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.
This program area targets officer cadets, recruits and ranks deployed to outlying posts. CDHAM will enhance HIV/AIDS prevention in the Guyanese Defense Force through continuing to train and support medical personnel and peer educators to provide AB messages. Activities will be extended beyond Georgetown to outlying military posts where train-the-trainer programs will also be initiated. Personnel in leadership positions will be trained and encouraged to provide prevention education to their subordinates. Peer education will be supplemented through the distribution of HIV/AIDS prevention literature. Peer educators will be supported in developing targeted prevention messages and venues. Peer education trainers will be supported in recruiting and training new peer educators. A HIV/AIDS awareness day will be organized, coinciding with a national HIV/AIDS prevention activity. Created databases of peer educators and trainers will be maintained. Activity reporting mechanisms will be implemented.
CDHAM will continue to assist implementation of universal precautions in the Guyana Defense Force (GDF) outpatient settings. The GDF's health care ranks will know and practice infection control procedures, including safe medical injections, and how to safely handle blood products. Refresher training will be held for all laboratory and health personnel in safe blood drawing and sample handling techniques. The logistics system to provide materials to facilitate safe handling and disposal of blood products will be maintained.
CDHAM will continue to enhance HIV/AIDS prevention in the Guyanese Defense Force through continuing to train and support GDF medical personnel in teaching ABC messages to all GDF personnel seeking healthcare. Efforts will continue with GDF leadership to increase the acceptability of ready access to condoms within the GDF and they will be trained and encouraged to provide HIV/AIDS prevention education to their subordinates. Currently, condoms are available through the Guyanese National AIDS Programme Secretariat for members of the Guyanese Defense Force, and health care providers will communicate safe sex messages. Messages will include partner reduction, consistent and correct condom use, and correct knowledge of HIV transmission. Special focus will be given to the role of men in adopting safer sex behaviours to protect both themselves and their partners/families, particularly in the areas of consistent condom use and partner reduction. Sensitivity to issues surrounding stigma and discrimination will be emphasized. Population-targeted education materials will be produced or obtained. Activity tracking and reporting mechanisms will be implemented.
The DOD supported palliative care program includes; 1.) Diagnosis and treatment of STIs and OIs, at the GDF medical facilities, but use of civilian (public) facilities for treatment of extreme cases; 2.) Nutritional support through programs targeting HIV/AIDS affected members of the GDF and their families with assistance of DOD (GDF health personnel to be trained to provide nutritional counseling); 3.) Provision of training for basic health care; and 4.) Referrals and accompaniment of clients to Government social services, FBO/NGO social and psychological support programs, and organizations that offer spiritual support.
One health care provider will be sent to the Military HIV/AIDS Training Course (funded in the OHPS program area) where training will be provided in the diagnosis and management of HIV complications (neurological, oral, skin, pulmonary, opportunistic, ophthalmic, and emergencies) and on mental health and ethical issues in HIV patients. Support will be provided for this individual to train other GDF healthcare personnel to provide health care and support for HIV-infected personnel.
The Center for Disaster and Humanitarian Assistance Medicine (CDHAM) will continue to provide technical assistance, including training, education resources, and standard operating procedures (SOPs) to the Guyana Defense Force (GDF) medical personnel for proper diagnosis and treatment of TB in HIV-infected individuals within the GDF. The GDF will implement HIV testing and counseling for all TB patients and TB screening of all HIV-infected personnel. Training, local organization capacity development, and strategic information activities will be done in conjunction with activities in the palliative care: basic health care and support program area. Necessary equipment and laboratory supplies will be purchased as part of the laboratory infrastructure program area.
Counseling and testing (C&T) by trained counselors will be available at all four GDF locations, Base Camps Ayanganna, Stephenson, Ruimveldt, and Seweyo, with plans to for establishment of C&T center at the Colonel John Clarke Military School. Supporting the MOH "Know Your Status" program, personnel in leadership and peer educators will encourage GDF personnel to be tested for HIV. Counseling will be performed in accordance with international guidelines and will include targeted ABC messages. Reduction of stigma and discrimination will be emphasized, including implementation of mechanisms to maintain the anonymity of those tested and the confidentiality of their test results. Linkages into the civilian health sector for referral of HIV positive individuals will be maintained. If GDF pursues development of an internal capability to do counseling and testing, plans will be made to integrate C&T into current health facilities or build permanent testing facilities. Data collection and activity reporting mechanisms will be implemented and maintained.
Laboratory equipment and supplies will be procured to implement rapid HIV testing, STI testing for HIV-infected individuals, and diagnosis of TB in HIV-infected individuals. A mechanism will be established for reporting test results to the appropriate medical provider while protecting patient confidentiality. DoD laboratory personnel will perform staff assistance visits to the GDF laboratory to assess needs and provide training of personnel. Logistics mechanisms to sustain laboratory capabilities will be maintained and enhanced. The projected number of individuals with HIV/AIDS in the GDF does not justify the expense of implementing CD4 tests and/or lymphocyte tests.
Utilized by CDHAM; the Office of the Command Surgeon, United States Southern Command; and the DoD HIV/AIDS Prevention Program to provide quality assurance and supportive supervision for in-country activities funded by the FY06 COP. One full-time CDHAM employee will devote 40% of his/her time to this project. Support will continue for foreign-service national to serve as the project coordinator who will provide in-country management support to the GDF for PEPFAR initiatives. This individual will be responsible for providing management oversight and training to the program management team within the GDF. These funds will also support costs incurred for travel, office infrastructure and material supplies.
