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.
Background:
The 73,122 indigenous Amerindians of the forested hinterland regions continue to struggle with health
issues including tuberculosis, malaria, parasitic infections, diarrhea and HIV infection. Like many
Guyanese, Amerindians have been historically disadvantaged, affecting their ability to pay for travel to
regional health facilities that are already difficult to reach or to health facilities in the capital city of
Georgetown. Poor road infrastructure in areas separated from major towns by large rivers, coupled with
semi-nomadic lifestyle, and cultural challenges also affect access to health services. The dominant mode of
transmission is through heterosexual contact and mother to child transmission (MTCT). Blood transfusion,
harmful traditional practices and unsafe injections are all recognized to be other modes of transmission that
require transmission, but are a relatively small risk at present. Prevalence rates indicate that there are
significantly lower levels of HIV in the hinterland communities than those found in the coastland regions.
The risk for the majority of hinterland residents is through the bridging of populations, meaning people who
are at higher risk providing links with other people who have lower risk behavior. Other risk factors for
hinterland communities are the status of the epidemic in the coastlands, the presence of bridging
populations, and the trend of both adult and youth seeking employment in mining and logging areas. In
addition to these risk factors, there are numerous subgroups that contribute to the transmission of
HIV/AIDS, such as construction workers, teachers, health workers, military personnel posted to hinterland
camps, commercial sex workers who join mining camps, truck drivers and their assistants on overnight
stops, and people attending annual seasonal celebrations. There are also specific cultural norms and
practices within Amerindian communities that place people at higher risk; these include sexual intercourse
in younger ages, which may be as young as 12, multiple sex partners, and high levels of alcohol
consumption. With increasing HIV awareness in Guyana, Amerindians communities are becoming
cognizant of HIV infection as a manageable health condition. In partnership with CDC, MOH, through
Guyana's National AIDS Programme Secretariat (NAPS) and Regional Health Services (RHS), provides
mobile health services including HIV/AIDS services to the Amerindian communities of regions 1, 7, 8 and 9.
For example, between January and September of 2008, 1604 persons were tested for HIV in the hinterland
regions by the CDC-supported mobile medical team.
The Hinterland Initiative seeks to contribute to this goal by promoting better coordination and integration of
more than 20 NGOs that currently provide services in the hard to reach interior regions of the country. It is
one of the few new programs planned for FY09 under USG funding. Although HIV/AIDS services are
currently being offered in the hinterland regions (regions 1, 7, 8, and 9) by a roving medical team supported
by PEPFAR, this initiative is an effort to bring together multiple stakeholders to coordinate HIV/AIDS service
provision efforts. This initiative has a primary emphasis on building new partnerships, strengthening and
expanding current partnerships, and supporting coordination of multiple organizations that can work more
synergistically to provide more efficient delivery and equitable access to HIV/AIDS services. As a first step
in the planning process, in October 2008 CDC GAP Guyana held a general meeting for this initiative.
Numerous stakeholders from across the country were invited to begin the discussion on the challenges,
possible solutions, and actors surrounding access to HIV/AIDS services in the hinterland regions. Several
key organizations expressed interest to work directly with other NGOs, FBOs, and USG implementing
partners to build synergistic capacity to address the HIV and health-related needs of this population through
this initiative. Under the leadership of HHS/CDC in cooperation with USAID and the Peace Corps, specific
activities planned for FY09 include convening meetings with the mobile team and the MOH to conduct a
needs assessment to prioritize gaps in regions 1 and/or 9, developing coordinated work plans, conducting
joint site visits, and performing mapping exercises. The focus for the first year of this multi-year initiative will
be to address major infrastructural barriers to providing care, increasing awareness among villagers,
introducing recently completed training curriculum for lower-level health providers (e.g., Medex, CHWs),
expanding counseling and testing, and, where feasible, reinforcing referral networks.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Estimated amount of funding that is planned for Education
Water
Table 3.3.03:
