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: 2012 2013 2014
The Multi-sector Alliances Program (Alianzas), implemented by RTI International, is a public private partnership in the region. In Guatemala, USAID has pooled funds from the education, family planning, maternal and child health and HIV programs for this project. Alianzas will leverage these funds at a 2:1 ratio on the total USAID investment over the life of the award. Alianzas will negotiate and manage alliances and ensure that resources for health, education, HIV reach the most vulnerable beneficiaries at the community level. The approach will permit USAID to achieve cost-savings and also coordinate with a bilateral USAID flagship project for health and education.
The HIV component of the Alianzas project will work through ASAZGUA, the association of sugar cane workers in Guatemala, to focus on the implementation of BCC campaigns that prevent or mitigate infection among migrant sugar cane workers and help reduce the stigma and discrimination associated with HIV/AIDS. RTI plans to begin negotiations with the association of banana workers next. RTI has proposed a comprehensive monitoring and evaluation plan that will provide new insights into the success of this innovative approach and allow USAID to monitor progress towards key GHI and Partnership Framework objectives.
Sustainability: Through collaborations with the USAID policy project, PASCA, the sugar and banana industries have approved workplace policies related with HIV/AIDS. The prevention actions implemented by this Alianzas project are included in the policies. The goal of the project is after 2-3 years of assisting in one factory they will institutionalize the HIV prevention program for the workers within the factory and the industry will take on the responsibility for implementation.
Target populations for VCT activities include mobile populations of sugar cane and eventually banana workers. The program seeks to reach approximately 5,000 target individuals during FY12.
In order to increase access to VCT/STI services among these workers, the Program will continue to implement a mobile VCT approach that includes STI screening and references for STI diagnosis and treatment. Mobile outreach services will first generate demand for such services and then reach target groups at popular gathering places. These mobile VCT teams form part of the project prevention teams and will work to offer an integrated package of services mentioned in the HVOP section. A Unique Identifier Code, developed by PASMO/PSI, will help track referrals and linkages.
The program will also purchase rapid tests. These rapid tests will be purchased according to local guidelines and regulations for the provision of HIV testing services, in compliance with USAID Environmental Regulations for the disposal of medical waste, including needles and syringes.
The project uses an integrated package of activities to prevent HIV/AIDS , .
The Alianzas project will increase access of the mobile populations, initially targetting sugar cane workers who are considered an at-risk group in Guatemala and eventually also working with banana workers, to a minimum package of essential prevention and health services. The minimum package of services is the PASMO/PSI project model. PASMO/PSI will assist in the capacity building related to the provisions of the package of services and provide some trainers for the actual implementation. The package includes three main components:
a) Behavioral: Supports interpersonal communication activities and promotion of the correct use of condoms and lubricants.
b) Biomedical: Strengthens medical actions supporting HIV prevention activities, such as STI screening, treatment, viral load and other testing, etc.
c) Structural: Contributes to the adoption of evidence-based preventive behaviors through support services, such as family planning counseling, referral to support groups, stigma & discrimination training, legal support, violence prevention training, self-acceptance, nutrition programs, referral to alcohol/drug treatment centers, among others.
In addition to working directly in the factories and mills with the workers themselves, the project will also distribute condoms in hot zones that surround these areas.
Alianzas will adapt communication materials, methodologies and approaches to reach the internal migrants, including a mass communication strategy within the mills and factories. These activities have specific gender components that are relevant to the mostly male migrant workers. These activities include working on male norms related to family planning practices and education about gender-based violence.
Quality Control and supervision includes monthly monitoring plans, data collection and analysis, site visits, and a vouchers referral system. The Unique Identifier Code, developed by PASMO/PSI, will be also implemented by the Alianzas Project, allowing the project to track the number of individuals reached through the minimum package.
