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 2014 2015 2016 2017 2018
As a continuation of previous COP Year strategies, HHS/CDC will use the Regional Procurement Support Office (RPSO) to procure the design, monitoring, and contracting services required to construct Regional Laboratories and Outpatient Annexes in Ethiopia.This improvement of infrastructure is essential for the delivery of quality health care and will directly lead to the Partnership Frameworks goal of reducing HIV incidence and AIDS-related mortality while building a sustainable health system in high-prevalence areas. This program is also an important diplomacy tool of PEPFAR. New comprehensive facilities will reduce the stigma that currently follows HIV patients reluctant to enter HIV centers. Providing new outpatient departments (OPDs) in existing hospital settings greatly increase the chance of providing a facility where health care workers and equipment are already available. Existing buildings that will become vacant can be used for storage centers which are also lacking in existing health care facilities. Designing and constructing health facilities according to international design standards will provide longer lasting facilities that the health work force will be proud to work in, thus reducing maintenance costs while increasing the retention of health care workers.The mechanism will provide an increased standard of health care quality to areas where concentration of ART patients is the highest. Assessments indicate that the construction of OPDs and Regional Labs for 47 identified government hospitals will provide a new standard of care to the vast majority of all ART patients throughout every region in Ethiopia. These new integrated facilities will also be instrumental in providing greater comprehensive and quality ANC, PMTCT, MCH, and TB services.
Activities include new construction of Outpatient Annexes and Laboratories. Currently 40 outpatient departments in high-volume hospital outpatient departments, and 7 Regional Laboratories have been assessed and prioritized for HHS/CDC's Renovation/Construction Program. These 47 sites currently account for 80% of all the ART patients being managed at hospital outpatient departments, which account for 69% of all patients on ART in Ethiopia. Several of these sites have in excess of 10,000 patients in pre-ART care and are operating under difficult conditions and inadequate infrastructure. Appropriate infrastructure improvement will contribute to the delivery of quality care and improve staff morale and patient retention. Integration of HIV services, specifically family-centered treatment in this case, is more challenging for large hospital sites. Substantially more investment is needed at these sites, given their size and complexity. HHS/CDC's RenCon partner, RPSO, will be supported with technical assistance from two qualified engineers on the HHS/CDC team. Two laboratories and one OPD have already been completed, two OPDs are near completion, and work has begun on 7 additional sites, including two Regional Laboratories. Other PEPFAR partners will continue to carry out minor renovations in other sites needing infrastructure improvements. OPD annexes and Regional Laboratories exemplify integrative health service delivery. Ideal-sized exam spaces will promote efficient workflow and staff/patient comfort. High quality, low maintenance laboratories will provide state of the art facilities that will set the standard of excellence for future laboratories in Ethiopia. Internal furnishings, when necessary, will be procured through other funding resources.
