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.
Sustainability Assessment
This is a new activity.
This activity represents a sustainability assessment of Ethiopia's HIV/AIDS program and limited technical
assistance. OGAC provided core funds for several countries to conduct sustainability assessments
including Zambia. These reports assisted the Government and HPN donors address gaps and prioritize
funding allocations to improve overall efficiency of the Zambia HIV/AIDS program.
PEPFAR Ethiopia proposes to conduct a Sustainability Assessment using comparable methodology by the
same technical assistance provider.
Ethiopia's policymakers need tools to weigh the implications of current policy decisions on the sustainability
of HIV/AIDS. The technical assistance partner developed the HIV/AIDS Program Sustainability Analysis
Tool (HAPSAT), a computer-based tool for forecasting and analyzing the sustainability of HIV/AIDS
programs. HAPSAT uses detailed epidemiological, demographic, and economic data to estimate the
financial and human resources required to sustain and/or scale up a portfolio of HIV/AIDS programs.
HAPSAT has been implemented in Zambia, where Ministry of Health officials developed scenarios based
on how services are delivered to project the impact of changes in policy, prices, and human resources.
Funding of this activity will provide important information for COP10 and beyond with policy analysis,
costing of service delivery prices (coupled with new Performance based Contracting efforts) and additional
information on Human Resources for Health costs that account, but are not dependent upon, a Federal
Human Resource Information System which currently has not been implemented.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.18:
Sector Wide Effects of the Global Fund
The SWEF Network is a collaborative research network that seeks to understand how monies disbursed by
the Global Fund and other global health initiatives affect broader health systems of recipient countries.
With support from OGAC and USAID, the Partners for Health Reformplus Project conducted the System-
wide Effects of the Funds (SWEF) study in Ethiopia to assess the effect of the Global Fight (GFATM) on the
broader health system. Using qualitative and quantitative data at both baseline (2003/4) and follow-up
(2006), the study investigated system-wide effects under four themes: the policy environment, human
resources, the private sector, and procurement and logistics. Overall, the research findings suggest that
GFATM has played a significant role in Ethiopia's health system and has stimulated several positive
developments. For example, the study results indicate that GFATM-related processes have helped address
policy and program constraints, human resource issues, management systems within the health sector, and
logistics and supply systems while fostering a positive relationship between the public and private sectors.
As the expansion of HIV/AIDS, tuberculosis, and malaria services proceeds at a rapid pace, further
evidence of system-wide effects of the scale-up is needed by policymakers and program managers 1) to
help inform the effective implementation of the initiatives in Ethiopia, 2) to document and strengthen positive
spin-off effects on the health system, and 3) to mitigate any unintended negative effects on the health
system. Of particular interest are the effects on human resources and other health care priorities, including
maternal and child health care and family planning services. Because health care services in Ethiopia are
provided in a decentralized context, understanding the system-wide effects at the sub-national level is
particularly important. Such analyses will account for the increased complexity of the international aid
architecture supporting the scale up of HIV/AIDS, Tuberculosis, and Malaria, which includes not only
GFATM, but also PEPFAR, PMI, and the World Bank's MAP.
