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
The Making Medical Injections Safer (AIDSTAR-One) Project, a 5-year centrally funded PEPFAR project is transitioning to a field-support funded program as a part of AIDSTAR-One for a 12-month period (October 2009-September 2010) and now extended for two years (October 2010-September 2012).
The goal of AIDSTAR-One's technical assistance to the Government of Ethiopia is, in collaboration with local partners, to expand safe injection interventions to 750 health centers (200 new; strengthen in 550 current health centers) and 500 private health facilities including 300 existing facilities in Amhara, SNNP, Tigray, and Oromia as well as Addis Ababa, Dire Dawa, and Harar to assure that each injection given is safe and necessary and does not pose a risk to the patient, health care provider, or community. The program will work on selected local health science universities and colleges to strengthen the pre-service infection prevention activity and standardize the IP practice in the teaching centers.
The objectives to be achieved in collaboration with the USG team and local partners are the following: (1.) To support the Ministry of Health, local universities and PEPFAR partners' ability to identify, forecast, finance, procure and distribute the appropriate levels of injection equipment, supplies, and waste management commodities to assure sufficient supplies at health facilities. (2) To improve access and sustainability of injection equipment, supplies, and waste management commodities in the local market through promotion of local manufacturing and importation. (3) To foster normalization of safe and necessary injection practice through training and capacity building. (4) The development of sensitization and advocacy materials and activities designed to change the attitudes and practices of patients, providers, the community, and policy makers. (5) To establish a system for independent and routine monitoring of injection safety practices to identify areas to be strengthened, and using findings to improve interventions. And (6) To strengthen the policy environment to facilitate the availability of guidelines, resources for safe injection practices, professional and cultural norms that support injection safety, and continuous monitoring and improvement of injection practices. (7)Technical assistance to strengthen the capacity of FMoH and regional health bureaus to create and sustain a standardized infection prevention system. Technical and material support will be provided to inculcate and standardize infection prevention practice in the pre-service curricula and within teaching hospitals.
The target populations include health professionals in the public, private, and informal sectors: prescribers, providers, sanitarians, medical laboratory professionals, health extension workers, health care facility waste handlers, and health supervisors. The ultimate beneficiaries of the activities are individuals who require medically invasive procedures and injections and their communities who receive safe injection messages.
AIDSTAR-One's injection safety program is cross-cutting and contributes to the PEPFAR prevention goals and supports clinical activities in blood safety, voluntary counseling and testing, PMTCT, palliative care, TB/HIV, and ARV services. AIDSTAR-One contributes to the health system strengthening by integrating sustainability into the approaches it uses in technical areas including policies to serve as a framework for reinforcing the social and professional norm of safe injections. It builds the local capacity in all the technical areas of injection safety and works collaboratively with local partners in the planning of its activities. AIDSTAR-One's work enables the health system to be better prepared to protect health care worker safety, improve the quality of care by assuring safe and necessary injections, and to effectively manage sharps waste to protect the larger community.
AIDSTAR-One's will monitor and evaluate specific aspects of commodity management, capacity building and training, behavior change and advocacy, health care waste management and policy environment. A variety of sources of information will be leveraged during the life of this program including programmatic reporting, collection of quantitative data from supervision visits, and logistics management information systems. Data will be shared with others and used to refine and improve the implementation of activities.
In order to progressively become more cost efficient, AIDSTAR-One's approaches includes: continued strong collaboration at each level of the healthcare system, and with other providers working in sites to avoid duplication of efforts and to leverage each partner's strengths and resources; further strengthening of tools for monitoring and evaluation of injection safety activities and the use of this data for evidence-based decision across local partners and institutions; and continuing to combine training activities with long-term capacity-building of local partners and institutions.
AIDSTAR-One's injection safety activities cover six technical areas: commodity management, capacity-building and training, behavior change communication and advocacy, policy, and monitoring and evaluation. Strategic ownership and sustainability approaches have been incorporated and will continue. The target populations include health professionals in the public, private, and informal sectors: prescribers, providers, sanitarians, medical laboratory professionals, health extension workers, health care facility waste handlers, and health supervisors.
AIDSTAR-One is working to assure both an adequate supply of injection devices as well as appropriate use and management of stocks at different health service facilities. AIDSTAR-One will continue to strengthen health facilities storage capacities. AIDSTAR-One shares data with different partners so that it can be used for quantificational and other supply chain-related decision making.
AIDSTAR-One, through subcontractors, will conduct injection safety training in Ethiopia to improve the technical competencies of health workers responsible for injections.
AIDSTAR-One also addresses behavior change; these messages target health care workers, decision-makers, clients, and the community. AIDSTAR-One also works in collaboration with the MOH and other donors who are refurbishing health centers to assure high quality infection prevention, and injection safety issues including the maintenance of incinerators and provision of waste receptacles.
AIDSTAR-One also helps to guide the development of standard systems for safer waste management practices. AIDSTAR-One organizes workshops for RHB, hospital, and other health administrators to address HCWM in a systematic way.
Beyond the injection safety needs of the public-sector health network, AIDSTAR-One also addresses injection safety issues among private providers and the informal health sector.
AIDSTAR-One regularly conducts monitoring and evaluation of health facilities in order to measure progress and address problems. All program data obtained through routine monitoring will be shared with other partners and used to improve the effectiveness of injection safety interventions.
