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.
Making Medical Injection Safer (Track 1)
This is a continuing activity from FY05 and FY06. This is a centrally managed Track 1 award.
PEPFAR Ethiopia planned the project to expand to 393 health centers and satellite health posts in the 2006 fiscal year and set a target of 2670 health workers to be trained on injection safety. In the year 2007 the project planned to reach 400 Health centers and satellite health posts and 4000 health workers were approximated to take part in the trainings.
Training will focus for prescribes why there is a need to reduce injections, providers on how to provide safe injection including all the steps and rights and segregating wastes at the source of generation.
Supplies will be provided to the health facilities thus 14 million syringes and 72,000 safety boxes will be distributed in 2006 and as the expansion sites increased some 20 - 30 million syringes and equivalent amount of safety boxes will be targeted for the 2007 supply forecasts.
The ultimate plan is to achieve a National coverage by the year 2008.
A total of 24 health facilities were targeted for incinerator maintenance and around 44 health facilities waste collection materials will be supplied for the introduction of three-bin system and strengthening waste segregation at the point of generation. Waste Handlers will be trained on how to handle infectious wastes safely and appropriate protective devices like goggles, heavy duty gloves, aprons and boots will be provided.
Since the introduction of MMIS multiple studies were conducted in six regions of the country where MMIS is currently working. The studies revealed that unnecessary injections were rampant, recapping of syringes is a common practice and needle stick injuries reported by the respondents.
The interim evaluation conducted after one year of intervention of following the implementation of the three pillar strategies, it was found out that health workers trained on injection safety had increased six fold, knowledge about HIV transmission through unsafe injection was 100%, use of safety box reached beyond the target 91%, very few 8% were found recapping the used syringes and needle stick injuries was reported by less than 5% of the interviewed health workers.
Some of the greatest achievements recorded were: Five year country strategic plan and Multi year BCC strategies were developed, trainings were conducted, injection safety devices were procured and distributed accordingly, incinerators were maintained and Needles and ash pits were constructed, National health care waste management was conducted and guideline development is under process.
The overall objective of the project is to reduce the prevailing overuse of injections and unsafe injection practices thereby reducing the transmission of HIV, Hepatitis B (HBV) and Hepatitis C (HCV) infections.
JSI/MMIS is working in collaboration with Federal MOH, Regional Health Bureaus (RHB), Woreda Health offices (WHOs), and health facilities to achieve program objectives. To address problems that are associated with unsafe injection practices, the project has adopted a three-pillar strategy geared towards: • Changing the behavior of patients and health workers to decrease injection overuse and enhance safe injections; • Ensuring the availability of injection equipment and supplies; and • Ensuring the proper disposal of sharps wastes.
As part of a PEPFAR initiative for an integrated HIV and AIDS prevention activities, John Snow, Incorporated (JSI) under the sub-contract of the USAID Mission in Ethiopia has been implementing a project entitled "Making Medical Injections Safer" (MMIS) in fifty-three health facilities located in Oromia and SNNP regional states since April 2004.
Furthermore, based on project implementation experiences and lessons learned from the aforementioned MMIS project sites covering both higher- and lower-level health facilities, since June 2005, JSI/MMIS has been expanding its project activities into four additional regions of the country, namely: Amhara, Tigray, Dire Dawa and Harari covering a total of an additional 89 higher- and lower-level health facilities. Totally 142 health facilities were covered under the project.
