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 PHE activity, "Assess the best method for adherence in Guyana" was approved for inclusion in the
COP. The PHE tracking ID associated with this activity is GY.08.0032.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Estimated amount of funding that is planned for Public Health Evaluation $0
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Program Budget Code: 10 - PDCS Care: Pediatric Care and Support
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
Free ART is available to all eligible adults and children in Guyana and there is no waiting list for treatment. As of September 2008,
134 children are on treatment which represents 8% of the total patients on ART (2,185).
In FY09 it is expected that DNA PCR testing for early infant diagnosis (EID) will be available at the new National Public Health
Reference Laboratory. Currently dry-blood spot is used for early infant diagnosis. An initiative to improve the quality of both
pediatric and adult clinical services was launched by the MOH in partnership with UNICEF, HRSA, and CDC through the
HIVQUAL program, called "HealthQual." Selection of patient indicators was completed, and software development has begun.
HealthQual will be piloted in the GPHC ID ward, and the MOH MCH program.
Treatment partner AIDS Relief has a special pediatric focus and will provide comprehensive ARV services at 3 sites, including two
faith-based non-profit hospitals and one public hospital. AIDS Relief uses a family-centered care model and ensures that families
of patients on ART also receive support services and prevention messages. In FY2009, AIDSRelief will continue to build local
HIV technical capacity with increasing attention to pediatric and adolescent HIV treatment. They will support the newly formed
adolescent clinic at St. Joseph Mercy Hospital with onsite didactics and mentoring, and off site training at University of Maryland's
School of Medicine Adolescent HIV clinic. 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, AIDSRelief will recruit a local
pediatric HIV specialist to mentor staff at all sites.
The primary MOH treatment partner FXB continues to support the provision of pediatric as well as HIV care and treatment
services, the development of guidelines and protocols, continuous quality improvement, and the design and implementation of
adherence monitoring. They have recruited a full-time pediatric specialist to support multiple sites.
Children who are identified through the PMTCT/MCH clinics, Government Social Services, treatment sites, PLHIV support groups
and palliative care providers are referred to community-based NGOs for care and support services through the OVC program.
Community based providers work alongside Regional palliative care nurse coordinators at the treatment sites to ensure a
continuum of care. Care and support services include clinical, psychological, spiritual, social and prevention services.
Clinical Care services are provided through the health sector care and treatment sites. At these sites comprehensive, family-
centered, palliative care clinical services for children are provided that include routine clinical and CD4 monitoring, prevention and
treatment of OIs, including provision of co-trimoxazole, infant feeding counseling, growth and development monitoring, nutritional
assessment and support, and linkages to broader health care services.
Psychological care services provided address the non-physical suffering of the child and their family and include support groups
linked to the care and treatment sites as well as those led by FBO and NGO partners. Activities include the development and
implementation of age-specific psychological care in collaboration with the Ministry of Labour, Human Services and Social
Security, and family care and support delivered by NGOs/FBOs. These include support for adherence to ART, parenting support
groups to address concerns and needs of caregivers, bereavement care, as well as nutritional and hygiene counseling for the
family. Spiritual care service supports families to deal with basic issues related to HIV/AIDS through sensitization, training, visits
by religious leaders and counseling related to fears, guilt and forgiveness.
Social services include advocating and ensuring children's stay in school and have access to the same quality of education,
vocational training, medical care, targeted nutritional support, basic food support (including community gardens and leveraging
other GOG and donor program resources), as well as economic opportunity/strengthening programs.
Prevention services include age-appropriate prevention messages, linkages to PMTCT clinic for all HIV exposed children, as well
as home-based voluntary counseling and testing for family members.
Efforts will be coordinated with the Government and other civil society programs, to ensure continuity of care and the responsible
reporting of the support provided to each child. Efforts will be made to improve the quality of services through linkages with the
National AIDS Program Secretariat, the private sector, MOLHSSS and other donor agencies.
Program Budget Code: 11 - PDTX Treatment: Pediatric Treatment
Table 3.3.11:
