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: 2007 2008 2009
plus ups: "More than two years ago Ethiopia began TB/HIV collaborative activities nationwide. Encouraging results include the fast expansion of services, training of health workers, and development of national TB/HIV guidelines and recording/reporting formats. However several challenges persist, including difficulties in diagnosis of pulmonary TB in HIV+ persons, and support to the M&E system, both of which require urgent action to improve further TB/HIV service delivery in Ethiopia. " "Activities under this activity, to be channeled through HAPCO/MOH, will focus on these two major challenges. Most ART hospitals have at least one x-ray machine but these are old and serve large numbers of people daily. This supplemental fund will be used for: quick mapping and assessment to determine the number and condition of existing machines, the health centers and populations they serve; purchase of new machines; distribution according to need; training staff to operate the machines; preventive and ongoing maintenance. Negotiations with HAPCO/MOH will arrange that they cover the running costs. " "Activities to improve the M&E system will be channeled through HAPCO/MOH and will develop existing systems, through revision of TB/HIV registers according to feedback from implementing sites and inclusion of missing indicators. There is a need also to develop a data system at national, regional and district level, systematizing reporting and analysis of TB/HIV surveillance data. This will require training MOH and regional staff on data management, procurement of site IT equipment, recruitment of necessary data managers and other logistic support. A weak area in the monitoring system is the absence of regular site level support, especially from the federal MOH and regional health bureaus. Therefore establishment of regular supervision, and regular review meetings involving all stakeholders and external evaluation are essential. External technical assistance on this area will be invited as required. "
Table 3.3.07:
Strengthening the HIV/AIDS Component of the Health Service Extension Package
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. This activity is related to the Care and Support Contract (CSC) (previously referred to as 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 Ethiopian Public Health Officer Training Initiative II (5763) activities.
This activity supports the MOH's Health Service Extension Program (HSEP) and represents a bilateral capacity building activity between the MOH and PEPFAR Ethiopia through an existing Strategic Objective Agreement (SOAg) between USAID and the Ethiopian Ministry of Finance and Economic Development (MoFED). This activity leverages resources from the Health, Population and Nutrition funding of USAID/Ethiopia.
The HSEP, as indicated in the MOH's Health Sector Development Plan III (HSDP III) 2006-2010, will train 30,000 HEW for assignment in 15,000 rural kebeles where they will serve a population of approximately 5,000 per kebele or village. A total of 9,900 HEW were deployed to communities in most of the regions in the country by April 2006. An additional 20,000 HEW are expected to be trained and deployed through 2010. The HEW is the first point of contact to the community for the formal health care system. The HEW report to public health officers at the health center and woreda health office and are responsible for a full range of primary and preventive services to the community, including provision of basic communicable disease prevention and control activities.
HEW function as a significant and new link in the referral system and will be able to, through community counseling and mobilization, move vulnerable and underserved populations into the formal health system. The HEW promote essential interventions and services by encouraging community education and dialogue around health issues, and participation at the community and household level in health care. During COP06, HEW functioned as the lead at health posts and in the community to provide social mobilization activities in HIV prevention. In COP07, Community Oriented Outreach Workers (COOWs) placed at ART health network centers, (supported under the CSC activity in Prevention AB and OP and Care and Support CT, TB/HIV and Palliative Care) will enhance the HEWs' impact on community mobilization and service provision to both MARP and the population at large.
HEW will provide preventive services to community members and interact in selected districts with the Prevention AB activity - HCP/Creating Coercion Free Communities to discourage the sanctioning of cross-generational sexual relationships and coercive behaviors. This activity will support pre-service and in-service training of HEW in key HIV/AIDS messages and information, the provision of counseling to community members on numerous issues such as stigma, symptomatic screening of patients with opportunistic infections, including active TB, for referral to health facilities for further diagnostic work-up and management, adherance counseling for ART and TB treatment. HEW will also be trained and supported to facilitate the referral and linkage process for various services, and to participate in social mobilization activities for HIV prevention.
