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
Comprehensive Goals and Objectives
DOD supports the Ethiopia National Defence Force's HIV/AIDS Strategic Plan's efforts to reduce the rate of new HIV infection and mitigate the impact of existing infection with technical support in several areas and an emphasis on health system strengthening and increasing technical and program management capacity. DOD contracts out services, technical assistance and otehr support on behalf of the ENDF in order to support the porgram.
Geographic Focus and Population
DOD/PEPFAR programs support the Ethiopia National Defence Force of approximately 150,000 200,000 active duty personnel, their families, and civilian employees who are stationed all over the country for a total catchment of at least 1 million people.
In FY2010 DOD will support ENDF to solidify their HIV/AIDS program. DOD will work with the ENDF HIV Coordination Office to provide a combination HIV prevention program to their personnel. Condom supply and distribution has been lacking and will be addressed. Shortages of STI drugs also hinder prevention efforts. The Blood Safety Program will receive considerable attention as DOD works with ENDF to scale up collections, processing and distribution of safe blood and infection control will remain a priority at clinical sites. Male circumcision efforts will continue in FY2010.
Contributions to Health Systems Strengthening
DOD support of the ENDF HIV/AIDS program has always centered on ENDF ownership of their program with training and capacity development as core components. For example, the Bella Blood Center is run by ENDF personnel who have been trained by DOD Blood Bankers in accordance with International Blood Safety Guidelines and Protocols. Working with the ENDF, DOD has developed management plans, staffing plans, quality assurance and quality control for the operation of the Blood Center. Similarly, the PwP/Adherence project will also work with the ENDF to adapt the program so that it is integrated into the functioning of the clinics with management and monitoring and evaluation done by the ENDF.
ENDF participate in DOD organized International Military HIV Conferences providing an opportunity for ENDF to meet with other military personnel involved with HIV programs to discuss leadership issues, policy, management, military specific prevention, care and treatment and SI issues. These Conferences also serve to underscore the fact that these programs are critical to the military readiness enabling the militaries to continue to protect their countries.
Cross-cutting Programs
DOD programs will support clean water activities for PLWHA as well as targeted programs at selected bases where there may be HIV positive personnel.
The ENDF HIV SABERS will support gender activities by collecting data on gender based violence and sexual coercion and on male norms. This information will be used to inform planning for prevention activities.
Cost Efficiencies
DOD has pushed for increased collaboration of the ENDF and the implementing partners through regular monthly meetings to increase synergy, identify and fill gaps and avoid duplication of efforts. These meetings have met with some success and will need to have renewed commitment by all partners to make this coordination as successful as it can be.
Monitoring and Evaluation
ENDF and DOD along with RTI are planning the ENDF HIV Seroprevalence and Behavioral Epidemiology Risk Survey (SABERS) which is based on surveys done in several other militaries. This will be the first such survey done among a representative sample of active duty ENDF personnel. Information from this survey will inform prevention and care and treatment programs. It is expected to be completed in 2010.
While ENDF receives considerable PEFAR support from various GOE and PEPFAR agencies and partners, the coordination of the program has not been ideal as evidenced by substantial gaps in the program. Working to improve all ENDF partner coordination and create a cohesive program, DOD will continue to work directly with ENDF in specific technical areas and support collaboration meetings of PEPFAR and GOE supported ENDF partners.
Having clean water for drinking and food preparation is a cornerstone of basic health. Support for clean water activities will be provided so that ENDF personnel at all bases will have access to clean water. Large storage vessels will be provided for clean water and small household size vessels and point of use sanitization will also be provided. Additionally, train the trainer programs on safe water handling will also be instituted so that the ENDF can continue the program with PEPFAR only providing commodities and technical assistance.
Current implementing partners are not supplying commodities for clean water to PLWHA. This activity will coordinate with ENDF and implementing partners to ensure that PLWHA are provided education and commodities needed both from clinic sites and bases.
