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
Transportation Corridor Program
ACTIVITY UNCHANGED FROM FY2008:
This is a continuing activity from the FY07 supplemental. This activity receives HVAB, HVOP and HVCT
funding.
This comprehensive ABC activity, addressing high risk populations along four major transportation corridors
in Ethiopia, is planned as a program follow on to the previous High Risk Corridor Initiative implemented by
Save the Children USA.
Towns along the following transportation corridors will be addressed:
Addis Ababa - Djibouti, specifically Dukim, Adama, Metehara, Awash, Mille and Loggia
Addis Ababa - Adigrat, specifically Kombolcha, Dessie, Weldiya
Addis Ababa - Gondar, Debre Markos, Bahir Dar, Gondar
Modjo - Dilla, specifically Shashemene, Yirgalem, Dilla and Awassa
Additional towns will be identified by the implementing partner in coordination with the USG to maximize
HIV prevention activities in key towns.
This continuing activity will expand structured HIV prevention activities in key towns along three additional
transportation corridors to ensure at risk populations receive interpersonal and interactive HIV prevention
counseling, condom distribution and VCT services. The activity will utilize structured implementation
approaches to facilitate and sustain the adoption of prevention behaviors. The activity will link activities to
clear behavior change objectives related to mutual faithfulness, partner reduction and other prevention
methods.
Lessons from the High Risk Corridor Initiative and the East African regional Transportation Corridor Initiative
will be incorporated into the design and implementation of this activity. The implementing partner will gather
existing formative assessments on high risk behaviors, substance abuse, transactional and cross
generational sex for further analysis. Additional low cost formative assessments will be completed by the
implementing partner in collaboration with other USG implementing partners to better understand the target
population's needs and the factors that expose them to a HIV risk.
Substantial collaboration is envisioned between USG implementing partners is anticipated. The
implementing partner's ability to cover four transportation corridors will be strengthened through such
collaboration, specifically with the Targeted Condom Promotion activity and the Confidential STI Clinics
implemented to target at risk populations. Collaboration between this prevention activity and palliative care
and counseling and testing activities will be incorporated. This will strengthen the implementing partner's
capacity to place at risk populations in need of services into existing community care and inpatient facilities.
Target populations include various subpopulations of adult men and women residing and transiting urban
areas. Adult men, specifically transportation workers, men with disposable income and migrant populations,
appear to be engaged in high levels of informal transactional sex. Older adolescent girls and women, with
specific emphasis on those aged 20+, who engage in transactional sex will be recipients to ABC
interventions and services to reduce their risk of becoming infected with HIV. More specific, tailored HIV
prevention program is will be established to reach adult women engaging in transactional sex in high risk
settings and in offsite areas. Structured peer promotion by populations of at risk groups will be utilized to
increase access to these groups. Population specific support groups will be utilized to encourage greater
interaction and uptake of available HIV prevention and care services including treatment.
Recent HIV prevalence estimates reflect a consistent pattern observed in both the ANC surveillance and the
EDHS of a many-fold higher HIV prevalence in urban settings than in rural settings. HIV prevalence among
adults in urban settings to be almost nine times higher than that among adults in rural settings. In the 2005
EDHS, HIV prevalence among adults in urban settings was almost eight times higher than that among
adults in rural settings. A recent USG technical assistance visit identified several observations to consider
during program design -
1 -Focus on the urban epidemic
2 -Transactional sex is likely at the epicenter of the urban epidemic
3 -There are exceptionally high levels of risk among adult populations
4 -Gender inequalities are likely at the root of HIV risk among women
5 -Social marginalization may be associated with migration, and with risk, in key subpopulations
The new activity will aim to build on these successes and draw from USG interagency programming
experiences in alcohol and substance abuse, targeted condom promotion, gender-based violence, and the
Male Norms Initiative to address at risk populations in specific geographical areas where such populations
congregate. Structured interpersonal and interactive behavioral change interventions will be strengthened.
Inherent in the design of this new activity will be strong referral to HIV/AIDS and TB services offered by
public and private health facilities, mobile VCT services and community-based care programs within
program implementation areas.
