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 2015 2016
PSI strives to tailor its HIV counseling and testing services appropriately for men and women, and topromote men and women (or men and men and women and women) to be counseled together as couplesas a means to ensure gender equity. PSI will continue its efforts to encourage testing among men as apopulation with fewer regular encounters with the health care system and as leaders in theircommunities./families to set a positive example by knowing their HIV status. PSI will continue its workwith MARPs including sex workers, MSM and mobile populations to increase HIV testing and subsequentHIV prevention and care/treatment seeking behaviors among these groups. Through PSI's CorporateAIDS Program, PSI will continue to expand the availability and accessibility of HTC services in the
workplace.
The content of PSI's HIV counseling and testing work addresses a comprehensive set of counselingmessages that covers prevention strategies, linkages to care and treatment as well as family planningmessages and TB screening and subsequent referral. Counseling messages on these topics are tailoredto the individual based on needs that emerge during the one-on-one counseling interaction. Allcounselors are trained to promote and discuss family planning when appropriate and to make referrals forfamily planning products and services. All counselors incorporate the TB screening tool into thecounseling session and also discuss TB diagnosis and treatment and make referrals as appropriate.
PSI will support the MOH to firmly establish linkage to appropriate care and support services followingcommunity-based HIV testing in all 4 regions of Swaziland. PSI will build on the successful pilot of thePatient Follow Up Standard Operating Procedures, which focuses on linkage to care, retention in careand defaulter tracing. PSI will expand the use of expert clients as additional post-test counselors fornewly diagnosed HIV patients to other key community-based HTC settings. They also will develop andutilize new IEC materials to create demand for linkage to care. To assist in monitoring their efforts, theywill develop/improve existing referrals forms, registers and monitoring systems. This effort will tie inclosely with the full roll out of pre-ART as part of the HIV Comprehensive Package of Care, strengthenedadherence and psychosocial support (APS) and PwP, the Expert Client initiative, clinical mentoring andsupportive supervision, as well as the community linkages program—much of which is primarilysupported by ICAP.
Strategic Area Budget Code Planned Amount
PSI will primarily provide technical support in strategic information to ensure that all community-basedHTC partners have MIS and M&E systems that are in line with national, international and PEPFARguidelines. PSI will help with the integration of the national HTC register and other relevant M&E formsfor all partners/sites. PSI will help ensure that these organizations/sites are reporting into the MOH andwill ensure that MIS systems are integrated and capacitated to support track key HTC indicators.
PSI will also help capacitate the Ministry of Health to collect, manage and use key program data to makeevidence based decisions to ensure HTC program coverage. For example, PSI will provide technicalsupport to the Ministry of Health to establish and maintain the health services tracking map. PSI willwork through the HTC Core Team to ensure quarterly meetings to review the map and make decisionsabout the geographic location of services including HBHTC efforts. As part of quality improvement, PSIwill lead mentorship sessions at HBHTC data collection level to ensure that the quality gaps aremonitored and addressed. PSI will also help transition the database of lay counselors to the Ministry ofHealth and provide technical support to ensure this database is updated on a regular basis.
PSI will support human resources for health by seconding a person to the Ministry of Health to workclosely with the National HTC Coordinator. This person will be focused on community based HTCoutreach and will help coordinate all PSI and partner activities to ensure broad geographic reach of thisHTC approach. A quarterly meeting with all community based HTC implementers will be held to sharebest practices and assist in capacitating CBO's. He will also help to coordinate HBHTC. He willestablish a national HTC outreach protocol that can guide future community based HTC efforts. ThisNational HTC Outreach Coordinator will be funded fully by PEPFAR for two years. Subsequently,integration options will be explored for the position with the Ministry of Health and/or to integrate theresponsibilities with the existing responsibilities of the position seconded by EGPAF.
PSI grant activities will focus on providing HTC to the general population - adults aged 15-49- throughcommunity-based HTC. In pursuit of the national strategic framework objectives to reach 196,000people with HTC on an annual basis and to increase the proportion of men tested to 40% and of womento 50%, PSI will design and focus its activities to be appealing to both men (e.g. dip tanks) and women(e.g. VCT). PSI will also focus on reaching MARPs including sex workers, MSM and transportoperators. The Luke Commission will help ensure that HTC reaches the most rural areas as well as theolder age segments of the general population. PSI will collaborate with existing partners to provide HTCservices in the workplace. Activities will be focused nation wide and will take place in a variety of settings.Outreach activities aim to take HTC services deep into the communities at community events, dip tanks,medical outreach camps, mobile circumcision services, targeted HTC campaign events, workplace andother innovative strategies. PSI will also continue to provide HTC in VCT settings through its New Startfranchise network. PSI will conduct HBHTC to help fill in gaps in HTC geographic coverage. PSI will mapall CB-HTC activities in the country and door to door HTC will be conducted as a ‘fill-in-the-gap' activity.PSI will work with EGPAF to ensure that there is synergy between facility based and community basedHTC activities. PSI will continue to work with the Ministry of Health to refine, test and finalize the nationalreferrals and linkage system. PSI will use its TRaC surveys to assess HTC uptake and to behavioraldeterminants that are correlated with HTC service utilization that will inform the design ofcommunications activities to promote HTC and to normalize testing. PSI will assist MOH to develop anaccurate and reliable M&E system that also harmonizes HTC and care and treatment data. PSI willsupport MOH to establish an HTC health services map using GPS coordinates. To help ensureharmonized messages on HTC across all HTC entry points, PSI will conduct a DELTA MarketingPlanning for stakeholders to develop one national communication plan.
