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.
HPI/Futures Group became an MC partner in Swaziland during FY08. Activities to date have included the secondment of an MC Coordinator to the MOH and initial costing exercises. Prior to their in-country presence, HPI completed a multi-country study to estimate the cost and impact of male circumcision in Swaziland, Lesotho and Zambia. Based on this 2007 study, MC was determined to be cost effective especially with rapid scale up and incorporated into the broader health package. With this evidence, Swaziland developed a plan for nationwide scale up that is now being implemented.
Within the Partnership Framework and the NSF, the GKOS and the USG established a goal of circumcising 80 per cent of 15-24 year old males within the next five years. PEPFAR through HPI seconded an MC Coordinator to the MOH to provide leadership and coordination of MC partners through the MC Task Force and to coordinate with other MC activity donors including Bill and Melinda Gates Foundation (BMGF) and technical advisors within WHO and UNICEF.
As HPI will continue to support the country-wide scale up of MC services, geographic coverage of this activity is national with a priority target of 15-24 males.
This activity will build the capacity of the Task Force to provide technical leadership on the scale up of MC services and in conducting costing studies. As local capacity is developed, less external support should be needed and lessons learned can be translated to other HIV prevention, care, and treatment areas.
This activity includes 'addressing male norms and behaviors' as a cross cutting key issue.
The MC coordinator will oversee the routine data M&E of the MOH related to MC indicators to ensure better tracking of service provision and adverse events.
Activities supported by HPI/Futures Group contribute to GKOS ownership and advancement of national scale up under the PF MC pillar. Specific activities include:
1. Support the MC Coordinator's secondment to the MOH and associated office costs.
2. Assist the finalization, launch and coordination of the national MC scale up plan, including but not limited to: the MC policy, national task shifting guidance, clinical and behavioral protocols, and a coordinated approach to MC research in country.
3. Support MC costing exercises as requested by the national MC task force.
4. Conduct desk review and secondary data analysissupplemented with primary data collection through key informant interviews to understand the policy, operational, and financing issues affecting access to MC services in the private sector.
5. Coordinate information sharing both within Swaziland, the region and globally through list serves and use of the malecircumcision.org website.
The MC Coordinator will lead the Task Force in conducting key informant interviews with healthcare providers, government officers, representatives of donors and nongovernmental organizations, and traditional leaders to better understand existing demand-side financing mechanisms. HPI will actively engage the private sector in problem identification, barrier analysis and identifying potential implementation strategies to expand coverage of MC. Two data collection instruments will be designed: one for service providers and one for policymakers and stakeholders. Extensive notes of focus groups and interviews will be made so that themes can be readily identified.
Task Force members will review and update the existing data and with the support of HPI, conduct a cost analysis. Financing schemes from the region will be incorporated into the revised cost analysis tool. Results from this analysis will be used in forming recommendations for including the private sector in expanding MC services in Swaziland. Key will be identifying the gap that can be filled by the private sector and offering recommendations for easy implementation within Swaziland.
