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: 2011 2012 2013 2014
CDC Gap with the support of the TBD partner will continue strengthening the capacity of countries to more effectively reach and deliver sustainable high quality HIV/AIDS/STI/TB services focusing in the areas of service delivery, health workforce capacity and laboratory strengthening. In addition, CDC GAP and the TBD partner will continue supporting the Central America and Panama Ministries of Health with direct expert technical assistance to assist in the development and execution of HIV/STI/TB activities, establishment of a regional surveillance system, staff development for health personnel, and strengthening of a Regional HIV/STI/TB Lab if there is regional stakeholder commitment.
SI Capacity Building The TBD partner will strengthen the capacity in the Central American region through provision of technical assistance, capacity building and coordination. The TBD partner will provide support for planning processes and implementation of plans, including national strategic plans, regional surveillance plan, national surveillance plans and monitoring and evaluation plans. TA to select and harmonize national core indicators will be provided, as well as TA for the establishment of one national body that will be the repository of all/most of M&E and surveillance information.
HIV/AIDS Regional Database Through a TBD partner CDC will continue supporting the Central American regional electronic database based at the MCR/COMISCA. The GAP Central American office will work on the development of the HIV/AIDS regional information database which will allow sharing country specific information and support appropriate planning of HIV prevention and control with emphasis on cross-border issues. The aims are to create a network of database system and to develop systematic data collection, database and computer software related to HIV/AIDS at the country and regional levels. The following activities will be included: 1) Study and survey existing databases in the regional and country levels; 2) Analyze the existing working systems for example information flowing, contents, and relationship between information and reports. 3) Set up a database framework and developed computer software for data collection and processing report at the regional level. 4) Link country databases to the regional system by using the above software. 5) Evaluate the software and database network for expansion of the project. The development of database network between the different levels (country and regional) will provide timely, up-to-date, information for planning and addressing cross-border issues. An HMIS for laboratories will also be supported in coordination with other priority programs such as Influenza and Tuberculosis.
TBD partner will also continue developing and implementing special studies and evaluations as needed.
Pending COMISCA, World Bank and other stakeholder decisions and support for a regional laboratory in STI/TB, CDC will assist in the strengthening of a regional laboratory for STI/TB. The regional STI/TB Lab will be providing technical and scientific leadership for the network, and will provide technical support for the field laboratory training and quality assurance activities of the national reference laboratories.
TBD partner will provide technical assistance to improve quality control and enable participation in global quality assurance activities for selective STI diagnostic methods, particularly, for in-house NAAT assays developed by global and regional reference laboratories and newly developed POC tests.
Collaborate with the global reference center at CDC to implement new and improved laboratory techniques for regional surveillance and response activities through technology transfer arrangements.
Assist in the dissemination of the standardized current approved protocols and manuals; and development of new protocols and manuals for standardized and harmonized STI and TB laboratory testing approaches and quality assurance systems, which will enable the national HIV/STI control programs to monitor the burden STIs and TB over time (trend), and to make inter-country comparisons for global/regional program planning purposes.
CDC and TBD partner will also: continue conducting integrated training activities on STI laboratory techniques, TB, Quality Assurance Systems and biosafety; establish new diagnostic techniques such as Multiplex PCR diagnostic capacity to support the STI component of the behavioral surveys with biomarkers and TB genotyping and resistance testing; and procure equipment, supplies and reagents for new diagnostic techniques for STI /TB in the Regional Laboratory. Per the above, all activities related to a regional STI/TB laboratory will only take place when there is multi-stakeholder support and commitments.
CDC will support the establishment/strengthening of a network for regional and national STI reference laboratories, which are technologically equipped to provide STI laboratory training, technical assistance and reference functions required to enhance STI surveillance, program improvement, and monitoring and evaluation.
CDC will provide assistance to 2 National laboratories for them to participate in the regional laboratory network though improving diagnostic capacity for STI and TB by providing the needed equipment, supplies, and training on new techniques.
To support the engagement of the National Laboratories towards the WHO laboratory stepwise accreditation process, we will also assist with the development of SOPs and Job Aids in support of the accreditation process in the Regional laboratory.
PROVIT is a program that aims to improve detection of HIV among TB patients, TB management and strategic information for TB and HIV. PROVIT was designed by the Regional Office for Central America and Panama of the Global AIDS Program of the Centers for Disease Control and Prevention. CDC through the TBD partner will continue supporting the implementation of the PROVIT strategy in Guatemala, Honduras and Nicaragua, as needed. TBD partner will also be working on the ETR.net database system.
With a TBD partner, training courses will be implemented, including curricula development, preparation of training materials and implementation of courses. Based on the results of laboratory assessments, equipment and supplies will be provided to improve diagnosis of TB and HIV.
A strategy to improve access and coverage of HIV testing will be designed with the TBD partner. To implement the information system, needs assessment will be conducted at each site, servers, equipment and needed software will be purchased. This system will allow us to monitor the programs impact on increasing detection and follow-up of TB cases and HIV testing.
