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 new program will be a follow-on OVC program to the Positive Change: Children, Communities, and Care (PC3) Program. The end date of PC3 was extended through March 2011. USAID intends to solicit a request for application and make a new award before PC3 ends. The new program will be funded with COP 2009 and COP2010 funding to maintain support to an anticipated 164,104 OVC currently being served under PC3. In addition to those beneficiaries, the new project will pick up an additional estimated 184,523 OVC in the first year of the program for a total number of OVC served at 348,627.
The design of the new program is currently underway and procurement sensitive. The geographical focus may be extended to all regions of Ethiopia with a focus on urban and hotspot areas with high HIV prevalence, especially those areas that are not currently being served by an OVC program. In order to most effectively reach the greatest number of OVC, including children living with HIV, a family-centered care and support approach will be a key focus. Keeping parents alive and economically viable and children free from HIV is a major objective.
A great deal of attention will be paid to ensuring that this new program will continue the excellent work begun under PC3 adopting the wide array of developed guidelines, tools, and materials. There will be a continued focus on sustainability, capacity building of government and civil society, as well as strengthening of referrals, families, and community volunteers to care for OVC. An interdependent network of local stakeholders will be needed to meet the needs of the most vulnerable families and to identify and assist families or households prior to the point of extreme vulnerability. The work with psychosocial counselors, volunteers, Health Extension Workers, and Kebele-Oriented Outreach Workers is noted as a key issue under Human Resources for Health. Other key issues that the program will address will be food, economic strengthening, and education which are three services the program will aim to provide for some of the vulnerable children and families supported by the program. Additional services include referral to health care, psychosocial support and counseling, housing, and legal protection.
PEPFAR Ethiopia has begun conducting OVC costing exercises. The new OVC program will continue to train and disseminate the OVC Quality Standards that have been endorsed by the Government of Ethiopia. The program will also attempt to better address standardizing OVC services and reporting across PEPFAR partners. Currently, the program design has budgeted $15 per child which is a loaded estimate that will need to be further explored. A big focus will be on resource mobilization at the community level with technical assistance provided for grant-writing and fund-raising.
This new project will work closely with other on-going efforts around community health management information systems. Technical assistance will be provided to local partners and community groups to improve their ability to monitor child welfare and collect and report data at the community level.
This new project is currently under design and procurement sensitive. The major activities that will be supported under the new program include: capacity building efforts with local, regional, and federal government agencies supporting vulnerable children, as well as community organizations and families; provision of quality household-focused service delivery; and development of improved data management and use for OVC activities. The main strategies will be working closely with government, local partners, community organizations, and children to improve policies and programs for vulnerable children and their families.
This project will extend to all regions of Ethiopia with a focus on gap-filling and addressing previously underserved areas with higher HIV prevalence while maintaining support to current beneficiaries under PC3. In addition to targeting children aged 0-17, the program will also aim to reach parents, grandparents, and other family members who are caring for OVC to ensure they have the resources and support. The program will work to ensure local partners and families can provide the seven basic services as needed for the OVC. There will be greater attention paid to HIV+ families and their special needs and health issues. The project will also aim to better link beneficiaries to family planning, maternal and child health services as well as HIV care and treatment services. There will be renewed efforts on strengthening linkages between the community and clinical providers and improving the quality of the service being provided to vulnerable children and families.
The program will aim to reach 348,627 children below the age of 18 and 56,000 adult caregivers over the age of 18 with care and support services. An estimated 65% of the total number of beneficiaries will be female given the fact that there are more female-headed households in Ethiopia. An estimated 7% of extremely vulnerable families will receive food and nutritional support while others will be referred to other support programs such as the WFP or DAI activities.
