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.
The Ethiopian Public Health Training Initiative II has been implemented since the year 2005 as an Accelerated Health Officers Training Program (AHOPT) mandated by the Government of Ethiopia to train 5,000 health officers to support the primary health care delivery system. The program is ending in September 30, 2011, and the objectives for the COP 2010 are: (1) To establish a system through which the program can continue administratively and technically until the last group of students graduate in 2011; (2) To ensure health officers graduate with a core set of practical skills and a sustainable system is in place by the end of the project period; (3) To monitor the database of post-basic students' profiles to facilitate follow-up of progress in school and after deployment.
The program is implemented by the Carter Center, which has been an implementing partner for USAID Ethiopia for the past 10 years. The project is implemented in seven Universities (Jimma, Mekelle, Gondar, Addis Ababa, Haramaya, Hawassa, and Defense Universities) distributed all over the country.
This project has provided support in the key element of development of human resources for health and strengthening of the quality of primary health care with emphasis on maternal and child health, family planning, prevention and control of diseases such as HIV/AIDS, tuberculosis and malaria, and promotion of health and clinical services.
The project has helped bring together the Ministry of Education and Ministry of Health and created a platform of partnership and collaboration for supporting human resources for health. AHOPT has introduced a unified approach of training of health professionals in Ethiopia.
This activity will support implementation of HIV-specific training components of the MOH's AHOTP, which was initiated in the 2005-2006 academic year, as well as training for other health team members who are trained in the Ethiopian Public Health Training Initiative universities. Through the Carter Center's programs, 5,000 health officers and thousands of other health professionals will be trained through the active participation of the stakeholders.
The Carter Center has trained health officers that are candidates for advanced training in obstetrics/gynecology, as well as general surgery. The three-year master's level training is being implemented at four universities (Jimma, Gonder, Mekele, and Hawasa), and is going to support major reductions in the maternal mortality rate. Graduates are expected to be deployed at district hospitals, where emergency obstetric care is provided. Approximately 12-20 health officers are being trained at each university, using a curriculum that has already been developed. This activity will also support practical training in HIV/AIDS care and support, including ART services. Trained students will transfer to hospitals and health centers for their practical training.
In addition to the pre-service training, The Carter Center supports on-the-job training for university staff on teaching methodologies. By increasing the effectiveness of trainings, the teaching methodology workshop is critical to ensuring the quality of the educational system. Currently in Ethiopia, the ratio of healthcare providers to clients is very low. This fact has become more evident with the expansion of HIV/AIDS services across the nation. The AHOTP is one major opportunity to address the human resource crisis in Ethiopia. Training of health facility and university staff serves as one mechanism to motivate and retain the marginal number of current personnel.
The training program addresses cost efficiency in local universities and non teaching hospitals are used as training sites. It also makes use of existing education system and facilities. Students are also sent to the community for practical attachment that enables them to receive valuable education while providing primary health care services.
The overall training and deployment activities are monitored through a database, supportive supervision and regular meetings with higher level program councils at the national level. This monitoring and evaluation scheme is reported in the annual performance monitoring plan.
The Ethiopian healthcare delivery system suffers from low capacity in terms of healthcare service coverage for the majority, addressing quality and a shortage of human resource. The Accelerated Health Officer Training Program (AHOTP) addresses the issue of ensuring qualified health professionals in response to the plan of the Government of Ethiopia to increase health services coverage through the construction of additional health facilities. AHOTP trains, graduates, and deploys health officers to the areas where the health service need is high.
The program links health services quality and training institutions capacity to answer to the needs of the country. Due to this program non teaching affiliated health facilities have received the necessary inputs for their routine activities as intentional spill-overs.
The supports to this program come from USG and through collaboration with other USG partners the program has benefited substantially. These benefits are sharing experience, providing students with additional training and updating them with new protocols and standards.
This program has a strong support from the Government of Ethiopia through the joint effort of two ministries namely Ministry of Health and Ministry of Education. It is managed through a council represented by high officials from the Universities and the two Ministries.
