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
APRIL 2009 REPROGRAMMING
Strengthening Higher Learning Institutions' Clinics to Provide HIV Prevention and Friendly STI Services
As a result of the Prevention Portfolio Review, we have determined this activity to have 10% AB component
from the previous 100% OP activity.
Strengthening higher learning universities clinics (Jimma, Mekelle, Hawassa) to provide HIV prevention, and
youth-friendly STI services. Linked with peer outreach through HCP (USAID partner) and MARCH program,
condom promotion and distribution, HCT, reproductive health, care and treatment.
In FY09, based on the experience gained from this activity, expansion of the service to Hawassa University
will be done with the following AB activities 1) Assess the HIV/STI and reproductive health messages and
prevention activities in Hawassa University 2) Adapt available HIV/STI information, education, and
communication materials for use in the Hawassa University 3) Strengthen campus anti-AIDS clubs,
university anti-AIDS committees, and gender offices to provide youth-friendly STI and reproductive health
information to their members 7) Support making AIDS Resource Center materials available to students at
Hawassa University campus.
COP 08 NARRATIVE: This is a continuation activity to provide HIV-prevention messages and friendly
services to address sexually transmitted infections (STI ) in Universities. Students in higher learning
institutions are considered to be fully aware of HIV/AIDS risks and preventive mechanisms. As a result, they
are often neglected by HIV/STI interventions. However, on arrival at university, many students encounter
new ways of life, with relative independence and freedom as they are away from the immediate control and
influence of their parents. Students coming from rural villages and semi-urban areas in particular have
difficulty adapting to the new urban environment and group social life. The influence of peers is significant,
and there is a high level of desire for new experience. The widely acknowledged attitude that ‘you can't be
in campus without a girl/boyfriend' causes them to engage in sexual activity that puts them at risk for HIV
and STI. Transactional sex is one of the most evident social dynamics around the university campus. For
most female students, particularly those from poorer backgrounds, having sex with men who are often older
and wealthier is the quickest and easiest way to secure the material goods and lifestyles exemplified by
their wealthier peers. The fact that many parents/guardians are not able to support students financially due
to economic hardships creates a further financial strain on students. These factors, added to a high level of
sexual networking and high HIV prevalence in the cities where the higher institutions are located, put
university students at high risk for HIV exposure. The recent UNAIDS report indicates that the percentage
of Ethiopian young people aged 15 to 24 who used a condom last time they had sex with a casual partner
was only 36.2% among males and 14.6% among females. In the past 12 months, 37.8% males and 34%
female adolescents had had casual sex in the past 12 months. All Ethiopian universities have clinics that
are supposed to provide comprehensive, primary-level healthcare service to all registered students. But
because of the nature of the diverse students enrolled and the limited capacity of the clinics, the clinics are
not well-utilized and are not providing standard and quality HIV/STI prevention services. PEPFAR currently
supports few interventions in HIV prevention at Ethiopian universities, because most PEPFAR activities are
concentrated in the capital and the universities outside Addis Ababa. Therefore, this activity will be
conducted in three universities where the prevalence of HIV among students and the surrounding
community is high. It will strengthen university clinics to provide HIV prevention and friendly STI services to
reduce the occurrence of new infections and break the cycle of HIV/STI infections. In FY08 the following
activities are planned; 1) Assess the HIV/STI and reproductive health messaging and prevention activities in
three universities: Gondar, Haromaya and Addis Ababa Universities. 2) Strengthen university campus
clinics to provide comprehensive HIV/STI and reproductive health services, including voluntary counseling
and testing services, to students and staff of the universities 3) Train 12 health workers from the institutional
clinics in HIV/STI syndromic management and counseling and testing 4) Adapt available HIV/STI
information, education, and communication materials for use in the three universities 5) Recruit one
additional health worker to support the HIV prevention services in the clinics 6) Strengthen campus anti-
AIDS clubs, university anti-AIDS committees, and gender offices to provide youth-friendly STI and
reproductive health information to their members. 7) Support making AIDS Resource Center materials
available to students at the three university campuses.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.02:
In FY09, based on the experience gained from this activity, expansion of the service to Jimma University will
be done with the following similar activities 1) Strengthen the university campus's clinic to provide
comprehensive HIV/STI and reproductive health services, including voluntary counseling and testing
services, to students and staff of the universities 2) Train 8 health workers from the institutional clinics in
HIV/STI syndromic management and counseling and testing 3) Recruit one additional health worker to
support the HIV prevention services in the clinics 4) Equip the university's clinic with STI supplies including
drugs and condoms.
services to address sexually transmitted infections (STI) in Universities. Students in higher learning
available to students at the three university campuses
Table 3.3.03:
HIV/AIDS (ART) Program Implementation Support
ACTIVITY UNCHANGED FROM FY2008
This is a continuation of activity from FY08. The partner does not have a co-operative agreement with CDC
and has not received funds so far. Partner is in the process of securing a cooperative agreement with CDC.
