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: 2007 2008 2009
Cote d'Ivoire (CI) has the highest national HIV prevalence in West Africa, with both HIV-1 and HIV-2 viruses
present. Data from the 2005 National AIDS Indicator Survey describes a generalized epidemic (prevalence
4.7%) marked by important gender and geographic differences, early sexual debut, intergenerational and
multiple concurrent partnerships, weak knowledge of HIV transmission and prevention, and low condom
use.
The PEPFAR CI team has been working with the Ministry of Health (MOH), the Ministry of AIDS, other
government bodies and PEPFAR implementing partners build capacity to provide higher-quality prevention,
care, and treatment activities and services for Ivoirians. At present, the number and varying quality of
service providers limits ability to implement and scale up quality programs and coverage. USG partners
have been working since 2004 to strengthen indigenous capacity to respond to the epidemic with
appropriate, high quality programs. Within this context, the USG Cote d'Ivoire program supports
comprehensive HIV/AIDS prevention interventions targeting the general population and specific sub-
populations in urban and rural areas across the country.
With HIV/AIDS care and treatment becoming more accessible in Côte d'Ivoire, women, men, and young
people are regaining their health, living longer, and planning for their futures, which includes decisions
about their sexuality and the possibility of starting or expanding a family. They are struggling with a number
of sexual and reproductive health issues, such as repeated disclosure of their HIV status, HIV discordance,
safe-sex strategies, family planning, pregnancy, and gender-based violence.
Women and girls infected with or affected by HIV/AIDS are among the most underserved populations in the
country. Those who are HIV-positive are at particular risk for STIs, high-risk pregnancies, vertical and
sexual transmission of HIV, and incompatibility between ART and some contraceptives and STI treatments.
Women and girls who are most vulnerable to HIV are often at higher risk for financial, physical, and
emotional stress. Women and girls infected or affected by HIV are also at higher risk of stigma,
discrimination, social isolation, and violence. The few services that exist for women and girls are not
designed to address these very specific needs.
With FY08 funding, a team of EngenderHealth global staff and/or consultants will work in partnership with
Femmes Actives de Cote d'Ivoire and AIBEF to support implementation of integrated sexual and
reproductive health-HIV (SRH-HIV) activities at 10 health facilities in the East Central region. In FY09,
EngenderHealth will hire a small core team of full-time staff based in CI. With FY09 funding,
EngenderHealth in-country staff will continue to provide technical and financial assistance to Femmes
Actives de Cote d'Ivoire and the family-planning association AIBEF to:
1. Design, implement, and evaluate SRH-HIV integrated services at 10 additional health facilities, including
positive prevention and prevention of unintended pregnancies.
2. Upgrade health facilities to support introduction of integrated SRH-HIV services.
3. Implement trainings on SRH-HIV integration, stigma reduction, and demand-generation activities in the
community, and develop and distribute BCC materials on SRH-HIV for PLWHA, including positive
prevention and prevention of unintended pregnancies, within the COP 2009 guidelines on HIV and family
planning linkages.
EngenderHealth will strive to achieve local ownership and sustainability among local partners, the MOH,
and village/community planning structures through the following processes:
- Informational meetings will be conducted with community and national/regional/district MOH officials at the
beginning of the project to brief them about the project's objectives and activities and at the end of the
project to disseminate the project results.
- Representatives from local PLHIV networks and community organizations in each district will be invited to
participate in all planning and training activities.
- Program managers, doctors, nurses, and social workers from MOH and CBO/FBO health facilities within
the service network of the project sites will be invited to participate in all planning and training activities.
- Planning meetings will be conducted with district health officials and CBO/NGO program managers to
identify the services sites, coordinate project activities, and select health personnel to participate in the
training activities. We will also promote the inclusion of project interventions into comprehensive health
council plans.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Health-related Wraparound Programs
* Family Planning
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $15,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
4.7%) marked by strong gender and geographic differences, early sexual debut, intergenerational and
The PEPFAR CI team has been working with the Ministry of Health (MOH), the Ministry of AIDS (MLS),
other government bodies, and PEPFAR implementing partners to build capacity to provide higher-quality
prevention, care, and treatment activities and services to Ivoirians. At present, the number and varying
quality of service providers limits the ability to implement and scale up quality programs and coverage.
Within this context, the USG CI program supports comprehensive HIV/AIDS prevention interventions
targeting the general population and specific sub-populations in urban and rural areas across the country.
Primary HIV prevention priorities for Cote d'Ivoire include promoting behavior change to delay sexual debut
and promote life skills for in- and out-of-school children and youth; decrease cross-generational and
coerced sexual relationships; promote fidelity linked to HIV testing within sexual partnerships; decrease
hospital-related HIV infection through improved blood-safety and injection-safety programs; and reduce risk
among high-risk populations. Abstinence and Be Faithful (AB) components target adult men and women as
well as youth. These include working with women and girls to emphasize linkages to prevention of mother-
to-child transmission (PMTCT), working with men and boys to promote messages about gender equity and
violence, and working with children and youth through life-skills and Sports for Life programs. All sexually
active target populations receive messages about the importance of HIV counseling and testing.