The activity will blend sub partnering and direct implementation to address USG priorities. The
implementing partner will engage in local technical capacity building of civil society in key towns where
available. The activity will place an emphasis on gender, specifically addressing male norms including
multiple partnerships, coercive sex, alcohol use and condom use. We also anticipate the partner will
leverage both USG and non-USG resources to increase at risk women's access to productive income and
services.
At the time of writing a multi-year statement of work is being designed for competitive procurement.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17831
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17831 17831.08 U.S. Agency for To Be Determined 7599 7599.08 Corridors
International
Development
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing women's access to income and productive resources
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Estimated amount of funding that is planned for Economic Strengthening $1,000,000
Education
Water
Table 3.3.02:
Transportation Program
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
There are no changes to the activity narrative, targets have been added
FY 08 ACTIVITY NARRATIVE
This comprehensive ABC activity, addressing high-risk populations along four major transportation corridors
in Ethiopia, is planned as a program follow-on to the previous High-risk Corridor Initiative implemented by
HIV-prevention activities in key towns.
This continuing activity will expand structured HIV-prevention activities in key towns along three additional
transportation corridors to ensure at-risk populations receive interpersonal and interactive HIV-prevention
counseling, condom distribution and voluntary counseling and testing (VCT) services. The activity will use
structured implementation approaches to facilitate and sustain the adoption of prevention behaviors. The
activity will link activities to clear behavior-change objectives related to mutual faithfulness, partner
reduction, and other prevention methods.
Lessons from the High-Risk Corridor Initiative and the East African regional Transportation Corridor
Initiative will be incorporated into the design and implementation of this activity. The implementing partner
will gather existing formative assessments on high-risk behaviors, substance abuse, transactional, and
cross-generational sex for further analysis. Additional low-cost formative assessments will be completed by
the implementing partner in collaboration with other USG implementing partners to better understand the
target population's needs and the factors that expose them to a HIV risk.
Substantial collaboration between USG implementing partners is anticipated. The implementing partner's
ability to cover four transportation corridors will be strengthened through such collaboration, specifically with
the Targeted Condom Promotion activity and the confidential sexually transmitted infections clinics
implemented to focus on at-risk populations. Collaboration between this prevention activity and palliative
care and counseling and testing activities will be incorporated. This will strengthen the implementing
partner's capacity to place at-risk populations in need of services into existing community care and inpatient
facilities.
areas. Adult men—specifically transportation workers, men with disposable income, and migrants—appear
to be engaged in high levels of informal transactional sex. Older adolescent girls and women, with specific
emphasis on those aged 20+, who engage in transactional sex will be recipients for ABC interventions and
services to reduce their risk of becoming infected with HIV. More specific, tailored HIV-prevention programs
will be established to reach adult women engaging in transactional sex in high-risk settings and in offsite
areas. Structured peer promotion by populations of at-risk groups will be used to increase access to these
groups. Support groups comprised of similar age- and sex-based groupings will be used to encourage
greater interaction and uptake of available HIV prevention and care services including treatment.
Recent HIV prevalence estimates reflect a consistent pattern observed in both antenatal clinic surveillance
and the Ethiopian Demographic and Health Survey (EDHS)—that there is a many-fold higher HIV
prevalence in urban settings than in rural settings. HIV prevalence among adults in urban settings was
estimated to be almost nine times higher than that among adults in rural settings. A recent USG technical
assistance visit identified several observations to consider during program design -
Male Norms Initiative to address at-risk populations in specific geographical areas where such populations
congregate. Structured interpersonal and interactive behavioral-change interventions will be strengthened.
Inherent in the design of this new activity will be strong referral to HIV/AIDS and tuberculosis services
offered by public and private health facilities, mobile VCT services and community-based care programs
within program implementation areas.
The activity will blend sub-partnering and direct implementation to address USG priorities. The
available. The activity will place an emphasis on gender, specifically addressing male norms, including
multiple partnerships, coercive sex, alcohol use, and condom use. We also anticipate the partner will
leverage both USG and non-USG resources to increase at-risk women's access to productive income and
Activity Narrative: services.
At the time of writing a multiyear statement of work is being designed for competitive procurement.
