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 2011
HPI aims to improve the enabling environment for HIV prevention, care and treatment in the Asia Pacific region by ensuring:
- national and local HIV policies, plans and programs, based on international best practice, are adopted and implemented;
- effective public sector and civil society champions and networks are developed, strengthened, and supported to assume leadership in the policy process; and
- timely and accurate data are used for evidence-based decision making.
In order to facilitate greater service utilization and to improve quality, HPI strengthens the enabling environment as it relates to supporting MARPs and PLHA. Activities are carried out in support of the USG's comprehensive and coordinated approach to China and in collaboration with the other USAID-funded cooperating agencies, with a focus on strengthening the supportive interventions within the context of the Comprehensive Package of Services (CPS) and Comprehensive Prevention Package (CPP). CPP and CPS ensure that MARPs can access a minimum set of HIV interventions: behavior change communication, counseling and testing, condom promotion and distribution, STI treatment, and linkages to care and treatment. HPI provides assistance in the documentation and packaging of the CPS and CPP models so that these approaches can be cost-effectively scaled up beyond the USAID-funded program. Specifically, HPI directly contributes to 5 of the 6 supportive intervention components: policy, strategic information, capacity building, community mobilization, and stigma and discrimination (but not income generation).
The project works at the macro/structural level, rather than within specific hotspots. It works with both government and emerging civil society sector, and in so doing, promotes partnership between these stakeholders in support of a more enabling environment. Non-discrimination, gender equality and participatory approaches underpin the work.
HPI works at the national level and in Yunnan province, with some outreach activities to Guangxi province.
A review of the supportive interventions under the CPP is planned for December 2009. As a result, HPI planned activities for FY10 may be adjusted to respond to the findings of the review.
GHCS (USAID) = $68,355
GHCS (State) = $35,000
An impact evaluation of the CPP Model for IDU in Guangxi and Yunnan provinces will be conducted in FY 2010 and FY 2011. The IDU model includes behavior change communication, needle and syringe exchange, substitution therapy, HIV counseling and testing, linkages to clinic-, community-, and home-based care and treatment and income generation, and community-based PLHA group support services for HIV-positive IDU and their families. HPI/GMR-C will lead the coordination and documentation of the development and implementation phases of the IDU model and the development of standard operating procedures in collaboration with the other USAID CAs. Specific activities will include:
Facilitate and coordinate the development and implementation of common tools, checklists, and approaches to quality assurance of service provision across the CAs.
Conduct the IDU CPP impact evaluation study in 4 of the 7 "hot spots" (Gejiu, Kunming, Nanning, and Ningming) to address the following key research questions:
o What is the impact on risk behaviors resulting from the implementation of the comprehensive prevention package of services targeting IDU?
- Does a minimum package of prevention services lead to a greater reduction of risk behaviors?
- Do supportive interventions advance the impact of the minimum package of prevention services?
- Does CPP lead to greater access of IDU PLHA to care and treatment?
A quasi-experimental design will be used with two rounds of data collection for the control and intervention sites. A triangulation analysis with the MMT cohort study in 54 clinics in Guangxi will be proposed.
Package, document, and disseminate the USAID CPP model for a wider audience and support the adoption of successful models. Dissemination of the model may include assisting GoC to issue official policy briefs, fact sheets, success stories, high-level forums with stakeholders, one-on-one meetings, and conference presentations.
GHCS (USAID) = $412,795
GHCS (State) = $200,000
HPI will target issues identified in the 2009 Minimum Package of Services and Supportive Interventions reviews, in line with the Comprehensive Service Package and Comprehensive Prevention Package approach, as follows:
A. Ensuring national and local policies and plans are adopted--HPI provides TA in policy development, implementation and monitoring, supports government and civil society to improve policies and legal frameworks. Policy environment has improved, but vague policies and local implementation remain challenges. Ongoing FY11 activities include:
- VCT (Yunnan, Guangxi): Promote NGO role in administering rapid tests; facilitate policy dialogue and implementation to strengthen PITC.
- MMT (Yunnan): Strengthen policy linkages between PSB and Public Health Bureaus; address barriers to MMT access and uptake and IDU rights through HIV legal center.
- NGO regulatory environment (Yunnan): Build on relationships with the Civil Affairs Bureau, emerging civil society and other stakeholders to track civil society development; document NGO registration experiences; advocate for policy improvements with GFATM; forge relationships with government supervisory units and build their capacity to work with MARP- and PLHA-driven NGOs; provide TA from legal center to NGOs wishing to register.
- Stigma and discrimination (Yunnan, Guangxi): Promote legal rights of MARPs/PLHA by supporting government to improve policies and service quality by removing legal and procedural barriers to access; work with PHB to reduce stigma and discrimination by health workers.
B. Strengthening civil society champions and advocates, enabling environment, legal rights, and mitigating stigma and discrimination:
- Advocates (Yunnan, Guangxi): Support PRISM database to assist CA capacity building; expand Resource Needs Estimation Tool (RNET) to MSM treatment and care; develop advocacy plans by PRISM and RNET users and execution via small grants.
- Legal rights and policy champions (Yunnan): TA to the legal clinic to track advocacy issues; TA to develop materials to inform MARPs and PLHA of their rights and strengthen referrals between services and legal center; document legal center model and sustainability.