Debub University (DU) located in Awassa, the seat of the Southern Nations, Nationalities and Peoples
Region (SNNPR), is offering training in general medical practice, public health, and a number of mid-level
training courses for health professionals. It is currently the hub of public health education for SNNPR and
the adjoining regions and is actively participating in various activities of the Regional Health Bureau (RHB).
The DU teaching hospital is evolving as a referral facility for the heavily populated southern part of the
country. DU is scaling up its response to the HIV/AIDS epidemic by utilizing opportunities and resources via
numerous national and international initiatives, and it is also expanding its support to the regional HIV/AIDS
program, including ART services. It is increasingly involved in various HIV/AIDS and related activities both
at regional, district, and site levels. This includes in-service training of health workers to meet the high
human resource needs to implement HIV/AIDS, tuberculosis (TB), and sexually transmitted infections (STI)
program activities in SNNPR.
In FY06 and FY07, through technical support from PEPFAR Ethiopia implementing partners, DU is
strengthening HIV/AIDS activities and is currently contributing to the regional effort to mitigate the spread of
the epidemic. The process of institutionalizing HIV/AIDS-related activities has been strengthened by the
structure (HIV/AIDS Affairs Unit) and by assigning a focal person at the Awassa College of Health Sciences.
The Unit is directly accountable to DU's President and oversees and coordinates the university-wide
HIV/AIDS response. An anti-AIDS clubs association led by the students' council has been well established,
with branches in all five campuses. The DU Gender Office is coordinating activities to address the specific
needs of female university members. The Association is evolving as a major movement aspiring to form a
region-wide youth movement to support regional and national efforts by networking with other local
universities and similar institutions abroad.
In FY07, through the support of Johns Hopkins University, DU is coordinating its efforts to limit HIV
transmission and mitigate the effects of AIDS. The university and its teaching hospital will work with the
health networks delivering care and treatment services in SNNPR region. It has established a functional
network with regional HIV/AIDS Prevention and Control Offices (HAPCO), RHB, nongovernmental
organizations like Tilla (regional association of people living with HIV), and private-sector institutions. It is
currently working with these partners and providing technical assistance (TA) that will enable these partners
work towards achieving targets set for FY07. The support from PEPFAR Ethiopia has afforded the
university and its teaching hospital with opportunities, not only to strengthen it anti-HIV/AIDS activities within
the university community, but also enabled it to build its capacity to support health networks in SNNPR.
For DU to establish itself as a long-term technical support center, managerial and leadership capacities
need to be built further in FY08. There is a need for deliberate action to establish managerial and technical
capabilities by offering the university the opportunity as well as the challenge to handle directly the
administration and management of the technical and logistical arrangements required to support the health
networks delivering ART and other HIV/AIDS-related services. In FY08, DU will strengthen its support for in-
service training and direct TA to SNNPR Regional Health Bureau and provide pre-service training on
HIV/AIDS, including ART. DU will be involved in targeted evaluation of HIV/AIDS program implementation
and in regional activities related to data processing, documentation of best practices, and dissemination of
scientific information. The university will work closely with and get intensive technical support from Columbia
University, but will also have an opportunity to engage directly in managing its HIV/AIDS program. The
university will also be involved in direct technical support and management of funds through a cooperative
agreement with CDC Ethiopia—a process that will enable it to establish the required experience. This will
allow DU to strengthen its engagement in managing its HIV/AIDS program and its support to national and
regional programs. DU will collaborate with Johns Hopkins University's Technical Support for the Ethiopia
HIV/AIDS ART Initiative and Management Sciences for Health and also undertake review meetings with
other local universities and stakeholders. This will also help the university be in a position to takeover
smoothly in the long haul the technical support currently provided by Johns Hopkins University.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16704
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16704 5671.08 HHS/Centers for Debub University 7513 3799.08 IS for HIV/AIDS $90,000
Disease Control & ART Program
Prevention through Local
Universities in
the FDRE under
PEPFAR
10558 5671.07 HHS/Centers for Debub University 5533 3799.07 $100,000
Disease Control &
Prevention
5671 5671.06 HHS/Centers for Debub University 3799 3799.06 $100,000
Table 3.3.09:
