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. Jimma University (JU) is a local PEPFAR partner located in the Oromia Region of Ethiopia. JU is the first innovative, community-oriented institution of higher learning in Ethiopia, and a major contributor to health and human resource development. The JU teaching hospital serves as a site for in-service training of health workers working to rollout comprehensive HIV/AIDS program activities in Oromia. Through the cooperative agreement with HHS/CDC, JU has enhanced its administrative and technical capacity allowing the university to scale-up ART services and strengthen ART training for health professionals. In order for JU to establish itself as a long-term technical support center, the university will begin to handle the administration and management of the technical and logistical arrangements required to support the health networks delivering ART and other HIV/AIDS-related services. JU will use the funds to strengthen the pre-service training for medical education, train other health professionals, and strengthen the STI/HIV prevention activities within the University and the surrounding communities. Additional support will be provided from CU-ICAP for JU to provide in-service trainings. All these efforts help the university to build the capacity and ensure the sustainability of JU to take over the technical support currently being provided by CU-ICAP. The JU 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. JU has a system in place for routine performance monitoring and reporting. JU will document best practices and analyze its performance data, which will contribute to sustainability, and cost effectiveness.
The government of Ethiopia has placed emphasis on increasing the number of physicians and other cadres of health worker to be trained and deployed in all health facilities to meet clinical service needs.
The purpose of this support is to increase the quantity, quality and retention of medical graduates with specific skills to address the health needs of the country. Health science and medical colleges/schools are the major contributors to the development of skilled human resources for Ethiopias health workforce.
In COP 2013, JU will collaborate with ICAP to develop annual plans to improve quality of medical education and retention of students. JU will strive to improve the quality of medical education by implementing different strategies such as faculty development, improving skill laboratories, strengthening e-learning systems, securing sufficient teaching equipment and books, organizing extra tutorial sessions for students, and developing a performance monitoring system. JU will build the capacity of academic staff through the establishment of a resource center to improve its pedagogical and effective communication skills. JU will also support the new medical school in the region with skilled instructors to improve the quality of education of the New Medical Education Initiative and IESO.
In-service training (IST) is recognized as a key strategy for sustaining the competencies, morale and quality of the health workforce as they gain knowledge and skills that will improve their performance to achieve the desired national/regional objectives. In COP 2013, JU will strengthen its IST unit and develop an annual IST work plan with the Oromia RHB. JU, in collaboration with the Oromia RHB, will conduct a training needs assessment and identify priority HIV/AIDS IST areas for its annual work plan. Additionally the university will establish a training information system to monitor IST implementation. JU will coordinate with partners to facilitate PEPFAR supported, web-based continuing medical education at the university, community and elsewhere in the region. In COP 2013, JU will closely work with its partners to transition all pre and in-service training activities and implement all programs with minimal technical support from ICAP.
Transactional sex is evident in the social dynamics of the university campus. The main goal of the program is to strengthen the STI/HIV prevention activities within JU and the surrounding communities. The target population for this intervention is the students and staff of JU, of which there are about 20,000. Under COP2012, the interventions targeting abstinence/be faithful include:
1. Promotion of abstinence and delay of sexual debut among JU students.
2. Educating JU students and community about the importance of secondary abstinence to reduce the risk of HIV/STI transmission.
3. Promoting fidelity among JU students and community to reduce the risk of HIV/STI transmission.
4. Educating JU students and community on reducing multiple and concurrent partners to prevent transmission of HIV/STIs.
5. Thematic discussion topics on social and community norms, gender-based violence, and stigma and discrimination.
6. HIV prevention peer leader training and information.
7. Adaptation of education and behavior change communication materials for the JU students.
8. Peer outreach education programs (training to enhance behavioral change or modification).
9. Life skills training.
10. Supporting the mini media and AIDS resource at the university to pass continuous messages on HIV/STIs and reproductive health.
11. Mainstream HIV/AIDS program at JU.
The program will collaborate closely with the JU Gender Office to improve intervention efforts to reach the female student population.
Transactional sex is evident in the social dynamics of the university campus. The main goal of the program is to strengthen the STI/HIV prevention activities within JU and the surrounding communities.
The primary target population for this intervention is university students and members of the surrounding community who commonly interact with the university population. Under COP2012, the interventions include:
1. Strengthening of the youth-friendly STI and reproductive health (RH) clinics within the university.
2. Promotion and provision of condoms at the university.
3. Promotion and provision of HTC services.
4. Peer outreach education programs (training to enhance behavioral change or modification).
5. Life skills training.
6. Mini media (AIDS Resource Center) at the university to pass continuous messages on STI/HIV/RH.
7. Mainstream HIV/AIDS program at the university.
8. Conduct HIV/AIDS Behavioral and Sero-prevalence survey in the JU community (including the students)
The interventions will target young men and women of reproductive age with special emphasis on young women. All interventions will use the recommended protocols by national and international standards. Pre-service training for health professionals on core HIV/STI competency areas will build the capacity of the health institutions and promote sustainability. JU will support the university health center and clinics by providing training of health care workers on STI/RH/HIV services, provision of STI job aids, STI treatment kits, condoms, HTC supplies, IEC/BCC materials and referral and linkage to ART care and treatment services. In collaboration with the zonal health department outreach support to health facilities (e.g. clinics and pharmacies) around the university and its branches in areas of STI/HIV service will be initiated.
ANC HIV prevalence in Oromia Region in 2009 was 1.7% and the number of PLHA was last estimated at 80,000. JU is a major contributor to development of skilled human resources for Ethiopias health workforce. To date, JU has initiated a wide array of activities with PEPFAR support, including in-service and pre-service trainings. JU has benefited from PEPFAR Ethiopia's regionalized support by partnering with Columbia University-ICAP (CU-ICAP). HIV/AIDS activities in the university are being consolidated. Under COP2012, JU will provide technical assistance to its teaching hospital for ARV service provision, the Oromia regional health bureau and other health facilities found in the catchment area. Additional support will be provided by CU-ICAP to establish a training unit at Jimma University in order to strengthen JU's capacity to provide in-service training. JU will use some of the funds to strengthen the pre-service training for medical education and training of other health professionals. Moreover, as the number of students using the clinic increases over time, it is necessary to further enhanced the capabilities of the clinic and make it youth friendly. With regards to TB/HIV, JU receives technical assistance from CU-ICAP to strengthen its HIV/TB screening and management clinical services provided to students and staff of the JU.
