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.
Formerly mechanism.new022.TA :The activity is having an implementing mechanism narrative because the Cooperative Agreement with JHU/CCP will end by July 2010 and there is a need to have a new Funding Opportunity Announcement (FOA). The goal of this activity is to build on the previous activities by Johns Hopkins' Center for Communication Programs/AIDS Resource Center (CCP/ARC) which served as a hub of HIV and AIDS information and plays a vital role in supporting local prevention and treatment efforts in Ethiopia. This will continue standardizing comprehensive peer education program linked with services targeting uniformed service and university students. It will also support 25 existing and new AIDS resource centers. In addition, capacity building and technical assistance in creating enabling environment for HIV/AIDS programming will be incorporated.
The strategic approach to fighting the epidemic includes technical assistance in strengthening and establishing AIDS Resource Centers, support local indigenous partners through capacity building in planning, management and monitoring of behavior change programs. This TBD will work very closely with the National and Regional MoH bodies to realize the SPMII (specifically, Strategic Plan for intensified HIV Prevention part of the strategic plan 2010-2014). The strategic approach to fighting the epidemic also includes technical assistance in strengthening targeted Community Conversation , Strategic Communication, tailored messaging, peer outreach and drop-in trainings with standardized and regular way.
The Technical assistance to local partners includes but not limited to Federal Police, National Defense force Ethiopia and Addis Ababa University. It also includes user-driven services such as toll free hotline counseling that provide participatory and interactive information on HIV/AIDS, sexually transmitted infections (STIs), tuberculosis (TB), and related topics, and technical assistance for innovative behavior change communication (BCC) for activities of government and non-government organizations in strategic health communication focusing on prevention of sexual transmission of HIV.
The goals of the TBD partner are to carry out culturally relevant, quality research-based health communication interventions and materials for the target population and health care providers; use knowledge management to facilitate learning and disseminate lessons from Ethiopia, the region and the world; and advance the field of health communication in Ethiopia. The objectives are:
1. Provide technical assistance to local partners in implementing behavior change communication programs for HIV/AIDS program for uniformed services and university students.
2. Provide Ethiopians with comprehensive knowledge on HIV/AIDS and related issues such as STI, and TB via a hub of user-driven resources and services, interpersonal small and individual level standard discussions/session linked to HIV/AIDS services in the national and regional centers with high-speed computer terminals with Internet access, databases of information pertaining to HIV/AIDS, a clearinghouse, information technology support, a toll-free HIV/AIDS telephone hotline, and a service provider call-in center.
3. Develop and support local partners in developing high quality, evidence based, HIV/AIDS prevention and treatment strategic health communication interventions
4. Build the capacity of health care providers working on ART service sites with up-to-date HIV clinical information and expert case consultation
Provide minimum package of services for Most at Risk Population. The current interventions have geographic coverage in multiple cities and small towns in 11 of Ethiopia's regions. These programs target a wide range but specific groups of individuals that are affected by the mixed epidemic in Ethiopia and include HIV service providers, people living with and affected by HIV/AIDS, young people aged 15-24, religious and community leaders, and most-at-risk populations such as uniformed officers, university students and mobile workers.
TBD contributes to Ethiopia's health system via two ways 1) through creating demand for HIV/AIDS services via providing information to, increasing awareness of and encouraging health seeking behavior of targeted segments of the population in the Ethiopia's 11 regions, and 2) through building the capacity of local institutions and health care providers to provide accurate and up-to-date information and quality communication and counseling services to health seeking clients.
Many of the programs are cross cutting and address key issues such as human resources for health, addressing male norms and behaviors, military and police. These activities include community outreach activities in small towns, and quality improvement components to increase the quality of service within different user driven services.
These and other prevention and treatment activities will be targeted to most-at-risk populations such as uniformed officers, university students and mobile populations.
All the programs need to be evidence based and have integrated monitoring components and data feedback systems. In COP 2010, the partner will build on the progress made to link all ARC programs to an overarching performance monitoring plan. This plan will form the foundation of existing and new knowledge management and behavior change communication frameworks and interventions pertaining to this implementing mechanism. Lessons learnt from previous year's implementation are considerations for future implementation.
This continuing activity was previously carried out under a cooperative agreement with Johns Hopkins University Center for Communication Programs (JHU-CCP). This cooperative agreement is expiring and will be re-competed for COP 2010. In FY08, this activity established a service provider call center (Fitun Warmline) for health care providers working in ART service outlets across Ethiopia. Fitun Warmline provides health care providers with up-to date HIV clinical information and expert case consultation with immediate response to problems and constraints they encounter while providing ART services. The center is a valuable asset for service providers wishing to gain one-on-one consultations, patient-specific information, HIV/AIDS materials, and addressing gaps in HIV supplies and equipment.
