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.
The National AIDS Program (DIGECITSS) initiated the provision of PMTCT services in four hospitals in the year 2002 with the support of the Elizabeth Glaser Foundation, USAID/DR, UNICEF and the Spanish Rioja Cooperation which provided the supplies of Nevirapine. Actually, there are 138 hospitals in the country providing PMTCT services and approximately 30 of these hospitals are provided with technical assistance and support either through The Centers of Excellence Project implemented by ABT Associates or the Strengthening HIV/AIDS Services Project, now implemented by FHID360. PMTCT services were provided by a health team contracted and supervised by DIGECITSS and which did not responds to the hospital authorities. As a result, opportunities to provide quality services to mother and child are lost. This situation is changing with the implementation of the Health Sector Reform Law and MOH authorities are in the process of integrating PMTCT and Maternal and Child Health services with the technical assistance and support of MCHIP, ABT and FHI D360. With the agreement signed between GODR and PEPFAR to strengthen and expand PMTCT services in the ten largest hospitals, USAID/DR has decided to include HIV/AIDS funds into this activity in order to expand the technical assistance and support provided by MCHI.
This activity is based on the 2006-2009 BASICS experience in four regional hospitals and the recent experience of providing technical assistance in the area of newborn health to the ten hospitals supported by the Centers of Excellence In FY 2012 FY2013, MCHIP will scale-up the intervention for quality improvement of prevention and treatment of newborn sepsis in the COE as part of the regional strategy to improve newborn health and implement quality improvement activities, as well as management of newborn sepsis. MCHIP will also strengthen the implementation of a Family Centered Maternity and Kangaroo Mother Care Strategies in the ten largest hospitals providing PMTCT services in coordination with FHI D360, and will provide technical assistance to integrate, family planning, PMTCT and HIV and AIDS care and treatment. It is expected that MCHIP will establish alliances with partners promoting newborn health and implement the "Helping Babies Breathe" (HBB) Curriculum for newborn resuscitation in the ten largest maternity hospitals.
