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: 2013 2014 2015
This is a continuing mechanism from FY11 COP but activities to be undertaken has been significantly expanded. Since changes could not be made to the narratives because its a COP lite year, a new IM has been created.
HPP helps support implementation of policy and governance activities, financing, leadership and advocacy, and promoting country ownership of programs and initiatives. USAID/Ghana has new initiatives in developing a program for IDU's HPP will lead and finance activities to ensure that the program is well accepted by national and local authorities and that local legal issues are addressed. HPP will work with the Ghana AIDS Commission, the Ghana Health Service, the Narcotics Control Board and the Food and Drug Administration. HPP will also support implementation of a new post-partnership framework policy agenda.
USAID has received finding from the Local Capacity Initiative to strengthen NGOs, in this case to carry out consumer advocacy for health-related issues, in particular issues related to the insecurity of ARV supply, and stigma-related issues. HPP will provide training and coaching once the NGO will be selected for this work.
HPP will assist in addressing policy issues in relation to a harm reduction program for people who inject drugs. An issue is that the most effective interventions are those that might need addressing legal challenges before they can be implemented. These are needle exchange programs and opiate substitutions programs. Therefore, HPP is expected to work closely with GoG organizations, especially the Ghana AIDS Commission, the National AIDS Control Program (Ghana Health Service), the Narcotic Control Board, the Food and Drug Administration, and with local NGOs who are implementing the program. The project will do an inventory of laws and regulations governing the use of needle and opiate substitution, and work with the institutions mentioned to overcome any constraints to implementing such interventions. In addition, PWID are often linked to criminal behavior especially to gain sufficient funds to buy the drugs involved. There might be a need to work closely with the Ghana Police Service to find ways to ensure that harm reduction programs can be carried out without clashing with police measures to fight criminality.
Ghana is in the process of developing a new post-partnership framework policy agenda that will have a renewed focus on country ownership, sustainability of financing the HIV/AIDS response and human resource issues. Financing the ART program will have a renewed focus including working with the National Health Insurance Authority to coverage of ART in the insurance package. A local NGO will be selected for this work and will be carefully prepared by HPP to take on advocacy issues
