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 2017 2018
This is a continuing activity. NASTADs program will strengthen national and local public health sector capacity to plan, manage, and evaluate public sector HIV/AIDS programs; build public sector organizational capacity to support the delivery and sustainability of national and local HIV/AIDS programs; and collaborate with USAID partners to provide technical assistance for the community information system (CIS). The specific objectives are: 1) enhance the capacity of MOH regional, zonal, and woreda HAPCOs / HBs and community-based organizations (CBOs) to manage and implement the HIV/AIDS multi-sectoral response and social mobilization; 2) integrate ART adherence promotion into ongoing social mobilization/community planning activities; and 3) engage PLHIV, their support groups, and the community to retain individuals in ART treatment. The geographic focus is Oromia, Amhara, and SNNPR regions and the cities of Addis Ababa and Dire Dawa. The target populations reflect priorities of RHBs and RHAPCO of each respective region, which may include general public, most-at-risk and vulnerable populations or health professionals. NASTAD aims to implement cost-efficient and sustainable activities by transferring technical and programmatic skills to the regional and local public health sector. To ensure sustainability, NASTAD will sub-grant funds to CBOs and enable community ownership through empowerment activities. NASTAD will work closely with other USG partners and compliments the USAID LMG program, whereby USAID focuses on management training, NASTAD focuses on capacity building for implementation. NASTAD has a system to routinely monitor and report on program performance. The NASTAD program supports the goals of GOE and USG Partnership Framework and Global Health Initiative.
Collecting and analyzing community-based data has been deemed necessary by the HAPCO to supplement the national health management information system (HMIS) which is currently being implemented in all regions of Ethiopia. The HAPCO endorses a community information system (CIS), and in support of this, NASTAD has been involved in providing technical assistance (TA) to develop and successfully pilot a CIS together with USAID partners in Addis Ababa and Dire Dawa. An assessment conducted by the HAPCO, UNAIDS, and other stakeholders on the CIS pilot indicated good performance by both Addis Ababa and Dire Dawa. Under COP2012, NASTAD will increase its TA to Addis Ababa and Dire Dawa in their efforts to scale up the CIS; provide capacity building support to community providers and other stakeholders in the collection, management, use, and dissemination of community data; strengthen the national CIS technical working group led by HAPCO; and provide TA and financial support for the training and re-training of stakeholders on CIS implementation, monitoring, and evaluation. This activity will be gradually transitioned to the HAPCO in the coming years.
Creating an enabling environment for effective HIV/AIDS prevention, treatment, and care interventions is one of the major objectives of the MOH. Since 2007, NASTAD has been working to build capacity of the MOH at all levels in the areas of leadership and governance, community mobilization and empowerment, and coordination and partnership to improve the national and regional HIV/AIDS multi-sectoral response. To date, NASTAD supported the implementation of a community conversation (CC) program, community-based health sector planning, the development of various HIV/AIDS social mobilization/community planning guidelines, and established bi-directional twinning partnerships between regional MOH in Ethiopia and health/HIV/AIDS departments in the US. Under COP2012, NASTAD will enhance the capacity of regional, zonal, and woreda MOH in five regions (Amhara, Oromia, SNNPR, Addis Ababa, and Dire Dawa) to manage and coordinate public sector HIV/AIDS mulit-sectoral response; sponsor regional level partnership forums to improve coordination and referral networks among different stakeholders; provide ongoing TA to regional, zonal, and woreda MOH through site visits and joint supportive supervision; establish and strengthen a twinning partnership between Addis Ababa MOH and Washington, DC health department to address MARPs and PLHIV related to travel and migration; technically and financially support regional MOH for monitoring, documentation and dissemination of best practices of community-based activities; and develop a training toolkit and provide training on public health data use for woreda public health sector professionals under Track 1 Transition.
Despite the impressive achievement of placing people on ART, the inability to retain HIV patients in care and treatment programs threatens to undermine the success. NASTAD will continue to strengthen and expand community planning/community conversations for ART adherence. In prior years, NASTAD provided training on community ART adherence for regional, zonal and woreda HB/HAPCO staff to build their capacity to cascade this training to the kebele-level community conversation facilitators and health extension workers; distributed booklets on ART treatment adherence to community conversation facilitators; provided ToT on ART treatment adherence; developed community ART adherence manual; supported ART implementation by raising community awareness on ART in general and treatment adherence in particular through community conversations; helped the community to understand and tackle barriers for ART adherence, including disclosure, stigma, and other cultural barriers; initiated an innovative community-based prevention of lost-to-follow-up program. NASTAD has and will continue to work in close collaboration with other USG implementing partners, PLHIV associations, and health extension workers. Under COP2012, NASTAD will continue with the above activities and further target technical assistance to the national community conversations intervention using strategies consistent with GOE national ART treatment guidelines. This intervention is based upon a model of community engagement and empowerment in which educated kebele members assume responsibility for PLHIV. NASTAD will also build the capacity of local government and community-based organizations to enhance ART adherence and reduce patients defaulting from treatment through integrating ART adherence education into community conversations; supporting community-based nutrition programs for 2, 500 PLHIVs on ART; and supporting focus regions to undertake surveys on community ART adherence.