Continuing Activity: 17872
17872 17872.08 U.S. Agency for To Be Determined 7599 7599.08 Corridors
* Increasing gender equity in HIV/AIDS programs
Estimated amount of funding that is planned for Human Capacity Development
Table 3.3.03:
Care and Support Activites for Four Major Transportation Cooridors
ACTIVITY UNCHANGED FROM FY2008
This is a follow-on activity for FY09 to be competed; Ethiopia/USAID will inform OGAC on the selection of
the new partner. This activity receives HVAB, HVOP, HBHC and HVCT funding.
This comprehensive care and support, ABC and counseling and testing activity, addressing high risk
populations along four major transportation corridors in Ethiopia, is planned as a program follow on to the
previous High Risk Corridor Initiative implemented by Save the Children USA and the ROADS program
implemented by Family Health International.
This new activity will expand structured community based HIV care and support activities in key towns along
four transportation corridors to ensure at risk populations receive interpersonal and interactive community
based HIV care and support services. The activity will utilize structured implementation approaches to
facilitate comprehensive community based care and support activities including income generating activities
and other support activities to promote livelihoods, lifestyle and risk behavior modification.
will be incorporated into the design and implementation of this activity. Additional low cost formative
assessments will be completed by the implementing partner in collaboration with other USG implementing
partners to better understand the target population's community based care and support needs.
Substantial collaboration is envisioned between USG implementing partners is anticipated. Collaboration
between this care and support activity and prevention and counseling and testing activities will be
incorporated. This will strengthen the implementing partner's capacity to place at risk populations in need of
services into community based care and support.
Target populations include various PLWHA subpopulations of women residing and transiting urban areas.
Older adolescent girls and women, with specific emphasis on those aged 20+, who engage in transactional
sex will be recipients to care and support activities. Structured peer promotion by populations of at risk
groups will be utilized to increase access to these groups. Population specific support groups will be
utilized to encourage greater interaction and uptake of available HIV care and support services including
treatment.
available. The activity will place an emphasis on gender, specifically addressing access to appropriate
care and support activities including income generation activities for HIV positive females. We also
anticipate the partner will leverage both USG and non-USG resources to greater increase at risk women's
access to productive income and services.
Continuing Activity: 18255
18255 18255.08 U.S. Agency for To Be Determined 7599 7599.08 Corridors
* Reducing violence and coercion
Estimated amount of funding that is planned for Economic Strengthening
Table 3.3.08:
Corridors
This activity will be competed to select a new partner. USAID/Ethiopia will inform OGAC when the partner
is selected.
COP 08 NARRATIVE:
This is a continuing activity from the FY07 supplemental. This activity receives HVAB, HVOP, HBHC and
HVCT funding.
The activity is primarily funded by HIV prevention funds. HVCT funding will permit the TBD implementing
partner to address HIV counseling and testing mobilization within the interpersonal and interactive HIV
prevention components of the program. Primary targets of the interpersonal HIV prevention program include
adult populations above the age of 25, girls engaged in cross-generational sex, commercial sex workers
and their clients and migrant populations, specifically truckers and their assistants who frequent
entertainment areas where transactional sex occurs.
Corridors will leverage HCT services from USG investments in the private sector, mobile CT, community
based organizations and facility based organizations. HVCT funding enables the TBD implementing agency
to adapt specialized communications instruments for target populations to assess VCT. Furthermore, the
TBD implementing partner will collaborate with USG implementing partners to target mobile and community-
based VCT services to specific geographic areas to address high risk settings and specific demographic
groups that are hard to reach. The Corridors program will provide a specialized input to VCT programming
to hard to reach groups. Inputs will focus on targeted mobilization within the context of HIV prevention to
hard to reach groups as opposed to VCT service delivery to these groups.
Activity Narrative: 1 -Focus on the urban epidemic
public and private health facilities, mobile VCT services and community based care programs within
The activity will blend subpartnering and direct implementation to address USG priorities. The implementing
partner will engage in local technical capacity building of civil society in key towns where available. The
activity will place an emphasis on gender, specifically addressing male norms including multiple
partnerships, coercive sex, alcohol use and condom use. We also anticipate the partner will leverage both
USG and non-USG resources to increase at risk women's access to productive income and services.
Continuing Activity: 18713
18713 18713.08 U.S. Agency for To Be Determined 7599 7599.08 Corridors
Table 3.3.14:
