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
This is a continuing activity. The Ethiopian Society of Ob/Gyns (ESOG) has supported PMTCT implementation at private health facilities since COP2007. Under COP2012, ESOG's focus included national-level support for the GOEs new cadre of Emergency Surgical Officers to help address maternal mortality. Under COP2012, ESOG's two main objectives are to continue to expand/strengthen comprehensive and integrated PMTCT services at private/NGO health facilities (maternity hospitals, specialized MNCH higher clinics and general hospitals) and contribute to the reduction of maternal and neonatal mortality and morbidity by improving access to and quality of comprehensive emergency and obstetric care services. This includes supporting deployment of a new cadre of health worker, Integrated Emergency Obstetric and Surgery (IEOS) Officers, to primary hospitals. The FMOH has identified this as a priority intervention to reduce maternal mortality in Ethiopia. Activities implemented by indigenous organizations are cost effective and the private sector initiative would contributes towards sustainability of PMTCT. ESOG will build capacity of private facilities through training, mentorship, improving monitoring and evaluation and referral linkages. ESOC's program will be guided by a central coordinating committee. ESOG has in place a monitoring and evaluation team to measure performance. Implementation of national-level activities and ensuring quality of services require frequent site visits and close supervision. ESOG will procure one vehicle to carry-out these oversite responsibilities. The ESOG program supports the goals of the GOE's National Strategic Plan II (SPMII) as well as the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? No
The private sector initiative was started in COP2007 as a collaborative effort by signing a Memorandum of Understanding (MOU) between Addis Ababa Regional Health Bureau, EPHA/ESOG, JHU/TSEHAI and private health facilities. Starting under COP2010, ESOG expanded the service nationally to increase the number of service outlets providing the minimum package of PMTCT services from 40 to 50 private health facilities. Under COP2011, in addition to the expansion of PMTCT at private health facilities, ESOG supported the deployment of 47 health officers at primary hospitals through assessing site readiness, onsite mentoring and supervision, and monitoring and quality assurance. Under COP2012, ESOG will: Strengthen ongoing activities and continued support for expansion of PMTCT services in Private/NGO health facilities. Expand the service to 55 sites. Support the Federal MOH in revising the national PMTCT guidelines, training packages and implementation manual, to adapt the new 2010 WHO PMTCT guidelines, and the roll out of the revised national PMTCT guidelines at private health facilities. Implement proven QI approaches to improve retention of HIV positive mothers and HEIs in care, and strengthen within facility and external referral linkages. Establish and implement an effective monitoring system for the PMTCT program along the PMTCT cascade. Support training on safe pregnancy/FP counseling and promotes integration of FP/HIV services through provision of FP services in all HIV service points. Scale up couple counseling and partner testing, and establish a monitoring system. Support counseling, PWP and treatment services for discordant couples. Provide PMTCT training and mentoring for health professionals working in Private/NGO health facilities. Enhance postnatal follow-up of HIV-infected mothers and HIV-exposed infants. Support follow up of the HIV infected infant diagnosis (EID) program. Provide comprehensive PMTCT services to over 30,000 pregnant women with known HIV status, and ARV prophylaxis and treatment to approximately 500 HIV positive women. Support deployment of 92 Emergency Surgical Officers at selected primary hospitals.
