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.
Pastoralist Livelihood Initiative
THIS IS A NEW ACTIVITY
It is a comprehensive prevention program that will receive money from MTCT, HVAB and HVOP.
This activity that will leverage $3 million from the USAID Business, Environment, Agriculture and Trade
office in a wrap around activity called the Pastoralist Livelihoods Initiative - Phase II Livelihoods Component
(PLI II). HIV/AIDS prevalence in Ethiopia is concentrated in urban areas. In June of 2008, The Ministry of
Health released the Single Point HIV Prevalence Estimate report which gives the latest estimate of national
HIV prevalence. That report places the adult prevalence rate at 2.2%, while the corresponding rate in urban
populations is more than 3 times higher (7.7%). This wraparound activity will allow PEPFAR Ethiopia to
access an important population that forms a bridge between the rural and urban areas in 25 towns along
Ethiopia's transportation corridors in Oromia, Afar and Somali regions.
PEPFAR recognizes that marketing opportunities for pastoralists also creates an opportunity to address
HIV/AIDS prevention, care and support programming with this population. Pastoralists are a difficult
population to reach given their mobile lifestyle, yet they are an essential bridge population in Ethiopia where
the HIV/AIDS prevalence is much higher in urban and peri-urban areas than in rural areas. When
pastoralists travel from rural areas to towns in order to bring their livestock to market this creates an
opportunity for public health programs to impact on HIV/AIDS epidemic as it affects the pastoralist.
Additionally, pastoralist women who migrate from rural to urban areas can be at a greater risk of HIV
infection than their urban based counterparts due to their economic vulnerability and social isolation. PLI II
will receive funding to address HIV/AIDS prevention care and support among pastoralists who travel to
markets towns in urban and peri-urban areas through the President's Emergency Plan for AIDS Relief
(PEPFAR).
Ethiopia's 2005 Demographic and Health Survey found that low ANC attendance and assisted delivery
remain major impediments to progress on PMTCT targets. Additionally, young women who migrate from
rural to urban and peri-urban areas may be particularly vulnerable to HIV/AIDS infection. Being
economically vulnerable and socially isolated, such girls and young women are highly vulnerable to forced
or coerced sex, transactional sex for daily or periodic support, and negative reproductive health outcomes,
including HIV infection. Indeed, among young urban women below the age of 30, 6.8% of migrants to the
urban center are HIV-positive compared to 2.8% of young women who are native to the urban area
(Ethiopian Demographic and Health Survey (EDHS), 2005). Young women including OVC may be
particularly vulnerable to HIV/AIDS infection in market towns where PLI II will impact.
This PMTCT wrap around activity will address PMTCT among pastoralist women who have migrated to
urban and peri-urban areas in 25 towns along transportation corridors in Afar, Oromiya and Somali regions.
The goal of this activity is to increases total ANC enrollment through interpersonal and interactive
communications. As total ANC enrollment increases the number of unique pregnant women utilizing
PMTCT services will increase. Activities will include but not be limited to:
1) Reach pregnant women in through appropriate interpersonal and media campaigns promoting routine
ANC attendance,
2) Providing services and referrals to pastoralist young women and girls who migrated these market towns.
Services to be provided include emotional and social support from adult female mentors, HIV prevention
information, livelihoods training including financial literacy and entrepreneurship, and referrals to post-rape
counseling, health services, VCT, PMTCT, and ART. Linkages with programs addressing exploitive child
labor will be made to leverage experience and capacity.
