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: 2010 2011
The AIDSRelief consortium provides comprehensive HIV care, treatment, and support services and HIV prevention services in Guyana. The care, treatment and support services are provided at three (3) local partner treatment facilities (LPTFs). Two of the LPTFs are faith based hospitals located in Georgetown (Region 4) and the third LPTF is a Ministry of Health Regional Hospital located in Bartica (Region 7). As part of our support services AIDSRelief supports Hospice Centre which is also located in Georgetown. AIDSRelief also provides a variety of prevention services through our local partners (PMTCT, VCT and Abstinence Education).
Goal and Objectives under the Award
The overall goal of the AIDSRelief program is to ensure people living with HIV and AIDS have access to ART and high quality medical care. To achieve this goal, AIDSRelief continues to focus on the following key strategic objectives:
1. Existing ART service providers rapidly scale up delivery of quality ART care; 2. Expand community level services providing quality ART to vulnerable and low income HIV infected people; and 3. Create and strengthen health care treatment networks to support capacity building within communities.
Geographic Coverage
The AIDSRelief care, treatment and support program primarily focuses on persons living in Region 4 and 7, however, some patients who enrolled in the program lives in Regions 2, 3, 5, 6 & 10. The abstinence program has been rolled out in all 10 administrative regions.
Key Issues
In the upcoming year, the AIDSRelief program is going to focus on the following key issues:
The low number of males utilizing VCT services; The disproportionate number of males (41%) enrolled in the care and treatment program compared to females (59%); The number of patients who are being lost to follow up; Adherence; and the increasing number adolescent clients.
Strategy towards costs efficiency
AIDSRelief continues to find innovative ways to provide high quality HIV care and treatment while trying to keep program costs at minimum. In the upcoming year AIDSRelief will continue to find ways to collaborate with local partners to maximize technical assistance offered to the clinical care and treatment staff at the Public and Private Care and treatment sites. AIDSRelief will also work with the Ministry of Health to look at ways of reducing care and treatment costs at SJMH and DMH, such as procuring OI medications through the MOH and centralizing CD4 tests at the National Reference Laboratory.
Monitoring and evaluation plans
AIDSRelief provides on-site technical assistance and training to facilitate the development and implementation of data management systems that respond to the needs of physicians, hospital administrators, MOH, USG donor, and project needs. Care and treatment sites receive strategic information capacity building and focuses: on improved data demand and information use; enhancing/implementing patient monitoring and management system that meet local requirements; and enhancing data quality for better service and clinical outcomes. AIDSRelief has three main objectives for strategic information:
1. LPTFs have skills to collect, manage, and analyze data; 2. Data demand increases for improved clinical and programmatic decision making; and 3. LPTFs share lessons learned and best practices for improved data quality.
AIDSRelief continues to support HIV care and treatment services in both the private and public sector through its clinical core team composed of an Infectious Disease specialist and a Community Outreach/Adherence Specialist from IHV, and clinical and counseling staff at the LPTF. 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 supported HIV physicians. 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 Davis Memorial Hospital, which are both located in Region 4 and are the only faith-based hospitals in Guyana.
The clinical core team will continue to provide ongoing support and assistance to the LPTFs through didactic trainings and on-site mentoring, and additionally liaises with USG in-country and MOH partners on technical issues related to recognizing and managing ARV side effects, diagnosing and management of opportunistic infection as well as interpreting CD4 changes and viral load results. AIDSRelief will provide additional technical assistance in the areas of psychosocial support, pharmacy support, adherence, laboratory monitoring, and strategic information.
Enhanced clinical and didactic training will be conducted at UMSOM-IHV's Clinical Training Site. Providers will have access to video conferencing CME lectures and will also have the opportunity to receive direct preceptorship in the management of more complicated HIV+ patients. The clinical site will serve as an offsite adjuvant facility to SJMH and DMH. It will serve as a mechanism wherein AIDSRelief can collaborate with local in-country partners in building local technical capacity and promoting sustainability.
AIDSRelief provides a comprehensive care and treatment package at the three LPTF which includes clinical and laboratory monitoring, ARV treatment, OI prophylaxis and treatment, and adherence counseling and support.
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.
