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
This is an ongoing activity funded in the FY 2006 supplemental that began in late FY 2007.
Utilizing existing behavioral and HIV prevalence information, the Targeted HIV Prevention Program (THPP) will support targeted condom promotion activities including: market analysis; materials production; technical leadership and technical assistance to USG partners on condom programming to reach targeted most at risk populations; and specific high risk settings and geographic areas in several regions. In these areas intensive promotion to most at risk populations, accessible and subsidized condoms, ABC messaging, and linkages to HIV and other prevention, care and treatment services will be available.
Partnering with local civil society service providers and clinics in urban areas, the implementing partner will target sexually active youth and adults for targeted condom promotion. Specific emphasis will be placed on reaching at risk populations engaging in high risk activities. The partner will establish presence in several towns along corridors to supplement existing at risk population programming. The implementing partner will collaborate closely with other PEPFAR partners to achieve coverage of targeted areas and populations. Furthermore, several FBO partners have requested USG support to create independent referral points for sexually active youth receiving AB services; these will be developed by the implementing partner.
This activity has four components:
(1) Support targeted condom promotion activities with market analysis and branding, materials adaptation and distribution, communications activities and network referral linkages for most at risk populations. Condom targeted promotion activities are expected to include strategic use of communications including selected print, radio, billboard and other advertising means , point-of-sale promotion, experiential communications and peer group (interpersonal communications) programs largely implemented by USG partners. Themes will draw from the following principles: Correct consistent condom use by men and by women; women's right to say no to sex; sanctioning coercive sex; and cross generational and transactional sex. In addition, specialized communications for PLWHA will be supported to ensure knowledge and practice of secondary prevention and positive living. The implementing partner will work collaboratively with partner organizations, bilateral agencies and appropriate government of Ethiopia agencies to facilitate targeted promotion programs and correct and consistent condom use elements of partner behavior change and communication (BCC) interventions.
(2) Collaborate with USG HIV prevention activities.
(3) Collaborate with the national logistics system implemented by PHARMID to integrate unbranded condoms into HIV clinical settings nationwide in a uniform fashion. PHARMID will integrate condoms into the ARV and medical commodity logistics system for delivery to VCT, ART and pre-ART clinics, and to case managers within the ART health network, including hospitals and health centers. USG partners in facilities will work with local authorities to support distribution to clinical facilities. The targeted promotion implementer will facilitate the production of condom IEC materials in the broader context of a behavioral change campaign with objectives specific to increasing condom utilization among at risk groups.
(4) Provide technical assistance to several government bodies with capacity building to implement evidence-based HIV prevention activities to at risk populations. Government bodies include: Drug Administration and Control Authority and several national and regional HIV/AIDS prevention and control offices and health bureaus.
The implementing partner will address male norms and behaviors surrounding condom use, promoting consistent and correct use in instances of high risk sexual encounters and in long-term relationships. In addition, the implementing partner will provide tools for civil society implementers to better integrate discussions on condoms into their HIV prevention programs.
In the process of implementation, the partner will subcontract and provide technical assistance to indigenous advertising/marketing companies to strengthen their capacity to participate in public health programming.
Targeted Condom Promotion
ACTIVITY CHANGED IN THE FOLLOWING WAYS:
Using existing behavioral and HIV prevalence information, the activity will support targeted condom-promotion activities including market analysis, materials production, and technical leadership and technical assistance to USG partners on condom programming to reach targeted most-at-risk populations (MARPs), and specific high-risk settings and geographic areas in several regions. In these areas intensive promotion to MARPs, accessible and subsidized condoms, abstinence, be faithful, consistent and correct condom use (ABC) messaging, and linkages to HIV and other prevention, care, and treatment services will be available.
Partnering with local civil society service providers and clinics in urban areas, the implementing partner will focus on sexually active youth and adults for targeted condom promotion. Specific emphasis will be placed on reaching at-risk populations engaging in high-risk activities. The partner will establish presence in several towns along corridors to supplement existing at-risk population programming. The implementing partner will collaborate closely with other PEPFAR partners to achieve coverage of targeted areas and populations. Furthermore, several faith-based organization (FBO) partners have requested USG support to create independent referral points for sexually active youth receiving AB services; these will be developed by the implementing partner.This activity has four components:
(1) Support targeted condom promotion activities with market analysis and branding, materials adaptation and distribution, communications activities and network referral linkages for MARPS. Condom promotion activities are expected to include strategic use of communications including selected print, radio, billboard and other advertising means , point-of-sale promotion, experiential communications and peer-group (interpersonal communications) programs largely implemented by USG partners. Themes will draw from the following principles: correct, consistent condom use by men and by women; women's right to say no to sex; sanctioning coercive sex; and cross-generational and transactional sex. In addition, specialized communications for people living with HIV/AIDS (PLWHA) will be supported to ensure knowledge and practice of secondary prevention and positive living. The implementing partner will work collaboratively with partner organizations, bilateral agencies and appropriate Government of Ethiopia agencies to facilitate targeted promotion programs and correct and consistent condom use elements of partner behavior-change and communication (BCC) interventions.
(2) Collaborate with USG HIV-prevention activities, including the National Defense Forces of Ethiopia and five refugee camps.
The implementing partner will collaborate with PEPFAR implementing partners to assure distribution of condom commodities to MARPs. This will include work with PEPFAR partners working with the Ethiopia Defense Forces, refugee camps, and Ethiopian universities to prevent persistent stockouts.
The implementing partner will collaborate with PEPFAR partners to assure targeted outreach and distribution in central marketplaces/entertainment districts in cities, and in towns along transportation corridors with target populations defined as commercial sex workers (CSW), women not self-identifying as CSW but involved in transactional sex (i.e. vendors), men and women in cross-generational relationships, and those with multiple, concurrent partners.
USG-supported targeted condom outlets and outreach programs will be provided with consistent supplies of condoms, information-education-communication (IEC) materials and point of distribution/sales training (including referral skills) to support condom programming elements and to discuss ABC comprehensively.
(3) Collaborate with the national logistics system implemented by PHARMID to integrate unbranded condoms into HIV clinical settings nationwide in a uniform fashion. PHARMID will integrate condoms into the ARV and medical-commodity logistics system for delivery to voluntary counseling and testing (VCT), ART, and pre-ART clinics and to case managers within the ART health network, including hospitals and health centers. USG partners in facilities will work with local authorities to support distribution to clinical facilities. The targeted promotion implementer will facilitate the production of condom IEC materials in the broader context of a behavioral-change campaign with objectives specific to increasing condom use among at-risk groups.
(4) Provide technical assistance to several government bodies with capacity building to implement evidence-informed HIV-prevention activities to at-risk populations. Government bodies include: the Drug Administration and Control Authority and several National and Regional HIV/AIDS Prevention and Control Offices and Health Bureaus.
The implementing partner will address male norms and behaviors surrounding condom use, promoting consistent and correct use in instances of high-risk sexual encounters and in long-term relationships. In addition, the implementing partner will provide tools for civil society implementers to better integrate discussions on condoms into their HIV-prevention programs.
This additional funding is being reprogrammed from the Interagency APS for Prevention. The increase in funding will allow the new partner PSI to expand efforts to reach at-risk populations in urban settings; this is an HIV prevention priority in Ethiopia. There are no changes to the narrative or targets set for this activity.