3) Support for linkages to healthcare facilities to promote uptake of antenatal and PMTCT services and to
support follow up of infants enrolled in early infant diagnosis (EID) programs. It will continue to strengthen
the patient referral/linkage network through the development of tools, training of health professionals, and
on-site mentorship
2) Enhanced linkages between ANC, MNCH, PMTCT, family planning (FP), STI, and HIV care and
treatment clinics at the community to facility levels
3) Promotion of partner testing and a family-centered model of care where appropriate, using PMTCT as an
entry point to HIV services for mothers, children, and families
It is anticipated that the PLI II program will work with other programs working in the Afar, Oromiya and
Somali regions. For community-based programs it is expected that PLI II will link with the Transportation
Corridor Program, Civil Society, Engender Health - Prevention for At Risk Populations in High Prevalence
Urban Areas in Ethiopia, PSI - Targeted Condom Promotion and Positive Change: Children, Communities
and Care (PC3). For linkages with facilities PLI II will work with I-TECH in Afar, Columbia University in
Oromiya and Somali and MSH in Oromiya.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.01:
Pastoralist Livelihoods Initiative (II)
This new activity is a comprehensive prevention program that will receive money from MTCT, HVAB and
HVOP.
This is a new activity it will leverage $3 million from the USAID Business, Environment, Agriculture and
Trade office in a wrap around activity called the Pastoralist Livelihoods Initiative - Phase II Livelihoods
Component (PLI II). HIV/AIDS prevalence in Ethiopia is concentrated in urban areas. In June of 2008, The
Ministry of Health released the Single Point HIV Prevalence Estimate report which gives the latest estimate
of national HIV prevalence. That report places the adult prevalence rate at 2.2%, while the corresponding
rate in urban populations is more than 3 times higher (7.7%). This wraparound activity will allow PEPFAR
Ethiopia to access an important population that forms a bridge between the rural and urban areas in 25
towns along Ethiopia's transportation corridors in Oromia, Afar and Somali regions.
the HIV/AIDS prevalence is much higher in urban and peri-urban areas than in rural areas. It is critical to the
spread of the HIV/AIDS epidemic in Ethiopia from urban areas to rural areas and when pastoralists travel
from rural areas to towns in order to bring their livestock to market this creates an opportunity for HIV/AIDS
programming to impact on HIV/AIDS epidemic as it affects the pastoralist. Additionally, pastoralist women
who migrate from rural to urban areas can be at a greater risk of HIV infection than their urban based
counterparts due to their economic vulnerability and social isolation. PLI II will receive funding to address
HIV/AIDS prevention care and support among pastoralists who travel to markets towns in urban and peri-
urban areas through the President's Emergency Plan for AIDS Relief (PEPFAR).
Further, young women who migrate from rural to urban and peri-urban areas may be particularly vulnerable
to HIV/AIDS infection. Being economically vulnerable and socially isolated, such girls and young women are
highly vulnerable to forced or coerced sex, transactional sex for daily or periodic support, and negative
reproductive health outcomes, including HIV infection. Indeed, among young urban women below the age of
30, 6.8% of migrants to the urban center are HIV-positive compared to 2.8% of young women who are
native to the urban area (Ethiopian Demographic and Health Survey (EDHS), 2005). Young women
including OVC may be particularly vulnerable to HIV/AIDS infection in market towns where PLI II will impact.
This comprehensive prevention wrap around activity will address HIV/AIDS prevention among pastoralists
who migrate to and from urban and peri-urban areas in 25 towns along transportation corridors in Afar,
Oromiya and Somali regions. The goal of this activity is to prevent HIV/AIDS infection among pastoralists
and particularly to mitigate the spread of HIV/AIDS from an urban concentrated epidemic to a generalized
HIV/AIDS epidemic.
This activity aims to reduce HIV transmission among pastoralists through promoting HIV/AIDS prevention
through other behavior change beyond abstinence and/or being faithful (Other Prevention/OP) and
providing condoms in MARPs targeted condom outlets. This intervention includes behavior change
communication (BCC) activities to promote safer sexual practices using interpersonal communication.
Emphasis Areas
Gender
* Addressing male norms and behaviors
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
BEAT/Pastoralist marketplace Wraparound
Component (PLI II). HIV/AIDS prevalence in Ethiopia is concentrated in urban areas. In June of 2007, The
This activity aims to reduce HIV transmission among pastoralists through increasing the number of youth
and young adults practicing abstinence, secondary abstinence, and mutual fidelity.
Table 3.3.03:
