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
This implementing mechanism is a follow-on to the World Health Organization (WHO)/ Integrated Management of Adolescent and Adult Illness (IMAI) program implemented from 2008-2011. COP 2012 funding will mitigate the impacts of HIV on adults and children through strengthening the response of the FMOH to the pandemic. Specific objectives include: 1) Support for policy formulation, guidelines revision and adoption of new recommendations and best practices; 2) Strengthening the evidence base for programming and shared learning and 3) Provision of ongoing HR support to the FMOH and RHBs. This is in alignment with PF Goal 2.3: An increased number of individuals in all age groups access a continuum of quality comprehensive clinical HIV/AIDS care and treatment services, including TB/HIV by 2014 and GHI strategy to save approximately 1.3 million lives by treating a minimum of 2.6 million new TB cases. Activities include: support implementation of the 2010 WHO PMTCT guidelines, revision of existing guidelines and support exchange of experiences through organizing interregional and inter-country visits. WHO will also be supporting program reviews and documenting evidence-based best practices, providing ongoing HR support to the FMOH and RHBs through securing full time and short term WHO experts, seconding experts to the FMOH and RHB and also providing support for the Global Fund CCM. An end of program evaluation is planned. No new vehicle needed.
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? Neither3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesOHSS Global Fund Country Coordinating Mechanism 150000 WHO supports the CCM secretariat of GF
PEPFAR Ethiopia has made major contributions towards implementation of the Global Fund. The Government of Ethiopia has a Country Coordinating Mechanism (CCM) which was established in early 2002. The 17 CCM members include: Ministry of Health (MOH, 4 members including Chair); HIV/AIDS Prevention and Control Office (HAPCO) (1); Ethiopian Health and Nutrition Research Institute (EHNRI) (1); WHO (2: the WR as CCM Member Representing Bilateral Institutions and the HIV/AIDS Team Leader as CCM Secretary as of August 2008); Joint United Nation Program on HIV/AIDS (UNAIDS) (1); Health, Population and Nutrition (HPN) Donors Group (2); PEPFAR Ethiopia (1); Department for International Development (DfID) (1); Christian Relief and Development Association (CRDA) (1); Vice Chair Dawn of Hope (Association of PLWHAPLWHAA) (1); Ethiopian Chamber of Commerce (ECC) (1); Ethiopian Public Health Association (EPHA) (1); and the Ethiopia Inter-Faith Forum for Development Dialog for Action (1). Some examples of the depth and scope of PEPFARs involvement include: active membership on the CCM since its inception, technical assistance for proposal development, support of the Secretariat since November 2003, and chairing the sub-committee tasked to prepare the mechanisms Terms of Reference (TOR). Starting from FY05 through FY 2011 PEPFAR provided modest funds to support the CCM Secretariat. This covered salary of 2 individuals in the secretariat (coordinator and secretary) and running costs of the office which is co-located with the Federal HIV/AIDS Prevention and Control Office. This USG contribution leveraged funds from UNAIDS and the Royal Netherlands Embassy, and has been managed through the WHO Ethiopia Country Office. PEPFAR Ethiopia proposes to continue this modest funding in COP FY2012 to assure the successful management of Ethiopias grants in HIV/AIDS, Malaria, and TB.
For the COP2012, WHO Ethiopia will continue as Secretary of the consolidated National HIV and AIDS Prevention, Care and Treatment Technical Advisory Group to update new developments, adapt and disseminate the new WHO treatment guidelines and to share strategic documents, training materials, tools including job aids developed through this IM. It will also support the MOHs effort to conduct program evaluations and document evidence-based best practices. WHO will provide training of trainers (TOT) at national level for different cadres of health care providers in close collaboration with the FMOH and existing PEPFAR partners to create a pool of trainers. Intensified TOT will be conducted for the potential trainers selected from regional health facilities, public and private local universities and colleges to help the RHBs to cascade the required training of health care providers accordingly. WHO will provide technical assistance to the FMOH to ensure clinical mentoring approaches are standardized across regions and are implemented according to the national clinical mentoring guidelines. Based on priorities of the FMOH, WHO will also assist the MOH to conduct a rapid assessment of pre-ART care packages and develop a standardized package of services to be adopted by all regions, assist review of the national adherence strategy to reflect best, feasible and standardized approaches across the country.
World Health Organization (WHO) Ethiopia will continue to be an active member of the National Pediatric Technical Working Group with focus on updating new developments, adaptation, standardization, printing and dissemination of national normative guidelines, strategic documents, training materials, and tools, including job aids. Based on the integrated management of childhood illnesses (IMCI) methodology, WHO will continue to provide TOT for health care providers at national level. To ensure sustainable technical capacity, WHO will work with the relevant partners to review and develop pre-service training curriculum. As a way of building the capacity of health care providers through continued learning process, WHO will provide support to the FMOH in the revision of clinical mentoring guidelines and provide techncial assistance to coordinate the clinical mentoring program, with particular emphasis on pediatrics mentoring. All these activities will be done in coordination with other PEPFAR Ethiopia partners including CDC-funded US University partners, African Network for Care of Children Affected by HIV/AIDS (ANECCA) in order to avoid any duplication of efforts. To strengthen the national pediatric HIV programs, WHO will continue to provide support to the Federal Ministry of Health through the National Technical Working Group to ensure new WHO recommendations on Pediatrics HIV treatment are adopted by the country. Further, WHO will continue providing technical and necessary logistic support for FMOH to have national Pediatric HIV consultative meetings and workshops to address priority areas. In addition, WHO, in collaboration with other PEPFAR partners, will provide support in improving the monitoring and evaluation of Pediatric HIV programs by ensuring quality of data and promoting data use for decision making.
