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: 2010 2011 2012 2013 2014 2015 2016 2017 2018
Mechanism Narrative:
The American International Health Alliance (AIHA) -- through a cooperative agreement with the US Department of Health and Human Services' Health Resources and Services Administration (DHHS/HRSA) -- has established an "HIV/AIDS Twinning Center" (AIHA-TC) to support partnership and volunteer activities as part of the implementation of PEPFAR.
The goal of AIHA-TC is to strengthen human and organizational capacity for scaling up HIV/AIDS prevention, care and treatment services in Ethiopia. Through twinning partnerships, volunteers, and supportive assistance programs, the Twinning Center (TC) contributes significantly to strengthening the health system in Ethiopia and improving service delivery. AIHA works in close collaboration and partnership with the MOH, local universities, US partners and local organizations.
AIHA has been working in Ethiopia for three years and currently facilitates seven partnerships at hospital, community and educational institutions. They are:
- ARC/University of California, San Francisco
- AAU School of Pharmacy/Howard School of Pharmacy
- AAU Faculty of Medicine/University of Wisconsin, Madison
- AAU School of Social Work/Tanzania Institute of Social Work/University of Illinois, Jane Adams College of Social Work (Triangular partnership)
- Debre Berhan Hospital/Elmhurst Hospital Center
- Ambo Hospital/Jersey Shore University Medical Center
- National HAPCO/LVCT Liverpool
The Volunteer Diaspora Initiative has placed 42 highly qualified mostly Ethiopian-American volunteers at hospitals, health facilities and non-governmental organizations. All of the twinning projects are largely voluntary and term-limited in nature with partner institutions that are committed to achieving goals and objectives in a cost-efficient manner. Their contribution to health systems strengthening is more targeted than other implementing mechanisms since the individual projects are well-negotiated and focused on a specific problem in advance of implementation.
AIHA-TC partnerships, and the volunteer program, focus on building health system capacity and developing local institutional ability to provide quality ART services, in collaboration with other USG-implementing partners. USG partners executing the ART services report on the number of individuals receiving HIV clinical services, such as care/ART; thus, the twinning partnerships and volunteer program will report on the number of institutions providing services and the number of service providers trained, to measure the effect of the TC Program on sustainable strengthening of HIV/AIDS ART services in Ethiopia.
AIHA's VCT partnership will focus on strengthening Quality Assurance strategies and are implemented at the national level.
Activities put into operation through the TC strengthen national human resource development covering all areas related to HIV/AIDS and other health issues. The Twinning Center's monitoring and evaluation framework focuses on monitoring & evaluation efforts on three levels: individual partnership, cross-partnership, and program-wide. Progress toward the overall TC project goals and objectives will be measured periodically using the specified indicators and a variety of data collection approaches across the three levels. At the individual partnership level the focus will be on monitoring the successful achievement of measurable objectives and activities as outlined in the partnership workplans. Work plans are developed in line with PEPFAR goals and activities and are implemented on previously agreed upon timelines, which are reviewed periodically with stakeholders. Cross-partnership evaluation will focus on identifying outcomes across partnerships working in similar technical areas. Finally, the program-wide evaluation will focus on the broader outcomes of the partnerships and the impact of the Twinning Center as it relates to sustained human and organizational change which in turn will enhance service delivery.
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