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
The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) program in Ethiopia contributes towards meeting specific PEPFAR program targets by providing technical support to GOE and private health facilities for the appropriate dispensing and rational use of medicines (RUM), including the expansion and maintenance of a Pharmaceutical Management Information System (PMIS). SIAPS interventions for COP 2012 are categorized under the following six pillars: 1. Improving pharmaceutical sector good governance 2. Strengthening institutional capacity to increase access and improve quality of pharmacy services; 3. Strengthening pharmaceutical management information systems to support evidence-based decision making; 4. Strengthening national capacity for safe, accountable management and timely disposal of pharmaceutical and clinical waste; 5. Promoting access to essential medicines. The activities are co-funded by PMI and PEPFAR for cost effectiveness. SIAPS supports institutional capacity building of national organizations such as the Food, Medicines, and Health Care Administration and Control Authority (FMHACA), the Pharmaceutical Fund and Supply Agency (PFSA), the Regional Health Bureaus (RHBs), Schools of Pharmacy, the Ethiopian Pharmaceutical Association (EPA), and health facilities in key areas of patient-focused pharmacy services to ensure sustainability and local transition. This is aligned with PF Goal 1: to reduce the national HIV incidence as well as the GHI HSS: Commodity and Logistics Systems strategy. Although no COP 2012 funds are being requested for this mechanism pipeline funds will be used to continue activities.
SIAPS addresses major challenges with the national pharmaceutical commodities management system in Ethiopia. In collaboration with MSHs Center for Leadership and Sustainability (LMS), trainings in Leadership, Management, Supervision, and Team Building for FMHACA, PFSA, RHB Pharmacy Department and EPA managers strengthen their leadership and management capacity. Stewardship will be strengthened with continued strengthening of facility run Drug Therapeutic Committees, strengthening of the Natl Advisory Committee on Antimicrobial Resistance (AMR) to carry out its mandate effectively, scale up establishment and operation of Drug Information Services in selected hospitals throughout the regions, strengthen pharmaceutical human resource at different levels to ensure proper management and use of pharmaceuticals and related commodities, support consultative meetings between FMHACA and private pharmacies, medicines manufacturers, importers, distributors and retailers, improve natl compliance with international manufacturing standards, and provide pharmaceutical ethics training for EDA and EPA members. PEPFAR will continue supporting EDT/ADT until a national HMIS solution is worked out which includes closely collaborating with USAID/Deliver and SCMS on the roll out of Pharmaceutical Information Management System (PIMS). Quality systems will be improved with good dispensing practices training, FMHACA development, adaptation and implementation of disposal of pharmaceutical waste, development of a natl framework for clinical waste mgmt, support for FMHACA and RHBs to improve the quality of service given by Rural Drug Vendors (RDV) by accreditation and training in logistics, prescribing practices and production, dissemination of electronic and printed IEC materials on ethical (prescription) and over the counter (OTC) drugs for patient education in collaboration with FMHACA. SIAPS TA will pilot AMR containment interventions with ORHB , Jimma University and FMHACA, strengthen ADR monitoring and Pharmacovigilance (PhV) systems, initiate/establish an active ADR surveillance system, popularize the waste disposal framework.
