis and appropriate referral for treatment. The partner militaries will implement HIV testing and counseling for all TB patients and TB screening of all HIV-infected personnel. Necessary equipment and laboratory supplies will be purchased to support program area activities. This activity will link with laboratory infrastructure activities to strengthen TB diagnostic capabilities.
