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:
ACTIVITY UNCHANGED FROM FY2008
This is a continuation of activity from FY08. The partner does not have cooperative agreement with CDC
and has not received funds so far. The partner is in the process of securing a cooperative agreement with
CDC.
Jimma University (JU), the first innovative community-oriented educational institution of higher learning in
Ethiopia, is a major contributor to skilled-health human resources development for the country. Through the
assistance of PEPFAR Ethiopia, the JU Teaching Hospital has been a major partner in the implementation
of national HIV/AIDS program activities. To date, a wide array of anti-HIV/AIDS activities have been initiated
by the hospital, including counseling and testing, PMTCT, ART, care, prevention, and HIV/AIDS in-service
and basic training that are supported by PEFAR Ethiopia. JU has also initiated highly acclaimed diploma
and degree HIV/AIDS monitoring and evaluation (M&E) training programs, with support from PEPFAR
Ethiopia. The teaching hospital is serving as a site for in-service training of the health workers required to
rollout HIV/AIDS program activities in Oromiya, the largest and most populated region.
Currently, the university is rapidly scaling up ART services at the teaching hospital, assisted by the USG
implementing partner Columbia University (CU-ICAP). JU has benefited from PEPFAR Ethiopia's
regionalized support by partnering with Columbia University (CU). HIV/AIDS activities in the university are
being consolidated and JU is actively supporting the accelerated scale-up of ART program in Oromiya and
adjoining regions that constitute ART operation zone 2. This has enabled the university to strengthen ART
services and the training being provided on various aspects of ART to all cadres of health professionals
working in the university, its teaching hospital and the health networks in the catchment area of the hospital.
This will enable the university to provide effective support to the in-service training of health workers in
Oromiya and adjoining regions and will assist in development and adaptation of technical materials for local
use, and serve as a demonstration site for other training facilities in the region, a point of networking with
other institutions of higher education in Ethiopia, and for establishing twinning partnerships with sister
institutions overseas. For the university to establish itself as a technical support center in the long-run,
managerial and leadership capacities need to be further developed. 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.
The university will strengthen its support to in-service training and direct technical assistance (TA) to
Oromiya RHB and carry out pre-service training on HIV/AIDS, including ART. JU will be involved in regional
activities related to data processing, documentation of best practices, and dissemination of scientific
information. JU will collaborate with Columbia University (CU) and Management Sciences for Health (MSH),
and will also undertake planning and review meetings with other local universities and stakeholders as
appropriate. The university, while closely working with and getting intensive technical support from CU, will
be provided with an opportunity to engage directly in managing its HIV/AIDS program through a co-
operative agreement with CDC Ethiopia. This arrangement will allow JU to strengthen its engagement in
managing its HIV/AIDS program and its support to the national and regional health networks. This will help
the university to build the capacity it will need to take over the technical support currently provided by CU,
when the latter pulls out its support.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16719
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16719 5672.08 HHS/Centers for Jimma University 7521 3801.08 Implementation $90,000
Disease Control & Support for
Prevention HIV/AIDS Anti-
Retroviral
Therapy
Program
through Local
Universities in
the Federal
Democratic
Republic of
Ethiopia under
the President's
Emergency Plan
for AIDS Relief
10595 5672.07 HHS/Centers for Jimma University 5546 3801.07 $100,000
Disease Control &
Prevention
5672 5672.06 HHS/Centers for Jimma University 3801 3801.06 $100,000
Table 3.3.09:
