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: 2008 2009
HIV/AIDS (ART) Program Implementation Support
This is a continuing activity from FY06 and FY 07.
The Defense University (DU), located in Addis Ababa, is the only university providing training and technical
support for members of the military and their dependents. It provides training for general medical
practitioners (MD), public health officers, and a number of mid-level training courses for other cadres of
health professionals. It is currently supporting in-service training for health workers from the military health
services, as well as health workers from other public health services. It has voluntary counseling and testing
(VCT), PMTCT, and ART service facilities within its teaching hospital, the Armed Forces General Teaching
Hospital (AFGH), which has been used as a demonstration site for many HIV/AIDS-related services. The
DU teaching hospital is the major referral facility for the military and dependents and currently handles a
huge patient load, including those with HIV/AIDS.
As the military (and the uniformed services, including police), which constitutes a high-risk group for
HIV/AIDS, is scaling up its response to the HIV/AIDS epidemic by utilizing opportunities and resources
through numerous national and international initiatives, DU has developed a strategic plan to develop the
required human resources by mainstreaming HIV/AIDS interventions into its training programs. With support
from PEPFAR Ethiopia's implementing partners, DU has begun institutionalizing HIV/AIDS-related activities
and has established a structure that will coordinate them. Tangible measures have been taken to coordinate
activities with Addis Ababa University. Currently there is much collaboration between the two universities in
terms of training, research, and service-related activities.
The number of individuals who ever received ART at AFGH as of June 2007 was 1,089. From June 2006 -
June 2007, 2,302 individuals had counseling and testing for HIV and have received their results.
These activities will be continuing in FY08 and DU plans to include technical support for ART scale-up
(3000 patients ever started), counseling and testing (5000 clients), TB/HIV (750 patients), palliative care
(4000 patients), PMTCT (500 pregnant woman), and STI services (500 patients).
In FY08, through the support of the University of California, San Diego (UCSD), DU will continue to
coordinate and scale up the response to HIV/AIDS it has initiated in collaboration with its partners. The
university will build on previous support and the achievements gained through its collaborative activities with
PEPFAR Ethiopia, particularly experience gained in FY06 and FY07. The university and its teaching
hospital will work with the military and police health networks in delivering care and ART services. It will
establish a functional network with the Ethiopian Ministry of Health, the HIV/AIDS Prevention and Control
Office, the regional health bureaus, and nongovernmental organizations to implement activities planned for
FY07.
FY08 will afford the university and its teaching hospital opportunities to build its capacity to support facilities
in the military health network. For the university to establish itself as a training and technical support center,
it needs to upgrade its managerial capacities in FY08. It will also undertake review meetings with other local
universities and stakeholders. It needs to work closely with UCSD, as this will present a unique opportunity
to handle directly the administration and management of the technical and logistical arrangements required
to support health networks delivering ART and related services. DU will, therefore, need to be provided with
direct financial and technical support that will enable it to establish the required services through a
cooperative agreement with CDC Ethiopia. This will allow the university to strengthen its engagement in
managing its HIV/AIDS program and its support to the national and regional programs. It will also help DU
to be in a position to take over the technical support currently provided by UCSD.
DU will focus in areas where its staff will gain experience in the administration and management of the
technical and logistics of the HIV/AIDS program for future sustainability. These include:
1)Scale-up of HIV/AIDS programs
2)Training (Pre -service and in- service)
3)Curriculum strengthening by integrating HIV/AIDS
4)Facilitating conditions with partners to enable AFGH to become one of the centers of excellence for the
different HIV/AIDS programs in the country
5)Building up AFGH laboratory capacity to the level of referral site for other Defense hospitals
6)Supportive supervision and clinical mentoring
7)Site-level support
