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.
MSM and HIV Prevention
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
In FY09 the following activities will continue
1) Technical assistance support on HIV interventions among MSM as a hidden population
2) Strengthening of interventions reaching the MSM network with promotion of condoms and counseling
and HIV testing.
3) Training of health workers on counseling and working with MSM as a hidden population (in the Ethiopian
context)
4) Development and distribution of educational materials adapted to the needs and contexts of MSM.
5) Procurement and provision of condoms and lubricants.
6) Strengthening referral system for STI and linkages to HIV counseling and testing.
This is a continuation activity following on from a formative assessment completed by the Ethiopian Public
Health Association (EPHA) in FY07 on men who have sex with men (MSM) and HIV.
Sex between men occurs all over the world. In Europe, the Americas, and Asia, the lifetime prevalence of
MSM ranges between 3% and 20%. Recent evidence highlights increasing risk levels and vulnerability in
this group in developing countries. Due to stigma and discrimination, male-to-male sex is frequently denied,
forcing the HIV epidemic underground and threatening the health of MSM, and their male and female
partners. Studies in certain developing countries indicate prevalence of HIV and sexually transmitted
infections (STI) among MSM as high as 14.4% and 25% respectively. Few epidemiological studies exist on
HIV and vulnerability to sexually transmitted infections among MSM in sub-Saharan Africa. In Ethiopia,
before this recent assessment on MSM, there had been very little information about MSM and their HIV risk
behavior. As in most developing countries, MSM tend to congregate in cities, in places frequented by
expatriates, and along major tourist travel corridors and destinations. A recent pilot study of MSM in Addis
Ababa confirms that this population has long existed covertly. The assessment showed that MSM have an
early age of sexual debut, and male-to-male sex appears to be on the increase. MSM were found to have
misconceptions about HIV risk; some believe sex with men carries a lower risk of infection than
heterosexual sex.
In FY08, EPHA will conduct the following activities:
1) Dissemination workshop on the result of the assessment of MSM conducted in FY07, where all regional
HAPCO representatives and responsible persons will be in attendance
2) Technical assistance support on HIV interventions among MSM in a hidden population
3) Strengthen interventions reaching the MSM network with promotion of condoms and counseling and HIV
testing
4) Studies of STI and HIV prevalence among MSM.
5) Developing training manuals on MSM behaviors and MSM/HIV prevention for counselors and health
workers
6) Training of 40 health workers on counseling and working with MSM in a hidden population (in the
Ethiopian context)
7) Participatory community assessment on identification of MSM-network meeting places
8) Experience-sharing visit to Kenya and Ghana to look at successful program interventions on MSM and
HIV
9) Development and distribution of educational materials adapted to the needs and contexts of MSM
10) Procurement and provision of condoms and lubricants
11) Creation of a referral system for STI and linkages to HIV counseling and testing
New/Continuing Activity: Continuing Activity
Continuing Activity: 16649
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16649 10638.08 HHS/Centers for Ethiopian Public 7489 674.08 Improving $150,000
Disease Control & Health Association HIV/AIDS/STD/T
Prevention B Related Public
Health Practice
and Service
Delivery
10638 10638.07 HHS/Centers for Ethiopian Public 5491 674.07 $175,000
Disease Control & Health Association
Prevention
Table 3.3.03:
