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: 2010 2011
DOD will identify a TBD partner to strengthen the capacity of the Dominican Armed Forces (DAF) to plan, manage, and implement HIV programs. Activities will build on previous HSS efforts to develop a military-specific strategic plans, policies and capacity building.
Referral networks and service integration will be strengthened for HIV/STI/TB prevention, care, and treatment. Gender norms, substance abuse and confidentiality currently are not approved military policies. DOD policy dialogue will seek to secure the endorsement of military leadership to include these areas in their training program.
Opportunities to strengthen pre-service and in-service training will be expanded and improved for military health care providers in multidisciplinary fields, including STIs, ART management, psychosocial counseling. Military personnel will be trained on how to use HIV surveillance to improve HIV prevention programming.
The DOD will continue to support the provision of quality HIV care for DAF personnel, their partners and families, and in select circumstances, community members who live in the surrounding areas. Basic care provided by military health services to HIV-positive personnel will include clinical staging and baseline CD4 counts, immunologic (i.e. CD4 cell count) and clinical monitoring, prevention, diagnosis and treatment of OIs, psychosocial counseling, and referrals for PLWHA to community-based care and support services based on individual needs.
This activity will enhance the capacity of the health workforce by training military health providers to diagnosis and treat STIs, OIs, and mental health disorders. Training will also include prevention with positives, activities to improve health care providers' abilities to effectively counsel military members on healthy living, reduction of risk behaviors, partner notification and adherence to ART. Efforts will be made to address stigma and discrimination by promoting accepting attitudes towards PLWHA.
Basic care and support activities are implemented in conjunction with other services such as VCT, ART, TB/HIV, OIs, and/or STIs in military delivery settings. TA will be provided to the DAF to strengthen linkages to community-based HIV care and support groups
Using FY2011 funds, DOD will continue to support counseling and testing services and expand to four more sites.
DOD will continue support to the strengthening of the HMIS system in the Armed Forces.
DOD will continue to work with DAF to ensure the updated military strategic plan is properly implemented and reinforced across service components (strategic plan developed by a TBD partner using FY 2009 funding). DOD will continue efforts to strengthen military protocols that reduce stigma and discrimination and strengthen the commitment of the military leadership to support HIV-positive members and HIV programs.
2. DOD will continue to emphasize the importance of good storage practices and inventory systems in central and peripheral military warehouses. This activity will also provide human capacity assistance to the DAF in epidemiology, M&E, blood safety, and laboratory. DOD will also continue supporting the development of physical space and equipment in DAF health centers in order to adequately manage STI/HIV/AIDS and TB related programs
DOD will continue to support prevention activities in the Armed Forces.
DOD will continue to support the training of DAF lab personnel and provide necessary support for equipment and commodities to develop and strengthen laboratory systems and facilities. Continued support will also be provided for laboratory specimen collection and transport. DAF laboratory personnel will be continue to receive training in laboratory SOP development, logistics management, QA/QC activities, utilization of laboratory equipment, and data management. Military laboratories will be further strengthened to provide referral systems to civilian sector labs where resources limit diagnostic and treatment service provision within the military health system.
