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
Goals and Objectives
The goal of this project is to decrease the incidence of HIV infection and to improve the quality of life for those affected by HIV/AIDS in Shimelba, My'Ayni, and Sherkole Refugee Camps and surrounding host communities.
Geographic Coverage and Target Population
Shimelba and My'Ayni Camps have a combined population of 23,499 refugees, composed primarily of young Tigringa Eritrean males. Sherkole Camp has a population of 3,271 refugees of Sudanese and Great Lakes origin. IRC activities will cover the three camps and the rural areas immediately surrounding them.
Health System Strengthening
IRC will conduct trainings for ARRA and IRC health staff and community-based providers in all three camps on needs-assessed topics including palliative care, diagnosis and management of opportunistic infections, drug supply management, clinical care for sexual assault survivors, and universal infection prevention. IRC will provide testing reagents and materials to ARRA laboratories to ensure that they can conduct essential tests to inform treatment of PLWHA. IRC will also support ARRA to establish clinical care audits and checklists and will coordinate with health, protection, legal, and psychosocial sectors to maintain a referral pathway that ensures timely and responsive service delivery.
Cross Cutting Attributions:
Gender: Reducing Violence and Coercion
IRC will strengthen coordination mechanisms, build capacity, and provide training to relevant partners, and increase access to health and psychosocial services for survivors of GBV. IRC will also conduct regular outreach activities to raise awareness on GBV and reduce the fear of social stigma associated with GBV. Additionally IRC will refer rape cases to the ARRA health centers; this will promote access to post-exposure prophylaxis (PEP) and HIV counseling and testing. IRC will directly respond to GBV through case management and psychosocial support of GBV survivors.
Economic Strengthening
IRC will establish a grants scheme to support income-generating activities for people living with HIV/AIDS (PLWHA), older OVC, and commercial sex workers (CSW). Targeted beneficiaries will submit proposals for income-generating projects, and IRC will provide grants of up to $2,000 per proposal. IRC will also provide beneficiaries with necessary start-up materials and technical assistance.
Education
To encourage access to education, IRC will provide guidance and material support to encourage OVC to regularly attend school. Currently, 100 OVC in Shimelba Camp are accessing tutorial services in the IRC child-friendly spaces; IRC will continue to provide these tutorial services in Shimelba and expand these services to Sherkole. In addition, IRC social workers will regularly follow up on the attendance of OVC in school and conduct home visits for children who have been absent from school to provide necessary support.
Key Issues:
Health-related Wraparound Programs
IRC will integrate family planning and the importance of prenatal, postnatal, and antenatal care into all VCT activities. This will enable clients to make informed reproductive health decisions and improve maternal and child health. IRC will refer PLWHA to the ARRA health center for TB testing and treatment.
Gender
IRC will increase women's legal rights and protection in terms of GBV by working with service providers from the health, protection, legal, and psychosocial sectors in a multi-disciplinary approach. Through behavior change communication (BCC) methods and awareness-raising on GBV and gender issues, IRC will address gender roles and societal norms to promote behavior change. IRC will encourage male involvement in GBV prevention and response activities. Meanwhile, by targeting women as part of the income-generation projects in the camps, IRC will increase women's access to income and productive resources.
Strategy for Cost Efficiency
IRC leverages resources from UNHCR and PRM to ensure cost efficiency when attaining PEPFAR objectives. The Administration for Refugee and Returnee Affairs (ARRA) and UNHCR maintain coordination roles within the camps, and IRC has a close working relationship with both agencies. IRC staff regularly consult and coordinate with these organizations to ensure that efforts are not duplicated and resources are used in a cost-effective and efficient manner. IRC will also strengthen linkages the Woreda Health Offices, the Regional Health Bureaus, and the HIV/AIDS Prevention and Control Office for work in local communities. Links will also be strengthened with the Assosa and Shire hospitals for delivery of advanced medical services. IRC will work with other PEPFAR partners such as PSI on condom social marketing and access to pre-packaged STI drugs.
Monitoring and Evaluation Plans
Data is compiled by the field staff on a monthly basis to ensure that necessary information can be manipulated to extrapolate pertinent information. Quality assurance of services delivered will be assessed through internal program reviews, including records review, site visits, and beneficiary interviews. IRC will address any bottlenecks in implementation and ensure the participation of the intended beneficiaries. To draw lessons from implementation, IRC will conduct an end-of-program evaluation to serve as the basis for modifying, expanding, and/or strengthening the program.
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