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.
Ethiopian Public Health Officer Training Initiative II
This is an ongoing activity from COP06. The partner has received 100% of its FY06 funding and is on track according to the work plan and targets set for the activity. This activity is related to the Care and Support Contract (CSC) [formerly called BERHAN] Palliative Care (5616), CSC (TB/HIV) (5749), CSC counseling and testing (5654), ART Service Expansion at Health Center Level, PMTCT/Health Centers and Communities (5586), and Health Service Extension Package (5768) activities.
This activity directly supports the implementation of the MOH's Health Sector Development Plan and the accelerated health officer training program (AHOTP) with main focus being on enhancing the quality and reach of HIV/AIDS services.
As has been noted throughout this plan, HIV/AIDS activities in Ethiopia are significantly hampered by the serious shortage of skilled health personnel with the capacity to handle the public health and clinical aspects of programs. Recognizing the human resource limitations, the MOH is seriously committed to expanding competent cadres of health workers. The emphasis is to address inadequate human resources in HIV/AIDS care and support at health centers through the accelerated health officer training program (AHOTP). In Ethiopia, public health officers provide the majority of health service supervision and are an important cadre for future expansion of HIV care and treatment services. Currently, the rapid decentralization of ART services to health centers requires the training of health officers to ensure the provision of quality care. This activity and the trainings it supports are streamlined with other functions of the universities and health facilities. The activity is instrumental for the sustainability of human resource development. It is highly focused on mid-level health professionals, providing them with the opportunity to develop the skills that will be critical in delivering HIV/AIDS services. Through the Carter Center's training program, 5,000 health officers will be trained in the coming five years in seven universities, twenty hospitals and forty health centers in collaboration with the RHB, the Ministry of Education, affiliated universities and the selected training hospitals and health centers.
In FY06, PEPFAR Ethiopia supported an emphasis on HIV/AIDS as a central component of the health officer training program and 2,400 students began their classroom-based training. Trained health officers provided leadership in HIV/AIDS services in health centers and woreda health offices and worked with health posts and health extension workers to expand and strengthen community-based health care delivery and to strengthen the link between health centers and health posts. The "task shifting" from physicians to health officers enables health centers and woreda health offices in rural and hard-to-reach areas to retain staff and allows physicians to manage more complicated cases in HIV care and treatment services.
During COP06, this activity used resources from PEPFAR Ethiopia to ensure that the health officer training curriculum and other health learning materials were updated to include international guidelines and standards for HIV/AIDS prevention, care and support and treatment. Lecture notes and training modules were revised to make relevant modifications and additions on the HIV/AIDS modules of the pre-service training. Training workshops on various HIV/AIDS topics were conducted for teaching staff and health officer students. To increase access to up-to-date HIV/AIDS related information, reference books and journals were distributed to the teaching facilities, contributing to the quality of training.
In FY07, health officer training will continue to be closely linked with multiple PEPFAR Ethiopia activities in prevention, care and support and treatment and will further facilitate the ART health network expansion. This activity will support practical training in HIV/AIDS care and support including ART for the health officer students. In November 2006, 2400 trained students will transfer to hospitals and health centers for their practical training. Activities will be closely coordinated with the PEPFAR Ethiopia universities currently supporting ART delivery at hospitals.
In COP07, the Carter Center will continue training health officers in universities, 20 teaching hospitals and 40 health centers. Program design and implementation will continue to be conducted in collaboration with the MOH, RHB and MOE. Carter Center will
continue to support health facilities, where the Health Officer practical training is held, to develop their capacity to plan and execute health center-based HIV/AIDS activities as well as outreach activities to the community.
