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.
1. Commercial Sex Workers Select one or more NGOs to implement the "100% Condom Strategy". Through a cooperative agreement the selected NGO(s) will conduct a mapping exercise to identify venues, times and modalities to effectively meet the needs of female CSWs. The implementing partner(s) will target CSWs in Samana, Santiago, Santo Domingo and Boca Chica, La Romana, and Haina.
Materials will be updated to address more recent social issues and needs. Materials will be focused on developing skills and abilities to negotiate condom use with the clients and regular partners. A comic pamphlet will be developed for CSWs work with clients and regular partners. Theater groups with a dynamic feedback component will be developed.
2. MSMs CDC will select an implementing partner. The partner will conduct a mapping of social gatherings and an assessment of barriers for condom use and access to services to identify strategies and address these barriers. Interventions will seek to:
Empower community groups and identify service providers who are sensible and friendly to MSMs Develop an MSM service-provider guide Outreach to MSM, including peer-to-peer counseling in gay bars and other outlets, and referrals to STI and HIV services. Develop new educational materials or update the existing materials to address prevention issues, stigma and discrimination.
3. Drug Users Select NGO(s) to conduct a KAP study for drug users and through a cooperative agreement implement education not only on the risk of exchanging needles, but also the effects of the perception of risk and the skill and ability needed to negotiate protection with the use of the condom and the vulnerability when facing the need to obtain resources for drug consumption (sex work).
Develop a strategy to implement a program to reach this population with prevention services. This will be done at two levels, a first level to reduce risk through the exchange of needles. The other approach will be to promote the practice of safe sex.
CDC in coordination with the selected partner NGO will develop educational and prevention materials. This materials will address both issues the risk of sharing of contaminated needles and the risk of unprotected sex, and examine the studies on the effects of the psychoactive substances in risky behavior.
4. Mobile Populations
Selected NGO will conduct qualitative studies by populations, to investigate the contexts and conditions of risk of each of these populations, and to identify the need for information and knowledge. IEC materials will be developed with specific CCC focus for each of the populations and face to face interventions. Services will target the areas of Barahona, Bavaro, Puerto Plata, Jimani and Santo Domingo. In the development poles, the selected partner and CDC will develop strategic alliances with constructions companies and hotel associations to implement selected intervention(s)
5. STI Services for MARPs
Conduct an assessment of access to STI services for MARPs
1. Commercial Sex Workers Redacted
a) Continue to support NGOs in the implementation of the prevention programs
b) Implement communication strategy in conjunction GoDR and NGOs
c) Print and distribute materials for CSWs, clients and regular partner
2. MSMs Redacted
a) Develop BCC strategies to address the barriers found in the assessment.
b) CDC will continue to fund program announcement for MSMs Redacted
c) Train health workers to convert the service providers into user friendly for MSMs and subgroups (GTH).
d) Print and distribute service-provider guide
e) Print educational materials
3. Drug Users Redacted
a) Develop communication strategies for behavior change with this population
b) Support and scale up NGOs working with DU
c) Print and distribute educational material geared toward this population to inform of the risks of sharing contaminated needles.
4. Mobile Populations Redacted
a) Develop communication strategy for behavior change
b) FRA to NGOs to Implement CCC strategies for each population and print IEC materials to distribute for each population and conduct face to face interventions.
5. Support the ministry of health to implement VICITS services in 15 STI clinics Redacted
6. Support the ministry of health to strengthen the national STI Surveillance System Redacted