None
The National Defense Blood Bank Center, Bella is a central blood collection, processing, and storage facility at the Bella Defense Forces Central Referral Hospital. It serves as a "center of excellence" for training and a template for the establishment by ENDF of additional blood banks at other field referral military hospitals throughout Ethiopia. The DOD Blood Safety Program has been using a phased approach to build one central blood-collection, processing, and storage facility with a strategically located distribution network, and a total of four reliable, safe, hospital-based blood banks. The National Defence Blood Bank Center, Bella Strategic Plan 2008-2012 outlines its goals and objectives.
DOD/PEPFAR support provides facilities to perform mobile blood collections from newly accessioned recruits, potentially offering a safer donor pool since recruits are pre-screened for transmissible agents upon entry into the ENDF. Other military personnel are considered as donors if their proximity to blood banks is optimal for their mobilization.
ENDF and DOD have defined a realistic, safe, blood-distribution network that takes into account peacetime, wartime, and other national (natural or manmade) emergencies, in coordination with the national program on delivering safe blood transfusion services to communities around military deployment areas and defined an organizational structure with recommended assignments, standard operating procedures (SOP), and forms for blood administration, safe transfusion therapy, and an ongoing training and Quality Assurance (QA) to maintain safety for all aspects of the blood program.
The SafeTrace Program Software is being used for the blood- and blood-products management computer system to track and control safe blood and blood-component products and will be expanded to all transfusion sites.
Due to turnover of key Blood Center staff, the program has continued to focus on training and management of the Blood Program. Donor recruitment principles and strategies were addressed in 2009 and the ENDF can now operationalize what they have learned to bring the blood collection up to expected levels. Likewise, addressing transportation needs in 2009 will improve collection of units.
The Ethiopia National Defense Force is comprised of approximately 150,000 personnel stationed in bases all over the country in addition to deployment in other countries. While many active duty personnel are stationed close to their families, many others are not. This distance from their families coupled with their financial and other resources, and their training to feel invincible may put them at increased risk for HIV. Once compiled, results from the 2010 ENDF HIV Seroprevalence and Behavioral Epidemiology Risk Survey (SABERS) will be used to specifically focus prevention efforts where they are most needed. However, in the meantime, we know from the 2005 BSS, DHS and other surveys that there are geographic and population hotspots in the country where HIV prevalence is especially high.
AB messaging will not be applied to all Military population due to the character of the population and other reasons mentioned above. Comprehensive HIV/AIDS service will be provided with some specific AB activities for selected part of the Military population who are stationed with and/or close to their families and AB intervention is applicable.
The TBD partner in collaboration with ENDF will plan a focused activity on this regard.
The Ethiopia National Defence Force is comprised of approximately 150,000 personnel stationed in bases all over the country in addition to deployment in other countries. While many active duty personnel are stationed close to their families, many others are not. This distance from their families coupled with their financial and other resources, and their training to feel invincible may put them at increased risk for HIV. Once compiled, results from the 2010 ENDF HIV Seroprevalence and Behavioral Epidemiology Risk Survey (SABERS) will be used to specifically focus prevention efforts where they are most needed. However, in the meantime, we know from the *** BSS, DHS and other surveys that there are geographic and population hotspots in the country where HIV prevalence is especially high and that there are military bases. As some of the ENDF may congregate in bars and other locations in these HIV prevalence areas, HIV prevention activities targeting MARPS needs to be scaled up.
Outreach to especially high risk military personnel and other civilians including bar owners, bar workers and other customers has been identified as a gap in the HIV program and will complement the existing prevention activities supported by other partners in the general military population such as those using peer education groups. The selected TBD partner, working with ENDF will coordinate with local HAPCOs, locally implementing partners, and current implementing partners to provide evidence-based comprehensive HIV prevention activities for MARPS. In this first year, the TBD partner will work with ENDF and other partners to select a few target locations based on available HIV prevalence data.
Proposed activities to reduce HIV risk at the selected locations include mobile and evening STI care, HIV testing, referrals to MC services, referrals to civilian and military care centers, provision of HIV risk reduction education and condoms. Sufficient condom supplies and training regarding correct and consistent condom use will be provided.
Targets for this activity are, soldiers, Bar workers, surrounding civilian society including the local leadership