CCP strengthened Warmline operations through intensive promotion, collaboration with key stakeholders to increase utilization and service quality, and introduction of a drug and supply procurement referral service for callers. In FY10, the identified partner will build on CCP's successes to improve service, address information and communication gaps, and better support treatment efforts by implementing the following key activities:
? Increasing internet access for 19 hospitals and 100 health centers;
? Providing phone access for 100 hospitals and 150 health centers;
? Identifying gaps in provider knowledge and capacity, and fill these via collaborative trainings with other partners;
? Instituting a continuous quality improvement program that will help Warmline staff assess, analyze and improve the quality of the Warmline's varied components;
? Expanding and strengthening the Warmline's capacity to respond to needs through training of staff and focal persons;
? Strengthening promotion strategy by conducting targeted promotional outreach activities to health facilities in remote and underserved areas;
? Improving networking relationships with local organizations and continuing to cultivate twinning relationships with international universities;
? Ensuring that gender-related issues are understood and taken into account by health professionals.
This is a continuing activity previously funded by a Cooperative Agreement with Johns Hopkins Center for Communication Programs. This Cooperative Agreement is expiring and is being re-announced competitively.
The activity has four components:
The National AIDS Resource Center library houses 4,000 titles covering a range of HIV/AIDS topics and draws 160 visitors daily. In FY10, the partner will continue providing current AB information and translating materials into local languages. The Wegen Talkline provides accurate AB information and anonymous counseling to callers.
The partner will support Regional AIDS Resource Centers and outreach by working with regional HAPCOs to establish and standardize RARCs in hot spots and conduct outreach to promote healthy behaviors and RARC usage. The partner will strengthen AB inclusion in RARCs and outreach, and link activities with services and commodities.
The partner will support World AIDS Day by providing media and events coordination and developing mass media materials to support Federal and regional HAPCOs.
The partner will support HIV programming for School Net by broadcasting AB media content in high schools that is culturally relevant, age-appropriate and skills based. The partner will explore public-private partnerships to support School Net.
The MARCH activity includes providing TA to the National Defense Forces, the Federal Police Commission and Addis Ababa University to implement BCC projects using the Modeling and Reinforcement to Combat HIV/AIDS (MARCH) model for behavior change. The partner will incorporate AB prevention strategies into the comic books, linked reinforcement activities, and other activities as appropriate.
The Technical Assistance for the BCC activity has the following components: The National AIDS Resource Center library houses 4,000 titles covering a range of HIV/AIDS topics and draws 160 visitors daily. In FY10, the partner will continue providing current other prevention including evidence based standard interventions. The materials devlloped by the ARCs will be translated in to local languages. The Wegen Talkline provides accurate OP information and anonymous counseling to callers. It will also produce inventory and referral linkage that will be regularly updated.
The partner will support Regional AIDS Resource Centers and outreach by working with regional HAPCOs to establish and standardize RARCs in hot spots and conduct outreach to promote healthy behaviors and RARC usage. The partner will strengthen OP inclusion in RARCs and outreach, and link activities with services and commodities. The partner will implement the Youth Media Program, an entertainment-education intervention broadcast on radio and in schools to build the self-efficacy of youth aged 15-24 through behavioral role modeling. YMP explores topics such as sexuality, transactional sex, stigma and discrimination, peer pressure, alcohol and HIV, gender-based violence, and reproductive health. Listening discussion groups allow youth to discuss episodes and audio production training empowers youth to produce their own programs.
The partner will build the capacity of public and private media to raise awareness, mobilize communities, reduce stigma and discrimination, and promote HIV services through innovative media. In FY10, topics will include discordance, stigma, gender norms, risk reduction, underage access to alcohol, and adherence.
The MARCH activity includes providing TA to the National Defense Forces, the Federal Police Commission and Addis Ababa University to implement BCC projects using the Modeling and Reinforcement to Combat HIV/AIDS (MARCH) model for behavior change. The partner will incorporate OP strategies into the comic books, linked reinforcement activities, and other activities as appropriate.
PLHA Radio Diaries create a supportive environment for PLHA and promote access to HIV services. The partner will produce and promote, coordinate LDGs, and monitor feedback. The partner will target underserved groups such as mobile workers; enhance program sustainability via new and existing partnerships; explore PwP issues; address community stigma and discrimination though marketing and community radio stations; and carry out M&E to measure exposure and effects.
