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: 2007 2008
Demand Creation and Promotion for Quality
This is a continuing activity. Population Services International (PSI) aims to increase demand for quality HIV
and sexually transmitted infections (STI) prevention services in Ethiopia through social marketing of STI
treatment services that are linked to HIV counseling and testing. The intervention will be supported by
intense service-promotion and demand-creation activities.
In FY06, PSI distributed 50,000 STI (urethral discharge) treatment kits to STI patients through private health
facilities in STI/HIV hotspots in Addis Ababa. In addition, 137 health workers in the private facilities were
trained on STI syndromic management, based on the national guidelines. In FY07, 100,000 kits for the
treatment of urethral discharge and genital ulcers were developed and distributed in private facilities in
STI/HIV hotspots, targeting for most at risk populations (MARPs). These kits contained STI drugs,
promotional materials, partner-notification cards, condoms, HIV testing information, and vouchers to access
free HIV tests. The HIV-testing voucher system increased HIV test uptake.
Kit distribution was accompanied by intense promotion activities to generate demand for quality HIV/STI
services, including HIV testing and treatment services and increased service uptake. Two radio and TV
spots were created and aired, 85 radio advertisements with a generic message on STI and health-seeking
behavior were placed, and 5,000 posters and point-of-sale materials were distributed.
Because of the stigma associated with STI, most STI patients visit lower-level and private facilities. But
private facilities have poor STI reporting and recording systems, and few training opportunities are available
to providers in private facilities. Therefore, in FY08, emphasis will be given to strengthening private facilities
in the areas of STI monitoring by using the STI syndromic approach and STI partner-notification and
management. In addition, the project will procure STI drugs for MARPs for inclusion in the kit. HIV-positive
patients who are either in ART or on palliative care, and who require these treatments, will receive STI
treatment and messaging from this project. The kits will also be used by USAID-supported centers along the
high-risk corridor.
In FY08, PSI will carry out the following major activities in collaboration with the Federal Ministry of Health
(MOH) and regional health bureaus (RHB):
1) Distribution of 150,000 STI treatment kits through private and public facilities, ART clinics, and high risk
corridor centers. The kit is used for the treatment of urethral discharge, genital ulcer, and recurrent genital
ulcer diseases. It is an essential tool for service providers, as it prescribes the correct medication in correct
doses, and provides supporting information, education and communication (IEC) materials and other items
(e.g., condoms).
2) Linkage of STI treatment services to HIV counseling and testing
3) Improvement of service providers in syndromic management through professional training. Emphasis will
be on training identified private-sector providers, though public partners will also be trained.
4) Increased awareness of, and demand for, optimum STI syndromic management services. This will focus
on promotion of good STI services and pre-packaged STI treatment kits.
5) Strengthening and improving STI recording and reporting
6) Strengthening STI partner notification and management
