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
Coordination of the HIV national response in Ethiopia is critical for mitigating the impact of HIV and decreasing incidence and mortality. Voluntary counseling and testing (VCT) services are key to the success of HIV prevention, treatment, and care programs. Individuals learn about behaviors that put them at risk of HIV infection, and how they can reduce this risk through the counseling process. This information can be a catalyst for people to alter their behaviors.
Having only 6% of the national population, but approximately 17% (20,000) of new HIV infections and 18% (60,000) of people in need of ART, Addis Ababa (AA) is a key PEPFAR partner in increasing access to prevention, care, and treatment services in Ethiopia. As of October 2009, AA accounted for 38,000 (23%) of the 167,000 patients on ART across Ethiopia. The AA HIV/AIDS Prevention and Control Office (AAHAPCO) is a unit within the AA City Government that leads coordination of all efforts in the city, one of the largest in Africa at more than five million inhabitants and experiencing rapid influx of persons from rural areas. AAHAPCO began working with CDC in 2001 to establish and strengthen model VCT centers. Continuing its partnership with CDC, a long-term plan has been made to support AAHAPCO's mobile VCT and palliative care programs.
AAHAPCO, as a prime indigenous partner, has been implementing two model VCT centers since March 2001 in collaboration with the AA branch of the Organization for Social Services for AIDS (OSSA), the pioneer local non-governmental organization in the fight against HIV in Ethiopia, and AA Health Bureau's Zewditu Memorial Hospital model VCT center. Direct USG funding to an indigenous governmental partner simultaneously optimizes cost-efficiency and promotes sustainability. Within the AA governmental system itself, the AAHAPCO also works in close collaboration with the AA Health Bureau to strengthen the various health system components responsive to HIV/AIDS, including leadership and governance, financing, strategic information, and service delivery.
The establishment of National Model VCT sites by the AA City Government was one of the major strategies applied in preventing and controlling the transmission of the pandemic. These services are employed as a tool to help individuals, families, and community to avoid risky behaviors, and as an entry point for linkages to prevention, care and treatment services.
This ongoing activity comprises VCT (stand alone/free standing, integrated, mobile and home-based) and care and support services. Care and support services are built on a continuum of care model, incorporating psycho-social, nutrition, and spiritual care, and are to be delivered in two service outlets in the capital. Referral linkages will be strengthened with hospitals for palliative care service and food, literacy, and other resources in the community. This program will be linked to selected hospitals in Addis Ababa and to US Universities providing technical assistance, such as JHU. Additionally, PLHAs will be engaged in income-generating activities, and care and support outreach services will be conducted to the needy in the project area. Serving as important centers for in-service VCT training, the model sites will also serve as an important resource in AA for the new rollout in 2010 of door-to-door HIV testing as part of the urban Health Extension Worker program. Monitoring and evaluation is carried out through the CoAg reporting process, regular CDC-AAHAPCO interactions, CDC TA, site visits, and through other partner interactions with AAHAPCO to triangulate information.
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