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
Human Resource capacity building for ART program Implementation.
ACTIVITY WITH ONLY MINOR CHANGES FROM FY2008
This is a continuing activity from COP08. The partner has received funds and has started implementing its
program.
In spite of the multifaceted efforts to increase access to and utilization and availability of ART services, the
number of ART eligible patients receiving treatment is still limited to less than 40%. The Government of
Ethiopia has set very ambitious targets for scaling up ART and intends to deliver ART services to over
341,884 patients (currently on treatment) by 2010. The scale and complexity of ART program
implementation in Ethiopia will exert huge pressure on the already fragile health care delivery system.
Establishing and maintaining minimum standards for safe and quality ART services will be a top priority for
PEPFAR Ethiopia. This and other priorities, such as the need to scale up ART services in different
geographical settings across different age groups, and to consider other socio-demographic determinants
will continue to pose major challenges to the health system. Severe capacity limitations, particularly the
chronic shortage of skilled human resources, have been a constant problem. Innovative ways of addressing
capacity issues is therefore another priority for PEPFAR Ethiopia's ART program. There is a need to fully
mobilize and exploit indigenous resources to achieve ambitious targets for treatment and care. Local
partners will have major roles in ART program implementation, but much of the existing potential has not yet
been utilized.
Indigenous health professional associations, some of which are well established, are partners that have not
been given due attention in the fight against HIV/AIDS in general and the implementation of ART in
particular. These associations collectively have a significant number of professionals working in various
types of facilities and at different levels of the health system throughout Ethiopia. Health professionals can
be reached through their respective professional associations and subsequently, their contributions to
program implementation coordinated by these associations to achieve maximum affect. HIV/AIDS related
activities at hospitals and health centers can be strengthened through these associations, as can be facility
management. The possibility of addressing the causes of disconnection between hospitals and health
centers and mending the rift between public, private and military HIV/AIDS programs lies with the
consortium of these associations.
With support from PEPFAR Ethiopia, several associations will join together in a Consortium to address
pressing HIV/AIDS issues. The consortium will be led by the Ethiopian Medical Association, the oldest
health professionals' association in Ethiopia. Additional members will include the Association of Physicians
in Private Practice, the Ethiopian Nurses Association, (ENA), the Ethiopian Pharmaceutical Association
(EPA) and the Association of Medical Laboratory Technologists. The consortium will, for example, lead
efforts to establish national ethical standards for care and ART services, coordinate PEP services for care
providers, certify and promote infection prevention in facilities, strengthen multidisciplinary team
approaches, establish chronic care models for HIV/AIDS activities, and ultimately, to integrate ART into
primary care services. The consortium will link its activities with those of various specialty societies and with
the Ethiopian Public Health Association. The consortium will command a very large membership of health
professionals directly involved in clinical, pharmacy and laboratory services related to ART, VCT and other
HIV/AIDS related activities.
The consortium will:
1) Support the training of physicians, health officers, nurses, pharmacists, druggists and laboratory
technologists in the delivery of care, drug services and laboratory support and monitoring of ART
implementation
2) Support and provide continuing education in all aspects of ART to those already trained
3) Organize and provide periodic updates to those already trained through continuing education programs
to be conducted in various regions of the country
4) Publish updates on new developments, national and regional guidelines in ART and other aspects of
HIV/AIDS and ensure that technical materials are properly disseminated and utilized by end users
5) Make experts available for various PEPFAR Ethiopia initiatives such as twinning activities, warm-line
services and mentoring activities
6) Support mobilization and deployment of human resources to support ART service delivery in various
regions of the country.
The consortium will work closely with PEPFAR Ethiopia partners across the country. Members of the
consortium will establish mechanisms for efficient communication and coordination for the development of
detailed plans and implementation strategies in order to contribute substantially to PEPFAR Ethiopia's
activities and targets.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16629
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16629 10431.08 HHS/Centers for Ethiopian Medical 8557 8557.08 HHS/CDC/Ethio $202,569
Disease Control & Association pian Medical
Prevention Association/GH
AI
10431 10431.07 HHS/Centers for Ethiopian Medical 8368 8368.07 EMA $200,000
Disease Control & Association
Prevention
Table 3.3.18:
