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.
Mekele University (MU), located in Mekele Town (the seat of the Tigray region in Northern Ethiopia), is
providing training for students on general medical practice, public health, nursing, and other mid-level
training courses for different cadres of health professionals.
MU is working closely with the Tigray Regional Health Bureau (RHB) and actively providing technical
assistance that supports planning and implementation of various health programs in the region. The
university is working closely with the teaching hospitals in Mekele and supports them in building capacity
that will enable them to provide referral services and support facilities in the catchment areas of the
hospitals. In tandem with regional initiatives currently being taken to strengthen and scale up HIV/AIDS
activities and the support with resources from national and international partners, MU is rapidly building its
capacities. As a result, various anti-HIV/AIDS activities have been started to mainstream HIV/AIDS
interventions in an array of training programs.
Through technical support from PEPFAR Ethiopia's implementing partner (University of Washington I-
TECH), MU and its teaching hospitals have initiated anti-HIV/AIDS activities and services among the
university community and hospital clients. Anti-AIDS clubs have been established both among the students
and the staff of the university. A number of activities focusing on prevention, care, and treatment have been
initiated and preparatory activities undertaken to scale these activities in a major way. As a result, MU and
its teaching hospitals will be in a good position to expand their support to program management in the
regions and strengthen technical support to the health networks delivering ART and other HIV/AIDS
activities in Tigray and adjoining regions.
Through the support of Washington University (I-TECH), MU will further strengthen its coordination,
implementation, and monitoring capacity. The university and its teaching hospitals will expand their support
to the health networks delivering care and ART services in Tigray, Amhara, and Afar regions. The university
will strengthen its networking with the regional HIV/AIDS Prevention and Control Office (HAPCO), RHB,
nongovernmental and faith-based organizations operating in the region, and will support involvement of
private hospitals in the HIV/AIDS response. It will take the lead to strengthen local partners to work towards
achieving the targets set. The university will have a strong working relationship with its USG counterpart.
MU will be in a good position to scale up its HIV/AIDS activities in a comprehensive manner, with due
emphasis on prevention, care, and treatment and on linkages among these program areas. Activities will be
expanded to address the needs of the university community and expanded further to involve the health
networks and partner organizations and other stakeholders.
For the university to establish itself as a long-term technical support center, it needs to build its managerial
and leadership capacities. In order to establish these capacities, the university will be offered the
opportunity to handle directly the administration and management of the technical and logistical
arrangements required to support the health networks delivering ART and related services. The university
will, therefore, receive direct financial and technical support that will enable it to establish the required
experience through a cooperative agreement with CDC Ethiopia. MU will collaborate with I-TECH and
Management Sciences for Health (MSH), and will also undertake review meetings with other local
universities and stakeholders. This will allow the university to strengthen its engagement in managing its
HIV/AIDS program and its support to the national and regional programs. This will help the university to be
in a position to takeover smoothly the technical support currently provided by I-TECH.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16720
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16720 5675.08 HHS/Centers for Mekele University 7522 3804.08 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
10596 5675.07 HHS/Centers for Mekele University 5547 3804.07 $100,000
Disease Control &
Prevention
5675 5675.06 HHS/Centers for Mekele University 3804 3804.06 $100,000
Table 3.3.09:
