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
Increasing access to palliative care at Hospitals
In FY08, the Addis Ababa City Government's HIV/AIDS Prevention and Control Office (AAHAPCO) will
continue prior years' activity by serving as the prime partner subcontracting to the Organization for Social
Services for AIDS (OSSA) to implement and expand HIV/AIDS palliative care programs at hospitals
nationwide, in collaboration with US university partners.
OSSA has many years of local experience and linkage mechanisms in providing care and support for
PLWH. Nearly all hospitals providing ART have limited capacity, resources, and space to address the full
spectrum of comprehensive care services for people living with HIV (PLWH), especially on a long-term
basis. OSSA will continue to work with hospitals to fill this gap and alleviate the increase in workload
imposed at facilities by providing long-term care and support.
In FY07, OSSA provided palliative care to PLWH and family members referred from hospitals and trained
community health workers through 14 service outlets and home-based care programs. In FY08, OSSA will
expand its capacity and establish six new service outlets, bringing the total number of such outlets to 20.
OSSA will provide family-centered care and support to 27,000 clients through these service outlets and
home-based care.
OSSA will continue to support ART provision in hospitals in the following key activity areas:
1) Support 70% of ART hospitals by providing adherence counseling, psychological support and education
on safe water and basic sanitation, as well as nutrition counseling.
2) Assist critically ill patients to access different services within the hospital and link patients with home-
based care run by OSSA at discharge.
3) Establish patient peer-support groups in close collaboration with the hospitals to support adherence to
care and treatment.
4) Distribute patient education materials and translate some into local languages.
5) Link all patients needing long-term community care service to OSSA's care and support program and
other community-based programs to increase access to counseling on positive living, and other preventive
care like safe water usage, hygiene, mosquito nets, nutrition, cotrimoxazole and INH prophylaxis, home
based care services.
6) Assist HIV-positive clients to disclose test results to sexual partners and family members and encourage
HIV testing for couples and families.
7) Provide preventive and supportive posttest services for concordant HIV positive and discordant couples.
8) Provide care for terminally-ill patients at their home and support family members to prepare for loss.
9) Provide support to PLWH and family members (including orphans) to maintain their living through income
generating activities.
10) Recruit and train community care providers to provide care and support services at hospitals.
11) Work closely with major religious organizations that provide care & support for HIV/AIDS patients and
reduce stigma.
All of these activities will contribute to the capacity-building of a crucial indigenous organization, OSSA, to
undertake service expansion and increase coverage of palliative care services, thus establishing a firm
ground for more sustainable program implementation in the country.
Strengthening National Model VCT Sites & Expansion of Mobile VCT Services
In FY08, Addis Ababa City Government HIV/AIDS Prevention and Control Office (AA/HAPCO) plans to
strengthen the existing national model and mobile voluntary counseling and testing (VCT) services based
on the experiences gained from FY06-07 project implementations. The national model sites provided
services to 41,364 clients through integrated, freestanding, mobile, and satellite sites. From September 9,
2005 to March 30, 2007, the mobile unit has provided services for 14,667 clients.
This activity has two components. One component is to maintain the existing national model VCT sites and
mobile units in Addis Ababa. In FY08, the model sites will continue to provide VCT services at the two
national model centers, mobile unit, satellite sites, and home-based VCT services through home-to-home
visits. Activities of this component include:
1) Supporting model sites to provide same-hour VCT service to the general community, with special
emphasis for couples, family, and child counseling
2) Strengthening satellite VCT sites that have good performance records for reaching students and
company workers
3) Providing VCT services using a mobile truck in schools, business/commercial places, work places, and
markets in Addis Ababa
4) Strengthening and expanding home-based VCT services
5) Supporting the national Millenium AIDS Campaign to meet the counseling and testing target and create
demand for HIV testing using available channels during special events (e.g., World AIDS Day, National VCT
day)
6) Continuing to provide VCT services to disabled people (deaf, blind, handicapped, etc)
7) Continuing to introduce non-health professionals to delivery of VCT at static sites, satellites, and mobile
VCT units
8) Strengthening the management system of the project, mainly focused at the site level
9) Conducting regular case conferences twice a month, burnout management twice a year, and refresher
training quarterly
10) Supporting sites to maintain data quality management through close follow-up and training
11) Conducting regular VCT promotion using different media and allowing participation by key informants
and prominent people, who can promote and increase use of services
12) Documenting best practices and experiences from the implementation of the two model VCT sites and
sharing with other relevant organizations who are offering the same services.
13) Building the capacity of managers, VCT project coordinators, and counselors through short-term training
(onsite and regional)
14) Strengthening the existing post-test clubs in the sites
15) Strengthening the existing VCT network and referral linkages and initiating ongoing counseling
16) Strengthening the role of community VCT promoters in VCT services
17) Conducting impact-assessment surveys on sexual behavioral change of clients tested in different VCT
sites
The second component of this activity is support for consolidating the expansion of VCT mobile units. These
mobile units improve access to HIV/AIDS services in rural communities including mobile workers on big
farms and uniformed personnel in camps and barracks. The mobile units also assist in delivering community
education to promote safer sexual behavior, stigma reduction, and promote community care service to HIV-
infected and affected individuals and families. The service will be provided through well-trained community
VCT counselors (lay counselors).
During FY08, AA/HAPCO will continue providing VCT services to rural populations, with an emphasis on
most-at-risk populations (MARPs), such as mobile workers, truckers, commercial sex workers (CSW),
traders, and uniformed personnel. As a special service, premarital couples' counseling and testing services
will be provided during wedding season.
The mobile unit will introduce night services to capture truckers and CSW and their clients along the main
highway routes and stopover sites. In addition to the VCT services, the unit will conduct health education to
reduce transmission of HIV and sexually transmitted infections, and reduce the effects of drugs (alcohol,
khat, and cannabis) on individual health. The mobile units also assist in delivering community education to
promote safer sexual behavior, stigma reduction, positive living, and to promote community care service to
HIV-infected and affected individuals and families.
Referring HIV-positive individuals to care and treatment is one of the shortcomings of mobile VCT service.
To overcome this major challenge, the Organization for Social Services for AIDS plans to establish a
support group which consists of people living with HIV, teachers, health extension workers, traditional
healers, and other community agents. After appropriate training, the support group will provide post-test
services, including ongoing preventive and supportive counseling, adherence counseling, and education on
prevention and basic care packages. It also links mobile VCT activities with the health network model in
particular catchment areas.
In FY08, the mobile unit will continue screening of syphilis using rapid plasma reagin (RPR). Clients who
are RPR-positive will receive referral for treatment and education. The patients will be encouraged to notify
their partner(s).
The mobile units will work in close collaboration with PEPFAR partners.
