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.
A new implementing partner (IP) will conduct a project entitled, "Support for HIV/AIDS activities serving highly vulnerable populations in Côte d'Ivoire under the President's Emergency Plan for AIDS Relief (PEPFAR)." The IP will work to improve the quality and increase coverage of HIV/AIDS prevention and care services targeting highly vulnerable populations (HVP) in Côte d'Ivoire, including professional sex workers (SW), occasional and/or transactional sex workers, the regular partners of sex workers, men who have sex with men (MSM), and prisoners.
The goals of this project are to: reduce transmission of HIV and sexually transmitted infections (STI) in HVP through the provision of comprehensive prevention, care, and treatment services; improve the quality of care to HVP at existing service centers; increase the coverage of services to HVP throughout the country; reduce stigma and discrimination of HVP, including those infected or affected by HIV/AIDS; and build national capacity to implement and manage quality services for HVP. Project interventions are in the program areas of other sexual prevention, counseling and testing, adult care and support, and orphans and vulnerable children (OVC).
The IP will provide a minimum package of services to HVP consisting of: care and treatment of HIV/AIDS and STIs, counseling and testing (CT), prevention activities through behavior change communication (BCC) and peer education, condom distribution, community outreach, ARV services, and income generating activities. The IP will also provide technical assistance, training, supervision, and general program oversight to local NGOs in the planning, implementation, and monitoring of HIV/AIDS activities serving HVP. Through a system of subgranting, the IP will build the capacities of these local NGOs to design, implement, and manage activities, as well as to improve their organizational management to better coordinate financial and administrative management.
The IP will also provide technical assistance to various ministries, namely the Ministry of Health through the National Care and Treatment Program (PNPEC) in its adult care and support activities, and the National Program for Orphans and Vulnerable Children (PNOEV) under the Ministry of the Family, Women, and Social Affairs (MFFAS) for national OVC program coordination.
Monitoring and evaluation (M&E) is a key component in tracking progress and improving service delivery for HVP. In addition to routine M&E activities such as supervision, data collection, and service mapping, the IP will train subgrantees in using a standardized protocol for situation analyses in their area (including "hot spot" mapping of SW), assist national ministries in mapping service gaps and coverage, and conduct HVP research in areas such as population and/or mobility estimates, HIV-related knowledge and behavioral studies, seroprevalence, and service access to better inform service delivery and improve the quality of care.
In efforts to create and maintain sustainable systems, the IP will elaborate a sustainability plan in collaboration with subgrantees to ensure the continuation of activities targeting HVP after the end of the project period. This plan will address weaknesses in annual capacity assessments through interventions such as increased training, increased financial reinforcement, and increased technical assistance. Collaboration with ministries and national HVP working groups will also play a significant role in ensuring long-term practical strategic planning. The IP will work with these groups to put in place sustainable coordination and planning systems for addressing service delivery for high-risk populations such as SW, MSM, and prisoners. Best practice documents will be developed and delivered, thereby enhancing evidence-based programs and ensuring minimum standards in quality service delivery for HVP.
In FY10, the IP will conduct activities in two main axes of adult care and support: (1) implementation of palliative care (PC) interventions targeting HVP and (2) technical assistance to the National HIV/AIDS Care and Treatment Program (PNPEC) under the Ministry of Health, as well as to other PC collaborating partners.
More specifically, the IP will conduct the following key activities in FY10:
Support the PNPEC and the Ministry of AIDS (MLS) to develop and disseminate to physicians and other related parties a document summarizing the essential aspects of current regulation on opioïds
Support sub-grantees providing care to HVP, particularly in the area of STI drug procurement
Provide coordination and coaching for HVP community-based activities at services sites, establishing appropriate linkages to care to ensure a minimum package of services
Support a cervical cancer screening project for female SW
Assist PC mobile units in providing peer education and on-site care to HVP
In FY10, the IP will strengthen and expand HIV counseling and testing (CT) services targeting SW, including coverage of CT services through mobile units. The following key activities will be conducted by the IP in FY10:
Support sub-grantees who provide CT services to HVP as a component of a minimum package of services
Train service providers in interpersonal communication (IPC) to promote CT in service delivery settings, with a focus on family and couples testing
Provide comprehensive care for those HVP testing seropositive, with appropriate linkages to treatment, testing for other STIs and opportunistic infections, psychosocial support, etc.
With FY10 funds, the IP will provide technical and financial support to local NGOs for prevention activities. Activities such as condom education and distribution, as well as peer education and small group level interventions, will serve to strengthen prevention activities among these high risk groups in order to decrease HIV exposure. Quality assessment activities, technical audits, and supervision visits will continue for all prevention sites to evaluate quality and adherence to new behavior change communication (BCC) guidelines.
Provide support to sub-grantees conducting other prevention activities at HVP service sites
Procure and distribute male and female condoms to HVP, along with appropriate education pertaining to correct and consistent condom use
Conduct community-based BCC and HIV/AIDS prevention sensitization among SW and their partners
Train community health workers to HIV/AIDS prevention to HVP
