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. Mekele University (MU), located in northern Ethiopia, provides higher education in science, liberal arts, and health (medicine, public health, nursing, and other mid-level trainings). MU works closely with affiliated university and public hospitals in Mekele, the capitol of Tigray Region, providing support to build capacity to improve continuum of care to catchment area population. The goal of MUs program is to build its own organizational capacity to provide in-service training and technical assistance to improve HIV service delivery in the region. Activities will focus on priority needs within the university community and involve health networks in its catchment area. University of Washington I-TECH will partner with MU to build its capacity for providing skills-based in-service training. For the institution to establish itself as a long-term technical support center, MU will administrate and manage the technical and logistical arrangements required to support the health networks delivering ART and related services, which will enhance MUs capacity to provide overall supportive management of HIV/AIDS activities within the region. The MU 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. MU has a system in place for routine performance monitoring and reporting. MU 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 in help address the health needs of the country. Health science and medical colleges/schools are the major contributors to development of skilled human resources for Ethiopias health workforce. ,
In COP 2013, Mekele University (MU), in collaboration with the international implementing partner, will develop annual plans to improve quality of medical education and retention of students. Mekele University will work with other partners to improve the quality of medical education by implementing different strategies such as faculty development, improving skill labs, strengthening e-learning systems, securing sufficient teaching equipment and books, organizing extra tutorial sessions for students, and development of performance monitoring system. Mekele University will build the capacity of academic staff through the establishment of a resource center to improve its pedagogical and effective communication skills.
Additionally Mekele University will support the new medical school within the region with skilled instructors to improve the quality of education of the New Medical Education Initiative and IESO in-service training (IST), which 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. Historically, PEPFAR Ethiopia has supported ISTs for large numbers of health care cadres to improve quality of HIV clinical service in the country. In COP 2013, Mekele University will strengthen its IST unit in and will develop an annual IST work plan with the Tigray Regional Health Bureau (RHB). The university, in collaboration with the RHB, will conduct a training needs assessment, identify priority HIV IST areas and establish a training information system to monitor IST implementation. The university will coordinate with partners to facilitate PEPFAR supported, web-based continuing medical education at the university, in the community, and elsewhere in the region. In COP 2013, Mekele University will work closely with the international implementing partner to transition all pre and in-service training activities and implement all programs with minimal technical assistance support.
The primary target population for this activity is approximately 16,000 young adult men and women students and staff at MU. Under COP2012, abstinence and faithfulness activities will include:
1. Promotion of abstinence and delay of sexual debut behavior among the MU students.
2. Educating MU students/community about importance secondary abstinence to reduce the risk of HIV/STI transmission.
3. Promoting fidelity among the MU students/community to reduce the risk of HIV/STI transmission.
4. Educating MU students/community on reducing multiple partners to prevent sexual transmission of HIV/STIs.
5. Practicing HIV prevention skills and understand and adopt positive health-seeking behaviors.
6. Thematic discussion topics will include social and community norms, gender-based violence and stigma and discrimination. Peer leader training and information, education and communication material and behavior change and communication material will be adapted specifically for the MU student population.
The program will collaborate closely with the MU Gender office to improve intervention efforts to reach the female student population.
In FY2009, MU entered into a cooperative agreement with HHS/CDC to establish and strengthen STI/HIV services. The primary target population for this intervention is approximately 16,000 MU students and staff. Under COP2012, activities include:
1. Strengthening youth friendly STI/RH services in three MU clinics.
2. Promoting condom use at the university.
3. Providing HTC services with the expectation that 10% of the MU population will participate in HTC.
4. Conducting peer outreach education and training 100 peer educators.
5. Providing mini-media (AIDS Resource Center) that will reach the entire university community to pass continuous messages on STI/HIV/RH.
6. Mainstreaming an anti-HIV/AIDS program at the university.
7. Providing access to user-friendly STI clinic service. The MU health center and other clinics under the university will be supported in training health care workers on STI/RH/HIV services, provision of STI job aids, STI treatment kits, condoms, and HTC supplies.
MU is working closely with the Tigray Regional Health Bureau (RHB) actively providing technical assistance that supports planning and implementing of various health programs in the region. Through technical support from the University of Washington/I-TECH, MU and its teaching hospitals have initiated anti-HIV/AIDS activities and services among the university community and its affiliated hospital clients. MU will also strengthen the services of students' clinics which are an entry point for HIV counseling and testing, which also includes TB/HIV screening and management. The university will have a strong working relationship with the University of Washington/I-TECH, in order for it to be in a position to scale up its HIV/AIDS activities in a comprehensive manner, with due emphasis on prevention, care, and treatment and on linkages among these program areas. Activities will be expanded to address the needs of the MU community and expanded further to involve the health networks in its catchment, and support the HIV program activities at regional and national levels. With support from University of Washington / I-TECH, MU will establish a training center that will be used for providing in-service trainings within Tigray region.
