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.
Care and support for PLWHA
This is a continuing activity from FY06. As of June, the partner received 100% of FY06 funds and is on track in achieving its FY05/FY06 targets and work plan. In FY07 intensive monitoring will be conducted to ensure that each partner agency reaches its targets by the end of the reporting period. In FY07 this activity will build upon FY06 achievements through economy of scale and leveraging resources.
This activity is linked to the CRS OVC support (5733); JHU Technical Support for ART Scale-up (5664); Care and Support Contract Palliative Care (5616); Care and Support Contract TB/HIV (5749), Care and Support Contract counseling and testing (5654), ART Service Expansion at Health Center Level, PMTCT/Health Centers and Communities (5586), and ART Service Expansion at Health Center Level, PMTCT/Health Centers and Communities (5586). In FY06 CRS combined P.L.480 Title II and PEPFAR Ethiopia resources for care and support for PLWHA. CRS leveraged 9,442 MT of food worth $5,642,590 from Title II resources. CRS used both resources to work with Medical Missionaries of Mary, Organization for Social Services for AIDS and Missionaries of Charity to provide support to approximately 35,000 PLWHA in 18 urban communities in Addis Ababa, Afar, Amhara, Dire Dawa, Gambella, Oromiya, SNNPR, Somali and Tigray regions. CRS also utilized Title II resources to work with Organization for Social Services for AIDS to provide support to 100 PLWHA in Dire Dawa and Harar. This work included both home-based care and support, and institutional-based medical care for opportunistic infections and end-of-life care. Through SAPR 06, CRS reached 26,000 PLWHA with palliative care services.
The locations of hospices that provide support for HIV+ orphans, medical and end-of-life care are the Asco Children's Home/Hospice and Sidist Kilo in Addis Ababa; Dubti in the Afar region; the Debre Markos Hospice and Debre Markos Children's Home/Hospice in the Amhara region; Dire Dawa in Dire Dawa Council; Gambella in Gambella region; Bale, Jimma and Kibre Mengist in the Oromia region; Awassa, and Sodo in the SNNPR; Jijiga in Somali; and Mekelle, Alamata, Adwa in the Tigray region. Outreach work providing home-based care was associated with these hospices. Additional home-based care programs were present in Addis Ababa and Nazareth.
In FY07, CRS will continue to utilize its resources to work with the above mentioned partners in collaboration with the Ethiopian Catholic Church Social and Development Co-ordination Branch Office of Adigrat - Mekelle to address basic care and support needs of 36,000 PLWHA both in the community and through the 15 hospices and two homes for HIV+ orphans.
All hospices are located in high prevalence and highly populated urban areas within the health network model. This provides a unique opportunity for linking beneficiaries with facility level ART, PMTCT and chronic HIV care services.
CRS and other PEPFAR Ethiopia implementing partners will provide nutrition support, hygiene education, counseling, psychosocial, spiritual and medical care, preventive care including cotrimoxazole prophylaxis as needed by PLWHA both in their homes and through the hospices. Additional educational and life-skills support will be given to children living with HIV/AIDS. Local implementing partners like Organization for Social Service Against AIDS (OSSA) will undertake stigma reduction interventions (information, education and communications) within host communities and provide counseling and psychosocial support to asymptomatic and symptomatic PLWHA.
The program conforms with the PEPFAR Ethiopia Five Year Strategy of focusing on the community as the key actor in the health network for care and promoting a set of palliative care interventions appropriate to participating communities. Strong referral linkages exist between many community-based care and support programs, hospices and facilities. CRS will strengthen these by identifying and referring adults and children in MOC shelters for VCT and other diagnostics necessary for the provision of HIV/AIDS care and treatment services. Special emphasis will be given to enabling HIV+ children to access quality HIV/AIDS care and treatment services. In 2007, this activity will continue to strengthen these linkages and collaboration with other PEPFAR Ethiopia partners for treatment, high quality clinical care.
Faith Based Care (Catholic) This is a continuing activity from FY05 and FY06. To date, CRS has received 100 % of FY06 funding. Linkages: This activity is linked to ABY-Track 1 (5596), P.L. 480 Title II for food, USAID's Assets and Livelihoods Transition (ALT) food program This activity is on schedule per workplan. Strong performance resulted in almost double the COP06 annual target being achieved in the first six months of the year, with 13,644 OVC provided with services. Catholic Relief Services combines P.L.480 Title II and Emergency Plan resources to support OVC. In FY06 CRS utilized these resources to work with the Medical Missionaries of Mary Organization for Social Services for AIDS and the Missionaries of Charity to provide support to OVC in 17 urban communities in Addis Ababa, Afar, Amhara, Dire Dawa, Gambella, Oromiya, SNNPR, Somali and Tigray Regions. In addition CRS utilized Title II resources to work with the Organization for Social Services for AIDS to provide support to 200 OVC in Dire Dawa and Harari. In FY07 CRS will continue to utilize both resource categories to work with these partners to provide P.L. 480 Title II to OVC and supplement this with PEPFAR Ethiopia financial support for living costs: shelter, school fees and supplies, and medical care on an as needed basis. Local partners will undertake stigma reduction interventions (information, education and communications) within host communities and provide counseling and psychosocial support to OVC.
The program is aligned with PEPFAR Ethiopia's Five Year Strategy, focused on the community as the key actor in the health network for care and holistic interventions. In 2007 CRS will continue to strengthen links between its Track 1 AB youth activity, in Dire Dawa, Oromiya and Tigray Regions, and its OVC work. CRS will also strengthen the capacity of Voluntary Counseling and Testing (VCT) centers, OVC counselors and Catholic Church pastoral leaders to respond to the diverse needs of OVC.
Based on the recent AIDS in Ethiopia Sixth Report by the MOH National HIV/AIDS Prevention and Control Office (HAPCO), CRS is increasing the number of OVC served in its program areas to 12,100 children, providing them with care based on individual needs. This includes basic/core services such as shelter and care, protection, health care, psychosocial support and education. The program also leverages USAID Assets and Livelihoods Transition (ALT) program food for OVC.
In partnership with other PEPFAR Ethiopia OVC partners, CRS will work with the new PEPFAR APS recipient to coordinate activities to achieve most efficient use of resources for OVC in the highest HIV/AIDS prevalence areas. This includes harmonization on indicators, reporting, and OVC standards of care in line with Government of Ethiopia national guidelines and policies and OGAC OVC Program Guidance, as well as achieving quality assurance in OVC programming. Data from the EDHS 2005 and the results of USG Ethiopia mapping will used to identify geographic priority areas to increase services in areas of highest prevalence to OVC.
CRS' exit strategy states that "all the organizations through which CRS/Ethiopia implements its PEPFAR funded projects have alternative sources of funding. Similarly, CRS' partner organizations are well established and network with other funding agencies and cooperating sponsors of the USG. This broad base of donors and networking with other agencies allows the organizations to source alternative funding if required. Additionally, CRS supports organizations to better understand and work within the USG regulations and to access US government funding directly.
