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.
NASTAD became a PEPFAR partner in 2001 when it began to establish its long-term relationships with federal and regional HAPCOs. Initially, NASTAD developed and delivered training in community planning and proposal development to assist regions to help woredas to access EMSAP (pooled) funds. In 2004, NASTAD redefined its community planning training model to assist communities to mobilize for support of ART treatment adherence. NASTAD's work coincided with national strategic planning efforts in Ethiopia, and in 2006, NASTAD began to work with federal HAPCO to integrate its training modules into National Social Mobilization (NSM) trainings. NASTAD has since expanded its work in support of NSM by placing staff in three regional HAPCOs to support planning, referral, and coordination efforts through integrating ART treatment adherence modules into Community Conversation (CC) facilitator training and providing one-on-one follow up for CC staff in selected zones in five regions of the country. In addition, NASTAD began a twinning program, establishing relationships between Amhara and Michigan, SNNPR and Maryland, Oromia and Minnesota, and Dire Dawa and San Diego. In 2009, NASTAD has been awarded a new funding to start new evidence-based and targeted prevention intervention known as Community Outreach and Social Mobilization for Prevention of Sexual HIV Transmission and Integrating Sexual Prevention in Care and Treatment setting.
1. Goals: Reduce sexual HIV transmission and impact of HIV/AIDS including stigma and discrimination in the general population of selected zones/kebeles in Dire Dawa, Oromia, Amhara, and SNNPR regional states of Ethiopia.
Objectives: o Increase correct and consistent adoption of HIV risk reducing behaviors, o Increase demand for HIV services, o Reduce stigma and discrimination, o Increase capacity of local government/NGOs to implement effective HIV services/outreach activities.
2. Geographic Coverage: Selected zones/kebeles in Dire Dawa, Oromia, Amhara, and SNNPR regional states.
3. Target population: General population and MARP groups residing in urban and peri-urban settlement areas. Specific target population will be identified in consultation with the regional health bureau/HAPCO, CDC and local partners.
Cross cutting programs NASTAD will strengthen and support HR within regional and zonal HAPCOs and woreda health offices, support of the nutrition collaborative in Oromia, and address gender and gender-based violence through the dissemination of the SISTAs intervention in Amhara. SISTAs is an evidence-based intervention implemented in partnership with the Michigan state health department which empowers women with negotiating skills around sexual behavior.
Implementation Strategy NASTAD has a central office in Addis Ababa for programmatic and operational coordination. NASTAD has placed regional coordinators in all five target regional HAPCOs who are responsible for delivery of all activities at the zonal and woreda level in each region. NASTAD also draws upon US state health department twinning partners who, as professional counterparts and peers to RHB/RHAPCO directors, can provide peer-to-peer support, technical and content expertise. Together, these staff and TA providers aim to implement increasingly cost-efficient and sustainable activities by transferring technical and programmatic skills, guidelines and processes to local public health staff, including - Strategies, tools and guidelines to support Community Outreach and Social Mobilization for Prevention intervention. - TOT manuals and delivery of training to Kebele/woreda or Zonal staff - One-on-one follow up support and mentorship to woreda staff responsible for managing kebele level Community Outreach and Social Mobilization for Prevention intervention - Sponsorship of CC refresher trainings and review meetings - Training and capacity building support to local government/NGOs to implement effective HIV services/outreach activities
Monitoring and Evaluation Plan NASTAD has developed a comprehensive M&E framework that identifies performance indicators and data collection sources and methodologies. For activities described, NASTAD will establish systems to collect unduplicated numbers of participants, and will rely on pre/post surveys of training participants, and interviews with participating regional, zonal and woreda staff to monitor targets and measure positive changes in performance indicators.
This activity has had a significant budget increase to expand geographic coverage. NASTAD will build technical and organizational capacity of national and regional government agencies for sustained delivery and coordination of abstinence/be faithful HIV (HIV AB) prevention strategies by:
Promoting mainstreaming of HIV AB prevention activities at the federal and regional levels by assessing current sector AB prevention activities, supporting sector HIV planning and program implementation, and facilitating ongoing for a for multi-sector coordination.
Collaborating with the national HAPCO to build capacity of regional media groups to establish broad public awareness and promote community mobilization around AB prevention.
NASTAD will promote HIV risk behavior change and HIV prevention service demand among MARPs in selected zones/kebeles in Dire Dawa, Oromia, Amhara, and SNNPR by:
Assessing priority HIV prevention needs of each region's MARPs
Designing AB prevention modules for integration into Community Conversations, and provide one three-day CC prevention module training in each region to zonal and woreda staff.
Providing ongoing one-on-one support to TOT participants to ensure cascading of TOT to 100 CC facilitators/year
Providing refresher trainings for CC facilitators on AB module
Designing and delivering AB prevention messages within one wrap-around multi-media campaign per region that targets identified regional MARPs.
Funding and providing technical assistance to at least two community-based organizations in each region for implementation of AB interventions targeting MARPs.
This activity has had a significant budget increase to expand geographic coverage. In FY10, NASTAD will continue to build technical and organizational capacity of national and regional government agencies for sustained delivery and coordination of comprehensive HIV prevention interventions. This program primarily focuses on promoting behavior change and prevention service uptake among MARPs in selected zones/kebeles in Dire Dawa, Oromia, Amhara, and SNNPR.
This program will promote mainstreaming of HIV prevention activities at the federal and regional levels by assessing current sector HIV prevention activities, supporting sector HIV planning and program implementation, and facilitating ongoing forums for multi-sector coordination. NASTAD will organize at least one HIV prevention mainstreaming and leadership advocacy workshop in each focus region and at the federal level. NASTAD will collaborate with national HAPCO to build the capacity of regional media groups to establish broad public awareness and promote community mobilization. In doing so, NASTAD will:
Assess priority HIV prevention needs of each region's MARPs.
Design modules on stigma, PMTCT and Prevention with Positives for integration into community conversations (CC), and provide a three-day CC prevention module training in each region to zonal and woreda staff.
Provide ongoing one-on-one support to TOT participants to ensure cascading of TOT to 100 CC facilitators/year.
Provide technical support to regional HAPCOs for implementation of the national Volunteer Community AIDS Promoter program; promote recruitment of traditional birth attendants to the VCAP program; design and deliver TOT for promotion of PMTCT; and support VCAP retention and monitoring and quality assurance strategies of national and regional HAPCOs.
Select at least one U.S. community level, evidence-based, HIV prevention best practice intervention targeting MARPs and adapt, implement and disseminate the intervention in each region.
Design and deliver at least one wrap-around multi-media campaign per region that targets identified MARPs.
Fund and provide technical assistance to at least two community-based organizations in each region to implement interventions targeting MARPs.
