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.
HIV/AIDS (ART) Program Implementation Support
This is a continuing activity from FY06 and relates to ITECH activities: Technical Support for ART Scale-up (5664), Counseling and Testing (5728), TB/HIV (5754), Palliative Care (5618), PMTCT (5641), STI Services (5800), Laboratory Support (new) as well as activities implemented through the Twinning Initiative (5678).
Gondar University (GU), one of the oldest in Ethiopia and the only one in the north-west, trains various health cadres and other professionals using curricula that particularly focus on community oriented practical education tailored to address the trained human resources needs of country. The teaching hospital of the university is a referral hospital providing health services to people coming from different areas of the Amhara Region, the second largest region and where HI/AIDS is most prevalent. It is also strategically placed to support the Afar Region, which along with Tigray and Amhara constitute ART Operation Zone 3 in PEPFAR Ethiopia's regionalized support to the National ART Program. The university has, in its strategic plan, identified HIV/AIDS a one of the major health and social threats for the institution and the country at large. The university has committed itself to mitigating the impact of HIV/AIDS by creating university-wide prevention, treatment, and care and support programs and, to this end, has initiated ant-HIV/AIDS activities in its teaching, research, management and community outreach programs.
In FY05 and FY06, Gondar University identified key interventions required to initiate and strengthen HIV/AIDS related interventions within the university community and the regions its referral hospital currently serve.. Main interventions identified by the university include: making HIV/AIDS an institutional priority; establishing an HIV/AIDS coordination unit; planning and executing Anti-AIDS activities with involvement of students; expanded multi-dimensional response to HIV/AIDS epidemic - VCT service, treatment, care and support, curriculum integration, community outreach, research and the creation of external partnership; and incorporating policies and sanctions that safeguard female students from the risks of vulnerability and assault, intimidation, and exploitation.
In FY06, Gondar University is implementing the planned activities and initiating various HIV/AIDS related activities that will require consolidation and expansion over the coming years. Through the support from PEPFAR Ethiopia, the university is systematically institutionalizing HIV/AIDS program and building capacities that will enable it to provide assistance to the RHB and the health networks in Amhara, Tigray and Afar Regions (Regions in ART Operation Zone 1). Using the collaboration link the university will establish with the University of Washington (I-TECH) through support from PEPFAR Ethiopia, it will strengthen its anti-HIV/AIDS response and TA to regional activities in FY06, including: mainstreaming HIV/AIDS in the curricula of all faculties; strengthening pre-service training on comprehensive HIV/AIDS Treatment, care and prevention; conducting baseline studies on the impact of HIV/AIDS on students, staff and supportive groups of the university; undertaking studies on the existing structure of HIV/AIDS activities in teaching, research and service of the university hospital as spring-board for networking and main-streaming strategy; strengthening the existing VCT service of the university; promoting advocacy and gender education; and reducing stigmatization and discrimination in the university community regarding HIV/AIDS.
In FY07, for Gondar University to establish itself as a technical support center for its ART Operation Zone in the long-run, it needs to build adequate managerial and leadership capacities. There is a need for deliberate action to establish managerial and technical capabilities by offering the university the opportunity and challenge to handle directly the administration and management of the technical and logistical arrangements required to support the health networks delivering ART and other HIV/AIDS related services. In FY07, the university will strengthen its support to in-service training and direct technical assistance to Amhara Regional Health Bureau and initiate pre-service training on HIV/AIDS, including ART. Gondar University will be involved in targeted evaluation of HIV/AIDS program implementation and in regional activities related to data processing, documentation of best practices and dissemination scientific information. The university, by closely working with and getting intensive technical support from I-TECH, will be provided with an opportunity to get directly engaged in managing its HIV/AIDS program and its support to the national and regional health networks. It will help the university start building the capacity it will need to take over the technical support currently provided
by I-TECH when the latter pulls out its support through a well-thought out exit strategy.
