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.
Technical Assistance for Pediatric Case Finding Utilizing Community and Facility Approaches
This activity is linked to PMTCT and treatment.
The African Network for Care of Children Affected by HIV/AIDS (ANECCA) is an African network of pediatric HIV experts with extensive experience in pediatric HIV care and treatment throughout Africa. The numbers of children on ART in Ethiopia are extremely low compared to the estimates of children infected and as a percentage of all people on ART. An important activity that will increase these numbers is identification and referral of HIV-infected children at the health centers. ANECCA will provide technical assistance to Intra Health International/Ethiopia in order rapidly increase access to comprehensive pediatric HIV/AIDS care services within 267 health centers in Ethiopia through the following activities.
Building human resource capacity through training of health workers: (a) Formal training of various categories of health care providers within the health centers. The aim is to equip the providers with knowledge and skills in the identification of HIV-exposed infants, identification of HIV-infected children (through routine counseling and testing), provision of care and treatment services for HIV-infected children, and utilization of referral networks to close up gaps in the continuum of care for exposed and infected children and their families, (b) On-the-job training of health care providers by a clinical mentorship team, comprised of a pediatrician, nurse, nurse-counselor and a laboratory technician, to cover all aspects of pediatric diagnosis, care and treatment, (c) Supervised preceptor ship at specialized higher levels of care (e.g. pediatric ART sites) - once a year for each team.
Promotion of identification of HIV-exposed and infected infants/children: (a) To establish and strengthen linkages between PMTCT, Maternal-child Health (MCH) and other routine child health services at health centers. This will promote identification and follow-up of HIV-exposed infants; (b) Establish and strengthen routine HIV testing services at health center level, using HIV antibody testing to identify exposed infants < age 18 months, HIV antibody testing to identify HIV infected children = age 18 months, and DNA PCR (DBS) to identify HIV-infected infants < age 18 months. This will be done by providing HIV testing logistics support, establishing laboratory referral networks and specifically training health workers at the sites in conducting antibody tests and collecting, referring and transporting DBS specimens to hospital DNA PCR sites; (c ) Promote use of Ethiopia National Pediatric and Adult HIV Testing guidelines within the health centers.
Assist Intra Health in providing a comprehensive basic pediatric care package to HIV-infected children. Technical assistance to the health centers with the training and logistics support necessary to provide the basic package to HIV-infected children. The basic package includes the following: (a) Early identification of HIV-exposed children within the facility-based services as well as the community. The latter will involve the strengthening of health center - community links; (b) Follow-up for exposed infants: Cotrimoxazole preventive therapy, support for safe feeding practices, growth and development monitoring and HIV testing services (DNA PCR and HIV-antibody tests) at the appropriate time; (c) Provision of routine child survival best practices for HIV-exposed/infected infants/children: routine immunizations, use of insecticide-treated mosquito nets, safe water use, screening for TB and provision of INH prophylaxis for those exposed to open pulmonary TB; (d) Routine HIV testing (antibody test and/or DNA PCR DBS - as appropriate) for infants and children accessing care for ill-health within facilities or those identified in the MCH clinics who exhibit signs of HIV infection such as growth faltering; (e) Nutrition education, support for food supplementation, counseling and support for safe infant feeding practices for HIV-exposed infants as well as supplementation with vitamins and micronutrients; (f) appropriate and timely referral for pediatric ART services: health workers will be equipped with skills to evaluate, clinically and with laboratory tests where available, HIV+ children and refer them for ART at the appropriate time; (g) Establishing and strengthening referral mechanisms between the community and health centers as well as between health centers and higher levels of care, follow-up and referral guidelines will be instituted; (h) Establishing community outreach services, specifically targeted at mothers/care givers and mothers-to-be support groups. Issues to be addressed by these will include pediatric HIV treatment awareness, pediatric ART adherence promotion, support and monitoring, stigma reduction, reproductive health
and family planning services as well as assisted delivery; (i) Treatment of opportunistic infections as well as other childhood illnesses children present to the health center with; (j) Provision of psychosocial support services to infected children and their families; and (k) Provision of HIV-infection prevention services to care givers/parents as well as HIV-infected children, specifically addressing adolescent issues.
Establishing and strengthening referral mechanisms at health center level: (a) Referral of family members for HIV testing at counseling and testing service points. For some of the health centers, counseling and testing for children and their family members will be carried out within the health centers. Referral from their communities to the health centers will be enhanced by strengthening referral links between the two; (b) Referral of HIV-infected children from health centers to higher levels of care where they will access pediatric ART services; (c ) Strengthening co-operation between communities and health centers to develop stronger community level activities with Traditional Birth Attendants and Health Extension Workers. This will further strengthen referral activities from communities to health centers and vice-versa.
Added July 2007 Reprogramming: Partner changed from TBD to the African Network for the Care of Children Affected by AIDS
