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 2012
During FY2011, the Pan American Health Organizations (PAHO) technical cooperation with the Ministry of Health (MOH) will accelerate the incorporation of HIV/AIDS prevention, treatment, care, and support and TB/HIV care into the primary health care (PHC) services, a central aspect of ensuring sustainability of HIV/AIDS and TB programs. PAHO will continue to support the implementation of joint efforts between TB and HIV programs to strength TB/HIV collaboration at all levels, as well as to focus on critical areas to improve quality service in the areas of HIV/AIDS prevention, treatment, care, and support, and support for TB/HIV care, strategic information and health systems strengthening. The implementation of the PEPFAR project will contribute to sensitizing and training health personnel to better understand the HIV epidemic and generate disaggregated data for decision making, thus facilitating the identification of gender and equity issues, and the development and implementation of strategies to address gaps. These activities are aligned with the National Health Sector Strategy 2008-2012, the National Strategic Plan for HIV, and the National Principles for Prevention of HIV; they also address the first two diseases named in Strategic Objective 2 (SO2) of the PAHO Strategic Plan 2008-2012 To combat HIV/AIDS, tuberculosis, and malaria.
Global Fund / Programmatic Engagement Questions
1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?
Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHVSI Ministry of Health 45000 Modes of Transmission Study (MOTS) and HIV Drug Resistance Monitoring
During the FY2012, the Provider Initiated Testing and Counseling (PITC) skills will be enhanced within the TB/HIV service settings. Therefore, TB staff will be trained on PITC, particularly where permanent counseling and testing sites are not established and existing TB staff can aid in conducting PITC. This support will update the Standard Operational Procedures for PITC for TB clinics. PAHO/WHO has started technical cooperation for the development of the National Infection Control Plan . The Infection Control Plan will target at least three major hospitals (Georgetown Public Hospital Corporation, Linden Hospital Complex, and New Amsterdam Hospital) and the Georgetown Prison. The committee of nosocomial control infections at the GPHC (in collaboration with CDC) will be strengthened. TB/HIV co-management will be enhanced to integrated TB/HIV into PHC systems, therefore, TB/WHI module from Integrated Management of Adolescent and Adult Illness (IMAI) will continue to be implemented. Trainings on Directly Obvserved Therapy Short (DOTS) will be conducted at subnational level to follow the internationally-recommended Stop TB Strategy for TB control to ensure adherence to effective chemotherapy.
During FY2012, Integrated Management of Adolescent and Adult Illness (IMAI) assessment will be conducted in a representative sample of regions. PAHO/WHO will continue to support the IMAI supportive supervision visits at regional and local level. An IMAI coordinator will be hired to roll out the IMAI strategy at national and subnational level. IMAI training for new professionals will be conducted in regions 2, 5, 7, and 8 for additional doctors including MEDEX, social workers, and other health providers. Due to the expansion of the IMAI strategy nationally, it is pertinent to introduce the principles of IMAI strategy into the curricula of institutions of learning (e.g. Nursing School and MEDEX programs). To fully achieve the objectives of this program nationally, administrative and technical support from PAHO/ WHO will facilitate the implementation of the IMAI strategy at regional and local level to strengthen Primary Health Care (PHC). Technical expertise and support will be provided through local, regional, and international PAHO/WHO entities. This may require personnel travelling to Guyana as well as local personnel travelling overseas to benefit from technical support available out of the country. It is expected that the national coordinator who is leading the supervision and monitoring at central level from MOH will be trained overseas, as well as a coordinator from the regional level.
