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
The Ethiopia Public Health Training Initiative II (EPHTI II) will support implementation of the Ethiopian
Ministry of Health's Health Sector Development Plan (HSDP) and of the Essential Health Services Package
(EHSP) specific to HIV/AIDS-related human capacity development. Training of health officers is a key
component of the EPHTI II capacity building activity. These professionals play the leading role in health
service delivery and supervision at health centers, as well as at district health offices. Thus, health officers
are an important element in any strategy for future expansion of HIV-related care and treatment services.
Trained health officers manage the health centers and will provide curative, preventive, and promotion
services. Health officers can be positioned at health centers and district health offices in rural and hard-to-
reach areas with lower rates of attrition than regular physicians. EPHTI II is also engaged in strengthening
training of other health team members who provide care to rural communities. In addition to health officers,
nurses, laboratory technicians, and environmental health technicians trained through the support of EPHTI
II will provide comprehensive healthcare, including the expansion of programs to address HIV/AIDS,
tuberculosis (TB), and sexually transmitted infections.
The USG has supported The Carter Center for several years to provide health officers training.
In the first six months of FY07, The Carter Center supported development of new HIV-related teaching
materials, as well as re-printing and distributing existing materials. The Center also trained 154 university
and hospital-based instructors from the Ministry of Health's Accelerated Health Officer Training Program
(AHOTP) in teaching methodology, while 49 university and AHOTP hospital-based teaching staff trained in
HIV/AIDS core competencies.
In FY08, The Carter Center will support training of health officers and other health team members in
universities, 21 teaching hospitals and linked model health centers. Program design and implementation
has been designed in collaboration with the Ministry of Health (MOH), Regional Health Bureaus (RHB), and
the Ministry of Education. Health officer training will be closely linked with multiple PEPFAR Ethiopia
activities in prevention, care, support, and treatment to facilitate future expansion of the ART health network
beyond FY07 levels.
This activity will support implementation of HIV-specific training components of the MOH's AHOTP, which
was initiated in the 2005-2006 academic year, as well as training for other health team members who are
trained in the EPHTI universities. Through the Carter Center's programs, 5,000 health officers and
thousands of other health professionals will be trained through the active participation of the stakeholders
indicated below. The majority of the funding for this program comes from non-PEPFAR USG Population and
Child Survival/Maternal Health funds. The overall budget estimate is $2.2 M for FY08 implementation. With
its proposed investment of $700,000, PEPFAR Ethiopia will leverage the educational and financial
resources of this program to make HIV/AIDS a key component of the training curriculum.
The Carter Center will support the MOH in beginning training of health officers in obstetrics/gynecology, as
well as General Surgery. The three-year master's level training will be located at four universities (Jimma,
Gonder, Mekele, and Hawasa), and will support major reductions in the maternal mortality rate. Graduates
are expected to be deployed at district hospitals, where they will attend cases. Approximately 12-20 health
officers would be trained at each university, using a curriculum that has already been developed. This
activity will also support practical training in HIV/AIDS care and support, including ART services. Trained
students will transfer to hospitals and health centers for their practical training.
In addition to the pre-service training, The Carter Center supports on-the-job training for university staff on
teaching methodologies. By increasing the effectiveness of trainings, the teaching methodology workshop is
critical to ensuring the quality of the educational system. Currently in Ethiopia, the ratio of healthcare
providers to clients is very low. This fact has become more evident with the expansion of HIV/AIDS services
across the nation. The AHOTP is one major opportunity to address the human resource crisis in Ethiopia.
Training of health facility and university staff serves as one mechanism to motivate and retain the marginal
number of current personnel.
