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: 2007 2008 2009
Track One Funding
AIDSRelief continues to support HIV care and treatment services in both the private and public sector. In
the public sector AIDSRelief continues to support Bartica Public Hospital, and continues to facilitate
linkages with Mazaruni Prison and complementary HIV services (e.g. PMTCT). Frequent onsite visits are
made regularly by both the AIDSRelief physician and also the Pediatric HIV consultant. AIDSRelief
maintains close contact with the adherence nurse coordinator in order to discuss any problems that may
have arisen.
In the private sector AIDSRelief continues to support St. Joseph Mercy Hospital (SJMH) and has expanded
services to Davis Memorial Hospital, which is located in Region 4 and is the only other faith-based hospital
in Guyana. The addition of Davis Memorial Hospital as a treatment site further expands the options and
choices for those wishing to access care and treatment services for HIV in the private sector, as evidenced
by the rapid scale-up at this site since October 2006.
In FY2008, AIDSRelief will continue to build local HIV technical capacity with increasing attention to
pediatric and adolescent HIV treatment. AIDSRelief will support the newly formed adolescent clinic at St.
Joseph Mercy Hospital with onsite didactics and mentoring, as well as, providing off site training at
University of Maryland's School of Medicine Adolescent HIV clinic. In supporting the adolescent HIV clinic
at SJMH, AIDSRelief is increasing the quality and spectrum of care that is provided to a very vulnerable
population, those caught between childhood and adulthood. SJMH will also integrate a registered nurse
into the HIV program to provide follow-up care and facilitate patient-flow and linkages with other programs
(e.g. OVC, PMTCT). Additionally, to further support pediatric treatment at our LPTFs, AIDSRelief will recruit
a local pediatric HIV specialist to mentor staff at all sites.
In FY2008, the in-country IHV physician will continue to provide ongoing support and assistance to the
LPTFs through didactics and on-site mentoring, and additionally liaises with USG in-country and MOH
partners on technical issues related to HIV care and treatment. AIDSRelief will provide additional technical
assistance in the areas of psychosocial support, pharmacy support, adherence, laboratory monitoring,
strategic information and financial management.
In order to ensure that high quality care is being delivered, AIDSRelief will continue to monitor for unmet
needs in the health care delivery system through the AIDSRelief Continuous Quality Assurance/Quality
Improvement program. This will be implemented with six fundamental components: 1) continuous
observation and measurement of standards of care delivery and program management, 2) measuring
success of treatment outcomes through viral suppression, immune reconstitution, morbidity, mortality, and
lost to follow up over time, 3) linking available patient health information and program characteristics as a
predictor of treatment outcomes, 4) collecting information on adherence to treatment and treatment support,
5) comprehensive and useful feedback of the information, and 6) utilization of outcomes analysis to design
site specific improvement activities. Through this continuous quality improvement plan, sites (with technical
assistance from IHV and Constella Futures) will be able to use data to affect change in the quality of service
provided.
In FY2008, AIDSRelief will also continue to augment capacity and services at its LPTFs and strengthen
linkages with complementary services (i.e. home based care, nutritional support, family planning services)
in order to provide greater access to care and treatment services. AIDSRelief, through IHV, will also
enhance its role to collaborate with in-country partners in providing training opportunities, lectures, and
workshops for local HIV treatment providers, in both the public and private sector, to build the technical
capacity of local clinicians and other members of the healthcare team to promote sustainability and to
empower them to inform future policy and standards related to HIV care.