EngenderHealth recognizes the importance of partnership between women and men, as well as the crucial
need to reach out to men with services and education that enable them to share in the responsibility for
health. To address this, EngenderHealth established its Men as Partners (MAP) program in 1996. Through
its groundbreaking work, this program works with men to play constructive roles in promoting gender equity
and health in their families and communities. EngenderHealth works with individuals, communities, health
care providers, and national health systems to enhance men's awareness and support for their partners'
health choices, increase men's access to comprehensive health services, and mobilize men to take an
active stand for gender equity and against gender-based violence. EngenderHealth has developed MAP
programs in 15 countries in Africa, Asia, Latin America, and the United States.
MAP is designed to address attitudes and behaviors that adversely affect the health of men and women and
to link gender equity, male involvement, and improved health for men and women. The MAP approach
consists of workshops in which men and mixed groups explore gender roles and are trained as peer
educators to promote gender equality in their community. The program challenges contemporary gender
roles that equate manliness with a range of risky behaviors, such as violence, alcohol use, multiple sex
partners, and domination over women. MAP addresses both the HIV epidemic and violence against women
within a comprehensive framework for recognizing and dealing with the complexities of how gender roles
affect men's and women's lives. The intervention combines a community-based participatory group
approach with interactive educational activities. Preliminary evaluations of the program in South Africa
indicate that the program is a promising intervention for HIV prevention.
In FY08, the USG CI program funded EngenderHealth, Care International, and Hope Worldwide to adapt
the Men as Partners program for the Ivoirian context, in collaboration with relevant ministries, HIV and
health-sector partners, and other donors.
With FY09 funding, EngenderHealth will support scale-up of the MAP program through the following main
activities:
• Participate in the behavior change communication technical working group led by the Ministry of AIDS
(MLS) and work with JHU/CCP and the MLS to ensure that translated and adapted materials for male
norms (such as Men as Partners) are included among national communications resources.
• Build the capacity of new MAP partners, including the CI Ministry of Education, the CI Ministry of Defense,
and ANADER, to implement the MAP program, including a training for partners' community workers on how
to conduct MAP workshops, how to mobilize participants to promote behavioral change among their peers
and within the communities where they live, and how to provide adequate supervision for peer educators.
• These efforts will be further supported by large-scale community events and campaigns led by the
partners themselves. .
• Participate in MLS-led efforts to improve quality of prevention programs and review of indicators,
supervision tools, and expected outcomes of peer education based programs.
• Provide technical support to partners for evaluating MAP activities using a modified version of the Gender
Equity Male (GEM) Scale.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16526
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16526 16526.08 U.S. Agency for Engender Health 7046 5310.08 GH-08-2008 $134,945
International RESPOND
Development EngenderHealth
Gender
* Addressing male norms and behaviors
* Reducing violence and coercion
Estimated amount of funding that is planned for Human Capacity Development $20,000
Table 3.3.02:
consists of workshops in which men and mixed groups explore gender roles with the aim of promoting
gender equality. The program challenges contemporary gender roles that equate manliness with a range of
risky behaviors, such as violence, alcohol use, multiple sex partners, and domination over women. MAP
addresses both the HIV epidemic and violence against women within a comprehensive framework for
recognizing and dealing with the complexities of how gender roles affect men's and women's lives. The
intervention combines a community-based participatory group approach with interactive educational
activities. Preliminary evaluations of the program in South Africa indicate that the program is a promising
intervention for HIV prevention.
In FY08, the USG CI program funded EngenderHealth Care International, and Hope Worldwide to adapt the
Men as Partners program for the Ivoirian context, in collaboration with relevant ministries, HIV and health-
sector partners, and other donors.
With FY09 funding, EngenderHealth will work with JHU/CCP and the Ministry of AIDS (MLS) to ensure that
adapted Men as Partners materials are validated and included in national communications strategies.
EngenderHealth will also support scale-up of the MAP program by building the capacity of new MAP
partners, including the CI Ministry of Education, the CI Ministry of Defense, and ANADER, to implement the
MAP program. MAP workshops will mobilize participants to promote behavioral change among their peers
and within the communities where they live. These efforts will be supported by large-scale community
events and campaigns.
EngenderHealth will work with local organizations and stakeholders to distribute MAP BCC materials and to
promote and distribute condoms at MAP community events. EngenderHealth will also provide technical
support to partners for evaluating MAP activities using a modified version of the Gender Equity Male (GEM)
Scale.
Continuing Activity: 16766
16766 16766.08 U.S. Agency for Engender Health 7046 5310.08 GH-08-2008 $45,300
Table 3.3.03:
In FY08, EngenderHealth staff will work in partnership with Femmes Actives de Cote d'Ivoire and the family-
planning association AIBEF to support implementation of integrated reproductive health-HIV (SRH-HIV)
activities at 10 health facilities in the East Central region. In FY09, EngenderHealth will continue to provide
technical and financial assistance to Femmes Actives and AIBEF to:
community, and develop and distribute BCC materials on SRH for PLWHA, including positive prevention
and prevention of unintended pregnancies, within OGAC guidelines on HIV and family-planning linkages.
- Informational meetings will be conducted with community and national/regional/district MOH officials at
the beginning of the project to brief them about the project's objectives and activities and at the end of the
Continuing Activity: 15116
15116 10077.08 U.S. Agency for Engender Health 7046 5310.08 GH-08-2008 $150,000
10077 10077.07 U.S. Agency for Engender Health 5310 5310.07 ACQUIRE $150,000
International Project-
Estimated amount of funding that is planned for Human Capacity Development $50,000
Table 3.3.18:
