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:
1.1 Goal
To support and promote HIV and AIDS policies and programs to reduce morbidity and mortality and to enhance the quality of life among refugees and other Persons of concern (PoC) to UNHCR in Ethiopia
1.2 Objectives
a. To ensure that the human rights of UNHCR's PCs are protected in HIV prevention, treatment, care and support programs.
b. To coordinate, advocate for and effectively integrate HIV policies and programs in a multi-sectoral approach for PCs by strengthening and expanding strategic partnerships with key stakeholders.
c. To reduce HIV transmission and morbidity through scaling up effective prevention interventions to UNHCR's PoCs with an emphasis on community participation, especially among women, children and people with special needs, to ensure they have access to HIV prevention information and services.
d. To ensure that PoCs living with HIV have access to timely, quality and effective care, support and treatment services including access to anti-retroviral therapy at a level similar to that of the surrounding host populations.
e. To build and strengthen HIV knowledge and skills as well as to provide necessary technical tools to PoCs and those staff working with them.
f. To ensure that data on UNHCR's PoCs are reflected in national HIV surveillance, monitoring and evaluation systems; to monitor and report on a regular basis PoCs' access to HIV prevention and treatment programs; to evaluate program performance and achievements using a results-based management approach; and to conduct operational research on new approaches to providing HIV prevention and treatment services to PoCs.
2. Geographic coverage & target population
The program will be implemented in Gambella (Fugnido camp), Benshangul gumuz (Sherkole camp), Tigray (Shimelba and My-Ani camps), Afar (Aysaita), Somali (Kebribeyah, Sheder, Awbarre and Bokolmanyo camps) and in Addis Ababa (urban program). The target population will be men and women refugees and surrounding host population of all age groups. The total target population is about 95,000 refugees (based on UNHCR August statistics).
3. Contributions to Health System Strengthening
Integration of HIV/AIDS services into health care, strengthening referral linkage between the community and health facility through health education and recruiting social workers. Scale up of PMTCT through MCH integration and strengthening. To adopt and scale up evidence-based prevention services such as male circumcision, Prevention with Positives, syndromic STI management and antiretroviral treatment
In-service training for health staff on various topics related to health service delivery in the context of HIV.
Strengthen supply chain and procurement systems for free and socially-marketed condoms from UNFPA and ARV drugs and HIV test kits from regional health bureau offices
4. Cross-cutting programs
Economic strengthening: Vocational training, poultry rearing, multi-storey gardening. The latter involves growing vegetables for both subsistence and economic purposes.
Gender: This includes activities related to increasing women's legal rights and protection; Increasing gender equity in HIV/AIDS activities and services; Addressing male norms and behaviors and increasing women's access to income and productive resources.
TB: This program aims to reduce the number of deaths caused by TB by increasing detection of cases of TB, and by successfully treating detected cases, as well as addressing issues of multi-drug resistant TB and TB/HIV.
Workplace Programs: Activities that encourage implementing partners to provide HIV/AIDS care, treatment and prevention for their members, employees and family members.
Child Survival Activities: UNHCR will support activities related to provision of micronutrients, growth monitoring, improved infant and young child feeding.
Family Planning: UNHCR will strengthen linkages between HIV/AIDS, voluntary counseling and testing, voluntary family planning and reproductive health programs with emphasis on vulnerable populations, including women who are HIV-infected.
Safe Motherhood: This is explained more under MTCT budget code
End-of-Program Evaluation: This is explained under M&E below
5. Cost efficiency strategy
UNHCR will work towards strengthening partnerships and contributions from different funding sources (eg IGAD) and the government of Ethiopia (eg ARV drugs, HIV test kits etc). Wrap around activities will include programs supported by WFP (Therapeutic, supplementary and supplemental feeding), PSI (Training on condom demonstration and related topics and provision of related job aids), JHPIEGO (male circumcision project) and UNFPA (condom supply). JHU, ICAP and I-TECH will partner with UNHCR in providing HIV trainings and technical and material support in M&E). UNHCR implementing partners also take the initiative to co-finance some activities and resources allocated.
6. Monitoring & Evaluation
UNHCR will make use of the Next Generation PEPFAR indicators to monitor program performance. Essential PEPFAR related data will be collected, analyzed and responded to on a routine basis using standard case definitions. UNHCR will also plan joint quarterly monitoring visits to the camp in partnership with RHB (Regional health bureau), RHAPCO (Regional HIV/AIDS Prevention and Control Office) and PEPFAR partners. Capacity building on monitoring and evaluation for technical staff at field and Addis level will be done. Evaluation of the programs will be also done through sentinel surveillance surveys.
None
UNHCR will implement a pilot project to promote implementation of safe medical male circumcision services in addition to raising awareness on the advantages of male circumcision with regards to HIV risk reduction and related prevention measures (such as consistent and correct use of condoms). The target population will be the boys and men in Fugnido refugee camp and the surrounding host population, with possibility of expansion to other camps.
MC services will be integrated with other HIV/AIDS services in the facilities especially with counselling and testing and SRH (sexual and reproductive health) services. Communication strategies will target male and female individuals through coffee ceremonies, community conversations, posters, pamphlets, mini media activities, and health education sessions in the health centre and through other major camp-wide events etc. These activities will be done in collaboration with camp anti-AIDS clubs, PLWH association and social workers. Awareness raising sessions with community leaders, elders and religious leaders will be enhanced so that they can positively influence their communities to promote safe male circumcision of all boys and men and related HIV prevention measures
UNHCR will work in partnership with JHPIEGO (John Hopkins Program for International Education in Gynecology and Obstetrics), RHB and RHAPCO so as to ensure that resources and expertise are well leveraged.
Technical experts from JHPIEGO will train camp health professionals on safe MC techniques and associated SRH services for men and their families.
UNHCR and ARRA will screen the target population for those who are not circumcised. This will be followed by mass circumcision campaigns, in the camp, in partnership with JHPIEGO.
Capacity will be strengthened to ensure appropriate tracking, follow-up and treatment of any post-operative complications.
Efforts will be made to ensure provision of quality health services at health centre to encourage the community to be circumcised at the health centre and not at home. Medical supplies and equipment will also be procured for conducting male circumcision under local anesthesia and post-operative management. This will be done in partnership with JHPIEGO.
