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: 2008 2009
USAID has the largest share of the total PEPFAR budget for USG/DR (79% in FY08) and the largest in-
country presence of technical staff. Half of the USAID/DR health portfolio budget is devoted to HIV/AIDS
activities. USAID is highly invested in prevention, treatment and care interventions across all program
areas. USAID also plays the lead role in coordinating USG HIV/AIDS activities with GODR and other non-
USG stakeholders.
USAID/DR mission HIV/AIDS staffing includes the Health and Population Team (HPT) Leader, HPT
technical staff, and support from other offices within the USAID/DR mission. The USAID/DR HIV/AIDS
program is comprehensive and PEPFAR-funded staff work across many program areas, therefore all staff
are included in the management and staffing budget.
The HPT Leader is a direct hire responsible for the entire USAID/DR health portfolio, including HIV/AIDS
activities. The HPT Leader dedicates approximately 30% of her time to HIV/AIDS activities, including
leadership and supervision of the HIV/AIDS core and expanded team and representation of USAID in the
HIV/AIDS - GF Country Coordination Mechanism (CCM) and the International Donors Committee. As
delegated by the Mission Director, the HPT Leader may serve as interlocutor with senior-level GODR
officials and multi-national donors. In addition, the HPT Leader is responsible for development and
implementation of the Mission's strategic plan and the country work plans related to HIV/AIDS. She is also
responsible for integration, as appropriate, of HIV/AIDS activities into the Mission's other technical
programs, including maternal and child survival, democracy and governance, education, and economic
growth. The HPT Leader position is paid for with USAID operating expenses and is not PEPFAR-funded
The HIV/AIDS Project Manager is a senior level, LES staff member to with responsibility for coordination of
the Mission's HIV/AIDS activities, assistance in the preparation of the strategic plan and the country work
plans, and the day-to-day coordination of activities with HIV/AIDS stakeholders including the technical staff
of the GODR, donors and other HIV/AIDS stakeholders. Currently, the HIV/AIDS Project Manager spends
75% of her time to HIV/AIDS activities and 25% to the Mission's tuberculosis activities.
The Health Specialist -Technical Leadership Manager provides technical direction to program activities
ensuring sound epidemiological, clinical and preventive medicine criteria are applied in program
implementation. The Health Specialist -Technical Leadership Manager shares responsibility for
management of HIV/AIDS projects. The current Health Specialist -Technical Leadership Manager is a US
direct hire (USDH), although by FY2009, the position may transition to another USAID/Washington-funded
junior officer or to a LES position. Currently, the incumbent spends 75% of his time on HIV/AIDS and 25%
on other health-related activities.
Health Reform Specialist - Technical Advisor/Program Manager is a LES who dedicates 25% of her time to
managing HIV/AIDS within the USAID/DR health reform/systems strengthening portfolio. Current activities
include strengthening quality health care services, ensuring appropriate financing and services for HIV/AIDS
and other diseases, and integration of HIV/AIDS services within the context of the health care reform.
Current functions include management of projects improving quality health services and channeling HIV
funds for HIV/AIDS activities managed by NGOs. Activities starting in FY2009 will involve being
management of activities focusing on health sector reform, improvement of health services and integration
of HIV/AIDS health care activities.
USAID/DR is planning to create a new LES M&E Specialist position. The M&E Specialist will be involved in
all aspects of M&E, include data gathering, compilation, basic analysis and reporting of USAID/DR
HIV/AIDS program activities. In addition, the M&E Specialist will have responsibility for coordinating
PEPFAR reporting activities between USAID and other US agencies with PEPFAR programs in the DR.
The M&E Specialist will work on HIV/AIDS activities full-time.
The Program Assistant position, to be filled by a LES, is currently vacant. The Program Assistant prepares
procurement documents and other specialized administrative support as needed. It is expected that the
Program Assistant will dedicate 50% of his/her time to support HIV/AIDS activities.
In addition to the above HPT positions described above, USAID/DR PEPFAR staffing includes positions
from other offices within the mission. The Financial Analyst, a LES, spends 50% of her time on budgeting
and financing issues relating to HIV/AIDS activities. The Acquisition and Assistance Specialist (A&A), a
LES, spends 50% of her time on procurement activities related to HIV/AIDS funding of the health portfolio
and the principal A&A instruments corresponding to HIV/AIDS. The Program Development Specialist is a
LES who spends 50% of his time working closely with the HPT on HIV/AIDS, providing programmatic
assistance to the health portfolio and ensuring activities are in accordance with USAID and PEPFAR
programmatic rules, regulations and guidelines. Finally, one of the five LES USAID drivers who provide
transportation services within town and for travel to field sites 50% of his time supporting transportation
related to HIV/AIDS activities.
