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
As the global directing and coordinating health agency of the UN system, WHO's mission is to assist its Member States in achieving the highest possible level of health. In Ethiopia, WHO's Country Office has worked for over 50 years and achieved notable contributions in strengthening the capacity of the FMOH to develop and manage the country's health care delivery system, communicable disease control (e.g. HIV, TB, malaria, polio, neglected tropic diseases, cholera, pandemic flu, etc) and non-communicable disease control as well as MCH/RH (e.g. EPI/polio, safe motherhood, child survival, etc) priorities. In support of the national HIV/AIDS response, WHO is contributing by providing technical and financial assistance to MoH/HAPCO at different levels through expanding access to HIV testing and counseling, scaling-up ART, care and support, maximizing HIV prevention in the health sector, generating and using strategic information as well as strengthening and expanding health systems. Accordingly, WHO has contributed in development of national normative guidelines, strategic documents, training materials, tools and capacity building of health workers and HIV program managers based on IMAI/IMCI. Additionally, WHO has contributed in conducting national HIV programs' assessments, supportive supervisions and review meetings at different levels. The geographic coverage for WHO is national and target groups include general population and MARPS, including PLWHA.
In strengthening health systems, WHO continues to contribute to FMOH's efforts to strengthen all 6 components for stewardship/governance (WHO is a lead FMOH partner in strategic planning of the HSDP, is a co-signatory of Ethiopia's IHP+ Compact and its JFA, is HPN Partners Forum Co-chair, JCCC Member, HIV Donors Forum Member; Joint UN HIV/AIDS Core Group Chair, CCM-E Member & Secretary), health human resources (WHO contributed to development of National HRD Strategy, HEW Program and HRH training), health care finance (WHO contributes to Social/Community-based insurance schemes, NHA, etc), health information systems (WHO contributes to HMIS development, disease surveillance, etc), service delivery quality and organization and infrastructure/commodity supply/technology requirements (WHO is member of the National LMIS TWG).
The WHO strategy to improve prospects for sustainability, quality and efficiency in the scale up effort uses a public health approach which involves strengthening national capacity to establish simplified and standardized ART/HIV care standards and training guidelines at all levels of care; decentralized and integrated service delivery organization; ensuring equity in access; ensuring quality of service delivery outcomes; task shifting to maximize use of limited HRH (including participation by PLWHA in service delivery); maximizing prevention in the health sector; establishing effective support for adherence and monitoring of HIV drug resistance to reduce treatment failures and switch to expensive 2nd line regimens; operational coordination and collaboration among partners to reduce unnecessary waste and overheads.
WHO uses its established systems for M&E, primarily through supportive supervision and review meetings, periodic site visits/assessments and program analysis.
As member of the Ethiopian National HIV Surveillance TWG, chaired by MOH/EHNRI, and using funding from WHO's Regular Core Budget, Bill Gates Foundation and CDC in previous years, WHO has continued its partnership with CDC on strengthening national capacity to generate and utilize strategic information relevant to HIV/AIDS. This included close collaboration with CDC to support MOH/EHNRI in conducting ANC (2005, 2007 and 2009); in reconciling the ANC 2005 and DHS2005 estimates into the National Single Prevalence Point Estimate currently used for planning purposes; in planning the national MARPS survey and in developing the National HIV Drug Resistance Plan 2007-9; and implementing some of its key components such as the early warning indicator survey (EWI) and Threshold Survey (TS).
Furthermore, at a national surveillance summit sponsored by CDC and supported by WHO in 2009, the MOH/EHNRI has identified HIVDR as a key area requiring increased focus to ensure the sustainability of the ART program. Currently, WHO is providing TA to MOH/EHNRI in consultation with CDC to finalize EHNRI HIVDR lab accreditation by WHO. As part of the national HIV surveillance and Surveys TWG, WHO is also collaborating in providing TA in a population-based multi-marker survey (HIV/HBV/HCV/syphilis/H2S), conducting the 2009 ANC, developing sentinel surveillance for MARPS, conducting a national MARPS survey and conducting a DHS2010 survey.
By the end of COP 2009, EHNRI through support from WHO and CDC, will have completed Ethiopia's second HIVDR Threshold Survey, while the National HIV lab would have progressed to receiving WHO accreditation for performing genotyping. In COP 2010, WHO's continued involvement will support the provision of TA SI priorities identified by MOH/EHNRI. With this PEPFAR support WHO in close collaboration with CDC will undertake in country and HQ based TA to assist MOH/EHNRI in HIVDR particularly the EWI survey, provide trainings related to this , and support in conducting field monitoring assessments and reviews (e.g. HIVDR prevention monitoring surveys, EWI surveys, technical review meetings and workshops among stakeholders).
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