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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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
Global Fund To Fight AIDS, Tuberculosis and Malaria and MOH Management Support and Capacity
This is a new activity. During FY07, it has become clear that one of the major bottlenecks for strengthening
the HIV/AIDS response in Ethiopia is low personnel levels and management challenges at the country's
HIV/AIDS Prevention and Control Offices (HAPCOs), at both national and regional levels. During FY07,
PEPFAR Ethiopia was faced with repeated major requests to support Global Fund To Fight AIDS,
Tuberculosis and Malaria (GFATM) activities in coordinating with PEPFAR, as well as repeated requests to
provide substantial technical inputs for Ministry of Health processes and documents in collaboration with
GFATM resources. These requests resulted in USG deploying significant levels of human and technical
resources to respond appropriately, many requiring specialized knowledge of GFATM processes, as well as
of management strengthening and HIV/AIDS and systems strengthening technical abilities. Relatively low
staffing levels of PEPFAR/Ethiopia partners -- particularly individuals with these skill sets -- made response
to these requests difficult. They are expected to continue in FY08. While PEPFAR is supporting the
national HAPCO with placement of a GFATM -PEPFAR Liaison Officer, the need for technical assistance to
HAPCO and Regional Health Bureaus (RHB) and increased technical support for PEPFAR is substantial.
The main focus of this activity is to ensure that PEPFAR has sufficient capacity to adequately support MOH
and RHB efforts using GFATM resources, and to provide needed technical support to supplement PEPFAR
staff that are frequently called to contribute to GFATM-related technical processes. The activity will also
provide support to national and regional level HAPCOs and health bureaus, which continue to experience
challenges requiring management TA. Additionally, this activity will support GFATM proposal development,
management and costing exercises supporting the national HIV/AIDS effort.
Building upon the approaches and participatory products developed under the former USG Management &
Leadership Project, the new Leadership, Management and Sustainability (LMS) project is a cooperative
international partnership that strengthens leadership, management and systems of programs and
organizations to improve their health outcomes. Without effective management and leadership, the delivery
of quality health services and achievement of sustainability is compromised. The purpose of the LMS
project is to support the USG and host country organizations by providing technical assistance, approaches
and strategies to strengthen institutional capacity to lead and manage HIV/AIDS and other health programs
and related social sector programs in the public, private, and NGO sectors. This activity will allow PEPFAR
to access expertise to support GFATM activities ranging from proposal development to grant
This activity is linked to other donor and partner resources to promote the effective implementation of
GFATM resources, critical for achievement of PEPFAR goals. Close integration with the Sustainable
Management Development and Support to the Global Fund Country Coordinating Mechanism activities (ID
10540, ID 10411) as well as other PEPFAR management support partners at regional and national levels,
will be an important feature of this activity. Other linkages include GFATM, the Clinton HIV AIDS Initiative,
and the World Health Organization (WHO).
Assistance will be outcome-oriented, and should strengthen local capacity. Activities will focus on
alleviating specific bottlenecks that are causing under-performance, including inadequate or poor
performance in the following areas:
• Governance and Leadership (including aspects of the functioning of CCM);
• Program and Financial Management;
• Monitoring and Evaluation.
The primary emphasis of this activity will be to ensure robust management systems for Ethiopian public
sector HIV/AIDS program implementation. Capacity of Ethiopian organizations such as the federal and
regional HAPCOs will be strengthened to ensure the effectiveness of a coordinated HIV/AIDS programming.
Supporting these efforts, LMS will also collaborate with PEPFAR's National Association of State and
Territorial AIDS Directors (NASTAD) activity to support and intensify regional and woreda level planning,
creating important interagency synergies. As a result of these multiple efforts, PEPFAR Ethiopia's ability to
respond to MOH requests for management and technical support, particularly related to GFATM and
national processes, as well as its ability to coordinate PEPFAR partners' activities across the continuum of
HIV prevention, care and treatment, will be substantially enhanced. It is expected that facility-community
linkages will also be enhanced, resulting in a more effective and fully functional health network.
As part of PEPFAR's overall systems strengthening effort to support improved program management and
use of HIV funding, additional resources will be added to LMS to complement existing PEPFAR activities
supporting the national Health Management Information System (HMIS) implementation This decision
came as a result of PEPFAR Strategic Information Interagency Technical Working Group analysis, in
conjunction with the Government of Ethiopia Ministry of Health, which identified existing critical gaps and
potential areas for increased support.
LMS has access to substantial HMIS expertise which can provide important complementary synergies with
existing PEPFAR partners supporting HMIS, beginning to address some of the clear gaps in the national
scale-up. The activity diversifies PEPFAR technical assistance resources, permitting access not only to
LMS but to additional U.S. Government (USG) wrap-around resources at health center, health post and
community levels. It will strengthen the nascent HMIS system at these levels, where all data is generated,
thus promoting more informed data-driven decisions.
The LMIS activities will primarily focus on HMIS support to primary health care facilities (health centers,
health posts) and associated administrative levels, as well as community level activities. Specific activities
include: 1) support to expansion of pre-service training for health information technicians, 2) in-service
training for existing health facility and community level staff, 3) supportive supervision, and 4) site-level
training on data quality and use as well as capacity building for woreda and facility level staff on data-use for
All activities will be planned in close consultation with all involved stakeholders, principally the MOH and
PEPFAR partners (including Tulane University) as well as other development partners that are closely
Activity Narrative: engaged in the HMIS reform and the roll-out of the new system. No overlap of activities will occur.