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 2015 2016 2017
This ongoing cooperative agreement supports the Central Asia Region (CAR)s PEPFAR Strategy Objective 1, 2 and 3. The goal is to provide TA to the Republican AIDS Center of the Ministry of Health (MOH) in Tajikistan to strengthen: their capacity to implement high quality HIV prevention services for MARP and their ability to measure, monitor, and evaluate HIV morbidity and prevention programs. Six HIV prevention demonstration sites will be established to offer MARPs friendly services in underserved areas and deliver comprehensive packages of quality HIV prevention services. Activities funded through this cooperative agreement will primarily target Ministry of Health staff (clinicians, epidemiologists, data management specialists, policy makers) and MARPs, primarily persons who inject drugs (PWID) and sex workers. Sustainability of the program will be fostered through systems strengthening, trainings, and capacity building of the MOH staff at the national, regional, and health care facility level. USG will work with the TJ MOH and GFATM to ensure sustainability of the demonstration sites at the conclusion of the project period. Train the trainer approaches will allow local staff to assume responsibility of activities later in the project, thus increasing cost efficieny. The project will closely coordinate with other PEPFAR-funded programs, GFATM and international partners to leverage funding and avoid duplication of efforts. The program will monitor indicators using electronic databases and internal registration forms and will be evaluated by the MOH and USG on a regular basis.
This activity supports CAR PEPFAR Strategy Objective 3: Strengthen the capacity of public and private sectors to collect, analyze, manage and utilize data for evidence-based planning and policymaking at all levels. This activity is linked to (1) HVSI BCN Columbia University-ICAP SUPPORT Project/ IM # 12027; (2) Abt Associates Quality Health Care Project/ IM # 12746; and (3) TBD Regional Technical Support project/ IM 13975. Since 2003, the USG helped to launch regular Integrated Biological and Behavioral Surveillance (IBBS) among MARPs that became a routine practice implemented nationwide in Tajikistan. In FY10, the USG team conducted an assessment of IBBS. The results of the assessment revealed the need to improve IBBS practices to ensure more effective implementation. No FY12 funds are being requested to fund strategic information activities through the Republican AIDS Center. Funds from previous fiscal years will be used in FY12 to support a nationwide IBBS conference to present and discuss the HIV epidemiologic situation in Tajikistan. These funds will also be used to support the Republican AIDS Center to conduct size estimation of MSM, PWID, and SW, which will include data entry, data analyses, report writing, and results distribution. The Project will also closely coordinate its efforts with other PEPFAR-funded programs, GFATM, and donors to leverage funding and avoid duplication of efforts.
This mechanism supports CAR PEPFAR Strategy Objective 1. This activity is linked to: (1) HVOP BCN Columbia University (Treatment and Care) Project/IM#12872; and (2) PSI/ IM #12859. No ROP FY12 funds are being requested for these activities. In Tajikistan (TJ), HIV is the most commonly transmitted through injecting drug use. The proportion of annual HIV cases reporting injection use as the method of transmission decreased from 64% in 2006 to 56% in 2010. Over the last few years, sexual transmission of HIV has been increasing, accounting for 27% of all HIV cases in the country (2010). The estimated number of sex workers (SW) in Tajikistan has increased from approximately 1,071 in 2006 to over 12,500 in 2010. HIV prevalence among SW has shown no consistent trend from 2006-2010, with HIV prevalence at 3% in 2010, while the percentage of SW tested for HIV who knew their HIV status increased from approximately 27% in 2006 to 44% in 2010. Under this cooperative agreement, using previous year funds, the USG will provide TA to the Republican AIDS Center to improve access and quality of HIV prevention services for SW. This project will support the TJ MOH to establish a Drop-in-Center for SW, which will offer a comprehensive package of HIV prevention services. The services include distribution of free condoms; informational materials on HIV, harm reduction, and sexually transmitted diseases; referral to medical assistance and social services at local public health facilities, such as STI diagnosis and treatment. The location of these facilities will be determined by examining available data and mapping the location of sex workers to existing HIV prevention services. The project will be implemented in collaboration with other USG funded organizations. USG will work with the TJ MOH and GFATM to support community centers and scale up other HIV prevention sites for MARPs to increase coverage of vulnerable groups with HIV prevention services and to improve the quality of services. The program will monitor indicators, including number of people served; number of referrals made; number of people tested and who received results; and the number of people trained, using electronic databases and internal registration forms. The Project will also closely coordinate its efforts with other PEPFAR-funded programs, GFATM and other international partners to ensure leverage of funding to avoid duplication of efforts.
This ongoing cooperative agreement supports the CAR PEPFAR Strategy Objectives 1 and 2. This activity is linked to: (1) IDUP BCN PSIs/IM #12859; (2) Columbia University/IM#12872; (3) UNODC/IM #12772; and (4) Health Policy Project/IM #13973. Unsafe injecting practices among PWID accounted for 55% of all HIV cases in Tajikistan (TJ) registered in 2009. High levels of stigma and discrimination, and low levels of HIV knowledge, make the estimated 25,000 PWID in TJ difficult to reach. There are 43 Trust Points (TP) throughout the country, which provide HIV prevention services to PWID. However, only 56% of PWID in TJ have been reached with HIV prevention services. HIV prevalence among PWID averaged 18% across all HIV Sentinel Surveillance sites, with the highest prevalence in Kulyab (34%). Overall, 45% of PWID shared needles the last time they injected drugs, with rates of 91% in Kulyab and 86% in Vahdat. This project has two objectives. The first is to increase access to and coverage of HIV prevention services in areas with underserved PWID. The vast majority of the country is mountainous and without paved roads, which prevent PWID from reaching services. In addition, some geographical areas offer no basic HIV prevention services for PWID. This project will support the TJ MOH to scale-up HIV prevention services to PWID, with the establishment of four TPs and a DIC for PWID. The location of these facilities will be determined by examining available data and mapping the location of PWID to existing HIV prevention services. These new facilities will provide access to individual protection items; free condoms; informational materials on HIV, harm reduction, sexually transmitted diseases, and overdose prevention; referral to medical assistance and social services at local public health facilities, and HIV testing and counseling. These activities will be included into the national HIV plan of TJ to avoid duplication of effort and complement existing services for MARPs. The main project will set up models that can be replicated in the future with support of other donors. A vigorous M&E system will be established to evaluate project implementation and results. The program will monitor indicators, including number of people served; number of referrals made; number of people tested and who received results; and the number of people trained.
The second objective is to increase the capacity of MOH personnel providing HIV prevention services to MARPs, at the local and national level, experience monitoring the impact of HIV prevention services with biomedical outcomes. MOH personnel will be able to link HIV prevention activities to outcomes such as HIV testing, STI treatment, HIV treatment, and other health services. The project will also closely coordinate with other PEPFAR-funded programs, GFATM and international partners. These activities will be included into the national HIV plan of TJ to avoid duplication of effort and complement existing services for MARPs.
In light of recent Congressional directives on NSPs, PEPFAR CAR will eliminate direct USG support for NSPs and instead leverage GFATM resources and networks for NSP procurement and distribution with USG-funded MARP outreach and peer education efforts.
