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.
UNICEF headquarters and CDC headquarters have entered into a Cooperative Agreement with a broad scope of work that includes HIV pediatric care and treatment and Preventing Mother to Child Transmission of HIV (PMTCT) for interested PEPFAR countries. Utilizing this central mechanism CDC and UNICEF in Guyana are embarking on a cooperative agreement to address Pediatric Care and PMTCT in Guyana for COP 13. The overall goal of this cooperative agreement is to improve the care of HIV exposed infants (HEIs). This agreement involves UNICEF providing Technical Assistance in the following areas: (a) Integration of care of HEIs into MCH services, (b) Development of a Monitoring and Evaluation system for the Case Management system that currently exists in the PMTCT program Guyana. The case management system was established to track HIV infected mothers and their newborn HEIs from delivery until the infants are 18 months old if not HIV infected to ensure that they are managed appropriately and are transferred to the well-baby clinic. MoH data reveal that the care of HIV exposed infants (HEIs) in Guyana is not optimally addressed. Specifically, the uptake of cotrimoxazole prophylaxis among HIV exposed infants by two months of age was merely 54% or 130 of 242 infants in Year 3 of the MoH / CDC Cooperative Agreement as stated in the MoH Annual Progress Report of 1st September 2011 to 31st August 2012. Similarly the percentage of HEIs who receive a HIV test by 12 months of age has been reported to be 60.7% or 147 out of a possible 242 infants during this period. This percentage is even less in infants less than 2 months of age.
In COP 13 CDC is entering into a Cooperative Agreement with UNICEF which will utilize the cooperative agreement that currently exists between UNICEF Headquarters and CDC Headquarters that includes a broad scope of work including HIV Pediatric Care and Treatment and Prevention of Mother to Child Transmission of HIV (PMTCT). The activities that UNICEF will be conducting will include Technical Assistance in improving supervision, improving quality of care and strengthening of the health services in order to achieve improvement in Pediatric Care. There were 242 exposed infants during FY 12 (September 2011 to August 2012). Of these HEIs only 60.7% received a HIV test by 12 months of age and only 54% received cotrimoxazole prophylaxis by 2 months of age. These statistics indicate that a significant percentage of HEIs are not receiving care in accordance with national guidelines.Currently parents of HEIs are required to schedule well-baby and follow-up care at MCH clinics and HIV care and treatment clinics. There is little communication or coordination of care between these two clinic settings, in fact, sometimes these clinics are located in different facilities with different staffing and charts. This cooperative agreement expects to improve the uptake of pediatric services by HEIs is integration of EID care into the MCH services which would entail training and capacity building of nurse midwives. UNICEF through this Cooperative Agreement will develop Standard Operational Procedures (SOPs) for the integration of Pediatric Care into MCH services. This would improve the percentage of HEIs with DBS specimens collected during the first 2 months of life and uptake of CTX since infants would receive these services in well-baby clinic.UNICEF will also assess the current practice of laboratory diagnosis of HIV exposed infants and make recommendations for improvement so that the uptake of early infant diagnosis will be improved from its current state. The Case tracking system has been instituted in the PMTCT program to monitor the HIV positive pregnant women and their infants, with a goal of ensuring that they attend clinic and receive the appropriate care and treatment according to the National HIV care and Treatment guidelines. UNICEF will provide Technical Assistance to develop and implement a monitoring and evaluation system for the Case Tracking system and make recommendations for its improvement.
