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
Mechanism Narrative:
Organization for Social Services for AIDS (OSSA) is a pioneer indigenous not-for-profit organization, established in 1989, that has been working on HIV/AIDS prevention and control interventions in most parts of the country. The core businesses of the organization are HIV and AIDS prevention and alleviating its impacts through sustainable community participation. Recently, OSSA has won a project which will be implemented in 8 regions for five years (2009 to 2013) under CDC Ethiopia, making it a new graduate from being a sub to a direct grantee.
The project is entitled "increasing access of Voluntary Counseling and Testing services to the Hotspots, Urban and rural settings, and improving care and support services at community level". The general objective of this project is to contribute towards the national efforts in reducing the transmission and impacts of HIV/AIDS through providing quality VCT service to urban and rural hot spots and underserved populations; and, to improve the quality of life of the infected and affected persons through strengthening a community home-based comprehensive care, treatment and support.
Specific Objectives of the project are:
To enhance mobile VCT services in 8 regions both at urban and rural "hot spot" areas through 10 project sites to reach 400,000 most at risk people by 2013;
To improve the quality of life of 200,000 pre-ART and on ART clients and their families through the provision of comprehensive community home-based care, treatment and support by 2013;
To strengthen the organizational, technical capacity and knowledge base of 50 community based service outlets, CBOs, FBOs, PLWHAA associations, and other stakeholders working on HIV/AIDS community response through training and material backstopping by end of 2013
The other key issues to be addressed are the integration of other HIV prevention activities including screening for sexually transmitted infections (syphilis) and promotion of safe sexual behavior which includes male condom promotion and distribution. Linking PLWHAA to other projects like World Food Program (WFP) and other sources in order to provide comprehensive support services is also a priority.
This project directly and indirectly supports the national health service expansion and strengthening by filling gaps that the public programs have not addressed, specifically the expansion of VCT services to MARPs, strengthening referral linkage and networking, and adherence counseling on. In addition health promotion and education activities through trained volunteers and mass education campaigns in high prevalence communities will improve the health seeking behaviors of the beneficiary communities. OSSA will work with regional Laboratories to conduct the quality assurance of HIV Testing services and maintain the quality of counseling through counseling supervision.
OSSA will perform regular monitoring activities through case conferences, counseling session observations and supportive supervision by OSSA Branches and Regional HAPCOs; on a quarterly basis by OSSA Head office and Jointly with Federal HAPCO and the funding agencyBi-annual and annual review meetings with relevant stakeholders will also be conducted.
This activity has had a significant budget increase. COP 2010 resources will provide care and support and improve the quality of life of 40,000 PLWHAA. . OSSA's care and support services are planned mainly to be implemented through community-based service outlets. In 2010, 50 community based service outlets will be organized and supported to provide comprehensive care and support services These include , community home based care services by volunteers, psychosocial support, spiritual support, referral for clinic-based care, support and treatment including Anti-Retroviral Treatment (ART), adherence counseling, Prevention with Positives (PwP), prevention of and referral for opportunistic Infections (OIs), establishment and strengthening of peer support groups, provision of hygienic and therapeutic food support and income generating activities. These care and support services will be provided in collaboration with other PEPFAR partners, health institutions and service providers using strong and effective referral linkages and feedback mechanisms.
In COP 2010, OSSA will closely work with I-TECH to complement and strengthen the PwP efforts at community level. OSSA will adopt the training materials prepared by CDC-Ethiopia and translate them into appropriate local languages to use in PwP client education. OSSA will also be represented in the national care and support task force by a focal person assigned to the Head Office. Regular and close follow-up by volunteer care providers and establishment of client support groups will ensure good client retention. OSSA's community linkages uses partners' networks to address other services that are not included in the project. The performance and quality of care and support services will be monitored by trained nurse supervisors locally at each project site level and through periodic supportive supervision by senior program staff at central level. The partner being within PEPFAR will play its part in Global Health Initiative.
OSSA will reach 80,000 MARPs both in rural and urban settings with quality, same day result, mobile HCT services using national HCT algorithms. To achieve this target, OSSA will promote HCT services through different means including volunteer HCT promoters, post test clubs, mass media, provision of same-day results, and mobile HCT services to MARPs, including factory workers, workers on large plantations (e.g. flower farms), truck drivers, commercial sex workers, and rural and urban men and women. OSSA will also organize and use special events like national HCT Day, World AIDS Day, March 8th Women's Day Celebrations, and public holy days to provide HCT services in collaboration with other partners. OSSA will also give special attention to reach more women and couples with mobile HCT services.
In COP 2010, OSSA will incorporate other sexually transmitted Infection (STI) prevention and treatment activities especially syphilis screening and referrals to health facilities if found to be infected. To ensure quality HCT services, OSSA will implement case conference meetings, session observations and laboratory QA techniques. OSSA will conduct regular supportive supervision visits to each project site to monitor project performance. HCT services, client-centered data are collected and reported using EPI Info software. Data will be compiled, analyzed, summarized, and reported at site and central level. OSSA will submit an annual report with best practices to share with other partners. All clients found HIV positive will be referred to nearby health facilities using the standard referral formats. OSSA will strengthen strong linkages with health facilities to ensure follow up and appropriate use of services. OSSA will conduct quarterly review meetings with relevant stakeholders at project site level. OSSA being within PEPFAR will play its part in Global Health Initiative (GHI).
