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: 2012 2013 2014 2015 2016 2017 2018
This is a continuing activity. Harari Regional State is located in eastern Ethiopia with a total population of approximately 183,344. ANC HIV prevalence in 2009 was 3.7%. The Harari Regional Health Bureau (HRHB) directly funded by PEPFAR to implement HIV program activities for preventing new HIV infections, scaling-up and strengthening ART, providing care and support to PLHIV and affected populations, improving the quality of service delivery, and effective M&E of the HIV program. It works to strengthen the health network model and the health system in the region. It will build the human resources for health and infra-structure of the health facilities providing care and treatment services.HRHB oversees all health facilities in the region. The population served is predominantly urban, but also includes rural population around the town of Harar and neighboring region of Oromia. HRHB will maximize efficiency by leveraging resources from various sources. It will strengthen the linkage between services and facilities, including community level services, to ensure the continuum of care for the PLHIV. The HRHB program supports the goals of the GOE's National Strategic Plan (SPMII) and is aligned with the goals of the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative. HRHB will continue to work with CU ICAP to build the capacity of the RHB and transition specific program activities to ensure sustainability and strengthen local ownership. HRHB will purchase one vehicle in COP2012 at a cost of USD$55,000. The vehicles will be used to support implementation and monitoring of the program activities in the region and distribution of supplies to the health facilities. The total number of vehicles for the life of this mechanism is two.
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? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?(No data provided.)
HRHB currently manages eight ART sites and >2,500 patients on ART. HIV/AIDS activities initially implemented through a sub-grant with Columbia University ICAP are now continuing under the primary direction of the HRHB. Under COP2012, Columbia University ICAP will continue to provide technical assistance as the HRHB assumes the lead implementer role. HRHB will work with CU ICAP in coordinating and supporting in-service training of different cadres of health providers. It will support and strengthen the clinical mentorship program in the health facilities providing care and treatment services in the region. It will strengthen quality improvement activities in all health facilities and laboratories, and promote use of site level data. HRHB will support and strengthen the health network and referral system in the region in order to ensure the provision of efficient, quality care and treatment services for PLHIV and other persons affected by HIV. It will support and facilitate catchment area meetings in the region. It will strengthen the health facility Multi-Disciplinary ART Teams for site level monitoring of care and treatment program activities, coordination and efficient delivery of available services. The RHB will also conduct regular supportive supervision site-visits to the care and treatment facilities in the region in order to monitor the progress of planned HIV program activities, identify challenges and implementation gaps, and support the sites to improve their performance. The HRHB will work closely with NEP+ in implementing case management to improve ART adherence and retention of HIV patients in care and treatment services, as well as strengthen linkages among facilities and with community-based organization efforts related to HIV/AIDS care and support.
