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
DOD supports the Ethiopia National Defense Force (ENDF) HIV/AIDS Strategic Plan to reduce the rate of new HIV infection and mitigate the impact of existing infection within the ENDF. The DOD provides technical support to ENDF in several key areas to include prevention, blood safety, male circumcision, health system strengthening, and overall building of ENDF management capacity to lead and manage their own HIV program efforts. The target population is approx. 1 million people, which includes 150,000 200,000 active duty personnel, their families, and ENDF civilian employees stationed throughout Ethiopia. DOP also supports ENDF participation in DOD organized International Military HIV Conferences providing an opportunity for ENDF to meet with other military personnel involved with HIV programs to discuss leadership issues, policy, management, military specific prevention, care and treatment and strategic information issues. These Conferences also serve to underscore the fact that these programs are critical to the military readiness enabling the militaries to continue to protect their countries. A monitoring system is in place to routinely measure program performance. The program aligns with the goals of the GOE and USG Partnership Framework and Global Health Initiative.
Under COP2012, the DOD will provide technical assistance and support to the ENDF's care and support efforts through the direct procurement of safe and potable water tank systems to be put in place in health facilities and other care and support services outlets that provide services to HIV positive military personnel and their families.
Under COP2012, DOD will continue to provide SI technical assistance to ENDF to build their capacity to collect, use and analyze, monitor, evaluate, and disseminate key data related to their HIV/AIDS activities. In addition, DOD will assist ENDF in identifying, developing and implementing surveillance studies to further enhance their SI efforts and guide their HIV/AIDS activities.
DOD support of the ENDF HIV/AIDS program has always centered on ENDF ownership of their program with training and capacity development within ENDF to lead and manage their own activities. Under COP2012, DOD will provide technical assistance to ENDF in hospital and health systems administration. Management systems for such areas as human resources, staff forecasting, and logistics management, will be adapted and implemented within ENDF clinical care sites. DOD will provide continuing education and in-service training for ENDF personnel in areas related to leadership and management and HIV/AIDS clinical training / re-fresher training to ENDF health personnel.
Under COP2012, the ENDF male circumcision program will continue as a component of the ENDF comprehensive prevention program. DOD will support ENDF's efforts to scale up static MC sites from 2 to 28 and outreach sites from 4 to 6. The ENDF MC outreach sites include military training camps and centers and aim to provide MC services to new ENDF recruits. Overall, DOD's goal is to each 4,000 ENDF military men with MC services.
The ENDF Blood Safety Program will continue to receive technical assistance from DOD to scale up collections, processing and distribution of safe blood. Under COP2012, DOD will provide technical assistance to the ENDF Blood Program in support of strengthening (1) IT services for the ENDF Blood Processing and Tracking Computer System, (2) supply management and resupply of reagents and consumable supplies, (3) maintenance of equipment, (4) mobile blood collection and transportation, and (5) building leadership and management capacity. DOD will assist the ENDF to establish 3 transfusion services at ENDF hospitals and one additional transfusion service at the ENDF Central Command. In addition, DOD will support the placement of a Blood Project Coordinator within ENDF who will coordinate the existing central Defense Blood bank and oversee the newly established 4 transfusion services sites. DOD Blood Bankers will provide technical assistance to ensure that all ENDF blood safety services are in accordance with International Blood Safety Guidelines and Protocols.
Under COP2012, the DOD will provide IP-related technical assistance and procurement of IP materials for ENDF health facilities. Specific areas of support will include training (including refresher training) in IP standards and protocols, technical assistance to improve infection prevention management and monitoring systems, and direct procurement of IP supplies, to include laundry machines for ENDF health facilities.
Under COP2012, DOD will continue to support ENDF efforts to integrate "AB" messages within their prevention activities targeted to the ENDF target population. Approximately 7 geographic hotspots within the ENDF target population have been identified to intensify prevention efforts, and "AB" messaging and activities will be implemented as appropriate alongside other broader ENDF prevention efforts. ENDF aims to reach over 150,000 of their target population with "AB" messaging. In addition, the DOD will work with the ENDF HIV Coordination Office to ensure their understanding of the importance of "AB" messaging and related efforts as a part of their combination HIV prevention program. DOD will sub-grant HVAB funding to Family Health International to implement prevention activities.
Under COP2012, DOD will continue to support sexual prevention efforts within the ENDF target population, specifically focusing on prevention and management of sexually transmitted infections and increasing condom use. Approximately 7 geographic hotspots within the ENDF target population have been identified to intensify prevention efforts. The DOD aims to have ENDF reach at least 150,000 people within their target population with HIV prevention messages. In addition, the DOD will work with the ENDF HIV Coordination Office to support their efforts to provide a combination HIV prevention program to their target population. A key prevention intervention initiated in previous years to improve the condom supply and distribution system specifically for the ENDF will continue, as will the "camouflage condom repack", which has been adapted for the ENDF military situation. An issue to be address under COP2012 is the shortage of STI drugs to support the ENDF prevention program. The DOD will work with the ENDF and other USG PEPFAR partners to identify and resolve the supply problem. DOD will sub-grant HVOP funding to Family Health International to implement prevention activities.
Under COP2012, the DOD will provide technical assistance and support to the ENDF's ART adherence support program for HIV positive military personnel and their families. This DOD activity will work in collaboration with the DOD University of Connecticut PwP program activities. With support from DOD, the ENDF aims to reach 1,800 HIV positive military personnel and eligible spouses ART adherence support.
