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. The American International Health Alliance-Twining Center (AIHA-TC) will strengthen human and organizational capacity of Ethiopians and local institutions, as well as improve the quality of HIV testing and counseling (HTC) services in Ethiopia. AIHA-TCs largest contribution is to mobilize professionals to assist in Ethiopias fight against HIV/AIDS through its Volunteer Diaspora initiative, build institutional and human resource capacity in the field of emergency medicine, and strengthen medical institutions capacity to deliver high quality pre- and in-service medical, health science and social work education. AIHAs social work education activity leads from Jane Addams School of Social Work are in communication with the leads for USAIDs Social Welfare activities. AIHA-TCs main strategies include twinning partnerships with health institutions abroad to build local institutional capacity and mobilizing highly skilled Diaspora professionals to USG-supported HIV service delivery sites and AIDS service organizations. AIHA-TC works both nationally and regionally and targets medical schools, healthcare service providers, and pre-service medical and health science education graduates. AIHA-TCs program supports the goals of the GOE's National Strategic Plan II (SPMII) as well as is aligned with the goals of the GOE and USG HIV/AIDS Partnership Framework and Global Health Initiative. AIHA-TC monitors each individual partner through their own established work and M&E plan, tracks outcomes across partnerships working in similar technical areas, and conducts regular evaluations measuring the overall outcomes related to AIHA-TCs goal.
Barriers to addressing HRH issues include insufficient skill mix among health workers, low training output, misalignment of pre-service education with needs of the health sector, lack of standardized in-service training, and overall weak HRH management. AIHA-TC is an important PEPFAR partner to help address Ethiopias significant HRH crisis. AIHA-TC has a unique role in twinning individuals and institutions from Ethiopias extensive and highly qualified Diaspora community who come to mentor counterpart institutions and individuals. To date, a diverse group of 48 Ethiopian Diaspora have been placed with the Ministry of Health (MOH), local universities, public hospitals, regional health bureaus, HIV/AIDS Prevention and Coordination Offices (HAPCO) and other institutions to address specific needs. E.g., AIHA-TC will continue its partnership between Howard University and Addis Ababa University (AAU) School of Pharmacy for a national information center to improve the quality of HIV/AIDS services provided by pharmacists. It will also continue the partnership between the University of Illinois Jane Adams School of Social Work and the AAU School of Social Work to establish their social work and case management training for >350 community-based workers who provide care and support services for OVC. In addition, linkages will be made with the USAID/UNICEF grant supporting the social welfare system. AIHA-TC will also continue support to the Federal MOH to develop and implement a framework for a national quality assurance (QA) system for HTC services. Because of the high prevalence of HIV-infected patients in the emergency care setting, AIHA-TC will also develop new institutional and individual capacity in emergency medicine through a partnership between the University of Wisconsin and AAU to promote, develop, and sustain the delivery of optimal emergency care for acutely ill and injured children, adolescents and adults. Finally, through the GOEs New Medical Education Initiative, AIHA-TC will create new partnerships to place skilled volunteers in medical schools across the country to improve the quality of pre-service medical education. Specifically, these volunteers will focus on organizing and teaching courses, mentoring faculty, and providing student advice and counseling to improve their academic success.
This is a current activity without the need for FY2012 funding due to adequate pipeline from the previous fiscal year. AIHA-TC will continue to strengthen the provision of HTC services in Ethiopia through a previously initiated South-South twinning partnership between the Liverpool Voluntary Counseling and Testing Program (LVCT), which is an indigenous Kenyan organization, and Ethiopian government institutions responsible for HCT service delivery. The partnership is providing assistance in the development of a quality assurance training manual and to build the capacity of the FMOH and regional health offices to strategically plan, develop and support HTC service delivery sites throughout Ethiopia.
Specific support will include the following:
1) Provision of support in the implementation of HCT quality assurance (QA) strategies at the national and regional level;
2) Assist with the implementation of QA at the facility level; and
3) Conduct HCT QA training of trainers (TOT) at the regional level for further expansion of the program.
