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.
This is a new activity. Since 2003, SIM Ethiopia and the Presbyterian Church in America, through its agency Mission to the World (MTW), have partnered in an HIV/AIDS home-based care project in the Lideta area of Addis Ababa. Through an agreement with the Bureau of Labor and Social Affairs of the Addis Ababa city government more than 130 HIV-positive individuals and their families have been supported economically, medically and emotionally.
The activity is linked with current PEPFAR partners. For example, through SIM's pre-treatment counseling and adherence program with Black Lion Hospital they have contact with the Johns Hopkins University's Tsehai project that provides technical assistance to Black Lion Hospital. The project has linkages with the Care and Support Contract as well the Community-level counseling and testing service support in Ethiopia (New 1113). The project also works very closely with WHO, which trained SIM's ART AID counselors and Expert Patients that work at Black Lion Hospital. MSCI plans to work with SIM to engage them further with other PEPFAR Ethiopia faith-based and community-based partners. The Project also aims to expand and develop the network of community organizations in Addis Ababa that run the adherence programs.
The Project will work with the existing government health system to compliment and support their ART services with a program that connects government hospital patients receiving free care to a community organization within a larger faith-based network of organizations for adherence care. The adherence programs run by these faith-based organizations for beneficiaries include support group involvement and income-generating activities. All beneficiaries on ART meet weekly at the project office for an adherence support meeting. A lesson on some aspect of treatment is given, questions are answered and discussion is encouraged. Beneficiaries bring their medicines to the meeting and are helped with sorting out their drugs into a weekly pillbox the project provides. They have time to meet with a project staff person if they need help, are having side effects or need to be referred to the hospital or clinic. All beneficiaries on treatment are also given a digital watch with a twice a day alarm to help remind them to take their medicines. This activity will establish relationships with VCT centers and regularly refer people to these centers. It will explore the feasibility of implementing a mobile VCT program in the community using one of the partner testing centers. The activity will develop and implement strategies to increase the number of people being tested, particularly children.
One of the primary purposes of the support groups is health education and so AB education is integrated into these. As a faith-based organization SIM has a strong AB message that is reinforced in one-on-one counseling sessions with beneficiaries and through all other project activities and programs. About 80% of project beneficiaries are women and so emphasis is placed on counseling women to resist the pressure to be involved in commercial sex work or to seek out short term partnerships for financial support. The Project will explore additional strategies to support, encourage and protect this population.
