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: 2013 2014 2015 2016 2017
The Advancing Partners and Communities (APC) Project is a 5-year USAID-funded project implemented by JSI and FHI 360. APCs grant making and capacity building assistance will be used to strengthen local NGOs. The PEPFAR DR Partnership Framework includes broad civil society participation, prevention and promotion and universal access to integrated care and treatment, especially for key populations, including sex workers, men who have sex with men, mobile populations, and women with fewer than four years of formal education. Through the APC project, USAID/DR will provide grants and technical assistance to 4 lead NGOs to implement evidence-based HIV prevention programs with key populations, in each of the following geographical areas: Santo Domingo, Santiago, La Romana and Puerto Plata. Interventions delivered by lead NGOs and subgrantees (where required) will include sexual prevention, prevention with people living with HIV, and prevention of mother to child transmission. The program will strengthen linkages between NGOs, health facilities, and the private sector for programmatic and financial sustainability. In line with USAID Forward, this mechanism will support the transition to direct funding of local NGOs by the USAID Mission, through building the capacity of NGOs to manage and implement. The activity will draw on PLACE findings (when available), BSS data, Research to Prevention (R2P) studies to maximize effectiveness.
All NGOs have a complete program of pre and post-test counseling and have trained psychologists to assist patients in managing the information regarding their test results. Pre and post-test counseling will be the main assistance provided through this indicator. To be counted in this indicator, NGOs ensured people received an HIV test and when possible, counseling and follow up referrals for care and/or treatment. Testing occurs either in a hospital, clinic or at HIV testing sites. Coverage of HTC among the key populations cannot be estimated accurately, as there is no size estimation data. This gap in population size estimates should be addressed through CDC-supported surveys due to share data during 2013. Active referral to PMTCT and accompaniment to support linkages from HTC to care, treatment and other prevention services will be a key focus area of the project for female members of key populations.
Size estimation and intervention design will be informed by the 2012 BSS data currently being analyzed by CDC. As well as ensuring that interventions focus on the most important determinants, the size estimation will enable an estimation of population coverage for different key populations (MSM, FSW, DU). PLACE will be supported through Measure Evaluation to enable more effective targeting of prevention activities with key populations. The following geographical areas: Santo Domingo, Santiago, La Romana and Puerto Plata. Quality assurance standards and supportive supervision will be the part of the remit of the implementing agency (JSI) to ensure effective interventions. The prevention package for key populations is still being defined, including differences in specific packages for populations. The packages are expected to include: Peer education and outreach; Sexual risk reduction counselling; Condom and lubricant promotion and distribution; Peer health navigation and accompaniment; HIV testing and counselling; STI screening and treatment; Prevention, diagnosis and treatment of TB; Solidarity and community mobilization; Linkages to other health, social, economic and legal services; Referrals to HIV care and treatment, including prevention of mother to child transmission. Prevention with positives is expected to include: HIV testing and counselling of sexual partners; Support to safe disclosure to sexual partners and family members; Safer sex counselling; Alcohol use assessment and counselling; Family planning and safer pregnancy counselling; Assessment and treatment of other STIs; Condom distribution and promotion; Adherence counselling and support; Development and support of client-driven prevention goals; Participation in relevant peer support activities.
A key recommendation from the PEPFAR TWG assessment visit to the DR in January 2013 was to include PMTCT elements in minimum package of evidence based interventions offered to female key populations. It is important to include high-priority PMTCT messages in national key populations BCC programming and related key pops-focused campaigns. Case reporting that includes risk factor data can be used to inform both PMTCT and key populations programming. Referrals to services should include PMTCT, preferably through active linkage. As well as providing PMTCT services in some instances, the NGO grants will support demand creation for PMTCT through community mobilization and active referrals to facilities providing PMTCT to increase PMTCT uptake and improve adherence and retention in treatment for HIV positive women.
