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: 2012 2013 2014
The Dominican Republic Armed Forces (FFAA) population falls within the other vulnerable populations at risk for STIs and HIV. Fundacion Genesis will provide technical assistance to support military capacity to administer HIV program activities in Sexual Prevention, Testing and Counseling, Strategic Information, Adult Care and Health System Strengthening. Prevention emphasis will be on expansion and enhancement of existing combination prevention programs. FFAA members will be provided the necessary skills to change behaviors, engage in safe sex practices, decrease other risk behaviors and learn their HIV status. Fundacion Genesis will strengthen the capacity of the FFAA to provide accessible, confidential, and quality testing and counseling (TC) services. Efforts will be made to integrate TC services into existing medical health services and routine medical care through provider-initiated testing and counseling (PITC). Fundacion Genesis will strengthen the capacity of the FFAA to plan, manage, and implement HIV programs. Referral networks and service integration will be strengthened for HIV/STI/TB diagnosis, care and treatment. Strategies for improving partnerships with other governmental organizations, NGOs, and private entities working on HIV and health will be emphasized. The program will aim to incrementally increase the financial and human resource contributions of the FFAA. Fundacion Génesis will assist and strengthen the service delivery within the FFAA along the continuum of HIV prevention, treatment and care.
Fundacion Génesis will assist and strengthen the service delivery within the FFAA along the continuum of HIV prevention, treatment and care. Referral networks and service integration will be strengthened for HIV/STI/TB care and treatment. Strategies for improving partnerships with other governmental organizations, NGO, and private entities working on HIV and health will be emphasized. Specifically, the partner will work with both military testing and counseling sites and Ministry of Health care service delivery sites to improve linkage to services for military dependents not eligible for care under the military health care system or outside the geographic area for follow-up with military specific treatment facilities in the capitol.
Fundacion Génesis will continue to build the capacity of the Dominican FFAA to strengthen their monitoring systems for HIV positive patients, utilizing information captured during visits for decision making and improvements in the provision of quality care and treatment.
Activities will encourage partner militaries to review and utilize data to improve the military healthcare system, direct policies, and improve the quality and cost-effectiveness of HIV prevention, treatment, and care and support services in militaries. Continued support for building capacity will be provided in the areas of monitoring and evaluation and the use of strategic information.
Short-term technical assistance and periodic on-site training and mentorship will be provided in data collection, utilization of program monitoring data. Strategic Information activities with the partner military will also help to inform policy. Military personnel will be trained in M&E of military-specific HIV operational plans to identify needs and gaps related to programs.
This activity will strengthen the capacity of the FFAA to plan, manage, and implement HIV programs. Referral networks and service integration will be implemented for HIV/STI/TB care and treatment. Specific strategies to be implemented for improving partnerships with other governmental organizations, NGO, and private entities working on HIV and health will be developed.
Program activities will secure FFAA leadership support of interventions addressing integration of prevention programs into military training. Those integrated trainings will address gender norms and behavioral changes that support the adoption of healthy lifestyles. In addition FFAA will incorporate resources for program success and sustainability. Mechanisms for leveraging additional resources and creating greater resource efficiencies will be developed.
FY12, activities will strengthen the capacity of the FFAA to provide accessible, confidential, and quality testing and counseling services. Efforts will be made to integrate Testing and Counseling (TC) services into existing medical health services and routine medical care through provider-initiated testing and counseling (PITC).
TC opportunities for military personnel will be expanded (i.e. on bases, pre/post deployment, and temporary assignment) and activities will link with other prevention activities as well as provide access to other support services. TC activities will link with prevention sensitization activities to educate participants and access other support services. As the military increase their capacity for managing TC activities, couples TC will be promoted among military personnel and their partners in order to identify serodiscordant couples and encourage safe sex practices and other preventive behaviors. Fundacion Genesis will work with military health and national supply chain mechanisms to ensure TC sites have sufficient supplies, adequate and secure storage facilities, as well as inventory monitoring and tracking systems for HIV test kits.
TA in the provision of quality HIV TC services will be provided to military TC providers. Counseling will be performed in accordance with national guidelines and will include targeted prevention messages, emphasizing the reduction of risk behaviors, and address issues surrounding stigma and discrimination.
Building on previously funded trainings, training and refresher training of counselors will begin to focus on management and supervision and advanced TC skills such as posttest counseling that works with individuals to develop specific risk reduction plans.
A monitoring and evaluation system will be implemented through i.e. standardized logbooks, client data forms, monthly reporting forms, and other methods that comply with the national reporting systems and requirements.
The goal of the prevention program is to decrease new HIV infections in the FFAA. Strategies to accomplish this goal include: 1) Increase coverage and quality of behavior change communication (BCC) messages. 2) Support the provision of HIV prevention messages beyond abstinence and faithfulness for MOD/military members. 3) Capacity building of Commanding officers for leadership support and integration of HIV prevention education and training within routine military training and schedules 4) production and dissemination of information, education and communication (IEC) materials focusing on HIV/AIDS prevention, consistent and correct condom use.
Key prevention activities include:
Develop military specific prevention information, education and communication materials on issues such as stigma reduction, gender norms, condom availability and use, STIs, the influence of excessive alcohol use on risk taking behaviors and the promotion of healthy living and health seeking behaviors. Such information will also be made available during national and international days such as World AIDS Day, TB Day, National Testing Day and Military Days.
Further training on gender and HIV/AIDS and male norms initiatives will be conducted with FFAA personnel.
Support FFAA participation in regional military HIV/AIDS conferences to share best practices and lessons learned and other scientific meetings to share the evaluations of their interventions and programs.
Leadership of the MOD will be consulted and involved in planning, implementation and monitoring and evaluation of the program.
